The medical field in relation to varied cultural beliefs and traditions is something that is important to many, yet rarely talked about by almost all individuals. In other words, the cultural clashes created in medicalization is under looked by a multitude individuals. This is because many do not experience the hardships first hand. For that reason, the thought of difficulties within treatments of health issues or illnesses does not cross some individual’s minds. Nonetheless, each group of people is unique, in addition to, how they perceive the medical world. With this uniqueness comes many groups of people who struggle to understand other culture’s beliefs and their knowledge on health and illness. The lack of knowledge an individual has pertaining …show more content…
This makes it more difficult to openly trust and learn about each other’s language, culture, and traditional beliefs. A book titled “The Spirit Catches you and You Fall Down” by Anne Fadiman, an American essayist and reporter, explains the story of a Hmong child, her American doctors, and the collision of the two cultures. A section in this book explained some of the views Hmong individuals have about Western medicine. Fadiman explained that with the little contact Hmongs have with the Western medicine they were turned off by the constant questions, the procedures doctors used, the inability to identify the cause, and stated that “when the doctors failed to heal, it was their own fault” (Fadiman 33). This section of the book demonstrates that the Hmong did not understand the reasoning behind a doctors procedures, and did not trust them except for a last resort. If the Hmong and American doctors were able to communicate and each understand each other, then these would not be threats against the Hmongs beliefs, but rather, legitimate treatments to aid in the healing of a family member. For this reason, individuals should understand that the world is filled with diversity. To co-exist with the large diversity of languages and cultures, one must appreciate the separate beliefs and traditions especially when it comes to …show more content…
Especially between the American, Western medicine and the Hmong. Many Americans have grown up learning to trust medicine, the doctors word, and the treatment prescribed. Almost anything considered a health issue or illness is consulted with a doctor and generally medications are prescribed to help the problem. These doctors also understand that the cause of these health issues is due to biological factors within the individual. This means that it is one’s genes, alleles, body fluids, or bacteria is causing the problem. This is not the case for other cultures, in addition to, the
In a healthcare setting you will see different cultures that will come and go. It is very important to know how to deal with each culture so that you can help them while still making sure they are comfortable. Native Americans have many different characteristics because of the different tribes from all over the world. Healthcare providers should be familiar with them so they know how to distinguish them if needed. While knowing their characteristics they should also know how to interact with Native Americans as well since their culture is a lot different than ours, we want to make sure that we don’t disrespect them.
The Spirit Catches You and You Fall Down is a tragic true story written by Anne Fadiman, who spent over five years in the middle of a fight between Hmong culture and American medicine. The book is about a young Hmong child named Lia Lee. At 3 months old she started showing signs of severe epilepsy. Her American doctors had a strict and rigorous treatment plan, but were baffled when the family refused to follow it because of their culture and beliefs. Anne Fadiman originally went to the Lee’s hometown of Merced California as a columnist writing an article on Hmong culture for Life Magazine, but soon gained a personal connection to the Lee family.
This book proved that in the end, neither way of thinking was completely wrong or completely right. Both the medical community and the Lees should have sought out ways in which they were able to better come to an agreement. For instance, the medical community could have tried to find a translator for the Lees which could have helped them both determine proper medical procedures. They also could have decided to learn more about the Hmong culture to have some understanding of where the Lees were coming from and avoid any barriers for them to better treat Lia. A big drawback that the medical community made was having a pessimistic outlook to Lia’s critical condition.
In order to become doctors in the Western culture, they had to go to some medical school. The fact that none of the doctors had courses in “cross-cultural medicine” is a reflection of the Western system failure to teach this. Therefore, the doctors cannot be blamed for not understanding the Hmong culture because they were not taught to be culturally sensitive. Maybe if the doctors were trained to become more cultural, they could develop a proper relationship with the Lees in order to improve Lia’s health. Also, the doctors were thought to be the ones who were right because of their preparation and knowledge.
Using Anne Fadiman’s book The Spirit Catches You and You Fall Down I have created a cultural assessment of the Hmong people and their experiences with the American healthcare system. This small Southeast Asian minority known as the Hmong began moving to the United States towards the end of the Vietnam War. This brought a whole new set of challenges for the healthcare providers of the United States due to their cultural beliefs and native practices which made it difficult to perform certain forms of medicine. Doctors and nurses had to find different ways to treat these patients without violating their cultural beliefs or upsetting them.
