In The Spirit Catches You And You Fall Down, there are countless examples of medical misunderstandings that can help educate us on both American and Hmong cultures. It was not until the book presented more about the Hmong culture, that readers stopped and thought about the cultural differences between American and Hmong medicine practices. They diagnose her condition as quag dab peg, “the spirit catches you and you fall down” in Hmong. The Spirit Catches You and You Fall Down by Anne Fadiman is about the cross-cultural ethics in medicine. First, I must inform you of what role American medicine plays in The Spirit Catches You and You Fall Down. The author paints a sympathetic, moving and compelling picture of the people and their circumstances. Lee’s trust on Jeanine Hilt: In The Spirit Catches You and You Fall Down, Jeanine hilt was the only American who completely won the Lee’s trust. Writing both a literary profile and an in-depth ethnography, Fadiman devotes whole chapters to the history and context of the Hmong ethnic identity, which she characterizes as “independent, insular, antiauthoritarian, suspicious, stubborn, proud, choleric, energetic, vehement, loquacious, humorous, hospitable, generous.” This is a characterization that she draws from tracing the Hmong all the…, Because the Lees—like most Hmongs—came to the United States to escape war-torn Laos, their relationship to assimilation is complicated. When they realized Lia couldn’t swallow, they decided to pour it down the nasogastric tube, and Peggy, certain Lia would die anyway, instructed the nurses to let them do so.” To continue their traditions of the Hmong culture, they had a ceremony at the Lee’s house where they sacrificed a pig in hopes that Lia’s suffering soul would regain balance. Many conflicts arise between cultures due to misunderstandings of different ways of living. The Spirit Catches You And You Will Fall Down Imagine yourself among the millions, forced to flee your country out of fear for your liberty and life. Free, fun, and packed with easy-to-understand explanations! According to Hmong & American Culture: Medicine, “Hmong Shamanism is ancestor worship, which involves spirits, ghosts, and animism. The American doctors claimed that they tried every possible way to make it easier for Lia’s parents to care for Lia. Because of this, the U.S. is often coined as “the melting pot.” It was highly stressful for the Hmong family to watch what was happening to their daughter, nonetheless try and understand what the American doctors were doing to her. Epilepsy is called, quag dab peg1 in the Hmong culture that translates to the spirit catches you and you fall down. Our, Cultural Values, Spirituality, and Medicine, LitCharts assigns a color and icon to each theme in. Towards the end of the book when Lia was in a coma, after she contracted septic shock, “Foua preferred to take care of Lia herselfOnce, Foua and Nao Kao brought in a herbal remedy-“a thick, stringy, gooey, gross, green liquid”- and tried to feed it to Lia. The doctors feel disrespected by the Lees’ unwillingness to…, The Spirit Catches You And You Fall Down frequently evokes Hmong history to illuminate the circumstances of Lia Lee’s medical crisis. Written by Jennie. Being taken away resulted in shock and more stress on Lia’s mind and body. The animals are sacrificed to replace the souls of the suffering. "My students can't get enough of your charts and their results have gone through the roof." Foua and Nao Kao had no way of knowing that Dan had diagnosed it as epilepsy, the most common of all neurological disorders. In Hmong, the condition is referred as the spirit catches you and you fall … In 2005 Robert Entenmann, of St. Olaf College wrote that the book is "certainly … Below you will find the important quotes in The Spirit Catches You and You Fall Down related to the theme of Integration and Assimilation. Whenever Lia was in critical care, Dr. Neil and Peggy Ernst were there as well, which makes the readers believe they were very dedicated to her, day in and day out. Neil and Peggy could have came to check up on her when needed, as well as, having nurses there at all times to give Lia her medication and monitor her seizures. To Americans, these practices could be viewed as animal torture or killing, but the meaning in these sacrifices is what helps keep the Hmong at ease. By studying miscommunication between Hmong patients and their American doctors, Fadiman demonstrates that many cross-cultural misunderstandings hinge on a disconnect between the two parties’ priorities. The Spirit Catches You and You Fall Down by Anne Fadiman is about a Hmong family and their experience with the United States healthcare