Apa Format 175 265 Words Cite Peer Review Reference
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Elizabeth Lowe 7:10 PM Anne Fadiman, the author of The Sprit Catches You and You Fall Down, states that the American hospital believes in the western medical practice that focuses on the treatment of particular parts of the body. However, the Hmong understands that what western tradition calls epilepsy as the condition in which one’s soul leaves the body and becomes lost. The Hmong people treat illnesses through ceremonies and rituals, western medicine views them as unscientific, that seek to bring the soul back to a healthy condition. Due to these very different views on treatment, the way the Lia would be treated was conflicted.
Fadiman feels that Lia’s life was ruined, but not by septic shock or noncompliance from the parents but was ruined by the cross-cultural misunderstanding. I do feel that Lia’s life was not ruined because many doctors had confirmed that even if the cultural differences had been resolved the main outcome for Lia would have ended the same. After Lia had become vegetated her parents took immaculate care of her. Lia was always well-dressed and well-groomed. Even though she was in a vegetative state they still loved their daughter and stated that they will take care of her with all of their heart.
Even Lia’s parents did not seem to think that their daughter’s life was ruined because she was in a vegetative state. Fadiman, Anne. The Spirit Catches You and You Fall Down . Farrar, Straus and Giroux, 2012.
Paper For Above instruction
The cultural clash between Western medicine and traditional Hmong healing practices as depicted in Anne Fadiman’s "The Spirit Catches You and You Fall Down" underscores the profound impact of cultural misunderstandings on medical outcomes. The case of Lia Lee exemplifies how divergent perceptions of illness and treatment can lead to tragic miscommunications, potentially affecting patient care and family decisions. This paper explores the contrasting worldviews regarding epilepsy, the importance of cultural competence in healthcare, and the implications for medical practitioners working in multicultural settings.
Anne Fadiman vividly describes how Western medicine views epilepsy primarily as a neurological disorder characterized by abnormal electrical activity in the brain. Traditional Hmong beliefs, however, interpret epilepsy as a spiritual condition where the soul leaves the body, necessitating ritualistic cures to restore spiritual harmony (Fadiman, 2012). These differing understandings often lead to conflicts in treatment approaches, as seen in Lia Lee’s case, where her parents relied on traditional rituals and ceremonies while healthcare providers sought to cure her through Western surgical interventions and medication.
Implications of cultural misunderstanding are significant, as they can produce mistrust, non-compliance, and ultimately poorer health outcomes. Healthcare providers who lack cultural competence may inadvertently dismiss or overlook important traditional beliefs, thereby alienating patients and families. Conversely, culturally sensitive care that respects diverse health beliefs can foster trust and improve communication. For instance, integrating cultural beliefs into clinical practice—such as involving traditional healers or acknowledging spiritual practices—can enhance treatment adherence and family cooperation.
Furthermore, the case of Lia Lee illustrates the ethical dilemmas faced by healthcare professionals in cross-cultural contexts. The question arises as to whether cultural differences justify deviations from conventional medical protocols or should be integrated into treatment plans while maintaining medical standards. Studies suggest that cultural competence training for medical practitioners can significantly reduce misunderstandings and improve patient outcomes (Like et al., 2017). Learning to navigate cultural differences with respect and sensitivity promotes ethical practice and respects patient autonomy within their cultural frameworks.
Despite the tragic outcome for Lia, her parents’ care and love for her remained unwavering, reflecting the importance of family-centered care in diverse cultures. Their perspective underscores the idea that life continuity and familial bonds are valued across cultures—even if the form of care differs from Western standards. Acknowledging and respecting these values in healthcare settings is crucial for delivering ethical and effective care to multicultural populations.
In conclusion, the case of Lia Lee highlights the necessity for healthcare professionals to develop cultural competence and to approach treatment with sensitivity toward patients’ cultural beliefs. Recognizing and integrating diverse health perspectives can mitigate conflicts, improve compliance, and ultimately lead to better health outcomes. As global societies become more multicultural, medical practitioners must prioritize cultural awareness and respectful communication to bridge gaps and promote holistic, patient-centered care.
References
- Fadiman, A. (2012). The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collide of Two Cultures. Farrar, Straus and Giroux.
- Like, R., Steiner, C., & Loutfi, S. (2017). Culturally competent health care: An essential component of patient safety. The Journal of Medical Practice Management, 33(2), 93-96.
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- International Journal of Healthcare Management, 13(1), 27-34.
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