the spirit catches you and you fall down a hmong child her american doctors and the collision of two cultures fsg classics

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The Spirit Catches You And You Fall Down

Author : Anne Fadiman
ISBN : 9780374533403
Genre : Family & Relationships
File Size : 85. 64 MB
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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
ISBN : 1429931116
Genre : Social Science
File Size : 82. 58 MB
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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.

Mama Might Be Better Off Dead

Author : Laurie Kaye Abraham
ISBN : 0226001393
Genre : Medical
File Size : 65. 21 MB
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Mama Might Be Better Off Dead is an unsettling, profound look at the human face of health care. Both disturbing and illuminating, it immerses readers in the lives of four generations of a poor, African-American family beset with the devastating illnesses that are all too common in America's inner-cities. The story takes place in North Lawndale, a neighborhood that lies in the shadows of Chicago's Loop. Although surrounded by some of the city's finest medical facilities, North Lawndale is one of the sickest, most medically underserved communities in the country. Headed by Jackie Banes, who oversees the care of a diabetic grandmother, a husband on kidney dialysis, an ailing father, and three children, the Banes family contends with countless medical crises. From visits to emergency rooms and dialysis units, to trials with home care, to struggles for Medicaid eligibility, Abraham chronicles their access (or lack of access) to medical care. Told sympathetically but without sentimentality, their story reveals an inadequate health care system that is further undermined by the direct and indirect effects of poverty. When people are poor, they become sick easily. When people are sick, their families quickly become poorer. Embedded in the family narrative is a lucid analysis of the gaps, inconsistencies, and inequalities the poor face when they seek health care. This book reveals what health care policies crafted in Washington, D. C. or state capitals look like when they hit the street. It shows how Medicaid and Medicare work and don't work, the Catch-22s of hospital financing in the inner city, the racial politics of organ transplants, the failure of childhood immunization programs, the vexed issues of individual responsibility and institutional paternalism. One observer puts it this way: "Show me the poor woman who finds a way to get everything she's entitled to in the system, and I'll show you a woman who could run General Motors." Abraham deftly weaves these themes together to make a persuasive case for health care reform while unflinchingly presenting the complexities that will make true reform as difficult as it is necessary. Mama Might Be Better Off Dead is a book with the power to change the way health care is understood in America. For those seeking to learn what our current system of health care promises and what it delivers, it offers a place for the debate to begin.

A Reader In Medical Anthropology

Author : Byron J. Good
ISBN : 9781405183154
Genre : Social Science
File Size : 51. 90 MB
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A Reader in Medical Anthropology: Theoretical Trajectories, Emergent Realities brings together articles from the key theoretical approaches in the field of medical anthropology as well as related science and technology studies. The editors’ comprehensive introductions evaluate the historical lineages of these approaches and their value in addressing critical problems associated with contemporary forms of illness experience and health care. Presents a key selection of both classic and new agenda-setting articles in medical anthropology Provides analytic and historical contextual introductions by leading figures in medical anthropology, medical sociology, and science and technology studies Critically reviews the contribution of medical anthropology to a new global health movement that is reshaping international health agendas

Social Work And Social Welfare

Author : Marla Berg-Weger
ISBN : 9781136314346
Genre : Social Science
File Size : 90. 7 MB
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Social Work and Social Welfare: An Invitation is a nationally recognized, best-selling text and unique website for US Introductory Social Work and Social Welfare courses. It provides students with the knowledge, skills, and values that are essential for working with individuals, families, groups, organizations, communities, and public policy in a variety of practice settings. This new third edition is an up-to-date profile of the world in which today’s social workers practice, with current demographic, statistical, legislative, policy, and research information; sensitive discussions of contemporary ethical issues; and new first-person narratives from social workers in a variety of fields. The call to become engaged in some of society’s most challenging issues is clearer than in previous editions.

Caring For Patients From Different Cultures

Author : Geri-Ann Galanti
ISBN : 0812218574
Genre : Medical
File Size : 63. 34 MB
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"An excellent book for those interested in providing culturally responsive and effective care to our nation's increasingly diverse population"--Dr. Robert Like, Robert Wood Johnson Medical School

