The Spirit Catches You And You Fall Down Analysis

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The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures (Fadiman, 1997) is a poignant story that revolves around an epileptic Hmong girl living in Merced, named Lia Lee. Fadiman’s book postulates that language barrier was the most obvious problem that caused many issues such as misdiagnosis and failure to adhere to the medicine prescription. However, it is the cultural chasm between Lia’s rationalist American doctors, through biomedical practices, and Hmong animism, through the cultural practices of shamanism that contributed greatly to the obstruction of the girl’s treatment. This story elucidates the stark contrast between biomedical and shamanism practices albeit the tale ending as…show more content…
The Americans view western medicine as the peak of importance and the latest in modern technology. The doctors being highly educated, use their knowledge to diagnose patients based on symptoms and using medical equipment to aid in treating their patient’s bodies. Since the Hmong medical knowledge consists of spirit and soul, shaman uses a holistic approach to healing the soul and then the flesh (Yang, 1998), holding conversations with their patients to decipher the thoughts and theories about their illness. Standing from the viewpoint of the Hmong, biomedical practices will hence be determined to be irrational as the doctors do not mention the soul, which is something the Hmong believe that by leaving the soul untreated, it will lead to the manifestation of physical ailments. With the Lees standing firm on adhering to their culture and they feel that the western medical field lacks proper interaction with patients thus the inability for the Lees to be able to fully trust the doctors. Although seems that fusing dichotomy of illness and disease in the shamanic practice and validating patient’s concerns is rational, to the doctors, they share the ethical values and are driven to do anything to save the lives of their patients. This, in turn, makes them view the Hmong as irrational in not having a person treated based on their symptoms but their souls. Ethnocentrism is being…show more content…
The Lees’ culture believe that family knows what is best for their own and that the body, mind, and spirit need to be treated as one while “most Americans...believe in scientific medicine, individual decision through informed consent, the health care provider as the manager of care, and the separation of body, mind, and spirit in treatment programs” (Holli, 2009). There were different ideologies of the how Lia should be treated which led to her health being compromised. The doctors see Lia’s condition solely through a biological perspective, which was why careful prescriptions of medication and other modalities such as blood tests, surgeries, and spinal taps were being introduced. The Lees who are not convinced by the methods the doctors are using believe that a “dab”, an evil spirit, had stolen Lia’s soul. Therefore, rather than relying on medicine, they resort to sacrificing animals, use of special herbs and even attempts to change her name to make sure her soul returns. The Lees see the doctors as irrational because, in their culture, the Hmong believe that the body has finite amount of blood, so it is seen to be harmful or fatal if blood is drawn repeatedly. It is also a taboo to undergo surgeries as they believe that cutting the body leads to perpetual imbalance and possible disfigurement when reincarnated. The Hmong also find the doctors unreasonable when they did not spend as much
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