‘The spirit catches you and you fall down’ was published in 2012 by essayist and reporter Anne Fadiman. This introductory book review analyzes the way in which different cultures perceive illnesses and diseases. It focuses on the story of the Lees a Hmong family, who moved to the United States and experiences difficulties with language, culture and biomedicine method of healing, which contradict to Hmong’s way of healing. The chapters describe the differences between the ways childbirth is conducted in Hmong society compared to the western society. As well as the struggle the Lees family has with the cultural differences in diagnoses and treatment of their ill daughter. This methodology used in Anne Fadiman book involves real life events being …show more content…
Foua would have squatted on the floor of her house, which was made of dirt. She would manage not to let the baby touch the floor by holding the baby head while it was about to be born. After the birth her husband Nao Kao would bury the placenta near their house, as it is believed that the placenta serves as a jacket which when a Hmong die they would need it to continue their journey to be reunited with its ancestors. All Foua children were born this way except for Lie. In the MCMC hospital Foua was on steel table and in a sterilize environment, where doctors would conduct procedures to help speed up the labor. After the birth the baby would be taken to a special room where they would examine and give some injections to prevent infections. The placenta was most of the time incinerated. Also the mother and the baby were required to stay in the hospital for tree days. This contradicts to the Hmong believes since on the third day of a baby's life a naming ceremony called bu plig is usually conducted. Until the ceremony the baby was not considerate part of the human race. Lie “bu pig” ceremony had to be postponed, but eventually took place with the presence of an elderly from the Yang clan
The author of this book is called Anne Fadiman. It is based on a story of a Hmong child known as Lia Lee who suffered from epilepsy. The demise of this condition shows the harm that can be contributed by absence of cross-cultural communication especially in the area of medicine. At the age of three months, the elder sister to Lia known as Yer banged a door which caused Lia to have the first seizure.
Lia’s parents spoke the Hmong language, which was a barrier during the treatment of Lia Lee. During the hospital stay at Merced County Medical Center, the doctors tried to explain the procedure of her treatment and provided the medications to cure Lia’s epilepsy. But since Lia’s parents had language barrier, the doctors and Lia’s parents were confused on the medications of what is supposed to be given for the betterment of Lia Lee. They even tried to send a nurse to their home to help with the medication regime. They soon realized that her parents did not want to give the medications to Lia.
In Anne Fadiman’s, A Spirit Catches You and You Fall Down, there’s a conflicting battle going on between cultures. While it might never be specifically stated, Anne Fadiman attempts to convey a neutral understanding to her readers of the Hmong beliefs and culture alongside of the culture of biomedicine western society is mostly familiar with. While the Hmong beliefs and practices in medicine are taboo to western society, readers gradually see that Hmong medicine is just as equal or more powerful than biomedicine that we’re so familiar with. It’s an important concept to understand in this book is that the doctors are there to treat Lia’s disease, not precisely concerned with Lia as a person. Hmong medicine seems to be more related to in helping
“The Spirit Catches You and You Fall Down” by Anna Fadiman tells the story of Lia Lee, a Hmong child with epilepsy, whose life could have been different if only her family was caught up in western medicine. This book reveals the tragic struggles between a doctor and patient because of lack of communication. When Lia was around three months old, her older sister Yer accidentally slammed a door and Lia had suddenly fallen into the floor. This is the first recorded time that Lia was experiencing an epileptic shock.
A shaman plays the role in Hmong ethnomedicine as a spiritual healer, by calling the soul back to a person’s body, repairing a soul and warding off evil spirits. In the case study the Spirit Catches You and You Fall Down, Cha Koua Lee is the shaman who performed a healing ceremony for Lia. He brought his tools of the trade that consisted of a saber, gong, rattle, finger bells and a flying horse; these were all the tools that Shee Yee had used during his time on earth. During the sacrifice of the first pig, for Lia family (to safeguard and protect them throughout the year), the shaman did not kill the pig, in order to maintain a good relationship with the animal.
A young Hmong man presents a five-minute oral report in French. The topic he chose was a recipe for la soupe de possion: Fish Soup. He extensively detailed the whole ordeal in a ‘in order to, you must ‘manner. His complex example of something simple extended to forty-five minutes long oral report. The ending results of his presentation left the classroom black board with factors, options and a flowchart written in French with Hmong.
