Cosmological Differences In Lia Lee's Case Essay

Improved Essays
According to Arthur Kleinman, there is no better doctor-patient relationship than one where both parties are able to answer a set of eight seemingly obvious and simple questions. The key to this dynamic is the ability to answer, not the similarity between answers. The importance of this distinction could have made all the difference in the conflict in Lia Lee’s case. The introduction of eight “golden” rules to consider in health care at the end of Lia Lee’s case allow all parties to self-reflect retrospectively and consider the cosmological differences between Lia Lee’s parents and her doctors. The take-away is to eradicate the cultural term of noncompliance, as this asserts moral supremacy. Additionally, strive for compromise rather than …show more content…
Lia Lee’s parents exemplified this by treating Lia with unending, noticeable affection while in the hospital, due to the importance of respecting ancestors and their spirits’, which Lia embodies. Lia’s parents’ treat Lia’s body as a microcosm of the cosmos, as “the cosmos is conceived as a living unity that is born, develops, and dies on the last day of the year.” (Eliade, 71) In this definition of a body, Lia’s cosmological life is cyclical but physical life is temporary. The cosmological conflict between Lia’s parents and her doctors’ take root in the belief of what the true etiology of the problem is, whether it be an issue of soul or body. The second conflict is then what method of promoting wellness is …show more content…
When asked to speak on the reasoning behind Lia Lee’s parents’ culture and opinion towards traditional medical practices, the California doctors stated that, “men think it is divine merely because they don’t understand it.” (Fadiman, 29) The doctors that cared for Lia believed that the scientific reasoning and diagnosis in Lia’s case was rational and therefore the answer to her problems, while ignoring any other worldviews. This outlook on the human condition diminishes the role of sacred space and the cosmic sense of nature’s ability to heal. Additionally, Eliade describes this thinking as, “the desacralization of the cosmos accomplished by scientific thought.” (Eliade, 51) Just like Hmong culture and Lia Lee’s parents’ beliefs, Eliade describes Western medicine in general, and therefore Lia’s doctors, as making the cosmos profane, or in other words, taking away the sacredness in Lia. By preventing the chaos from entering her life, Lia Lee’s parents are able to maintain the balance of her soul and therefore keep her happy and healthy. The cosmological conflict between Lia Lee’s doctors and her parents is the observation of sacred space and how this relates to

Related Documents

  • Great Essays

    Western medicine taught students to not look at the person as a whole, but only as their disease (Fadiman 61). This helped doctors to avoid bias and practice the same standard of care for all patients, but this becomes a problem when the patient does not agree with western medicine. The Spirit Catches You and You Fall Down is a perfect example of a worst case scenario of this way of practicing medicine. The refusal of the American doctors to lower their standard of care so that Lia could receive any treatment hurt her significantly. But this was never a possibility, as Neil Ernst, Lia’s head doctor, “never seriously considered lowering his standard of care.…

    • 1590 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Lia’s seizure disorder along with cultural and language barriers ended with Lia not receiving the care she rightfully deserved. Firstly, Arthur Klienman suggests that ‘compliance’ should not be used. Compliance suggests cooperation, and “it’s a lousy term.” He states that colloquy will work better for the Lia Lee’s parents and medical personel, which is a conversational exchange.…

    • 326 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    In “The Ritual Process,” Victor Turner employs the term “liminoid” to define modern rites that transport individuals out of the ordinary realm and into a realm of “anti-structure” where they are “betwixt and between” societal statuses. (94) New Age practices are liminoid in the sense that they are thought of as doorways to sacred transitioning, during which energy is ordered and self-actualization takes place. In the realm of the liminoid, the self is liberated, “de-identification is effected…ego-attachments are dropped, and a new future is enabled” (Heelas 20). Individuals “attempt to separate aspects of them that belong to the artifices of society and culture from that which belongs to the depths of human nature,” (Heelas 28) and the “socialized…

    • 1231 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Analogies In his autobiography, When Breath Becomes Air, Paul Kalanithi explains his thoughts, feelings, and situations through descriptive analogies in order to demonstrate the evolution of his perspective on the importance of doctor patient relationships. He found himself struggling to separate his patients from the paperwork, but at times, the toll of emotions made it clear how much of an impact he had on so many people’s lives: “Some days this is how I felt when I was in the hospital: trapped in the endless jungle summer, wet with sweat, the rain of tears of the families of the dying pouring down” (Kalanithi 78). Suggesting their tears are the rain pouring down on him as he is the outsider, readers understand the reasons most doctors choose to resort to detachment, and the difficulty Kalanithi faces going against this…

    • 1606 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Akin to or almost like putting on spectacles, our worldview shapes the way we apperceive and process creation, our cosmos and very existence. Within a worldview paradigm, varying thought patterns color our life experience and put us into a more compartmentalized reality that not only makes sense to us, but those around us (Colorado Christian University, 2014). Sire (2015) said it well when he explained that “worldviews provide the stories through which human beings view reality” (p. 57). Inside the realm of women’s health and abortion, thought components such as theism and postmodernism are often expressed. However, when one takes a position of postmodern naturalism, there cannot be fluidity consistent with a Christian theistic worldview.…

