Fadiman describes situations in the hospital where Lia was put in restraints to not interrupt her medical treatment by pulling on tubes and IV lines.
In this case, though, we mostly ended up in total divergence.
The book delivers much food for thought for whom ever is hungry for it, but it is especially useful for medical staff and doctors who dedicate their work to helping others. For centuries the Hmong have resisted persecution, manipulation, and domination by other Asian groups.
That evening after I snuggled up in my bed I got to know Lia Lee, her parents, her doctors, and I learned about the struggles that were involved in caring for an ill child that sat between The collision of two cultures cultures; the Hmong culture and the culture of American health care professionals.
As an indigenous mountain tribe who lived off their land knowledge was limited to what was necessary to survive in that environment. That is my opinion as a person. The Afterword provides a nice little update, as well as the cathartic tying of some loose ends. Lia Lee was three months old when she suffered her first epileptic seizure.
This leads to great misunderstandings between each other. As a parent, though, I found myself periodically raging against the Lees.
Did you read it? Therefore, people need to get to know each other and understand the cultural backgrounds, value and belief systems.
The doctors treating Lia Lee, Neil and Peggy Ernst, had her removed from her home when she was almost three years of age, and placed into foster care for one year, causing friction with her parents. Lia arrives in the hospital with epileptic seizures which her parents blamed on a slammed door, a spirit catching Lia, and subsequent soul loss.
In nursing delivering cultural congruent care is a concept that was established by Madeleine Leininger who developed the theory of Cultural Care Diversity and Universality George,p.
The culture shock caused many to cling more zealously to the old ways and to one another. As involuntary immigrants the first wave of Hmong people clung more to their cultural traditions as voluntary immigrants would do.
He usually mediates between the earthly and the spiritual world, however, there is no evidence that this treatment hurts anybody Fadiman,p.
To gain entrance into a society different than your own a new set of knowledge needs to be acquired to compete for resources. Neil Ernst and Peggy Philp: The description of birth practices and beliefs in Hmong culture is a good example for inhibiting people to seek care.
It serves as a testimony that ethnocentrism on behalf of a majority culture could prohibit people from seeking care or negatively influence the outcome. During the course of this book, I found myself audibly voicing my opinions at the page like a crazy person.
His answer is what I expected, and why I hope this book continues to get read. Educational status is another factor that slows assimilation. My dad and I once drove from Paris to Normandy. When America pulled out of Vietnam, a Communist government in Laos persecuted the Hmong, and many fled the country in fear of their lives.
There are only individuals doing the best they can with what they have, based on who they are. Prenatal care is highly valued in western culture, however, in Hmong culture where our understanding of medical care is nonexistent women take care of their needs. The Lees were enraged about the restraints and tried to free her from the coercion of force that was administered by the medical professional at Merced Medical Center.
A holistic approach is of utmost importance and maybe some agreement could be made to how the parents could have held and be close to Lia without interfering with the treatment modalities.
Involving a cultural broker like Fadiman terms it would have helped to concert the different views of treatment.
The Lees wanted to care for her daughter by holding her and having her close, however, the medical staff wanted to maintain their treatment modalities to get Lia the medical treatment that she needed.
In English epilepsy is explained as a disturbance of brain function, which expresses western values and beliefs that are based on knowledge derived from science. Fadiman details the misunderstandings that arise when two cultures come face-to-face but cannot understand each other.
Thus, her doctors were able to determine her malady and come up with a game plan on how to treat it. According to Dwight Conquergood, who has seen medication bottles on the altars of neebs, they do not resist medications, rather they incorporate it in the heeling process Fadiman,p.
As she tells the story of Lia and her immigrant family that had to flee from their home country and eventually gained entrance into the United States, she reveals the history and cultural traditions of the Hmong people. I have always liked the idea of culturally congruent care and have tried to incorporate it in my daily practice as a nurse.
She went to the emergency room and Dr. The Hmong refugees were not here because they wanted to be; they were here because they had no other choice. The approach should be holistic and explore multidimensional ways of caring.
Vietnam, CIA, Laos, and the debt owed the Hmong; refugee crises and how they are handled; the assimilation of refugees and immigrants; and even end of life decisions.
To the Cartesian, linear thinking doctors, medical health cannot be restored by bargaining with spiritual powers and offering animal sacrifices.The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures is a book by Anne Fadiman that chronicles the struggles of a Hmong refugee family from Houaysouy, Sainyabuli Province, Laos, the Lees, and their interactions with the health care system in Merced, California.
Culture plays a major role in The Spirit Catches You and You Fall Down. Every other chapter shares some aspect of Hmong history or culture: food, clothing, language, family structure, birthing rituals, and so on.
Culture collision plays a role in the world everyday in different situations. Culture collision is when two different cultures collide.
When a person from a different country and culture move they have to adjust to whatever the culture of the place they moved to is.
The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures/5. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures (FSG Classics) [Anne Fadiman] on ultimedescente.com *FREE* shipping on qualifying offers.
The Spirit Catches You and You Fall Down explores the clash between a small county hospital in California and a refugee family from Laos /5(K). The Collision of Two Cultures – Implications of Cultural Values and Beliefs on Caring Concepts Abstract This paper is a personal response to Anne Fadiman’s book The Spirit Catches You and You Fall Down.Download