The Spirit Catches You and You Fall Down

Author: Anne Fadiman
Publisher: Macmillan
ISBN: 0374533407
Format: PDF, Docs
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A study in the collision between Western medicine and the beliefs of a traditional culture focuses on a hospitalized child of Laotian immigrants whose belief that illness is a spiritual matter comes into conflict with doctors' methods.

The Spirit Catches You and You Fall Down

Author: Anne Fadiman
Publisher: Farrar, Straus and Giroux
ISBN: 9781429931113
Format: PDF, Kindle
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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.

Essentials of Health Culture and Diversity

Author: Mark Edberg
Publisher: Jones & Bartlett Publishers
ISBN: 0763780456
Format: PDF, ePub, Mobi
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The term culture has increasingly been used in the discourse of public health, for example, with respect to issues of health disparities in the U.S., the development and implementation of ‘culturally competent’ or ‘culturally appropriate’ programs, and in many other ways. What exactly is culture, however? Published in partnership with the American Public Health Association, this newest offering in the Essential Public Health series examines what is meant by culture, the ways in which culture intersects with health issues, how public health efforts can benefit by understanding and working with cultural processes, and a brief selection of conceptual tools and research methods that are useful in identifying relationships between culture and health. Essentials of Health, Culture, and Diversity includes practical guidelines for incorporating cultural understanding in public health settings, and examples of programs where that has occurred. Looking for more real-life evidence? Check out Cases 3, 5-11, 13, 18, & 20 in Essential Case Studies in Public Health, Putting Public Health into Practice./

Hmong American Concepts of Health Healing and Conventional Medicine

Author: Dia Cha
Publisher: Psychology Press
ISBN: 9780415944953
Format: PDF, Kindle
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America's healthcare system in the twenty-first century faces a variety of pressures and challenges, not the least of which is that posed by the increasingly multicultural nature of American society itself. Large numbers among the Hmong, immigrants from the landlocked Asian nation of Laos, continue to prefer their own ancient medical traditions. That these Hmong Americans should continue to adhere to a tradition of folk medicine, rather than embrace the modern healthcare system of America, poses questions that must be answered. This book takes up the task of examining Hmong American concepts of health, illness and healing, and looks at the Hmong American experience with conventional medicine. In so doing, it identifies factors that either obstruct or enable healthcare delivery to the Hmong, specifically a target sample of Hmong Americans resident in Colorado. Drawing upon scientific methods of data collection, the research reveals attitudes currently held by a group of American citizens toward health and medicine which run the gamut from the very modern to those which have prevailed in the highlands of Southeast Asia for centuries.

A Heart for the Work

Author: Claire L. Wendland
Publisher: University of Chicago Press
ISBN: 0226893278
Format: PDF, ePub
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Burnout is common among doctors in the West, so one might assume that a medical career in Malawi, one of the poorest countries in the world, would place far greater strain on the idealism that drives many doctors. But, as A Heart for the Work makes clear, Malawian medical students learn to confront poverty creatively, experiencing fatigue and frustration but also joy and commitment on their way to becoming physicians. The first ethnography of medical training in the global South, Claire L. Wendland’s book is a moving and perceptive look at medicine in a world where the transnational movement of people and ideas creates both devastation and possibility. Wendland, a physician anthropologist, conducted extensive interviews and worked in wards, clinics, and operating theaters alongside the student doctors whose stories she relates. From the relative calm of Malawi’s College of Medicine to the turbulence of training at hospitals with gravely ill patients and dramatically inadequate supplies, staff, and technology, Wendland’s work reveals the way these young doctors engage the contradictions of their circumstances, shedding new light on debates about the effects of medical training, the impact of traditional healing, and the purposes of medicine.

Culture and Health

Author: Michael Winkelman
Publisher: John Wiley & Sons
ISBN: 0470462612
Format: PDF, ePub, Docs
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Culture and Health offers an overview of different areas of culture and health, building on foundations of medical anthropology and health behavior theory. It shows how to address the challenges of cross-cultural medicine through interdisciplinary cultural-ecological models and personal and institutional developmental approaches to cross-cultural adaptation and competency. The book addresses the perspectives of clinically applied anthropology, trans-cultural psychiatry and the medical ecology, critical medical anthropology and symbolic paradigms as frameworks for enhanced comprehension of health and the medical encounter. Includes cultural case studies, applied vignettes, and self-assessments.

Medicine Ethics and the Third Reich

Author: John J. Michalczyk
Publisher: Rowman & Littlefield
ISBN: 9781556127526
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Medical experimentation on human subjects during the Third Reich raises deep moral and ethical questions. This volume features prominent voices in the filed of bioethics reflecting on a wide rang of topics and issues. Amid all contemporary discussions of ethical in science, many ethicists, historians, Holocaust specialists and medical professionals strongly feel that we should understand the past in order to make more enlightened ethical decisions.

Culture Health and Illness

Author: Cecil Helman
Publisher: Butterworth-Heinemann
ISBN: 1483193470
Format: PDF, Docs
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Culture, Health and Illness: An Introduction for Health Professionals covers basic ideas and research in medical anthropology. The book starts by discussing the scope of medical anthropology and the cultural definitions of anatomy and physiology, including the body structure and its functions. The text describes the clinical significance of food in diet and nutrition, social and cultural aspects of medical pluralism and health care. Doctor-patient interactions; social, psychological and cultural factors associated with pain; and non-pharmacological influences of medication, in relation to placebos, psychotropic and narcotic drugs, alcohol, and tobacco are also considered. The book then covers the type of rituals that relate to health and illness and the management of misfortune. The text also encompasses transcultural psychiatry, the cultural aspects of stress, and cultural factors in epidemiology. The selection is useful to health professions (doctors, nurses, midwives, health visitors, medical social workers, and nutritionists); those involved in health education or foreign medical aid; undergraduate students taking up these disciplines; and those studying anthropology or sociology.