A sensitive look at the complexities arising from a medical culture clash...

books:


	• The Spirit Catches You and You Fall Down Anne Fadiman Farrar, Straus and Giroux, 1998 - 352 pages average customer review:based on 206 reviews view larger image
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highly recommended

Spirit Catches You - Excellent

This book is an extremely well-written and interesting story. I read this book for my bookclub and it made for great discussion about culture, ethics, and healthcare. I highly recommend this book to all healthcare professionals and bookclubs.

Fair

This was a required reading for my college class. It was a good read, story base; yet, it was also a frustrating read. Trying to get past the authors too many details - took you on sides roads from the real story. It is a sad story.

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What else can I add? Except this is my favorite book, ever.

If anyone's been patient enough to read all hundred-plus reviews up to this point, they already know what this book is about, how well-written it was, how well researched, and how terribly humane.

All I can add is that, though I read (well, start, at any rate) about a hundred books a year, and have been doing so for about three decades now, this is the single best book I've ever read.

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A sensitive look at the complexities arising from a medical culture clash...

During my senior year of college, I took a "Holistic Living" course and this was one of the books we were required to read. As I've mentioned in other reviews, I don't normally gravitate towards non-fiction, however, there are instances when I read a piece of non-fiction and find myself as captivated by the story as if it were a novel. "The Spirit Catches You and You Fall Down" was one of these books.

In her book, Ms. Fadiman presents the story of a Hmong-American family who is forced to step outside their comfort zone to seek medical treatment for their infant daughter, Lia, an epileptic. Not only do Lia's parents have to overcome a language barrier, but they also hold views which differ greatly from those held by the Western-trained medical doctors treating Lia. What results, is an enormous culture clash between Lia's parents and her treating physicians. Sadly, the consequences of the mis-communication and cultural mis-understanding which take place between the Lees and Lia's doctors has a tragic and permanent effect on Lia's life.

Alongside the Lee's story, Ms. Fadiman presents an informative history of the Hmong people, while also addressing a number of important ethical considerations germane to the medical treatment of non-western patients.

I highly recommend this book to anyone in the medical profession or to anyone interested in learning about traditional Hmong culture.

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great book

This was an outstanding book. You may need to be a social anthropologist at heart to really love it, but the book was so enlightening on so many different levels. The background and customs of the Hmong are fascinating, and their clash with western culture is eye opening. I learned so much, not just about the Hmong, but about my own beliefs.

reviews: page 1, 2, 3, 4, 5, 6, 7, 8, 9, 10

Winner of the National Book Critics Circle Award for NonfictionWhen three-month-old Lia Lee Arrived at the county hospital emergency room in Merced, California, a chain of events was set in motion from which neither she nor her parents nor her doctors would ever recover. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos. The Hmong, traditionally a close-knit and fiercely people, have been less amenable to assimilation than most immigrants, adhering steadfastly to the rituals and beliefs of their ancestors. Lia's pediatricians, Neil Ernst and his wife, Peggy Philip, cleaved just as strongly to another tradition: that of Western medicine. When Lia Lee Entered the American medical system, diagnosed as an epileptic, her story became a tragic case history of cultural miscommunication.Parents and doctors both wanted the best for Lia, but their ideas about the causes of her illness and its treatment could hardly have been more different. The Hmong see illness aand healing as spiritual matters linked to virtually everything in the universe, while medical community marks a division between body and soul, and concerns itself almost exclusively with the former. Lia's doctors ascribed her seizures to the misfiring of her cerebral neurons; her parents called her illness, qaug dab peg--the spirit catches you and you fall down--and ascribed it to the wandering of her soul. The doctors prescribed anticonvulsants; her parents preferred animal sacrifices.

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