“The single biggest problem in communication is the illusion that it has taken place” (George Bernard Shaw). As humans, it is imperative that we communicate effectively with each other, and this is no more evident than in Ann Fadiman’s novel “The Spirit Catches You and You Fall Down.” This book captures the story of Lia Lee, a child born into a Hmong refugee family from Laos with severe epilepsy. For Lia’s parents, Foua and Nao Kao, the faith of their daughter stemmed from a vindictive spirit that caught Lia’s soul leading to her falling, where as in the medical world, the doctors viewed Lia’s condition as a birth trauma marked by disturbed electrical rhythms of the the central nervous system. The discrepancy in interpretation of Lia’s illness between her family and the doctor’s at Merced Community Medical Center who treated her was the main issue that plagued the two parties. This issue was further exacerbated by the fact that Lia’s parents did not understand English. The language barrier that existed between the parents and the doctors resulted in huge misunderstanding that contributed to lack of trust between the two parties. Moreover, the language barrier was hindrance to bridging the cultural barrier that existed for the Lees and the doctor’s who treated their daughter.
In the book, one of the doctor says “The language barrier was the most obvious problem, but not the most important. The biggest problem was the cultural barrier. There is a tremendous difference between
In Robert Cormier’s novel, We All Fall Down, is a young-adult thriller that explores the evil side of humanity through a number of corrupt characters. Cormier, to a large extent, accurately depicts manipulative and dishonest behaviour whilst also showing the evil lurking within the prominent characters of Harry Flowers, Buddy Walker and Mickey Stallings who showcase the dark side of humanity. Cormier explores this through Harry Flower’s manipulative actions that result in the suffering of others. Additionally, the constant dishonest behaviour is shown predominantly through the main protagonist of Buddy Walker, who deceives the one he loves. Cormier continues to depict the evil lurking in society through the theme of appearance
In the book Girl, Interrupted by Susanna Kaysen, Susanna Kaysen was only 18 years old when she agreed to enter a medium security psychiatric facility in Boston, McLean hospital in April 1967, after a failed suicide attempt. She insisted that her over dose on aspirin was not a suicide attempt, but after a 20 minute interview the doctor decided she needed to be admitted to a hospital. During her prolonged two-year stay at the hospital Kaysen describes the issues that most of the patients in her ward have to deal with and how they all differently deal with the amount of time they must stay in the hospital for. While in the hospital Kaysen experienced a case of depersonalization where she tried to pull the skin of her hands to see if there were bones underneath, after a failed escape attempt. Soon, after going to therapy and analysis she was labeled as having recovered from borderline personality disorder. After her release she realizes that McLean Hospital provided patients with more freedom than the outside world, by being free responsibility of parental pressure, free from school and job responsibilities, and being free from the “social norms” that society comes up with. Ultimately, being in captivity gave the patients more freedom then in society and created a safe environment in which patients wanted to stay in.
In the text, “The Cult you’re in” Kalle Lasn, discusses a cult-like nature of consumer culture on Americans. Lasn uses the work ‘cult’ as a metaphor; he does not mean an actual cult but American consumers seem to be in a cult-like nature. The ideal example of Lasns argument is the text, “The man behind Abercrombie and Fitch”, Benoit Denizet-Lewis, goes in great depth of the life of the CEO, Mike Jeffries, of Abercrombie and Fitch. Denizet Lewis’s piece on Jeffries life displays how accurate Lasns claim is about American consumers in the cult-like atmosphere.
Lia is born of a loving Hmong family, and just three months into her life, begins to reveal epileptic symptoms. According to the Hmong community, the condition is curable, and the presence of spirits in such a patient’s soul is considered a blessing. However, American doctors in a community medical center fail to understand and appreciate Lia’s parents’ approach to the child’s disease, and are only interested in saving this child’s life. As the conflict develops, it becomes apparent that the child will not be healed; but this is not without the doctors realizing the importance of compromise. In this book, Anne Fadiman claims, “I have come to believe that her [Lia’s] life
What happens when two very different or even mutually exclusive cultural perspective are forced into contact with one another? In Anne Fadiman’s The Spirit Catches You and You Fall Down, there is a division between the shamanistic insubordinate cultural of Hmong refugees in Merced, California and the cold analytical approach of western medicine. In the early 1980s, the child of a Hmong refugee family in Merced, California is born with epilepsy, her name is Lia Lee. Anne Fadiman traces the interaction between these two cultures and Lia’s disease, she reviews that misunderstanding and miscommunication can have calamitous consequences for all involved. The author introduces many characters throughout the book and they all
With the loud noise of a slamming door the family believed that Lia’s spirit had been frightened and left the body causing the sickness she was experiencing. The family saw the seizures as an illness of some distinction. In the Hmong culture epileptics often become shamans. The chapter goes on to tell the child’s story about multiple trips to the Hospital Emergency Room. It speaks about the lack of communication surrounding the child’s symptoms. The family is unable, and the medical team unaware of the lack of communication about medical dosages. The doctors have no idea about parental refusal to give certain medicines due to mistrust, misunderstandings, and behavioral side effects. The doctors do not attempt to develop more empathy with the traditional Hmong lifestyle or try to learn more about the Hmong culture. The dichotomy between the Hmong's perceived spiritual factors and the Americans' perceived scientific factors comprises the overall theme.
