The Spirit Catches You And You Fall Down by Ann Fadiman is a very interesting book. It’s amazing how difficult it is for Americans to understand other cultures because the United States is such a diverse country. However, as an American, I understood the frustrations that Lia Lee’s doctors’ felt when trying to diagnose and treat her properly. In this book both the American doctors and the Hmong peoples faced many hardships and barriers when trying to communicate with each other. After having read this book I can understand where both groups were coming from and reasons for their actions. I could only imagine the level of difficulty and anger that the doctors and Lia’s parents must have experienced over that time period.
The two items that I will be discussing are questions one and two. Looking at the Lee family from a psycho-social perspective, I would say that they are a very close nit family who value their culture. The wife, Foua is very independent in the sense that she gave birth to all of her children except Lia, without any help or assistance from anyone. Also because she worked in the fields all through her pregnancies. The husband, Nao Kao is a very loving, and supporting to his wife and children. The Lee’s value their beliefs and believe strongly in their customs. They possess close nit ties to other Hmong people and although they were taught their own healing remedies, they are somewhat accepting of western customs as well.
While reading this book, I identified many problems and stressors. Some of them include the language barrier, which made it hard for doctors to ask questions like what’s the problem, where does it hurt, how bad is the pain, etc. The language barrier also made it hard for doctors to explain diagno...
... middle of paper ...
... had previously had experienced.
I think Jeanine taught them a valuable lesson in the sense that all Americans are not the same. We all are not capable of understanding other cultures and peoples. We all do not pass judgments or view those who are different from us in a negative way. All Americans are not trying to convert other people into their way of life. We all don’t feel that our culture is superior to others. Americans can be open- minded individuals. Not all Americans agree with all of the laws of our country. Overall I believe that having Jeanine as their social worker, the Lee’s and Lia’s doctors learned some valuable lessons. The Spirit Catches You And You Fall Down is an excellent read. I would recommend that everyone read this book especially people whose professions requires them to do extensive work with people from different backgrounds and cultures.
The main coping mechanism, then, became suppressing of the memories and emotions attached to the traumas of the Vietnam Wars. Their home served as the host of these demons, but the demons impacted parenting styles. Thi acknowledges that her parents taught her and her siblings many lessons, some intentional but others, quite the contrary. It was the “unintentional ones [that] came from their unexorcised demons and from the habits they formed over so many years of trying to survive;”(“The Best We Could Do,” 295) these lessons were indeed unintentional because just like the suppressed communication, they derived weak communication between the parents and the children. In Min Zhou’s article “Are Asians Becoming ‘White’?” she concludes by including a picture of a Vietnamese family celebrating the 1998 Lunar Year, looking happy. This happy family in the article is much like the Bui family because on the outside, they appeared happy, but inside their home and their hearts, a darkness
She heard about the Hmong through a friend, and so she spent 4 years living in Merced, California and another 5 writing this book. She attempts to stay fairly neutral in her writing, though through her time with the Lees, she confesses that her writing may appear biased toward the Hmong culture rather than toward the Americans. However, in the end she could not blame one side or the other for the unfortunate tragedy of Lia, who got hit in the cross-fire between these two cultures. Her theoretical view is a type of cultural relativism. Neither the Hmong nor the Americans could emerge as the better culture. She does not address any questions about direct unethical practices. The Hmong did not practice human sacrifices, and the animals they did sacrifice were theirs. She does seem to believe that every culture has its weak and strong
Fadiman, Anne. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. New York: Farrar, Straus and Giroux, 1998. Print.
The Spirit Catches You and You Fall Down by Anne Fadiman is about the cross-cultural ethics in medicine. The book is about a small Hmong child named Lia Lee, who had epilepsy. Epilepsy is called, quag dab peg1 in the Hmong culture that translates to the spirit catches you and you fall down. In the Hmong culture this illness is sign of distinction and divinity, because most Hmong epileptics become shaman, or as the Hmong call them, txiv neeb2. These shamans are special people imbued with healing spirits, and are held to those having high morale character, so to Lia's parents, Foua Yang and Nao Kao Lee, the disease was both a gift and a curse. The main question in this case was could Lia have survived if her parent's and the doctors overcame the miscommunication, cultural racism, and the western way of medicine.
What would it be like to come to a country and not understand anything about its health care system? To many this would be a very daunting task. Unfortunately, this is the scenario that the Lee family has to deal with in the book The Spirit Catches You and You Fall Down by Anne Fadiman. The Lee family, and the other thousands of Hmong immigrants, try to understand and navigate the complex and sometimes confusing health care system of the United States. As the book points out, the values and ideals of the Hmong culture and the United States health care system are not always the same and sometimes come into great conflict with each other. Lia Lee was unfortunately the person stuck in the middle of this great conflict.
As part of my Culture, Health and Illness class, I undertook a critical analysis of the book “The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures” by Anne Fadiman. This book was published in 1997, and documents the struggle of a Hmong family from Laos in communicating with and understanding the American health system.