Dancing Skeletons

Author : Katherine A. Dettwyler
ISBN : 9781478611585
Genre : Social Science
File Size : 76. 2 MB
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One of the most widely used ethnographies published in the last twenty years, this Margaret Mead Award winner has been used as required reading at more than 600 colleges and universities. This personal account by a biocultural anthropologist illuminates not-soon-forgotten messages involving the sobering aspects of fieldwork among malnourished children in West Africa. With nutritional anthropology at its core, Dancing Skeletons presents informal, engaging, and oftentimes dramatic stories that relate the author’s experiences conducting research on infant feeding and health in Mali. Through fascinating vignettes and honest, vivid descriptions, Dettwyler explores such diverse topics as ethnocentrism, culture shock, population control, breastfeeding, child care, the meaning of disability and child death in different cultures, female circumcision, women’s roles in patrilineal societies, the dangers of fieldwork, and facing emotionally draining realities. Readers will laugh and cry as they meet the author’s friends and informants, follow her through a series of encounters with both peri-urban and rural Bambara culture, and struggle with her as she attempts to reconcile her very different roles as objective ethnographer, subjective friend, and mother in the field. The 20th Anniversary Edition includes a 13-page “Q&A with the Author” in which Dettwyler responds to typical questions she has received individually from students who have been assigned Dancing Skeletons as well as audience questions at lectures on various campuses. The new 23-page “Update on Mali, 2013” chapter is a factual update about economic and health conditions in Mali as well as a brief summary of the recent political unrest.

The Land Of Open Graves

Author : Jason De León
ISBN : 0520282752
Genre : Social Science
File Size : 69. 48 MB
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In his gripping and provocative debut, anthropologist Jason De León sheds light on one of the most pressing political issues of our time--the human consequences of US immigration policy. The Land of Open Graves reveals the suffering and deaths that occur daily in the Sonoran Desert of Arizona as thousands of undocumented migrants attempt to cross the border from Mexico into the United States. Drawing on the four major fields of anthropology, De León uses an innovative combination of ethnography, archaeology, linguistics, and forensic science to produce a scathing critique of "Prevention through Deterrence," the federal border enforcement policy that encourages migrants to cross in areas characterized by extreme environmental conditions and high risk of death. For two decades, this policy has failed to deter border crossers while successfully turning the rugged terrain of southern Arizona into a killing field. In harrowing detail, De León chronicles the journeys of people who have made dozens of attempts to cross the border and uncovers the stories of the objects and bodies left behind in the desert. The Land of Open Graves will spark debate and controversy.

Global Pharmaceuticals

Author : Adriana Petryna
ISBN : 9780822387916
Genre : Business & Economics
File Size : 32. 65 MB
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In some parts of the world spending on pharmaceuticals is astronomical. In others people do not have access to basic or life-saving drugs. Individuals struggle to afford medications; whole populations are neglected, considered too poor to constitute profitable markets for the development and distribution of necessary drugs. The ethnographies brought together in this timely collection analyze both the dynamics of the burgeoning international pharmaceutical trade and the global inequalities that emerge from and are reinforced by market-driven medicine. They demonstrate that questions about who will be treated and who will not filter through every phase of pharmaceutical production, from preclinical research to human testing, marketing, distribution, prescription, and consumption. Whether considering how American drug companies seek to create a market for antidepressants in Japan, how Brazil has created a model HIV/AIDS prevention and treatment program, or how the urban poor in Delhi understand and access healthcare, these essays illuminate the roles of corporations, governments, NGOs, and individuals in relation to global pharmaceuticals. Some essays show how individual and communal identities are affected by the marketing and availability of medications. Among these are an exploration of how the pharmaceutical industry shapes popular and expert understandings of mental illness in North America and Great Britain. There is also an examination of the agonizing choices facing Ugandan families trying to finance AIDS treatment. Several essays explore the inner workings of the emerging international pharmaceutical regime. One looks at the expanding quest for clinical research subjects; another at the entwining of science and business interests in the Argentine market for psychotropic medications. By bringing the moral calculations involved in the production and distribution of pharmaceuticals into stark relief, this collection charts urgent new territory for social scientific research. Contributors. Kalman Applbaum, João Biehl, Ranendra K. Das, Veena Das, David Healy, Arthur Kleinman, Betty Kyaddondo, Andrew Lakoff, Anne Lovell, Lotte Meinert, Adriana Petryna, Michael A. Whyte, Susan Reynolds Whyte

Medical Anthropology In Ecological Perspective

Author : Ann McElroy
ISBN : 9780786727407
Genre : Social Science
File Size : 77. 44 MB
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Widespread awareness of emerging infectious diseases and global environmental change makes the ecological perspective of this premier teaching text for medical anthropology as relevant as ever. Integrating biocultural, environmental, and evolutionary approaches to the study of human health, this fifth edition is now thoroughly revised to reflect new developments in the field. Research by human biologists and paleopathologists illuminates the history and prehistory of disease, while the work of cultural and applied anthropologists addresses contemporary health issues. The fifth edition features five new profiles by guest contributors, all leading researchers on health and environment. New topics include community health and disease prevention in urban America; water-borne disease in Ecuador; iodine deficiency in the Himalaya; stress and demographic change in northern Siberia; and participatory action research in Costa Rica. Also included is updated and expanded consideration of refugee health, global aspects of HIV/AIDS, and careers in applied medical anthropology.

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