Medical Anthropology: Cross-Cultural Differences In Explaining Health

Anne Fadiman’s novel, The Spirit Catches You and You Fall Down, addresses key concerns regarding health and medicinal relationships with cultural beliefs. She challenges readers to consider what is known about western medicinal practices and beliefs, based on science, and recognize its effectiveness when paired with cultural understanding. This novel portrays some of the greatest medicinal and health challenges and cultural failures of western societies. There were several cultural competency themes integrated throughout the book, however, it surprised me at how distant western practices and the Hmong’s healing methods were at the beginning. It seemed as if it would be a stretch to form a connection between these two extremities,

Culture is the thoughts, communications, actions, beliefs, values, and institutions racial, ethnic, religious, or social groups (Jarvis, 2012, p 14). Every culture has its own view/ understanding about health care, health and illnesses. Although what might be seen as acceptable in one culture, may not be acceptable in another, regardless of where you are health care and culture will always exist. My definition of culture is the way someone lives his or her life in a daily basis; which includes things like the language one speaks in and out of the home, food one eats, music one listens to, and one religious practice. The culture I will be

Throughout the years there have been two traditions within the practice of medicine. One is the 'art of healing ' which involves its own specialised brand of training. The art of healing is dependent on the prescriber 's foreknowledge and the clients’ viewpoint of the prosperous results. The 'Science of healing ' is based on scientific and technological ideas. This tradition results in a lower liability for practitioners regarding the showing of an original approach to medicine, however the results of this method are more calculable (Kayne 2002). It is believed that the tradition of the ‘art of healing’ is increasing in popularity. The World Health Organisation states ' 'that the terms ' 'complementary medicine ' ' or ' 'alternative medicine’ ' are used interchangeably with traditional medicine in some countries. They refer to a broad set of health care practices that are not part of that country 's own tradition and are not integrated into the dominant health care system” (World Health Organization 2000). This type of treatment, is commonly known as ‘Complementary and alternative medicine’ (CAM). The word complementary derives from the meaning ‘together with’ established practices and the word alternative refers to ‘in place’ of established practices. Some patients choose to participate in complementary therapies along with the medication prescribed by their general practitioner whilst others prefer complementary therapies as opposed to the medications

Alvord uses her personal experiences of working as a Navajo surgeon to teach her readers the philosophies her people follow to heal. Her philosophy is that instead of looking at each patient as a mechanical system with each part separate, look at their mind, body and spirit as being connected. If one can do this, patient care will improve. She also touches upon being culturally competent in the work place by knowing your patient population’s beliefs on healing and health care. After reading her story, I believe that in order to be the best health care provider one must look into the spiritual aspects of their patients’ lives. As providers we must provide care using the biopsychosocial model of care and become knowledgeable on our patients beliefs. Like Alvord states within her story, we must walk in beauty, become harmoniously connected to those around us, and care for our patients in a positive

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

Culture is a very important aspect for health care professionals to examine when interacting with their clients. By having an understanding of different cultural practices, a clinician can more effectively treat a patient. Kagawa-Singer, M. & Kassim-Lakha, S. (2003) theorizes that patients resist lifestyle changes, and culture forms lifestyle. Therefore, if physicians attend to the influence of culture on health behavior, outcomes of medical care might well be improved.

The Spirit Catches You and You Fall down, by Anne Fadiman, illuminates the issues that arise when constructive collaboration cannot be accomplished between two conflicting parties. The conflict between Western beliefs and Hmong ideology is illuminated through a young epileptic Hmong named Lia Lee, and her tragic experience due to cultural differences. Ultimately, the conflict between parent and doctor beliefs thwarted medical advancement, eventually leaving her in a vegetative state and a premature death. In order to fully understand her predicament, we must establish the bounds of each culture. Largely defined by science, Western culture approaches things in technical terms, with decisions being based on measurable evidence. Western advocates argue that individuals must understand and accept scientific reality over their religious views. Non-Western beliefs, such as the Hmong culture, are largely defined by religion and pseudo-science practices. Those that oppose strict Western ideology, such as Francesca Farr, propose, “our view of reality is only a view, not reality itself” (p 276). In other words, reality is relative to the respective individual. Legitimate claims on both sides create a large grey area of misinterpretation. On the contrary, health does not have margin for misinterpretation. The lack of understanding can prevent Western doctors from providing certain aspects of treatment. Even worse, the patient may reject treatment entirely. This dilemma in cultural

People live very different lives. Culture is a major importance in everyone lives. Everyone has customs that they follow, and somethings are more bizarre than others. But it may be bizarre in one persons ' eyes, and be completely normal to another. Having the ability to understand one 's culture and heritage can really help you have a better understanding of where they come from. In the medical it is very important to understand where an individual is coming regarding culture. From understanding their language, to understanding what they are against in the world of medicine is a difference between life and death for some of these individuals.

American culture will look for healing in modern techniques. Asians and Jamaicans will look in other directions to heal someone first. They will first use remedies that have been passed down for centuries, and they will continue to be passed from

As mentioned in Galanti's text there are four "C's" of culture. Each much be communicated properly to the patient in order to receive optimal health care: first C) What do you call your problem? second C) What do you think caused your problem? third C) How do you cope with your condition? fourth C) What concerns do you have regarding the condition? (Galanti 2008).

One of the greatest things about nursing is that we have the opportunity to share with different cultures and learn about them. Our patients are complex; they each have their religion, culture, and life choices. Delivering health advice and not knowing much about a patient’s cultural background will influence how the patient may perceive the nurses’ advice. The article that I did my research on was published in 2011, by Perez-Avila, Sobralske and Katz; the name of the article is “No Comprendo: Practice Considerations When Caring for Latinos With Limited English Proficiency in the United States Health Care System”. In the United States, Hispanics form the largest minority. Most of this community has limited English

“Demographics of the US population have changed dramatically in the last three decades. These changes directly impact the healthcare industry in regard to the patients we serve and our workforce” (Borkowski, 2012). In fact, Voutsas (2011) argues that the U.S workforce is the most demographically heterogeneous workforce in the world and he believes that this is due to major changes and diversity .Borkowski (2012) also states that the significant changes in the US populations has been seen greatly in regards to gender, age ,and race and ethnicity .

People of the Chinese culture have many different beliefs and practices of medicine and healthcare. It is extremely important for nurses to be culturally competent and to be able to understand different practices and beliefs of different cultures to ensure that they are providing the best care and making their patients as comfortable as possible. According to Shih-Yu Lee, ritual is defined as “a social essential collective activity within a culture,” it is also well recognized that culture and ritual plays a fundamental role in “defining, sensing the health and illness, and searching help for problems” (Shih-Yu, Shu-Ling, and Yu-O, 2013). There are many rituals and beliefs of traditional Chinese medicine that are crucial to understand, the

Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.

Every culture has its own views of health care, diseases, and medical interventions. The way people of a given culture view health care affects how they handle themselves when they fall ill. For instance, the Asian culture believes that illnesses are caused by supernatural phenomena, which should be diagnosed and treated by means of spiritual healing or traditional herbs. Physicians and other medical practitioners should try to understand the cultural beliefs of their patients to handle them appropriately.