Ethnomedicine In Hmong Culture

Many immigrants have an extremely difficult time migrating to different parts of the world due to cultural differences, language barriers, and homesickness. Nowadays, there are translators and help available for those that are migrating from different countries. However, what if someone had migrated to the United States and barely had any of that support? The Spirit Catches You and You Fall Down is an incredibly touching book speaking of the struggle of the Hmong immigrants and the walls that were built between them and Americans, particularly the American doctors and medical system. The book focuses on a particular child, Lia Lee, and her family - specifically her parents, Foua Yang and Nao Kao Lee. The book starts from when Lia Lee was still

After researching the Hmong culture, I learned several interesting facts about their culture, ceremonial practices, and their views on death and dying of a loved one. Many people in the Hmong culture believe in multiple souls that reincarnate. Although for this to occur, these individuals believe that an honored deceased member must have a proper burial to enter the spirit world in a positive way. Funerals in the Hmong culture last for many days, and the more revered the deceased is the longer the funeral may be. Animal sacrifice is a common ritual performed at a Hmong funeral and the animal is used to provide food for the people attending the funeral (Purnell, 2014, p. 246).

As I listened to the Riverbend scenario I thought of my own cultural competence and how at one time I knew very little of the Hmong culture. Working in a city where Asians make up only 3% of the population, this is a population I knew little about. I have learned that most Hmong are from the mountainous region of Laos, and are granted preferred refugee status by the U.S. (Cobb, 2010). From 2000 to 2010 the number of Hmong grew 40%, there are currently 260,073 Hmong people living primarily in California, Minnesota, and Wisconsin. Even though the Hmong people seem to be prospering after thirty years in the U.S., there are still challenges with communication, understanding of cultural beliefs, and use of traditional medical practices (United States Census Bureau, 2013)

This case is about the not knowing the knowledge of the cultural norms practiced. A traditional method of healing, in the Hmong culture, also known as Cao Gio, or "coining. There is another type of healings also used such as “cupping” oil is applied to the area of interest, then a small glass cups are placed; adheres suction to the cup, light is projected onto the cups for about 10-15 minutes. Once removed they leave a symmetrical bruise on the area of interest. The purpose of this technique is to bring the blood flow to the area to help it heal. Yes, I can understand that the bruises that are left behind do look like that the individual was abused. With this being a treatment of medicine in the Hmong culture this should be dismissed as abusive, this method is not abusive at all and while the coining is administered to heal the child. If someone does report this type of case to child protective services, is doing their job as a mandated reporter, but before starting this step, they should first question the parent more about their culture of healing and check in to the procedure of coining before making any judgment calls. I think that as social workers we should be aware and respect the different cultures that we will be in contact and work together. with. I suggest including on the intake forms there

In the book, The Spirit Catches You and You Fall Down, Anne Fadiman explores the cultural collision between the Hmong Lee family and their American doctors. Along with the culture clash, the social stigma against the Hmong family brings to light a lot of the systematic, moral, and ethical issues that can arise in our healthcare. Ultimately, the combination of the cultural clash in medical perspectives, the underlying social stigma, the inadequate treatment, and the miscommunication hindered the proper diagnosis and recovery of led to the demise of the Hmong child. However, many of the problems could have been easily avoided or resolved with more patience, objectivity, and most importantly, cultural competence. Cross-cultural methods and approaches should be taken to accommodate for the diverse patient population in our communities.

Dr. Galanti provides insight into the relationship between cultural diversity and heath care providers. Dr. Galanti’s briefly states the difference between “stereotype and generalization”. The author recognizes that generalization may be a key factor used by workers in the health care community to bring awareness and a better understanding of cultural differences among patients. The article explains that although cultures differ in values, traditions, and beliefs, there are questions (the 4’C’s of culture) that may open up the line of communication, between provider and

The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman is an analysis of Western medicine and traditional Hmong medicine in the treatment of a young child with severe epilepsy in Merced, California. The book also details Hmong culture, history, and their life as refugees in the United States. The majority of the Hmong populations, especially in central California where the book takes place, rely on welfare and this creates tensions with the other populations in the area. Her book is an eye opening introduction into the Hmong culture, the clash of traditional and western medicine, the discrimination of refugees, and the importance of cultural inclusivity.