In the book Panic, Lauren Oliver creates the character Heather Nill whose determination and bravery helps illustrate her strength and faith in herself. Heather and her other friends participate in the competition of their lifetime for the chance to win a large cash prize. Panic is the legendary game that occurs yearly in the small town of Carp, NY. Any graduating seniors are welcome to compete in the dangerous games to win the prize. Those who want to participate in panic must jump of a cliff the day after graduation, then the more challenging games begin.
Cultural insensitivity is prevalent throughout the Hmong’s journey with the American health care system. Between 8 months and 4.5 years Lia was in the hospital seventeen times and made more the one hundred visits to ER and paediatric clinic. The health care system failed to attempt to understand the Hmong language and culture, which lead to the Hmong adapting their cultural traditions and familiarities to please
The doctors kept prescribing endless amounts of medications, and were struggling to keep the family up to date on each change, and what medication needed to be given when etc. Even though the care staff labeled the medication bottles with different lines, colors, and symbols the family could not grasp what was needed. Plus, they go by the ‘cock-crowe’ time, so all of the implied times that the medication should have been given was much different for the Lee’s. I found that this inconsistency allowed the care staff to make judgments before consulting with other people who could help the Hmong through the bizarre medication regime. The professionals could have come together to understand the culture of Lia’s family, and consult more
Family and group solidarity are important to the Hmong, yet they were forced to split apart during their journey to America. The Hmong also partook in ceremonies, dances, and sacrifices that were important to them and their religion, however, the doctors and other people were wary of these practices and didn’t condone them, especially when it came to patients such as Lia Lee. Lee’s doctors were constantly giving her shots, medicine, and feeding her through tubes. Her parents didn’t approve of this at all and thought that the medicines they were giving her was what was killing her.
Within the Hmong culture there is great emphasis on symmetry, balance, and complementary sections in bodies, society, and cosmos. Additionally, the soul must be kept in balance to maintain good health; sadly, the soul of Lia was not kept in good health which lead to severe, poorly-treated epilepsy. The medical mistakes and lack of precise communication ultimately lead to an untimely death of Lia; however, between both parties dealing with Lia’s epilepsy, the severity of her illness could have been prevented if both parties took Eliade’s perspective on sacred space into account during treatment. Sacred space, in terms of Eliade’s perspective, is one of the most critical, cherished topics that defines his paradigmatic model for religion. The
In the documentary, “The Split Horn: Life of a Hmong Shaman in America,” portrays the journey of an immigrant Hmong family battling to maintain their cultural traditions alive in the United States. In the Hmong culture, it is believed that every individual has seven souls and if they have an illness, for example sickness, it means that their soul has departed or taken by evil spirits. Hmong people believe in Shamans, who are gifted and respected people who can make contact with their ancestors and return the lost souls of people. In this documentary, the main character Paja Thao is a shaman who is challenged by American customs to keep his cultural Hmong traditions alive and pass it down to his children. Paja becomes sick because he feels like his children don’t care about the Hmong tradition anymore because they don’t participate in his rituals and realizes his children have assimilated to the American culture.
Hmong birth practices are very interesting and very different from American culture. Their births are usually at home and sometimes the woman is alone. Women labor in silence and catch their own babies as they are being delivered. Mrs. Lee delivered all of her babies by herself before coming to America. In The Spirit Catches You and You Fall Down after birth practices are also different.
Over the progression of the book the view points and relationships between the Lees and the doctors develops slightly. The medical staff was not prepared with a translator or a cultural understanding of the Hmong and how their beliefs would not match up with their medical practices. “Not only do the Hmong fail resoundingly to improve the payer mix- more than eighty percent are on Medi-Cal- but they have proved even more costly than other indigent patients, because they generally require more time and attention, and because there are so many of them that MCMC has to hire bilingual staff members to mediate between patients and providers” (Fadiman 25). This theme in the story was immensely eye opening for all of the cultural gaps that exist throughout the United States. The solution to this problem is for both sides standing on opposite sides of the gap to take the time to bridge the gap together.
The arrival of a new baby, especially the first always marks a new beginning for a mother. It comes with a lot of challenges more so if the mother is less knowledgeable about baby care. Take such as cleaning the baby for the first time, or feeding, it is not easy. The baby is still fragile and slippery and needs a special care. But if the mother is not ready for all these, or maybe, does not have any knowledge on what to do, the baby’s life might be endangered since the baby needs a special care which only the mother can give.