The Spirit Catches You and You Fall Down by Anne Fadiman, explores cultural competence, ethics in medicine, and the provision of culturally competent health care in the United States by following a family of Hmong culture in their struggles with mainstream U.S. society and healthcare. Fadiman has implemented her studies to highlight the differences between Hmong and Western practices and perspectives on health care, illness, spirituality, and the body. Through her extensive research, Fadiman is able to express cultural differences and the impact ignoring this crucial piece can have. Healthcare in the U.S. is described as the best in the world, but Fadiman is able to highlight the weaknesses this healthcare system has in regards to culturally
The book represents the Hmong and western medicine as being static. Throughout the book the Hmong are depicted as being very hard headed and not willing to adapt. It however also shows mainstream western medicine being just as stubborn to change. Historically the Hmong have faced many challenges, from being used by the American Army as cheap labour and soldiers to becoming refugees but they never gave up their cultural beliefs (Fadiman 1997). A specific example of this can be seen she talks about the tensions the Hmong faced in China, and how the Chinese government tried to change the Hmong community, and make them wear Chinese clothing, cut their hair short etc, however the Hmong responded to this by first fighting and eventually migrating(Fadiman 1997:16).
The Hmong and their religious customs was a central theme in The Spirit Catches You and You Fall Down. With the clash of ethnocentrism between both cultures, it was often debated what was “best” for Lia. Hmong taboo against blood tests, spinal taps, surgery, anesthesia, and many other medical tests and procedures. The Hmong were appalled at the numerous personal questions that American doctors asked to try and diagnose the problem. These tests, being apart of my culture, are considered normal and very helpful in discovering if there is a possible life threatening medical condition. In their culture, txiv neebs were polite and provide an immediate diagnosis without asking personal questions or performing tests.
If a doctor however was given the chance to save Lia’s life and failed, they would be blamed for it. There was a feeling amongst the Hmong that because American doctors were so different than the Hmong medical system they were used too, they were more likely to cause harm than restore it. The Lee’s were no different in their judgment of American doctors, throughout the book it was clear that they cared about Lia very much and wanted the seizures that plagued her to stop, but their knowledge of medicine and health clashed with Western medicine and caused the seizures to increase rather than decrease. On the other side of the spectrum stood the American doctors who were more to blame than the parents for Lia’s permanent vegetative state. They didn’t adhere to simple the Hmong culture that would gain the Lee’s respect and understanding.
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
Book Review: The Spirit Catches You and You Fall Down Tim Merlino Drexel University November 2017 The patient-doctor relationship recognizes transference affects as a bi-directional relationship which affects the way a health care provider treats a patient and the way the patient responds to treatment (Zinn, 1990). Fadiman’s book examines different problems in the culture of American medicine by highlighting a tragedy centered around a Hmong immigrant family and their sick child, Lia, in California (Fadiman, 2012). The story also highlights some important lessons to be learned by the American health care system to avoid future incidents like described by Fadiman and to ultimately apply cultural competency in public health (Fadiman, 2012).
The case of Lia Lee can be used holistically to showcase the negative effects which a culture and language barrier can produce between doctor and patient. It can reveal how communication and cultural sensitivity can aid in medical practice. Nevertheless, Lia’s case also shows the need for doctors and healthcare practitioners to learn more of about a culture so that treatment may be administered smoothly and without complete comprehension of the patient and their
The author was trying to show how the difference between two cultures can influence in health care. The author showed how the difference between illness and disease also affects the forms of treatment. It is important to recognize the patient’s cultural beliefs because this may help us to recognize how effective the given treatment can be and in what ways we can enhance the treatment without sacrificing the patient’s cultural beliefs. The author also showed how both the parents and the doctors care about Lia but what they thought was best for Lia varied. The doctors thought that the parents were harming the treatment by not being compliant and the parents thought that the doctors were hurting Lia by giving her so much medicine.
For instance, one patient profoundly believed that if his cultural herb had been placed in boil water by his girlfriend during the surgery and his religious knot tie on his big toe after the surgery, he would not experience pain. While the other patient continuously denies the need for pain pills as well as any feelings of pain or discomfort even when his non-verbal cues suggest otherwise. And the third with the same invasive procedure, constantly yelling and screaming for his pain pills. What made this situation a challenge is that their spiritual values was a challenge for me because each patient had different cultural practices and beliefs that th • What is your desired outcome should you face this situation or one like it in the future? Should I face this situation or one like it in the future, my desired outcome is effective pain management and while respecting my patients spiritual values and beliefs, as well as their perception of pain..
Regarding effective communication, “good interpretation and good translation go a long way toward solving cross-cultural communication problems and language barriers in health care” (Dreachslin, Gilbert & Malone, 2013, p. 289). These services, through interpreters or voice-assisted devices, provide better opportunities to blend cultures and understand the tradition and beliefs of diverse populations. These two topics were just samplings of the information discussed, but they stuck out to me on a personal level, while pushing me to promote cultural competence and understanding beyond this course in all my future workplace