Welfare made them dependent upon others for sustenance, with few jobs available that did not require English proficiency and other skills they didn't have. I am forever excited about The Spirit Catches You and You Fall Down by Ann Fadiman, a creative non-fiction novel from 1997 that continues to be a part of conversation about multiculturalism, particularly in the medical community. In that way, Hmong people and American doctors could meet halfway to help one another. As a result of her brain death, the two cultures continue to be in conflict due to the differences that could not be set aside, and these continue to split the need to look after dependants. She also calls upon a compilation of Hmong folktales and myths edited by Charles Johnson and Se Yang called Myths, Legends and Folk Tales from the Hmong of Laos.
From this perspective, the author is able to highlight the need for healthy relationships between different cultures for the wellbeing of dependants such as the sick whereby cultural conflict brought about her vegetative state. Although both sides want what is best, the discrepancy of this belief leads to non-stop complications in communication. Her parents called her illness qaug dab peg - the spirit catches you and you fall down - and ascribed it to the wandering of her soul away from the owner. Knowledge Related to power is knowledge, and in particular, the matter of whose knowledge is privileged. I must tell you that I do not really belong anywhere. The seizures began to worsen, and everyone grew more worried. The differences are about power.
Another social worker was able to persuade a patient with tuberculosis to take her medication by working within the family's belief system; like Jeanine, she loved her clients. For once, Lia was actually living a more regular life, seizing infrequently. Neil prophesied the eventual outcome when he told the Lees that, if the trend continued unchanged, he feared Lia might have an episode he would not be able to stop. The author made an extensive research on the Hmong culture which is evident in the details she presented in the entirety of the book. And, if so, how can we tell? We concentrated on their pathologies and studied their diseases. Lia's doctors ascribed her seizures to the misfiring of her cerebral neurons.
Instead, it uses Lia's case as a study in anthropology and makes an argument for the inclusion of cross-cultural training and empathy in medical school as well as increased presence of interpreters and social workers in medical settings. Then, as soon as they leave the hospital, they ignore everything to which they have agreed. True empathy is granted to few of us until adversity makes inevitable our identification with those whom we have previously perceived as being different from ourselves. But that is hardly the end of the story. Every other chapter shares some aspect of Hmong history or culture: food, clothing, language, family structure, birthing rituals, and so on. I believe Fadiman made the story come of a collision to life in a dramatic way. To be honest, everyone is a little biased.
The Spirit Catches You and You Fall Down tells the story of Lia Lee. Welfare made them dependent upon others for sustenance, with few jobs available that did not require English proficiency and other skills they didn't have. Foua and Nao Kao could not show much respect because they do not believe that the doctors accomplished anything and they cannot speak much English, anyway. What the doctors viewed as clinical efficiency the Hmong viewed as frosty arrogance. However, this could have been prevented if at the start, both parties valued the importance of intercultural communication.
While most American families would have committed a daughter with brain damage to an institution, the Lees cared for Lia for 26 years, bathing her, dressing her impeccably, and even celebrating her birthday each year. When Lia's first seizure occurred inside their apartment, the Lees took them to the Merced Community Medical Center, three blocks away. The story therefore begs the question of whether it is in the patient's best interest to privilege Western knowledge. The book entitled The Spirit Catches You and You Fall Down by Anne Fadiman highlights the plight of a particular Hmong family in California. Illness refers to how the sick person and the members of the family or wider social network perceive, live with, and respond to symptoms and disability. Even when it gradually became obvious that understanding the progression of a disease might often require investigation of more than one factor, it was clear that the methods of biomedical science were the path toward that goal. Unfortunately, the story ends with Lia slipping into an irreversible coma.
This would prevent both parties from misinterpreting and misunderstanding each other. This brings up their sceptical attitude towards western medicine, and brings out the cultural divide, in that hospitals were further known to them to have both chances of success and failure. Fadiman does not dislike the Hmong--far from it. Although its stakes are much higher than an argument over indie rock, the book explores the idea that cultural biases prevent us from truly connecting with others. For such reasons, the American culture is perceived to be none-wholesome as it only treats the body and not the soul along with it, as seen in her parents expressing how they think the medication provided to Lia is hurting her Fadiman 2012, p. Now think about those migrants who could not speak and understand the language, how do you think they would feel living in an unfamiliar place like America? In addition, the enlarging black middle class has become increasingly a factor in the greater American society, even as a wide-ranging variety of African American patterns of speech and activity have been valued to the point of imitation by recent generations of white youth. The students walked through a door into the pot, wearing traditional costumes from their countries of origin and singing songs in their native languages.
Lia was in critical condition and was intensely treated. Lia was also given routine immunizations with Lia reacted with a fever and discomfort, which decreased Foua and Nao Kao's confidence in medicine. In Hmong tradition, illness was seen as a spiritual problem rather than… 542 Words 2 Pages In the novel by Fadiman, The Spirit Catches You and You Fall Down, is written about two cultures and their differences: Hmong and American. However, the hospital was not funded with interpreters. The second theme is: a little medicine, a little neeb, or soul. Foua and Nao Kao did not like some of the procedures that the doctors did to Lia.
. I didn't feel as though she offered any bias perception using words that would skew the reader's own judgment or interpretation. But a reader's greatest appreciation of this book must be for its larger message, which applies to the entire edifice of Western medicine: modern medical treatment cures disease, but for illness a little neeb goes a long way. Lia's story reveals the strength of the family within Hmong culture. What are its strengths and weaknesses — approach, methods, and presentation? The Hmong people see illness and healing as spiritual matters linked to the universe, while the Western medical specialists mark a division between body and soul.