As an African American, Mr. Belzak’s culture impacts his health because he believs that his illness is due to the disharmony of nature. Also the culture has no separation between physical, emotional, and spiritual needs, so after Mr. Belzak’s wife passed away, his emotional needs suffered which contributed to his physical needs suffering and his health declining. Also in most African American households, the woman is the head, so with his wife no longer available to help, Mr. Belzak does not have her to schedule his appointments and ensure that he is taking care of himself. African Americans have a fear of health care exams because of the likelihood of finding some life-threatening disease. Mr. Belzak has this fear and does not go to the doctor on a regular basis, which has caused his already ailing health to decline further.…
In Chapter 1 of The Spirit Catches You and You Fall Down, Fadiman demonstrates cultural relativism towards the Hmong culture by including very detailed history, facts and procedures found in Hmong culture. When explaining the long process of pregnancy and birth in Hmong culture, she does not make and claims for or against these rituals. She does not compare the cultures rituals to another culture. Fadiman simply states facts and explains the steps it takes for a woman to give birth to a child. She even includes lore about dabs objectively in order to continue to go into greater detail about the great care women take on for their future children. Western bias is demonstrated to be neither negative nor positive in this chapter; it is simply different…
The Hmong believe that epilepsy is caused by dab, a spirit who captures someone’s soul and then makes them sick. Recognized as a serious illness that is able to cause suffering, epilepsy is also seen as a distinguished affliction since the Hmong epileptics become shamans when they grow up. Shamans negotiate with the spirit about a person’s health. Hmong’s seizures are known and viewed as an altered state at which they can enter into the spiritual realm, when the rest of us are denied access. Seizures are also believed to be a state at which you can see things that others cannot. Lia’s parents were both proud and concerned for her; they considered her very special but also hoped that she would be healed. We can learn that the Hmong is very serious and caring about…
An important theme is cultural understanding. Another is the miscommunication between Hmong immigrants in the US and American doctors. In the first couple chapters, we learn that the Hmong have very different birthing traditions. They believe that people get sick because something had happened to their soul, or because they have come across a dab, or an evil spirit. They have their own medical beliefs and practices which have caused difficulties for the medical staff. “They won’t do something just because somebody more powerful says do it” (71). One important theme in the book was a culture clash. The Hmong like to be left alone, they do not like to be ruled. Most of the power laid on the Western doctors. Lia’s tragedy is an example cultural clash and shows that cultural understanding and cooperation is very important. This book shows that it is important to understand and respect other cultures and their perspective on health and wellness so we can incorporate it in the way we treat those…
4. “Anne Fadiman’s phenomenal first book, The Spirit Catches You and You fall Down, brings to life the enduring power of parental love in an impoverished refugee family struggling to protect their seriously ill infant daughter and ancient spiritual traditions from the tyranny of welfare bureaucrats and in tolerant medical technocrats” (Santoli).…
Treatment is care provided to improve a situation, especially medical procedures or applications that are intended to relieve illness or injury. In the Hmong society, people go to a txiv neeb, a shaman, who is believed to be a “person with a healing spirit” (Fadiman, 1997, p. 21) to cure their illnesses. A txiv neeb knows that to cure an illness you must treat the soul, in addition to the body. This is important to the Hmong because in their society the soul has a great deal of importance. In Anne Fadiman`s The Spirit Catches You and You Fall Down, the Lees, a family of Hmong refugees from Laos, are placed in a difficult situation when their three…
The question of readership plays a large role in the methodology of Fadiman’s novel The Spirit Catches You and You Fall Down. The terminology and language within the novel clearly illustrates that the novel was intended for readers that have grown up surrounded by Westernized influence. The opening chapter of the novel depicts the typical birth methods within Hmong’s traditional beliefs. The language within this chapter specifically implies that readers must already understand modern medicine with Westernized influence for two reasons. First, Fadiman does not give any insight into the “typical” child birthing process to compare Hmong traditions to. Second, Fadiman assumes readers already have sufficient enough insight into modern medicine by using terminology such as “birth attendant” without giving any hints toward what purpose this birth attendant might serve. This first glance into the values of Hmong people is central to the novel’s storyline due to the fact that is illustrates the shockingly different methods of childbirth between the Hmong and Westernized medicine.…
There is no doubt that western developed countries often turn a blind eye to other regions and cultures in the world that are less developed. One such culture that has little recognition is the Hmong, a small tribe in the mountainous region of Laos. After the Vietnam War, the United States experienced a high number of immigrant refugees from Southeast Asia, including the Hmong. A clash of cultures occurred as the Hmong and Americans tried to live together in unity. Perhaps one of the greatest contrasts is the way health is defined. The conceptualization of illness and its treatment in the Hmong community differs greatly from the biomedical model of health in the United States; these differences account for the consequences and inequality between…