system. The Lee family are refugees from Laos, the parents Nao Kao and Foua Lee came to America and resided … The Spirit Catches You and You Fall Down is the story of a Hmong Family, the Lees, their journey to America, and their struggles following their immigration. The unfamiliar surroundings caused her to become physically and mentally stressed, resulting in her conditions worsening. The Spirit Catches You and You Fall Down Themes Anne Fadiman This Study Guide consists of approximately 38 pages of chapter summaries, quotes, character analysis, themes, and more - everything you need to sharpen your knowledge of The Spirit Catches You and You Fall Down. This material is available only on Freebooksummary, We use cookies to give you the best experience possible. The Spirit Catches You and You Fall Down . This is a fascinating and well written story giving the reader a unique view of a community, its culture and the difficulties of being an immigrant. Yer, as the older sister of Lee, once slammed a door so hard that caused so much noise leading towards fleeing of Lia Lee’s soul, as her parents Foua and Nao Kao identified the reason behind the sickness of Lia Lee. Comprehensive Study Guide with Chapter Analysis, Themes, Characters & More. She truly cared for the Hmong and fought against the medical establishment with all her capability on behalf of Lia (Fadiman, 1998). *FREE* shipping on qualifying offers. In Anne Fadiman’s book “The Spirit Catches You and You Fall Down,” it is apparent that medicine is highly prominent throughout, and could be considered the main idea. In the book, we look at series of moments when Lia’s conditions worsened and her parents had no idea what was going on. Hmong people believe that the body is a shell consisting of three to seven souls and if one is lost then everything is out of balance. What did you like most about The Spirit Catches You and You Fall Down? By continuing we’ll assume you board with our, The whole doc is available only for registered users, The Role of PDE-5 Inhibitors in Erectile Dysfunction, The Nursing Theories of Virginia Henderson. It is important to note, that although Hmong medicine practices are different from American, it does not necessarily make them wrong. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures is a 1997 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. The Spirit Catches You and You Fall Down. Introduction From the Balkan Wars to the current displacement of Syrians, the United States has taken part in the resettlement of hundreds of thousands of refugees. The book is about a small Hmong child named Lia Lee, who had epilepsy. Historically resilient to coercive cultural changes, the newly-arrived Hmong had no interest in becoming Americans; they…, Instant downloads of all 1388 LitChart PDFs Culture plays a major role in The Spirit Catches You and You Fall Down. Luckily, FreeBookSummary offers study guides on over 1000 top books from students’ curricula! Much of the book is revolved around American doctors and their role in the lives of the Hmong/Lee family. The Spirit Catches You And You Fall Down examines the ways in which people cling to various strongly-held tenets set forth by their cultures. The Lee family were political refugees fleeing their home country of Laos in response to the "Silent War" and the subsequent loss of livelihood and starvation its inhabitants faced. The Spirit Catches You and You Fall Down is the poignant story of a young Hmong girl suffering from epilepsy who is caught in the cultural chasm between her family and her rationalist American doctors. They are constantly seeking to decide if the other party has acted ethically or unethically, which is in part due to the fact that both the family and the doctors believe that their power hierarchies have been undermined. After the youngest daughter, Lia, is diagnosed with epilepsy, the family runs headlong into the stubborn American medical system—an experience made even more difficult by the fact that parents Nao Kao and Foua can't speak a lick of English. One might ask, in what way was Lia better served by western medicine than Hmong traditional healing since it was septic shock (probably caused by a hospital infection) that led to her worst seizure and systemic collapse? The Spirit Catches You and You Fall Down by Anne Fadiman shows in great detail how cultural differences if not appreciated and ignored can cause a great deal of pain. Free Summary of The Spirit Catches You and You Fall Down. What was interesting about this particular question, is that it totally changed my perspective on American medicine practices, in this particular case. It consists of rituals and ceremonies with animal sacrifices. Overall, medicine was a very controversial topic and caused much conflict in The Spirit Catches You and You Fall Down, centering the well being of Lia’s life around it. It is very apparent that medicine to the Hmong culture is a spiritual relationship, versus a physical relationship. The United States thinks of itself as a nation made up of many diverse populations, a “melting pot” of ethnicity. Lia did have amazing help and dedication from Neil and Peggy Ernst, she may have even taught them things about themselves. From the creators of SparkNotes, something better. