The Story Catches You And You Fall Down Analysis

Improved Essays
The ability to experience pain and suffering are universally and innately part of human ideology. Margaret Lock and Nancy Scheper-Hughes situate human affliction as mutually constructed by biological, social, and cultural understandings of the body. Both anthropologists advocate for a comprehensive perspective regarding illness and disease in which knowledge of and explanatory models referring to an individual’s illness are fixed on a greater social, political, and cosmic influences. Apparent identical life events can be explained by purely contradictory understandings of the body; pain, suffering and death simply cannot be explained in a manner that lacks the wider context of culture and society. Byron Good’s “How medicine constructs its …show more content…
Explaining this situation as epilepsy led American doctors to prescribe Lia with heavy medication, raised concerns from her parents due to their different conception of their child’s illness (161). Under the veil of Hmong culture, Lia Lee’s parents understood her epilepsy as evidence of “soul loss,” which further implies possible benefits for a Hmong community in question if Lia should reach the coveted position of a shaman. Her parents’ understanding of her pain and suffering in a positive manner reflects upon their belief in a larger, spiritual order in which an individual’s body cannot be separated her culture. Therefore, seeking spiritual guidance in the form of “herbal remedies and services of a Hmong shaman” heavily reiterates the underlying connection between that of Lia’s condition and the spiritual beliefs that exist within Hmong culture (161). Regardless of this specific cultural and spiritual knowledge, the biomedical approach, one that the western doctors forced upon Lia despite existing language barriers, forsakes the potential to better understand how these aspects of clinical encounters influence individual cases and how to better provide care for the suffering …show more content…
Cultures have different views and traditions about death, and there have been significant debates about the determination of death by neurologic criteria. The acceptance and diagnosis of brain death originates from the Ad Hoc Committee of Harvard Medical School, whom “declared unilaterally that individuals in a state of ‘irreversible coma’… could be declared dead” (2). This concept on death and the role of healthcare providers extends beyond the medical world, as recent development has made it possible to pro-long life through resuscitative and support measures. As a result, it has legally redefined death by setting brain-death, rather than cessation of heart and lung function, as the standard for death. The reluctance in Japan to practice organ harvesting is influenced by their traditional values, which Lock depicts from a case in which a physician “was arrested for murder” following attempts to perform a heart transplant in Sapporo, Hokkaido (8). The controversy over the patient’s death reflects on the political order within Japanese society, under which a lack of trust in the medical profession has raised questions on the misdiagnosis of brain death and necessity for organ retrieval. However, missing in this discussion was the informed consent relayed on the family, over which a surgeon responded, “it didn’t even occur to me to tell the

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

    Organ Harvesting Summary

    • 590 Words
    • 3 Pages

    The author defines several definitions in progression in this narrative from the brain death, “beating-heart cadaver” and organ donor. The main point for me is, that if we make an early decision to be a donor, the death actually can be transformed to something extraordinary and gives live. “To be able, as a dead person, to make a gift of this magnitude is phenomenal.” (27) Roach appeals everyone to consider saving lives not only no loves ones, but to a stranger.…

    • 590 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The tragedy that befell Lia Lee, a Hmong child, was a result of a power struggle between the Hmong and western medicine physicians, cultural impasse, and a conflict between who knows what’s best for Lia. It was too late before cultural medical reform occurred that doctors were beginning to view the person with the symptoms rather than the symptoms a person has. The Hmong were on one end of the spectrum where they believed that problems of the soul manifested themselves in the body and so spiritual healing was the best form of treatment. On the other end, the doctors believed that health problems were strictly biological and should be treated with pharmaceuticals. The distance between these two sides is what led to multiple disagreements…

    • 1214 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Based off of a real incident in the history of healthcare, The Spirit Catches You and You Fall Down by Anne Fadiman retells of the prolonged suffering undergone by Lia Lee, an American born Hmong child afflicted with epilepsy; for the Hmong, the illness ‘epilepsy’ is termed as “soul loss” and warrants her a chance at becoming a renowned shaman in her community. Lia was born to parents Foua and Nao Kao Lee, and unlike the rest of her older siblings, was born in a Californian hospital with access to various modernized medical technology and treatment methods. However, as traditional Hmong, these procedures are unfamiliar and conflict with their own approaches to curing sicknesses, such as sacrificing animals and hiring a txiv neeb to preform…

    • 1547 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    In the novel, The Spirit Catches You and You Fall Down, cross cultural medical communications are addressed through the story of a young, Hmong girl, Lia. Through her medical journey with epilepsy, the book shows how traditional boundaries and medical beliefs can clash and at times, bringing some negative outcomes to patients and their families. The novel introduces us to the Hmong culture, stressing their dire need to hold on to their culture so much that even some older traditions can make the Hmong people seem extremely stubborn, even when up against the science of the doctors working to save their daughter’s life. Traditional Hmong birthing traditions are both interesting and daunting to think about. Hmong birth practices encompass some…