This family is constituted in the world by the ways of their traditional beliefs and values brought with them from Laos. Foua and Nao Kao came to America for the same reasons as many other Hmong families did and that was to avoid the assimilation they were faced with living in Laos. To the Hmong people their ethnicity is everything to them. "They did not come to America to save their lives, they came to save their selves that is their Hmong ethnicity" (p. 183). When Lia gets sick we start to see how this family's values and beliefs are very different from that of the western culture. With her epilepsy we see a clash between medical science and beliefs held by the Hmong. Dan Murphy a resident at MCMC diagnosed Lia with having epilepsy, meanwhile Foua and Nao Kao diagnosed Lia with having the illness "when the spirit catches…
I had acquired my books already from a fellow student and went home to enjoy my three weeks of not studying; just working. As I was putting the books away at home, I started reading the back of Anne Fadiman’s book “The Spirit Catches You and You Fall Down” where a journalist of The Washington Post referred to the book as utterly engaging, readable, and a superb piece of writing. Instead of storing the book I carried it upstairs and put it on my night table. 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 two cultures; the Hmong culture and the culture of American health care professionals.…
In this essay I will review the question of how the Spirit Catches You and You Fall Down exemplifies the techniques of ethnographic research that we have studied in class. Also I will consider the question if there are ways in which Fadiman could have improved her methods to be a better anthropologist. In the essay I will look at the specific methods and techniques that Fadiman utilized. I will discuss where she conducted her research and also cover how she conducted her fieldwork. I suggest Anthropological studies on cultural difference would have a practical application to Lia’s study for the following fact that the Hmong do not completely believe in western medicine.…
The perception of health and healthcare in the mind of the Native American culture is quite different from the culture I am from. In the world of health care and different cultures there is always room for errors in communication. For example the Native American culture in the past was much less advanced and did not want to change that. They were fine with their home remedies. However, times have changed and in order to provide more efficient healthcare to individuals they must move forward with advanced communications. This specific culture has clinics that provide health services to only Native Americans. In some states these clinics are very far behind in terms of technology. With these types of issues it is almost impossible to have a quick turn around with labs and even referrals to other doctors. This is where the flaw in communication comes in. This can even cause dangerous miscommunications with patients as well. The U. S department of human services states that Native Americans have begun to move into a better communication however, many tribes are still not financially able to fund their clinics for technology. The important thing is that these barriers are broke done so that communication is free flowing. In my opinion cultural differences will always bring difficulty in communications only because every culture has their own way of doing things especially health care. I think that it is wonderful that we are finally able to understand other cultures health care perceptions. It is important to keep looking forward to the future for the more efficient technology that will continue to improve is forms of communication in the health care industry. Although, with new technology does come complications however, if we do not try how will it ever improve.…
1. The client system, in this case the Lee family, defines Lia’s seizures as both a spiritual and physical ailment. According to Fadiman (1997), “…the noise of the door had been so profoundly frightening that her soul had fled her body and become lost. They recognized the resulting symptoms as qaug dab peg, which means ‘the spirit catches you and you fall down’”(p.20). To the Lee family, Lia’s condition was as revered as it was frightening. While a person with qaug dab peg was traditionally held in high esteem in the Hmong culture, it was also terrifying enough that the Lee’s rushed Lia to the emergency room more than once in the first few months of her life.…
They had no idea how to cook on a proper stove, how to drive a vehicle and many other simple daily duties that Americans were taught. I also was shocked when Lia had her seizures and was brought to the hospital. They had no interpreters to translate. The doctors had no idea what to do to help Lia. They simply just did whatever they wanted to her, which was a misdiagnoses. Eventually, I felt that the doctors were sincerely trying to help Lia and her family. It made me upset that Lia’s parents would not let the doctors do what they had to do to treat Lia. Throughout the book, it was always a misunderstanding of what had to be done. This is something I feel could have been addressed so Lia’s parents did not have to endure the extra stress. Another part in the book that upset me was when child protective services came and took Lia away without making sure Foua and Nao Kao knew the circumstances of why she was being taken away. Again, something that could have been differently so Lia’s parents did not just think they would ever see their child again. I definitely felt that there was no apparent strategy to help our American culture relate to the Hmong culture. Towards the end of the book I was happy to see that Foua and Nao Kao were understanding that the doctors were helping Lia, and the doctors were understanding of the home remedies Lia’s parents wanted to do. I felt happy for the amount of care Lia was receiving. She had loving parents, and a loving family who visited her every day. She truly was a happy child until she could not express herself anymore. Even when she was stuck in a bed, she received great care from her…
The collision of cultures is seen through out the story of Lia and her family. Starting in the beginning of Lia’s story the same piece of information was being interpreted by two different cultures in different ways. The Merced Hospital Staff believed Lia suffered from Epilepsy. They believed it translated into Qaug dab peg. What was misunderstood is that quag dab peg were not really perceived as the same thing in Hmong culture as Epilepsy is in western medicine,…