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anne, catches, culture, fadiman, fall, field, implications, language, medical, spirit, treatment, understanding
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Term Paper # 108121 :: "The Spirit Catches You and You Fall Down"
An examination of "The Spirit Catches You and You Fall Down" by Anne Fadiman and its implications for the medical field.
Written in 2008; 1,801 words; 5 sources; APA; $ 57.95
Paper Summary:
This paper discusses the difficulties that can be experienced when a patient and medical professional do not understand each other's culture or language. The paper focuses on "The Spirit Catches You and You Fall Down" by Anne Fadiman, which is the tragedy about three-month-old Lia Lee, from Laos, who unfortunately was one of these cultural misunderstandings.
From the Paper:
"Several stories in the report (Wilson-Stronks & Galvez, 2005) highlight inadequate informed consent. A Muslim man refused chemotherapy treatment for stomach cancer, because he believed the only way to receive chemotherapy was to be attached to "a pump" that would interfere with his praying. The physician did not understand that his aversion to chemotherapy had to prayer, and treatment was delayed for precious months. Other stories stress cultural misunderstandings: The son of a 72-year-old Italian woman who had a CT scan consistent with metastatic colon cancer asks the surgeon to not tell her the diagnosis because it will "kill her." A 64-year-old African-American has angina, but is reluctant to go for a cardiac catheterization. He mistrusts the healthcare system due to a poor experience with a family member and memories of the invasive procedures done as part of the Tuskegee Syphilis Study. Such concerns are indicative of what took place in Spirit in 1982. How far have medical centers gone, or not gone, in these past three decades?"

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