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The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures

Nonfiction | Book | Adult | Published in 1997

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Book Brief

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Anne Fadiman

The Spirit Catches You and You Fall Down

Nonfiction | Book | Adult | Published in 1997
Book Details
Pages

341

Format

Book • Nonfiction

Setting

California • 1980s

Publication Year

1997

Audience

Adult

Recommended Reading Age

16+ years

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Super Short Summary

The Spirit Catches You and You Fall Down by Anne Fadiman chronicles the life of Lia Lee, a Hmong child in Merced, California, who is diagnosed with severe epilepsy. The book explores the clash between Western medical practices and Hmong traditional beliefs, leading to Lia’s poor medical treatment, family trauma, foster care, and cultural misunderstandings impacting her care and wellbeing. The story includes discussions of medical neglect and child separation.

Informative

Mysterious

Emotional

Challenging

Bittersweet

Reviews & Readership

4.4

90,568 ratings

81%

Loved it

14%

Mixed feelings

5%

Not a fan

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Review Roundup

Anne Fadiman's The Spirit Catches You and You Fall Down has received widespread acclaim for its insightful portrayal of cultural clashes within healthcare. Positive reviews highlight its meticulous research and empathetic narrative. However, some critics point out that it occasionally oversimplifies complex cultural issues. Overall, it is valued for enriching cross-cultural understanding.

Who should read this

Who Should Read The Spirit Catches You and You Fall Down?

Readers who are fascinated by cross-cultural conflicts, medical anthropology, and immigrant experiences will enjoy The Spirit Catches You and You Fall Down by Anne Fadiman. Comparable to works like Mountains Beyond Mountains by Tracy Kidder and When Breath Becomes Air by Paul Kalanithi, it offers a profound exploration of cultural clashes and healthcare.

4.4

90,568 ratings

81%

Loved it

14%

Mixed feelings

5%

Not a fan

Character List

Anne Fadiman

The narrator and writer who explores the story of Lia Lee to understand the cultural differences between American doctors and Hmong patients.

A Hmong child with severe epilepsy, whose medical case highlights the cross-cultural conflict between her family and her doctors.

Lia's mother, a Hmong refugee dedicated to caring for Lia, preferring traditional healing practices over medical treatments.

Lia's father, who believes her illness is due to soul loss and seeks healing through traditional Hmong ceremonies.

One of Lia's primary pediatricians at MCMC, who faces communication challenges with Lia's family and later finds a personal connection with them.

Neil Ernst's wife and fellow pediatrician to Lia, who struggles with communication but eventually develops a closer bond with Lia's family.

A cultural broker hired by Fadiman to assist with translation and to provide insight into Hmong customs.

A social worker who builds a trusting relationship with the Lees and advocates for Lia's care within complex systems.

Lia's foster parents during her time in CPS custody, who recognize the Lees as good parents and advocate for their family reunification.

Fadiman's friend and a former chief resident at MCMC, who informs her about the cultural challenges at the medical center.

A family practice resident at MCMC who recognizes Lia's epilepsy and shows interest in Hmong cultural practices.

Book Details
Pages

341

Format

Book • Nonfiction

Setting

California • 1980s

Publication Year

1997

Audience

Adult

Recommended Reading Age

16+ years

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