The Spirit Catches You And You Fall Down, By Anne Fadiman

Great Essays
In the United States, many doctors face the challenge of working with patients that are of a different race or ethnicity from him or herself. Along with that, these patients are left confused and with a sense of powerlessness when working with American doctors. It becomes very hard to communicate not only because of a distinct language barrier, but also a cultural barrier. Many cultures approach situations in different ways, especially in regard to medical care. The book, The Spirit Catches You and You Fall Down, by Anne Fadiman, is a story about a Hmong family who seeks treatment in the United States for their daughter Lia. The Lees family adapts to the Americanized way of transportation and dress, but they find it very difficult to assimilate …show more content…
May Ying assisted the doctor in understanding how the Lees family feels and the best way to work with them. This doctor-patient relationship, as any, is vital for giving appropriate care to a patient. Many believe that it is essential for patient’s voices to be heard and thoroughly understood, instead of being instructed what to do by a doctor without the patients opinions and thoughts being taken into consideration in the process (Lo 2016: p. 395). This display of dominance not only shows that doctors have the most power in the situation, but it eradicates the doctor-patient relationship. While doctors operate through the biomedical model of healing, they must understand the “fish soup” concept in Hmong culture to create a diagnosis and recovery method. This would hybridize the current American model with that of the Hmong culture. The Hmong people love to explain their history and how that could affect their lives at the moment. Lo (2016) states that the best way to solve these problems is to bridge the gap between the patient and doctor by working with the patient long-term. Once doctors realize why their patients are not complying with all the rules and standards given to them, some admitted that the patients had a right to do so. This is because the doctors did not fully understand their patient when prescribing their treatment (Lo 2016). Though some may think this is extreme, one doctor helped a Hmong patient and his family go through one of the many healing rituals done in Hmong culture, deviating from the normal medical routine (Lo 2016: p. 404). Afterwards, that specific Hmong family acquired a great deal of respect for the doctor and were willing to put forth more effort in understanding the way of American

Related Documents

  • Superior Essays

    Everyone comes from a cultural background carrying a different set of beliefs. Much of your identity is influenced by the environment in which you grew up in and by how you were brought up and raised. Since birth, you were taught by your parents and community a standard in which ways to behave, in which ways to interact with others respectively, in which is right from wrong, the list goes on. These are just a few that are ingrained in someone unknowingly. If one were to immerse himself fully into another country, chances are that he will stick to his own ideals greatly outweighs his willingness to abandon them.…

    • 1495 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    While Anne Fadiman rightly asserts in her novel The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures that the tragedy of Lia Lee, a Hmong bounded epileptic child of Laos natives, was a result of cross-cultural misunderstanding; I feel that she does not sufficiently explore the role of language and translation serving as factors of psychosocial and cultural aspects of medical diagnosis and the overall confrontation of foreign patients with the American medical system. As described by Janelle S. Taylor, culture is the process of making meaning and social interactions. The embodiment of cross-cultural meaning can be articulated through the intertwining of language, the duality of vocal…

    • 989 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Healthcare is a universal need. People around the world need healthcare to make sure they stay in perfect health. To stay perfectly healthy people needs access to doctors, nurses, and other health professionals including health information management to evaluate and document their healthcare diagnosis and care. However, health professional has experience some issues when it comes to take care of people’s health. One of the main issues that many health care providers face is the wide variety of diversity of their patient’s culture and beliefs.…

    • 848 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Author of nonfiction book “The Spirit Catches You and You Fall”, Anne Fadiman relays the questions to her readers in her preface: “What makes a good parent?” and “What makes a good doctor?” As far as anyone is concerned for the latter question, specifically what makes outstanding health care, Carolyn M. Clancy, MD, of the Agency for Health Care Research and Quality would describe quality health care as simply “getting the right care to the right patient at the right time – every time” (). Furthermore, she dissects this simplistic description apart, providing a multilayered perspective. Essentially, the key to quality health care is its three basic dimensions: STRUCTURE, PROCESS, and OUTCOME” ().…

    • 1632 Words
    • 7 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

    The thought of health care is something that anyone would think is simple enough. The first thought of nursing is caring for the basic needs of mankind. Since, every human contains pretty much the same physical makeup the care of one and all has been perceived as being the same. The biased notion that patient care is not individualized but the same across the board is false due to the diversity in our world. Cultural has become another aspect that affects patient care.…

