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The Spirit Catches You and You Fall Down

The Spirit Catches You and You Fall DownAuthor: Anne Fadiman
Publisher: Farrar, Straus and Giroux
Category: Book

List Price: $15.00
Buy Used: $3.33
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New (164) Used (960) Collectible (5) from $3.33

Seller: outlook_books
Rating: 4.5 out of 5 stars 270 reviews
Sales Rank: 253

Media: Paperback
Edition: 1
Pages: 352
Number Of Items: 1
Shipping Weight (lbs): 0.7
Dimensions (in): 8.2 x 5.4 x 1

ISBN: 0374525641
Dewey Decimal Number: 306.461
EAN: 9780374525644
ASIN: 0374525641

Publication Date: September 28, 1998
Availability: Usually ships in 1-2 business days

Also Available In:

  • Paperback - The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures
  • Paperback - The Spirit Catches You & You Fall Down: A Hmong Child, Her American Doctors, & the Collision of Two Cultures
  • Paperback - The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures  
  • Kindle Edition - The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures
  • Kindle Edition - The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures
  • Loose Leaf - The Spirit Catches You and You Fall Down
  • Hardcover - The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures
  • Paperback - The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors and the Collision of Two Cultures

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Editorial Reviews:

Amazon.com Review
Lia Lee was born in 1981 to a family of recent Hmong immigrants, and soon developed symptoms of epilepsy. By 1988 she was living at home but was brain dead after a tragic cycle of misunderstanding, overmedication, and culture clash: "What the doctors viewed as clinical efficiency the Hmong viewed as frosty arrogance." The Spirit Catches You and You Fall Down is a tragedy of Shakespearean dimensions, written with the deepest of human feeling. Sherwin Nuland said of the account, "There are no villains in Fadiman's tale, just as there are no heroes. People are presented as she saw them, in their humility and their frailty--and their nobility."

Product Description
Winner of the National Book Critics Circle Award for Nonfiction

When 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.



Customer Reviews:
Showing reviews 1-5 of 270
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5 out of 5 stars Excellence in a story about another culture   June 29, 2010
Connie (California)
This true story about a Central California Hmong family recounts the recent history of the Hmong people, and enlightens the reader about a culture vastly different than our own. The author describes the nomadic lifestyle of the Hmong, who have lived throughout the Southeast Asian mountaintops, settling until the land is exhausted and then moving on. They aligned with the United States during the VietNam conflict only to be abandoned to hostile local governments once it was over. Their survival stories are stunning, unimaginable, and unforgettable.

The immigrant family that settled in Central California includes a beloved young daughter with severe epilepsy. Heartbreaking events culminate in Western medicine's failure to be able to treat her despite the best- intended treatment and efforts by devoted physicians, and her parents' efforts to do all that they can to care for their most precious daughter. The challenge of bridging cultures is brought home in painful detail.

The Hmong culture is replete with beliefs in spirits and magical aspects that are fascinating. The title itself is the literal translation for the Hmong term for epilepsy. When the Spirit Catches you, you fall Down is not a quick read, yet it is an essential and gratifying reading for anyone who is practicing in health care, anyone who is visiting Southeast Asia, or anyone who wants to learn about far different human ways to perceive and live life.



3 out of 5 stars Not as good quality as promised.   June 14, 2010
puppykiller (sweden)
0 out of 2 found this review helpful

Although I haven't read the book yet, I'm quite sure it's awesome.

But when I bought it, my purchase was based on the fact that it would be (as it was described) in very good quality. I surely got surprised then, when receiving the package, to find the book's cover being torn and with lots of unidentifiable spots and marks of crayons on it.

Still - it was fairly cheap, so it wasn't such a big deal.
But rest assured I won't recommend the seller to anyone.



5 out of 5 stars The Spirit Catches you and you fall down   June 5, 2010
Cathy B. Carey (Healdsburg, CA United States)
Spectacular look at how cultures collide. Each side has the best of intentions but because of cultural beliefs and misunderstandings tragedy occurs.


5 out of 5 stars Must read for anyone working in the area of health   May 31, 2010
C. B. de Sacristan (Mexico D.F., Mexico)
This is a moving, compelling and educational book. All sides of this cultural collision are portrayed with sensitivity and are convincing. I include it as required reading for my graduate seminar in public mental health. This is a must read for anyone working in the area of health and promotes reflection upon one's own cultural beliefs about health, illness and medicine.


5 out of 5 stars A revelation   May 30, 2010
Dr. Lewis B. Lefkowitz Jr. (Nashville, TN)
As a professor at Vanderbilt, I read The Spirit Catches You and You Fall Down when it was assigned for all students who were entering the medical school's first-year class. It was discussed in small groups during their orientation period on their arrival. It tells the story of a young child with epilepsy, her extended family and her Hmong community which had been transplanted into a welfare existence in Merced, California. It was well constructed to give perspective to a cultural dilemma, showing vividly the roots of culture in the history of the Hmong people and the tragic consequences of the dislocations created by circumstances totally out of their control.

The story alternates between the telling of the history of the Hmong people, the clinical and personal history of the patient, and the lives of many of those who cared for her. It is a worst-case scenario of "innocent" misunderstanding and the pressures of circumstance that permit it that is almost allegorical for our time. It was well chosen to challenge the medical students to examine their motivations for entering the profession and provided insight into the many lessons that they can learn only from knowing their patients thoroughly. For them it illustrated vividly how reliance on hearsay, first impressions and second-hand knowledge of cultures is not enough to guide proper interaction and treatment.


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