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures (FSG Classics) by Anne Fadiman (2012-04-24) The subtitle of this book, originally published in 1997, presents the story in a nutshell: “A Hmong Child, Her American Doctors, and the Collision of Two Cultures”. 1. Anne Fadiman in “The Spirit Catches You and You Fall Down” tells this clash as the story of Lia Lee and her American doctors. Lia’s conditions should have been treated inside her home whenever possible. They didn’t understand what American hospitals were like and what the doctors were doing to their child. How do you respond?” During this book, readers have probably taken an opinion early on without knowing all the facts. The book narrates a story of a “family whose second youngest daughter (Lia Lee) struggles with illness having been diagnosed with idiopathic epilepsy” (Guerrero, Laughrea, McVicker, & Bradley, 2002, par. However, later on in the book, we realized that Lia’s conditions were only getting worse when she was taken away. Culture plays a major role in The Spirit Catches You and You Fall Down. Due to the Lee’s constant and consistent failure to comply, with or without the help given, it resulted in Lia being taken away from her family due to “child abuse. Unformatted text preview: Themes in The Spirit Catches you and You Fall down Cultural Collision Culture plays a major role in The Spirit Catches You and You Fall Down. Teachers and parents! In Anne Fadiman’s book “The Spirit Catches You and You Fall Down,” it is apparent that medicine is highly prominent throughout, and could be considered the main idea. The Spirit Catches You and You Fall Down Themes. In the 20th century, though, being part of this “melting pot” seemed to require melting into the preexisting American culture. The differences between Hmong and American ways of interpreting the world are exacerbated by shoddy communication, which fails—both linguistically and ideologically—to establish any kind of common…, As a way of coping with the grief and uncertainty of Lia’s medical complications, both the Lee family and MCMC’s team of doctors try to assign blame. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures (FSG Classics) by Anne Fadiman (2012-04-24) [Fadiman, Anne] on Amazon.com. The Spirit Catches You and You Fall Down “Fadiman describes with extraordinary skill the colliding worlds of Western medicine and Hmong culture.” —The New Yorker “This fine book recounts a poignant tragedy…It has no heroes or villains, but it has an abundance of innocent suffering, and … Every other chapter shares some aspect of Hmong history or culture: food, clothing, … The book is about a small Hmong child named Lia Lee, who had epilepsy. In it, he also wrote that because of poor parental compliance regarding the medication this case obviously would come under the realm of child abuse, specifically child neglect Unless there could be some form of compliance with the medication regimen and control of the child’s seizure disorder, this child is at risk for status epilepticus which could result in irreversible brain damage and also possibly death.” Most people of American society would agree that taking Lia away was the right decision in order to prevent her seizures from coming back, and others might believe that Lia’s parents were only making it worse for her by not abiding to the doctor’s orders. Fadiman writes, “And there was the faintest flicker of chance, not altogether extinguished even after years of failed sacrifices, that Lia’s soul would be found after all, that the dabs who were keeping it would accept the pig’s soul in its stead, and that she would be restored to health.” Sacrifices were and are, the most important thing in Hmong medicine practice, which is far different from the American way of medicine. The Spirit Catches You and You Fall Down explores the clash between a small county hospital in California and a refugee family from Laos over the care of Lia Lee, a Hmong child diagnosed with severe epilepsy.Lia's parents and her doctors both wanted what was best for Lia, but the lack of understanding between them led to tragedy. This is exactly what happened with the Lee family, they had no idea what was happening to their poor daughter, and lacked the answers they needed to feel at ease. Cultural Collision. She is … Much of the book is revolved around American doctors and their role in the lives of the Hmong/Lee family. ” Specifically, Fadiman states, “Neil sent me a copy of this note to the Health Department and to Child Protective Services. 