The Spirit Catches You and You Fall Down - Anne Fadiman

Book Report

The Spirit Catches You and You Fall Down - Anne Fadiman

This book addresses one of the common characteristics, and challenges, of health care today: the need to achieve a working knowledge of as many cultures as possible in health care. The Hmong population of Merced, California addresses the collision between Western medicine and holistic healing traditions of the Hmong immigrants, which plays out a common dilemma in western medical centers: the need to integrate modern western medicinal remedies with aspects of cultural that are good for the well-being of the patient, and the belief of the patient’s ability to recuperate. What we see is a clash, or lack of integration in the example of the story thereof. Lia, a Hmong child with a rare form of epilepsy, must enter the western hospital instead of the Laotian forest. In the forest she would seek out herbs to remedy the problems that beset her, but in the west she is forced to enter the western medical hospital without access to those remedies, which provided not only physical but spiritual comfort to those members of the Hmong culture. The herbs that are supposed to fix her spirit in the forest are not available in the western hospital. The Merced County hospital system clashes with Hmong animist traditions.

The main characters, the Hmongs, are a culture of refugee families that supported CIA efforts in Laos. Their culture embeds deep spirituality into its health care, by the doctors of the Merced County hospital. The notion that herbs were strictly to heal the spirit was of course a source of contention for the physicians of the hospital, though nurses might feel that the symbolic effect alone is worth seizing. In other words, whether the physicians ...

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...uals, even if they don't agree with them. It really falls to nurses to address the situation properly, and effectively ensure that the cultural communication between the doctor and the patient does not break down. Nurses most of all have to communicate with patients in a healing way, even if they do not agree with mystical remedies because the nurse has to recognize that there is nonetheless a function that mystical ritual remedies do serve, even to western medicine: to comfort the patients and their families. Ancient rituals or customs, retained to some extent or respected by western caregivers, can serve to maintain a healing and positive attitude, and as a psycholgocial support which the nurse can provide through respect and symbolic use of non-western cultural myths as a psychological stimulant to assist the healing process and inspire the patient thereof.