The Spirit Catches You And 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

In the text, “The Cult you’re in” Kalle Lasn, discusses a cult-like nature of consumer culture on Americans. Lasn uses the work ‘cult’ as a metaphor; he does not mean an actual cult but American consumers seem to be in a cult-like nature. The ideal example of Lasns argument is the text, “The man behind Abercrombie and Fitch”, Benoit Denizet-Lewis, goes in great depth of the life of the CEO, Mike Jeffries, of Abercrombie and Fitch. Denizet Lewis’s piece on Jeffries life displays how accurate Lasns claim is about American consumers in the cult-like atmosphere.

What happens when two very different or even mutually exclusive cultural perspective are forced into contact with one another? In Anne Fadiman’s The Spirit Catches You and You Fall Down, there is a division between the shamanistic insubordinate cultural of Hmong refugees in Merced, California and the cold analytical approach of western medicine. In the early 1980s, the child of a Hmong refugee family in Merced, California is born with epilepsy, her name is Lia Lee. Anne Fadiman traces the interaction between these two cultures and Lia’s disease, she reviews that misunderstanding and miscommunication can have calamitous consequences for all involved. The author introduces many characters throughout the book and they all

While the language barrier became very obvious to them as the Hmong language has very long descriptions for even the simplest words, the cultural barrier lead to a cultural bias in regards of western medicine. Hmong patients expected to be released of the ER with any kind of medicine they wouldn’t need. In addition to that the Hmong had a negative attitude towards surgery or any other invasive treatments, as it was frowned upon in their culture. One aspect that made it even harder was that pregnant Hmong women preferred to stay at home till the really last moment, so that often Hmong children were born in the parking lot or the elevator. They distrusted the western medicine so much that they preferred not getting better by gratefully accepting the medicine and diagnosis to save their pride and dignity. Just as history showed, they would rather die than give up their pride.

From our text, Race, Class, and Gender, we read Unit III E: The Structure of Social Institutions; The State and Violence: Policing the National Body: Sex, Race, and Criminalization; The Color of Justice; Rape, racism, and the Law; and Interpreting and Experiencing Anti-Queer Violence : Race, Class, and Gender Differences among LGBT Hate Crime Victims. We also encountered and excerpt from Social Work Practice With a Difference; The Spirit Catches You and You Fall Down, by Anne Fadiman. The first four reading from our text explore the association of the manner in which state power organizes race, class, and gender. We also get a view of how the intersectional approach of race, class, and gender may help us to understand some forms

The Spirit Catches You and You Fall Down (1997) is an ethnography written by Anne Faidman. It tells the story of Lia Lee, a Hmong girl with severe epilepsy, and her family’s journey with managing the condition and the cultural barriers that posed great challenges in Lia’s care. Lia was diagnosed with epilepsy at age 1. It was her family’s opinion that the condition was a spiritual gift. Lia’s parents, Nao Kao and Foua, were wary of the American medical system, preferring to treat Lia in the Hmong way. Under the more spiritually focused care of her parents, Lia continued to have severe seizures; at the age of 4 ½, she slipped into a coma that would last the rest of her life. This book serves as a testament to the importance of cultural competency

Many years ago, an epileptic Hmong girl named Lia Lee entered a permanent vegetative state due to cross-cultural misunderstanding between her parents and her doctors. An author named Anne Fadiman documented this case and tried to untangle what exactly went wrong with the situation. Two key players in her narrative were Neil Ernst and Peggy Philp, the main doctors on Lia’s case. As Fadiman describes, “Neil and Peggy liked the Hmong, too, but they did not love them… [W]henever a patient crossed the compliance line, thus sabotaging their ability to be optimally effective doctors, cultural diversity ceased being a delicious spice and became a disagreeable obstacle.” (Fadiman 265) At first glance, this statement seems to implicate Neil and Peggy as morally blameworthy for a failure to be culturally sensitive enough. However, upon further inspection of the rest of the book, it becomes clear that Neil and Peggy’s failure to be more culturally sensitive to their Hmong patients was caused by structural issues in the American biomedical system. To prove this point, this paper will first present a background to Lia’s case, then discuss possibilities for assigning blame to Neil and Peggy, then show evidence for the structural issues in American biomedicine, before finally concluding.