2). Lastly, we must decide which practice fits best with Lia and her conditions. -Graham S. “Would not have made it through AP Literature without the printable PDFs. Every other chapter shares some aspect of Hmong history or culture: food, clothing, … My students love how organized the handouts are and enjoy tracking the themes as a class.”, The Spirit Catches You and You Fall Down Themes, read analysis of Cultural Values, Spirituality, and Medicine, read analysis of History and Ethnic Identity, read analysis of Integration and Assimilation. It is very important to look at these two different practices in medicine individually, and without judgment. The Spirit Catches You and You Fall Down was her first novel, published in 1997. The conflict between the American doctors and Lia’s family goes to show that spiritual and scientific factors can make practicing medicine extremely complicated and confusing for both parties. Lia Lee is a Hmong child that was born in the U. S. n July 19, 1982, after her parents, Foua and Nao Kao Lee, moved to America. Anne Fadiman's The Spirit Catches You and You Fall Down Chapter Summary. The average student has to read dozens of books per year. After viewing cross-cultural medicine in this book, it is safe to conclude that American and Hmong medicine practices differ in many ways, cultural misunderstandings occur, and Lia would have benefitted with a mixture of both Hmong and American practices. The original text plus a side-by-side modern translation of. They're like having in-class notes for every discussion!”, “This is absolutely THE best teacher resource I have ever purchased. Think about it, if you view proper healthcare as a spiritual sacrifice and someone is tying your child up while she seizes and has IVs in her, what exactly are you going to think? What should also be made clear, is that without the American advances in medicine, Lia would have not survived. Hmong tend to see that with spiritually and animal sacrifices, you can cure a person from their illness. No one has time to read them all, but it’s important to go over them at least briefly. Themes of Biopower in . Each culture believes their ways are the right ways, and each methodology has their advantages and disadvantages. Preface Quotes I have always felt that the action most worth watching is not at the center of things but where edges meet. It is their way of restoring spiritual balance to their loved ones who are suffering from disease and illness. It was awarded many honors including: A Salon Book Award Winner Winner of the National Book Critics Circle Award for General Nonfiction Los Angeles Times Book Prize for Current Interest Boston Book Review 1997 Ann Rea Jewell Non-Fiction Prize Lastly, the nurturing of her family by her side was extremely crucial in her time of need. By Guest 9 Comments. This is very different from the American viewpoint that we can pump a person full of medicine and hook them up to machinery to get rid of the sicknesses they possess. Neil and Peggy provided the Lee family with Hmong translators, guides that they could understand for measuring medication doses, and nurses to help give Lia her medication. How about getting full access immediately? For her best comfort, Lia should have stayed with her family in her own home early on instead of being taken away. As a human being, it is in our nature to stick with what we know best, and if someone tries to convince us differently, we become angry and incredibly scared. In-depth explanations of The Spirit Catches You and You Fall Down's themes. The Spirit Catches You and You Fall Down is a 1997 nonfiction book by American journalist Anne Fadiman. They neglect the traditional spirits of Hmong culture as they consider them as being irrational and irrelevant. This may have been due to the fact she was in complete shock from being away from her family. Jeanine Hilt is a social worker and she made Lia her personal cause. Although the catches are motivated to provide the high-quality care, their neglect to cultural issues you to new problems. Struggling with distance learning? Review: The Spirit Catches You and You Fall Down by Anne Fadiman. By studying miscommunication between Hmong patients and their American doctors, Fadiman demonstrates that many cross-cultural misunderstandings