    • 656 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Earthquake In Haiti

    • 1257 Words
    • 6 Pages

    Karen McCarthy Brown (2001) writes that a common saying amongst Haitians is “Mon fet pou mouri,” which means “people are born to die” (p. 43). This is important, because situates death as something that is commonplace and as the trajectory that we are all headed towards. Death being commonplace can alter the degree to which someone values biomedical treatment over say, spiritual healing. This outlook on suffering and death is important to overlay on top of the trauma that Haiti has faced, particularly the 2010 earthquake. Health providers, specifically those coming from a non-Haitian socio-cultural and spiritual background, must not ascribe their own concepts of death to their Haitian…

    • 1257 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Even though there is many dialects because of the difference communities, spanish is the primary language. “Codeswitching” is when people mix of both the English and Spanish language when communicating to one another.” When it comes to nonverbal communication, direct contact is avoided because of authority, can be aggressive with male-male contact. When it comes to space, they are a lot more physical when greeting other people, is considered rude when giving simple emotions, and is less conscientious of personal space making touching and standing in close proximity a norm for this cultural group. “A formal and passionate greeting is done every time you meet someone, regardless of the length of time you have not seen them.…

    • 426 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Ethical Issues In Nursing

    • 1349 Words
    • 6 Pages

    It is with no much doubt that the health care industry, above any other shows a high degree of concern for issues encompassing the wellness of their clients (patients). Ethical quandaries in health care are often times enthralling and exacting because it puts the health care worker in a position to come up with decision(s) that attempts to balance two or maybe more diverse opinions, both of which have their own ethical excellence. Every day, doctors, nurses and other health professionals are forced to make ethical decisions that abide by the code of ethics set by ethical committees in the health sector. The purpose of the codes is to guide healthcare givers towards identifying, understanding, and resolving tough ethical decisions that involves patients and their families. However, each ethical quandary demands a tradeoff of…

    • 1349 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    After interpreting the stimulus packet, I analyzed the underlying topics of Life of the Peasants, The Secret Life of Plants, and Self Portrait Between the Borderline of Mexico and the United States, and developed a connection between the long-standing traditions of spirituality burdening the advancements of human evolution. The Secret Life of Plants by Ferris Jabr describes how "kin selection has an evolutionary rationale because it increases the chances that the genes an individual shares with its relatives will be passed to the next generation". This enhances the view of the benefits of cultural significance in medicinal practices because it relates to how long-standing cultures have the ability to pass down home-remedies that can prove to…

    • 1874 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    She was discharged home to her family and required around the clock care. Lia’s condition had a life expectancy of 1 to 5 years and her family knew that at any time their little girl could be gone. Miraculously, Lia lived to be 30 years old in which she was treated by both western medicine as well as the Hmong culture herbal healing. This story signified the effect in how western medicine is portrayed and practiced across all cultures. Lia’s family reacted to her serious illness in the only way they knew how because of the culture they come from, while the American doctors responded to western medicine just as they are taught in a American…

    • 769 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The refusal of observations by John could potentially place his health at risk by preventing early detection of deterioration, this left the MDT with a moral dilemma. When discussing ethical dilemmas it was important in John’s case to involve all members of the MDT. Rich and Butts (2014) suggest that ethical decisions should involve all healthcare professionals in a patients care intervention. Similarly Finlay (2008) encourages the involvement of the patient in discussing ethical problems along with the healthcare professionals (in Ellis, 2015).…

    • 1540 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Further, “Mankind (with its laws, ceremonies, customs, conventions and public opinion, indeed, even with its religious views) is infiltrated to a great extent with false notions and authorized violations of the real Truth (and the law of love based on this)”. As a result, such substantial bending of the Laws of Life massively contributes to the expansion of mental ‘disorder’ in the ‘Intellectualized Jungle’. On the other side, any observance of the Cosmic Laws naturally irritates surrounding, even confronts the dearest bound by traditions and local customs, and mental fashion trends. For instance, the insistence on regular burial in Will, instead of cremation can produce conflicts with ripple effects. “These traditions are in turn based on…

    • 564 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    This paper will examine the medicine and healing techniques of the Native American people and the historical context behind the use of these medicines. It will attempt to uncover the healing properties of traditional herbal medicines as well as the spiritual power to heal human pathologies. Specifically the paper will examine the healing properties of natural remedies including nutritional and spiritual practices used by the indigenous peoples of North America and how those practices might benefit people in today’s society. According to the Journal of American Medical Association (JAMA), in recent years, herbal medicines are being recognized for their efficacy and have made a significant contribution to modern Western Medicine.…

    • 1009 Words
    • 5 Pages
    Great Essays
  • Great Essays

    His theory provides a paradigmatic solution to an existential crisis. In the case of Lia Lee, it is not just that the Lee’s did not understand the words of the doctors. Their religion, and hence the way that they see the world, did not have the conceptual framework to understand Western medical practice. Just as non-religious man does not always understand religious man’s cosmology. Lia Lee’s family struggled to negotiate a balance between the demands of their traditional beliefs and modern medicine.…

    • 1392 Words
    • 6 Pages
    Great Essays
  • Great Essays

    Actions that are right or wrong is all a matter of a difference of opinion amongst individuals. What they learn from their family, where they grew up, what institutions they attend, their religious views, and their reflection of themselves and the world around them, all influence their morals and ethical beliefs. New ideas are constantly emerging causing us to consistently review and reconsider our beliefs. One idea that emerged and caused ethical consideration is the goal of keeping ill persons alive. This first came in the nineteenth century and has since given rise to moral questions on the care for patients.…

    • 1465 Words
    • 6 Pages
    Great Essays