The Spirit Catches You As You Fall Down By Anne Fadiman

In Hmong’s, they have their own traditional beliefs in which they hardly ever alter due to a different atmosphere. Some of the Hmong beliefs are they prefer traditional medicine, are culturally active, host ritual ceremonies, and are spirituality influenced. In the book The Spirit Catches You and You Fall Down, refers to the Hmong culture and their beliefs on medicine while their baby Lia Lee, is suffering from epilepsy in which they have a hard decision. Traditional Hmong’s have their own medicinal beliefs which they obey prior to obtaining Western medicine. The gulf between Western medicine and Hmong health beliefs is an impossible abyss. Also, The Spirit Catches You and You Fall Down describes the life of Hmong refugees assimilating to

The Hmong were well known for being a self-sufficient people producing their own food, making their own weapons, hunting their own game including birds, monkeys, deer, wild pigs, tigers, and more. They fished, gathered fruit, wild vegetables, and honey. These individuals were farmers and have very intimate relationships with the natural world(pg 120). Foua Yang grew up in a mountainous clan such as this. She had revealed that everyone in her village performed the same tasks therefore causing no class system. “Since no one knew how to read no one felt deprived by the lack of literacy.” They believed that anything of importance that the children needed to know could be learned through spoken word or by example. The elders were essential for teaching the younger generation among many things how to hold sacred their ancestors, play the qeej, conduct a funeral, how to court a lover, how to track a deer, and how to build a

     The Hmong had trouble adapting to American life. With no driver’s license or bank account, they had to make a living doing whatever they could. Not knowing the language in a foreign land doesn’t help either. The Hmong women adapted much more quickly than the men did because of the fact that they interacted more with English-speaking people. While the men were at work, the women were spending time interacting. The Hmong men also refused to change more that the women did. This shift of power caused a lot of changes in Hmong households. What even caused more of a power shift was the fact that the Hmong children learned about the culture easier than the women did. Instead of the father having control over the family like it was back in Southeast Asia, the children now had the upper edge. The children could communicate, interact and even drive with Americans. You could see a 16-year-old Hmong

“Last Sunday the host of a popular news show asked me what it meant to lose my body”(Coates 5). The phrase “lose my body” is reiterated numerous times in Between The World And Me by Ta-Nehisi Coates. The topic/theme of this piece of literature may be discernable as innocence as Ta-Nehisi profusely speaks of how his upbringing changed and affected his perspective on life. Coates uses a multitude of examples to portray this from how he witnessed another boy almost being shot at a young age to him learning and understanding the laws and “culture of the streets”(Coates 24) as who and even more who not to mess with(Coates 23). Coates effectively uses these examples as perfect representations of living in an American ghetto as well as how since birth blacks do not “own” their body and are susceptible to lose it.

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.

In Yang’s The Latehomecomer, the author describes how her Hmong family and many other families are chased out of their homes in the Laos mountain. No longer having anywhere to call home they have no other choice but to become refugees in another country where they don’t feel welcomed. In Ban Vinai Refugee Camp, in Thailand the Hmong people make a dramatic change in there life. The Hmong go from a life of freedom before the war, to having restrictions in everything they do, “There were Thai men in uniforms with guns that surrounded us”(66). The idea of being surrounded comes up constantly throughout Yang’s life in the camps, as a sign of constriction to their human rights. The liberty to roam freely is effortlessly taken away from the Hmong people

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 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.

The story draws attention to the disadvantage that the language barrier caused in the Chapter titled “Take as Directed”. This chapter talks about how the parents don’t follow the doctor’s orders in giving Lia the proper dosing regimen. The staff and doctor’s didn’t know if her parents simply did not want to give her the medicine or if they basically didn’t know or understand what to do. Lia’s suffers a grand mal seizure during this chapter and gets intubated and placed on a ventilator to keep her alive. To make matters worse, the doctors start to believe that the seizures are causing retardation and that if Nao and Foua would give the child the medicine as directed she would be getting better. Finally a decision is made among medical staff that placing Lia under Foster care may be in her best interest in order to assure a proper dosing regimen.

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

What would it be like to come to a country and not understand anything about its health care system? To many this would be a very daunting task. Unfortunately, this is the scenario that the Lee family has to deal with in the book The Spirit Catches You and You Fall Down by Anne Fadiman. The Lee family, and the other thousands of Hmong immigrants, try to understand and navigate the complex and sometimes confusing health care system of the United States. As the book points out, the values and ideals of the Hmong culture and the United States health care system are not always the same and sometimes come into great conflict with each other. Lia Lee was unfortunately the person stuck in the middle of this great conflict.

The Hmongs are an ethnic race, originally migrated from Eurasia and settled in river plains of China. The Chinese hated them, calling them ‘Miao’ or ‘Meo’ meaning barbarians and tried to gain mastery over them but the Hmongs wanting to be left alone began to migrate. By the beginning of the 19th century, half a million Hmongs had migrated to Indo-China. Disliking persecution, some settled in Vietnam, Laos and Thailand. They detest being ordered or bullied, do not like to lose, are fighters who would rather die than surrender. Though they never possessed a country of their own, they have marched through the pages of history as free men desiring personal liberty. The Lee family travelled to Merced, California along with other Hmongs who fled to Laos in 1975, when their country became a prey to communism.

In The Spirit Catches You and You Fall Down, there are many different intercultural misunderstandings. A Hmong girl’s life was forever changed because of these misunderstandings and some things could have easily been avoided, had each side taken the time to better understand the other.

The book titled The Spirit Catches You and You Fall Down: Talks about a Hmong Child, Her American Doctors, and the Collision of Two Cultures written by Anne Fadiman. Anne Fadiman is an American essayist and reporter, who interests include literary journalism. She is a champion of the National Book Critics Circle Award for Nonfiction, the Salon Book Award, and the Los Angeles Times Book Prize for Current Interest. In the book, Anne Fadiman explores the clash between a county hospital in California and a refugee family from Laos over the health care of Lia Lee. Lia Lee is a Hmong child diagnosed with severe epilepsy, whose parents and the doctors wanted the best treatment for her, but the lack of communication cause a tragedy. The essay paper will state and explain what went wrong between Lia’s family and the doctors. The central point is a lack of understanding between them leads to Lia’s tragedy.

Holding Onto the Air an autobiography by Suzanne Farrell takes the reader backstage in the dramatic life of the world-renowned Balanchine ballerina. From her childhood in Cincinnati to her retirement from ballet in 1989, Farrell's story is truly a remarkable one. The book describes at length her time with the New York City Ballet as well as her complex relationship with the legendary Balanchine. Although Mrs. Farrell goes a bit too far into the ballet descriptions, her beautiful imagery allows reader to experience the joy of performing on stage.