hinge on a disconnect between the two parties’ priorities. The Spirit Catches You And You Fall Down examines the ways in which people cling to various strongly-held tenets set forth by their cultures. This concerns Lia Lee, a child with severe epilepsy whose parents were refugees from Laos in the USA during the early 1980s, and describes the conflict between the Western medicine of the local hospital and shamanistic culture of Lia’s family and community. The spirit catches you and you fall down summary: The story is about a three months old girl, Lia Lee, facing the issue of epilepsy, as her first attack. "Dan had no way of knowing that Foua and Nao Kao had already diagnosed their daughter's problem as the illness where the spirit catches you and you fall down. Lia’s conditions were so serious that she needed her medicine in order to survive; therefore, being taken away from her parents was the right thing to do. Lia is a child of Hmong refugees, and her parents Foua and Nao Kao believe Lia's seizures are caused by her soul fleeing, scared away by the slamming door. Detailed explanations, analysis, and citation info for every important quote on LitCharts. While doing so, you leave behind all possessions, and experience severe emotional suffering and possible separation from family. Continually, a major part in the book was when Lia contracted septic shock from the hospital. ” As you can see, the Hmong culture has a very different viewpoint on medicine than Americans. The concern to this particular question is, did Lia need to be given medicine and attention at all times? Anne Fadiman, author of The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and The Collision of Two Cultures, juxtapositions the Hmong culture with the American way, providing, in extensive detail, the trials, tribulations and triumphs of … LitCharts Teacher Editions. It was very important that Lia stay in the comfort of her own home and be treated where her parents could partake in their culture’s medical practices as well. Teach your students to analyze literature like LitCharts does. Find summaries for every chapter, including a The Spirit Catches You and You Fall Down Chapter Summary Chart to help you understand the book. In this book, we specifically look at two doctors who are dedicated to help Lia in her struggle with epilepsy: Neil and Peggy Ernst. Could the Lee’s have given her herbal remedies and sacrificed animals in order to treat the epilepsy? The Spirit Catches You and You Fall Down by Anne Fadiman is about the cross-cultural ethics in medicine. (including. Tweet Pin Email Print Yummly LinkedIn Like Share. Every other chapter shares some aspect of Hmong history or culture: food, clothing, language, family structure, birthing rituals, and so on. freebooksummary.com © 2016 - 2021 All Rights Reserved. The Spirit Catches You and You Fall Down by Anne Fadiman is an amazing true story which highlights the role of cultural competence (or lack thereof) and its importance in the healthcare system.The book "explores the clash between a small county hospital in California and a refugee family from Laos over the care of Lia Lee, a Hmong child diagnosed with severe epilepsy. The Spirit Catches You and You Fall Down documents the struggles of the Lees, a family of Hmong refugees who live in sunny Merced, California. This was a major turning point in the story, and that week Professor Jennings asked us the question, “In Chapter 11, Lia experienced a series of catastrophic events that left her mostly brain dead. Epilepsy is called, quag dab peg1 in the Hmong culture that translates to the spirit catches you and you fall down. Therefore the animal is sacrificed to take the place of the lost soul so the lost soul can return home to its body. The first book discussed at our ‘Neurology Book Club’ was The spirit catches you and you fall down (figure 1). The Spirit Catches You and You Fall Down and issues of culture, immigration, medicine, and the war in [Laos] with such skill that it's nearly impossible to put spirit. In the case of Lia, whose parents were immigrants from a totally different culture, did not know English, and were used to going to traditional healers for their ailments. Although the American doctors thought that their way of practicing medicine was most beneficial, can a Hmong family truly understand it when they use such different methodologies?Hmong medicine relies entirely on herbs and Shamanist practices. Looking at cross-cultural medicine, the goal of this essay is to showcase Hmong and American medicines, where cultural misunderstandings lie, as well as, deciding which practice is most beneficial for Lia.

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