Each of these cultural competences has its own impacting influence and effect over the continuum of the lives of the characters that comprised the story. Towards the progress of the story, the impact of cultural values, beliefs and traditional norms that guided the Hmong people set up their own unique traditions and practices. This influenced the overall development of their cognitive skills and emotional capacities. Furthermore, these cultural competences defined their lives, how they lived in the community and how they organized their roles and their functions towards the society. These were various cultural domains that overall defined their personality and how they should live their lives and unique individuals. However, it was these same cultural and religious considerations that separated them the "normal sense" of development, function and expression of existence (American Academy of Child and Adolescent Psychiatry, 2009, p. 1). These are the cultural and religious influences that disabled them to understand the narrative display and critical applications of modern knowledge and science. Because of their own set of cultural display and traditions, the Hmong people could not care less of the applications and understanding of modern practices and expressions. Likewise, after Lia was thought of being possessed by an evil spirit, the community thought of her as a poor girl disturbed by the lost souls.
Anne, Fadiman. The Spirit Catches You And You Fall Down: A Hmong Child, Her American Doctors, And The Collision Of Two Cultures. New York: Noonday Press, 1994. Print.
How would it feel to flee from post-war Communist forces, only to face an ethnocentric population of people in a new country? In Anne Fadiman's The Spirit Catches You and You Fall Down, a portrait of a disquieting, often times touching, ethnography (i.e. a book that details particular data of an extended period of time an anthropologist spent living closely with a community of individuals during his or her field work) of Fadiman's experience living in Merced, California, which was home to the largest population of Hmong refugees, such as the Lee family, from Laos who suffered mass confusion when trying to navigate the American health care system. Because the Hmong could not speak sufficient English until the children gained language skills native to the United States, residents of California were not accepting of the Hmong community. Fadiman aims to better understand how knowledge of illness among Hmong and Western medical practitioners differ, which pushes the reader to understand how the complicate medical treatment in the past as well as the present from a perspective of an American observing a Hmong family's struggle with the system. In America, it isn’t uncommon to be judged for your clothing, your house, or the amount of money your family makes, so it is easy to believe that the Hmong people were not easily accepted into American society. As a whole, ethnocentrism, or the tendency to believe that one's culture is superior to another, is one of America's weaknesses and this account proves ethnocentric behavior was prominent even in the 1970-80's when Fadiman was in the process of doing her fieldwork in post-Vietnam War Era California.
In the US., the therapeutic group seldom has approaches to correspond with individuals of societies so drastically unique in relation to standard American society; even a great interpreter will think that it troublesome deciphering ideas between the two separate societies' reality ideas. American specialists, not at all like Hmong shamans, regularly physically touch and cut into the collections of their patients and utilize an assortment of capable medications and meds.
This essay will be evaluating the question: how did language and communication play a role in shaping what happened to Lia? Also, it will look at if Fadiman points out ways in which communication practices between doctors and patients could be improved. These were important in the book, The Spirit Catches You and You Fall Down, because they shaped what would happen to Lia in the end. The evidence we will look at will include the facts that the doctors and the Lees couldn’t understand each other, the hospitals didn’t have enough interpreters for everyone, and that the Lees did not trust hospitals or doctors in the first place because of their culture.
Share the story of The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures.
In their pursuit of assimilating and calling the US home, they had forged a new identity of Hmong Americans. (Yang, 203) Being Hmong American meant striving to move up the economic ladder and determining one’s own future. They understood that for them to realize their American dream and their “possibilities”, it could only be done so through “school”. (Yang, 139) Yang realized her dream by attaining a Master’s of Fine Arts from Columbia University and publishing books about the Hmong story.
The Hmong people, an Asian ethnic group from the mountainous regions of China, Vietnam and Laos, greatly value their culture and traditions. The film “The Split Horn: Life of a Hmong Shaman in America” documents the seventeen year journey of the Hmong Shaman, Paja Thao and his family from the mountains of Laos to the heartland of America. This film shows the struggle of Paja Thao to maintain their 5000 year-old shamanic traditions as his children embrace the American culture. Moreover, the film shows that one of the major problems refugees like Paja Thao and his family face upon their arrival to the United States is conflict with the American medical system. Despite the dominant biomedical model of health, the film “The Split Horn” shows that
One of my most memorable experiences in Asia was my trip to the doctor. I knew that my slight fever and scratchy throat could be contributed to lack of sleep. With a twelve-hour time difference, I had the worst jet lag that was possible. Yet, the Secretariat felt that I should go to the doctor, so off I went. Once we arrived I took one look at the building and decided that I felt much better. The office was a hole in the wall that practiced family medicine and surgery. It was in stark contrast to the gigantic, pristine medical facilities I was used to. There was a very long line to see the doctor so I took a seat next to a hacking baby and an anxious young mother. What happened next was the most distressing part of my adventure. Once my chaperone announced that I was part of the school program, the doctor took me right away. As I followed the nurse back I passed by people who had been sitting there for much longer. There was a man with b...