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Throughout reading of The Spirit Catches You and You Fall Down by Anne Fadiman one cannot help but notice the different themes that plays an integral role in understanding the book. This book is an intriguing read and Fadiman wrote in a cultural appropriation context and it was clear from the background give about the Hmong culture that I was an investigative research method type of book. Fadiman gave readers a clear insight about lives of the Hmong and how culture plays a vital role in how one perceives health (sickness) etc. Fadiman also highlighted both perspective of the patient and doctors concerning health issues.
To understand the reading one, have to understand and be able to identify the themes emphasized in the book. One of the main
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Lia the last and favorite of the Lees children. She was diagnosed with Epilepsy. Epilepsy according to the Epilepsy foundation it “is a chronic disorder, the hallmark of which is recurrent, unprovoked seizures. Many people with epilepsy have more than one type of seizure and may have other symptoms of neurological problems as well”. (PR Newswire, Sept 1, 2014.) Epilepsy is one of the neurological illness that can be very disturbing and debilitating. The Hmong’s acknowledged the symptoms of epilepsy as qaug dab peg, "the spirit catches you and you fall down," with the spirit considered to be a soul-snatching dab. Among the Hmong culture, the illness led to an understanding and creativity in the medical field and the universe. Therefore, Anne Fadiman argues, that most epileptics turn to shamans for assistance; this where the cultural differences and conflicts …show more content…
Reading about the Hmong’s involvement in the Vietnam War expands my knowledge about how involved hey were in combat. The write lets the reader know that they were considered to be refugees from Vietnam, Cambodia and Laos and how widespread the rebels operated against the communists. After learning about those events one can understand why so many of the Hmong fled from their native lands to seek asylum in America. The background was great to have because I believe the reader can be able to empathize with Foua and Nao Kao and to better able to understand their culture and how their culture determined how and why they were resistant to the MCMC treatment for Lia. An overwhelming majority of the Hmong wanted to leave Laos, Cambodia and Vietnam not to take a slice of the American Dream, but to simply save their life and the lives of their
The Spirit Catches You and You Fall Down tells the story of a young Hmong girl stricken with epilepsy, her family, her doctors, and how misunderstandings between cultures can lead to tragedy. The title comes from the Hmong term for epilepsy, which translated, is “the spirit catches you and you fall down”. Anne Fadiman alternates between chapters on Hmong history or culture and chapters on the Lees, and specifically Lia. The condensed history of the Hmong portrayed here starts at their beginning, and traces their heritage, their movements, and why they do what they do as they flee from enemies to country to country. This record allows the reader to better understand the Lees and their situation without bogging him down with details that may
1. Anne Fadiman, The spirit catches you and you fall down, (New York, Farrar 1997)
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.
Communication is cited as a contributing factor in 70% of healthcare mistakes, leading to many initiatives across the healthcare settings to improve the way healthcare professionals communicate. (Kohn, 2000.)
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.
...nding my awareness to the cultures around me. Throughout this course I have learned many things about cultures that are recognizable to me, but I can defiantly say I have a different perspective on many cultures now. this book in particular, has opened my eyes to a culture I had no idea existed. The ways and traditions of the Hmong people, to me, is something I would expect to read about in a book about people from hundreds of years ago. Nevertheless, Fadiman had granted me the knowledge I need to know if I am ever faced with a Hmong patient, and for that I am grateful.
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.
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.
In “The Spirit Catches You and You Fall Down” by Anne Fadiman, the whole story revolves around Lia, the thirteenth child of Lee family. Lee family was a refugee family in USA and Lia was their first child to be born in US. At the time of time of birth, she was declared as a healthy child but at the age of three it was founded that she is suffering from epilepsy. In the words of western or scientific world the term epilepsy mean mental disorder of a person and in Hmong culture, epilepsy is referred to as qaug dab peg (translated in English, "the spirit catches you and you fall down"), in which epileptic attacks are perceived as evidence of the epileptic's ability to enter and journey momentarily into the spirit realm (Wikipedia, 2014)
From the contrast of the slums of Hanoi and the breathtaking beauty of a natural vista, Huong has revealed the impact of this disparity on her protagonist. The author utilises the connection between the land and the villagers of Que’s birthplace to emphasise the steadiness and support the landscape gives, in times of upheaval, illuminating that it is possible to recover from disaster. Despite Huong’s criticism of Vietnam, she emphasises the resilience of the people of Vietnam and the ability for beauty and hope to flourish through oppression.
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
The Hmong culture is firmly rooted in their spiritual belief of animism, ancestral worship and reincarnation. These beliefs connect them to their sense of health and well-being. They view illness as having either a natural or a spiritual cause. A spiritual cause results in a “loss of souls” or is an action or misdeed that may have offended an ancestor’s spirit (California Department of Health Services, 2004, Purnell, 2013, p. 317). The soul escapes the body and may not be able to find its way back home. The Hmong also believe that a combination of natural and supernatural cause’s results in illness, and spells or curses, violation of taboos, accidents, fright, and infectious disease are other causes for illness (Centers for Disease Control
“The Sweet Hereafter” portrays the grief stricken citizens of a remote Canadian town traumatized by a terrible accident, and the impact of an ambulance-chasing lawyer who is attempting to deal with the grief in his own life. The film also depicts the grieving subjects susceptibility to convert grief and guilt into both blame and monetary gain and the transformation this small community faces after such a devastating event.
“The Hmong came to America without a homeland. Even in the very beginning, we knew that we were looking for a home. Other people, in moments of sadness and despair, can look to a place in the world where they might belong.” (Pg. 273) This is probably the statement that best summarizes the book. It is sad to hear how the Hmong people were not wanted and were being killed. The Hmong people had nowhere to go except further into the mountains to avoid any harm. It is good to see that this family is having some success. However, it must be hard to not have a true place to call home.
The one of the main themes in the epilogue, and in the entire novel is