    • 1413 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    The Module 4 Case assignment is about a doctor named Brent Williams and a day in the Sleep Clinic. The case study highlights Dr. Williams’ perception between the cultures of his three different patients. His perception on culture limits his ability to adequately treat some of his patients. Additionally, the case study shows how his nurse Rita is aware of Dr. Williams’ lack of cultural perspective has lost the trust of his patients. Due to this loss of trust, there is a need for Dr. Williams to improve his cultural awareness in order to provide quality care to all patients regardless of their cultural background.…

    • 910 Words
    • 4 Pages
    Improved Essays
  • 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.…

    • 853 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Book Critique: The Spirit Catches You and You Fall Down Culture creates morals, values, and beliefs within an individual, and these characteristics must be understood and respected. Anne Fadiman brings this issue to light in her book, The Spirit Catches You and You Fall Down. Common culture-barriers in the medical field can cause medical malpractice, disagreements on necessary procedures, and religion malpractice. Throughout her novel, Fadiman explains that the difficulties in cross-cultural treatment is due to two cultures having different morals and beliefs, and of course a language-barrier between the doctor(s) and patient(s).…

    • 787 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Hmong Culture

    • 1029 Words
    • 5 Pages

    The Spirit Catches You and You Fall Down written by Anne Fadiman has been one of the most interesting books that I have ever read. It is a book that informed me about the very interesting Hmong culture and gave me insight on how two cultures can collide because of different values that each one may hold. The book intrigues the reader by introducing the Hmong culture and their beliefs. The Lee family is Hmong family that were refugees and settled down in Merced, California. The members of the Lee family include Foua who was the maternal Grandmother and Nao Kao was the maternal grandfather.…

    • 1029 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    The book The Scalpel and the Silver Bear, describes Dr. Lori Arviso Alvord’s developmental journey as a physician (Alvord & Van Pelt, 2000). Throughout the novel, Dr. Alvord integrates her Navajo beliefs, experiences, values, and behaviors into descriptive interpretations of various life events. Growing up she lived on a Native American reservation, surrounded by people who share the same values, morals, and beliefs. Later, Dr. Alvord attended Dartmouth College and subsequently Stanford University School of Medicine. At both schools, for her, the curriculum was more than academically challenging—it was emotionally and culturally challenging.…

    • 1956 Words
    • 8 Pages
    Superior Essays
  • Superior Essays

    The Spirit Catches You and You Fall Down is a book that highlights the struggles between two cultures in healthcare. The lack of understanding and communication lead to a medical tragedy for Hmong child Lia Lee. The story starts with the Lee’s forced immigration to America and talks about Lia being born with epilepsy. As the story unfolds there are many challenges that both cultures face in attempt to provide the best care for Lia. The family has very strong religious and cultural beliefs and the Western medicine only see the biomedicine side of the care Lia needs.…

    • 1576 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Anne Fadiman’s book The Spirit Catches You and You Fall Down, tells the story of the clashing of cultures between the Hmong culture and Western culture through the lens of medicine. Fadiman’s plot revolves around Lia, a Hmong girl born with severe epilepsy, and the tales of Hmong culture, allowing the reader to understand the actions of Lia and other Hmong, like her parents, as their culture heavily influences their beings. Thus I propose that this book remain a summer reading requirement as the book contains a unique correlation of culture and medicine, the themes are straightforward to analyze and provides a gradual preparation for the incoming year. The book itself consists of an interesting format, switching back and forth between plot…

    • 743 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    The Spirit Catches You and You Fall Down explores the relationship between the Hmong culture and the American culture; in particular the differences in medicine. Medicine has been a difficult subject to understand and master; moreover it becomes almost impossible if the person was raised in an entirely different culture than that of western medicine. This book discusses what it was like from both sides; the Hmong and those of the western doctors what it is like to deal with each other when it involves a common interest. That common interest being Lia Lee, an epileptic Hmong child. Both of the parties cared for Lia Lee; however their cultural differences were enough to distract from the real goal.…

    • 1354 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    “The Spirit Catches You And You Fall Down” is a story about a girl named Lia Lee who was diagnosed with epilepsy at a young age. There are multiple struggles in this book with cultural divide between the Hmong and the American medical systems. Lia and her parents, Foua Yang and Nao Kao Lee, were refugees that had immigrated to the United States. Foua and Nao were very religious, and lived by the Hmong culture. Shortly after moving to California they had learned that Lia had epilepsy, and other upper respiratory infections.…

    • 1049 Words
    • 5 Pages
    Improved Essays