The Spirit Catches You and You Fall Down (1997) is an ethnography written by Anne Faidman. It tells the story of Lia Lee, a Hmong girl with severe epilepsy, and her family’s journey with managing the condition and the cultural barriers that posed great challenges in Lia’s care. Lia was diagnosed with epilepsy at age 1. It was her family’s opinion that the condition was a spiritual gift. Lia’s parents, Nao Kao and Foua, were wary of the American medical system, preferring to treat Lia in the Hmong way. Under the more spiritually focused care of her parents, Lia continued to have severe seizures; at the age of 4 ½, she slipped into a coma that would last the rest of her life. This book serves as a testament to the importance of cultural competency
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
In this essay I intend to explore the narrative conventions and values, which Oliver Smithfield presents in the short story Victim. The short story positions the reader to have negative and sympathetic opinion on the issues presented. Such as power, identity and bullying. For example Mickey the young boy is having issues facing his identity. It could be argued that finding your identity may have the individual stuck trying to fit in with upon two groups.
The Spirit Catches You and You Fall Down, by Anne Fadiman, is the story of two very different cultures lacking understanding for one another leading to a tragedy due to cultural incompetence. Today in America there are very many different cultures. Health care providers need to be aware of cultural diversity and sensitivity when caring for patients. If a health care provider is not sensitive towards a patient’s culture it can cause a relationship of mistrust to form, lead to barriers in the plan of care, and increase health care cost. The current guidelines to promote cultural competence in the clinical setting include completing a cultural diversity self-assessment, identify the need of the population served, evaluate barriers in the community and practice, educate staff to cultural diversities, schedule longer appointments, clarify limitations, and identify alternatives offered (Cash & Glass, 2014).
The Spirit Catches You and You Fall Down by Anne Fadiman is about the cross-cultural ethics in medicine. The book is about a small Hmong child named Lia Lee, who had epilepsy. Epilepsy is called, quag dab peg1 in the Hmong culture that translates to the spirit catches you and you fall down. In the Hmong culture this illness is sign of distinction and divinity, because most Hmong epileptics become shaman, or as the Hmong call them, txiv neeb2. These shamans are special people imbued with healing spirits, and are held to those having high morale character, so to Lia's parents, Foua Yang and Nao Kao Lee, the disease was both a gift and a curse. The main question in this case was could Lia have survived if her parent's and the doctors overcame
The Spirit Catches You and You Fall Down is the story by author Anne Fadiman, which 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 communication between them led to tragedy.1The lack of communication due to cultural misunderstanding, mistrust, lack empathy, and poor health literacy led to care being comprised for Lia, which also affected both her parents and healthcare providers.
In ‘The Spirit Catches You And You Fall Down’, Lia, a Hmong baby girl, is born to a Hmong family living in California as refugees away from their war torn land in Laos. In Laos the Lee’s where farmers and lived in the country according to their Hmong traditions and beliefs. In California they barely understood the language, much less Western culture or medicinal practices. In Hmong tradition, illness was seen as a spiritual problem rather than a physical problem and a Shaman that practiced spiritual ceremonies and used natural remedies was sought to prevent or cure certain illnesses and/or diseases; so when Lia suffered her first seizure at the age of 3 months and was taken to Mercer
This applied theory paper will analyze both the macro and micro analysis of the Novel, The Spirit Catches You and You Fall Down, by Anne Fadiman (Fadiman, 1997). In the book “The Spirit Catches You and Falls Down”, the character Lia illness resulted in a cultural divide between the Hmong culture and the American culture. Throughout this paper both the conflict theory and the family systems theory will be used to examine themes of behaviors among the characters in the text. The family and medical team use the applications of a number of different social work theories to navigate through her illness implementing a number of different strategies to nurse her to health. The author Fadiman explores the Lee’s family
Subjectivity. A statement that is based or influenced or based on personal feelings, tastes, or opinions. Many of the articles and stories we read today are very subjective, and are based on the author personal opinions. The article “Painful Memories” by Louisa Lim is fairly subjective because of its tone and point of view. The article “Painful Memories” by Louisa Lim is fairly objective because of its tone and point of view.