    • 635 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    It is clear that the utmost importance in any medical context is the relationship between the healthcare practitioner and the patient. The duty of a physician is to adhere to certain principles of medical ethics namely the principles of respect for autonomy, beneficence, nonmaleficence, and justice. By examining the case study involving Dr. Nancy Morrison, one can observe that these principles are often ambiguous when referring to the issue of whether she committed voluntary active euthanasia or nonvoluntary active euthanasia. Thus, the thesis will aim to exemplify that ultimately Dr. Nancy Morrison was culpable for her actions. To give some context to the issue, Paul Mills was a 65-year-old individual suffering from terminal esophageal cancer.…

    • 1467 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    The Spirit Catches You and You Fall Down The Spirit Catches You and You Fall Down is a narrative nonfiction that revolves around a family who struggles with keeping their culture identity in a place where it is not welcome. The Lee family Struggles with discrimination, cultural differences, spirituality, language barriers and immigrant assimilation when they move to California. These are some of the things that get in the way of having one of their 15 children, Lia get the best care she can when she gets diagnosed as epileptic.…

    • 1310 Words
    • 6 Pages
    Superior Essays
  • Great Essays

    Therefore, the source of most illness has to do with the soul, specifically soul loss. Hmong took a holistic view on everything, while American medical workers broke the body down into segments that need to be fixed. For example, Dan Murphy explained how he could not talk about diabetes as a pancreatic problem. “Most of them had no concept that the organs they saw in animals were the same as in humans, because they didn’t open people up when they died, they buried them intact” (69). These differences in basic conceptual outlooks completely shaped the way that Lia’s epilepsy was viewed between the two parties.…

    • 1478 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Hmong Cultural Beliefs

    • 690 Words
    • 3 Pages

    This led to their child being taken away for periods of times based on “neglect”. Later, when she needed extensive lists of medicines, her parents had a difficult time understanding why they were supposed to give her them all, often resorting to their traditional ways of medicine. It wasn’t until doctors looked at the cultural perspective of the Hmong people and took the approach of cross-cultural medicine was Lia able to be with her family, with a shorter list of medicines, and live a longer life than originally estimated. A psychiatrist and medical anthropologist, Arthur Kleinman created a list of eight questions that were known as The Patient Explanatory Model.…

    • 690 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Death With Dignity: A Commentary Sergej Jagodin Millersville University Medical Aid in Dying: A Commentary The ability to choose when to die is not a topic that is heavily discussed throughout a person’s life. What constitutes dying early and on one’s own terms? Is it moral? Is it right?…

    • 1627 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    “Giving the culture respect and honoring that when it is appropriate, shows the patient they can trust you,” (Minority Nursing Staff, 2013). Nurses must have an understanding of the client’s culture. Understanding the client’s culture will promote culturally congruent interventions. Culturally congruent intervention for the Hmong culture regarding Hep B would consist of the use of eastern and western medicine. Eastern medicine that the Hmong culture could practice includes Shamanism, coining, cupping, herbal medicine, spooning or acupuncture (Xiong, M., et al., 2013).…

    • 822 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Currently, there are only five states in which it is legal. He argues that instead of offering patients hastened death, doctors should instead provide care and make the patient as comfortable as they can in their final months. This issue has become very controversial and many have questioned the ethics and morals behind it. While it is nobody’s ultimate wish to die, giving this alternative gives comfort to the patient that they do not have to undergo a prolonged amount of suffering. Also, a doctors’ main goal is to help and care for their patients in any and all possible ways.…

    • 1335 Words
    • 6 Pages
    Superior Essays
  • Great Essays

    The Spirit Catches You and You Fall Down is the tragic story of a young Hmong girl named Lia who suffers from epilepsy and who was the victim of a cultural collision and misunderstanding between her Hmong parents and her American doctors in Merced, California. The story follows Lia’s family, the Lees, as they navigate the American culture and system while maintaining strong ties with their traditions, practices, and rituals. The author, Anne Fadiman, uses the battle between the doctors of Merced and Lia’s parents as a way of emphasizing that doctors, and people in general, need to be more sensitive to the various aspects of different cultures and that not doing so can result in cultural misunderstandings and conflicts. With that being said,…

    • 1437 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    If doctors are enabled the decision to terminate a life on behalf of a unconscious patient, they would be then granted a power over society that not only breaches the Hippocratic Oath, but also empowers them to “play God”. This responsibility could then reflect upon society, altering their views and their trust within doctors and medical professionals as they could then be seen as “providers of death” (Cosic, 2003. 25) In addition to this, a doctor’s decision to terminate a life may not rely on the condition and best interests of the patient, but instead of amount of hospital beds and facilities that are…

    • 2101 Words
    • 9 Pages
    Superior Essays
  • Great Essays

    The evolution of modern medicine has dramatically lengthened the life expectancy of human beings. In many cases, the quality of those life years are satisfactory, and elderly individuals enjoy life. However, there are also many people experience terminal diseases or tragic accidents that reduce their quality of life to the point they no longer want to live. In these cases, patients may plead with their doctor to end their life. Naturally, a physician ending the life of her patient is morally conflicting.…

    • 1590 Words
    • 7 Pages
    Great Essays