How did you notice culture impacting the health and illness course of Lia Lee and her family in these beginning chapters?

The Spirit Catches you and you Fall Down” is an astonishing book that reveals the need for improvement of cultural competency in the American healthcare system. This book teaches me the importance of the role of healthcare administrator as a cultural advocate between the patients and the providers. This book also influences me in realizing the differences between patients’ culture and providers’ culture. Moreover, I can relate to Jeanine Hilt, a social worker who truly cares for the Hmong culture and the Lees Family.

Cultural competency can be described as the ability to interact with different cultures in a positive manner. Many cultural differences can become apparent in a number of situations. According to Fadiman, doctors have a moral duty to save lives even if they don’t agree with the values or beliefs of someone else’s culture (1997). This paper will address the topic of cultural competency, with a concentration on the importance of cultural competency in the medical field.

Although often used interchangeably, disease and illness differ fundamentally in their meanings and implications. Disease is the commonly thought of concept in which a person suffers due to a physiological or psychological ailment, while illness refers to a culmination of physical, emotional and social suffering of a person. Disease is perceived as the phenomena that affects an organism, while illness affects not only the patient but also their loved ones and community. This distinction is vividly apparent in The Spirit Catches You and You Fall Down, in which Anne Fadiman relays the approaches to a Hmong child named Lia’s epilepsy by her family and her doctors as well as the tumultuous interaction between these caregivers. It is interesting to understand how Hmong culture and a doctor’s

The spirit catches you and you fall down: A Hmong child, her American doctors, and the collision of two cultures by Anne Fadiman illuminates the dilemmas, as well as barriers, persons of various cultural backgrounds can encounter daily, specifically when residing in a foreign habitation of different practices, perspectives and beliefs. This book highlights the difficulties one family must face during a clash between Hmong family cultural beliefs and western medicine. Fadiman (1997) brings our attention to these harsh realties that one can encounter when persons are unintentionally culturally incompetent through sharing the story of the Lia Lee and her parents, Nao Kao and Foua, who look for guidance from western doctors to assist their spiritual

Being a Hmong woman living in America, my parents always expected high academic achievements from me. I appreciate my culture because the expectations I receive makes me the person I am . Growing up my parents taught me well and taught me to be a proper Hmong woman in life. However, the twenty-first generation is different now, our thoughts on what we want and what we need are very different from what are parents want and need. When I was a kid, education was important, my parents taught me that if I did not study hard and do well, I would be living the life my parents were. Being a young child and experiencing hard life struggles made me an independent woman. I grew up not having what most American children had, therefore, I appreciated

Over the past four months, this course has been one of the most eye-opening experiences I have had during my first year of college. Although I have always realized the importance of being culturally competent in daily life, specifically healthcare, I was unaware of the many ways that cultural competence can be obtained. This class gave me the opportunity to view situations from a different perspective, especially through the weekly discussion boards and peer responses. Learning from classmate can teach more valuable lessons than listening to boring lectures or reading hundreds of pages in a textbook because it is easier to relate to experience rather than hypothetical situations. For example, one of the discussion boards asked us to detail

This assignment will focus on explaining the importance of diversity management, challenges of management diversity, give strategies and implementation of management diversity in the workplace. A diverse workforce is a reflection of a changing world and marketplace. Diverse work teams bring high value to organizations. Respecting individual differences will benefit the workplace by creating a competitive edge and increasing work productivity. Diversity management benefits associates by creating a fair and safe environment where everyone has access to opportunities and challenges. Management tools in a diverse workforce should be used