1. The client system, in this case the Lee family, defines Lia’s seizures as both a spiritual and physical ailment. According to Fadiman (1997), “…the noise of the door had been so profoundly frightening that her soul had fled her body and become lost. They recognized the resulting symptoms as qaug dab peg, which means ‘the spirit catches you and you fall down’”(p.20). To the Lee family, Lia’s condition was as revered as it was frightening. While a person with qaug dab peg was traditionally held in high esteem in the Hmong culture, it was also terrifying enough that the Lee’s rushed Lia to the emergency room more than once in the first few months

The Lees, a Hmong family, came to the United States in the 1970s as refugees from Laos, and lived in Merced, California. Unlike most immigrants, the Hmong population was less amenable to assimilation. The traditional health beliefs and practices of the Hmong population were disputed by the practices of Western medicine. This became very event when the Lees took their three-month-old daughter, Lia Lee, to the emergency room in Merced. Lia was diagnosed with epilepsy a disease that had two different meaning among the Hmong population and Western medicine.

Often times we are at a loss for words when it comes to talking about the person of the Holy Spirit. Beth Felker Jones in her work entitled “God the Spirit” serves as an introduction to the study of the Holy Spirit in a distinctly Wesleyan and Ecumenical Perspective. Jones is working against the notion that the doctrine of the Holy Spirit is often the most neglected of all Christian teachings (1). She recognizes her experience within the Wesleyan tradition as one that shapes her pneumatology and this book. She asserts that one of Wesleyan Christianity’s special gifts is it’s “leaning against any tendency to neglect the Spirit” (4). Even with this framework she aims to place the Wesleyan perspective in a larger ecumenical milieu that shows the continuity of a Wesleyan pneumatology with the Tradition of the Church. Overall, her approach is very accessible, as she assumes very little and writes in such a way that allows her to cover large dogmatic topics clearly and concisely. By merit of simply being an introduction only style book, there is the risk of glossing over topics and not providing enough in depth discussion to fully understand and comprehend the doctrine discussed. A reader should feel confident that Jones has indeed provided us with a solid introduction to Wesleyan pneumatology that has the ability to bear fruit and initiate growth in the life of the believer.

The Spirit Catches You and You Fall Down by Anne Fadiman is about the cross-cultural ethics in medicine. The book is about a small Hmong child named Lia Lee, who had epilepsy. Epilepsy is called, quag dab peg1 in the Hmong culture that translates to the spirit catches you and you fall down. In the Hmong culture this illness is sign of distinction and divinity, because most Hmong epileptics become shaman, or as the Hmong call them, txiv neeb2. These shamans are special people imbued with healing spirits, and are held to those having high morale character, so to Lia's parents, Foua Yang and Nao Kao Lee, the disease was both a gift and a curse. The main question in this case was could Lia have survived if her parent's and the doctors overcame

The Hmong cultural/religious belief in shamanistic animism claim that wicked spirits are continually searching human souls, mostly those of defenseless or unappreciated children. For Hmong culture, epilepsy is known as qaug dab peg which means, "the spirit catches you and you fall down" in English (Fadiman 1997), which epileptic invasions are seen as affirmation of the epileptic's capability to enter and stay temporarily into the spirit world (unconsciousness). In Hmong

The Lees believe that for an illness to be cured the soul has to be called back through the ritual sacrifice of animals such as chicken and pig. That is, they believe in the “Shamanistic ritual performed by a trix neeb in which an animal is sacrificed and its soul battered for the vagrant soul of a sick Person” (Fadiman, 1997, p.100). According to Lia's father Nao Kao “Sometimes the soul goes away but the doctors don’t believe it…The doctors can fix some sickness that involve the body and blood but for us Hmong some people get sick because of their soul, so they need spiritual things. With Lia it was good to do a little medicine and a little neeb” (Fadiman, 1997,p.100). The medical care that the doctors at Merced were providing was without animal sacrifices therefore the Lee’s believe that it could not make their daughter well.

For this paper, I read the graphic novel, One Hundred Demons by Lynda Barry. Barry’s novel is similar to Kochalka’s series, American Elf since her life is the main plot and focus. Like the title, Barry divulges into instances from her life that could be considered a demon, or something negative. For example, the first demon she discussed was about her first love and how much he differed from one of her boyfriends. This was considered a demon to her because of how he treated her and how she felt better off without him. In a way, this novel is Barry’s method of expressing her negative moments and sharing them to the public. Not only does this graphic novel encourage others to speak about their demons, Barry is healing herself from her negative

This case in particular is a clash between two cultures; the modern medicine culture of Linda Gorman and the traditional cure lu Mien culture of Mrs. Saeto. Before casting judgment on who is right and who is wrong with regards to Marie, it is important to decode these two particular cultures so we can distinguish the differences between the American culture and the lu Mien culture; considering upon reading about the burns, most if not all Americans would agree that this curing practice is barbaric and abusive. Every culture comes with stories, symbols and world views; and often times they are in disagreement. For instance, at the heart of the lu Mien culture is the theory of animism, “the view that the world is inhabited by spirits that