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Notes on the book by Anne Fadiman “The Spirit Catches You and You Fall Down”
The book “The Spirit Catches You and You Fall Down” raises many issues, including the cultural barriers, their impact on health care, immigration, racism, laws and rules, and many more. While the book is really about the collision of two systems – the system of medical care in United States and the world system of the Hmong population, it is also about the deeper reasons for the problems that rose in this story. A lot of the Hmong character, brave and noncompliant, is demonstrated through the history of the Hmong people, their involvement in the “American” war (where it was seen as an advantage), their belief that the U.S. is…
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Notes on the book by M.C.Brannigan “Cultural Faultlines in Healthcare: Reflections on Cultural Competency”
This book is meant to draw the readers’ attention to the problems of providing the sensitive care to the patients within American health care system. Brannigan describes the problems caused by the diversity of worldview and values among the patients and doctors that meet through the health care system. The differences in approaches and understandings are causing what he calls cultural faultlines, the divisive issues that cause misunderstandings and create obstacles for better care. This outstanding problem is further fuelled by the fact that the American society in general has grown a profound distrust of the healthcare. Having described the essential problem, the author proposes a solution. He believes that…
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Notes on the article by David R. Hodge “Working with Hindu Clients in a Spiritually Sensitive Manner”
The article was written first of all for social workers who may encounter Hindu consumers. In order to facilitate a minimum cultural sensitivity Hodge makes an attempt to summarise Hindu cosmology. He explains such central to Hindu religion concepts as dharma, karma, moksha, and the non-self-centred view on life of the Hindu population. He then demonstrates how some traditional Hindu ways of life may be different from the western mentality and, thus, would be often met with prejudice and judgement. For example, the sacred dharma that prescribes different roles for women and men is referred to an “ideology” that serves to “camouflage injustice” while deceiving women into desiring a position…
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Notes on the case study by T. Borneman, O. Klein, J. Thomas, B. Ferrel “Spiritual Care for Jewish Patients Facing a Life Threatening Illness”
The article is a case study of a 65 year old lady diagnosed with end-stage lung cancer, who is Jewish by birth but who does not share the Jewish religious beliefs. We are shown some of the challenges that chaplains and physicians would need to face in working with Jewish patients. The quote below summarized the main idea of the article (case study): “[This case] illustrates the great differences in belief among jews and demonstrates that clinicians and chaplains cannot make assumptions based on a patient’s self-identification as Jewish”(p.61). We see that there is no one right way to deal with Jewish patients, just as there is not one particular…
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Notes the article by by Sarah M. Whitman “Pain and Suffering as Viewed by the Hindu Religion”
There are many interesting points made in this article, including the whole idea of acceptance and detachment from the outcome of whatever action. The idea of acceptance is central in Hindu religion as is the concept of Karma through which all the life’s misfortunes are viewed. At the same time, the author shows us with the example of several scientific studies, that acceptance-based strategies in dealing with chronic pain have proved to be more efficient than control-based strategies. Bringing these scientific facts to parallel the religion-based approach is very helpful for medical professionals, for whom it may be difficult to grasp this strategy only based on belief. Another interesting parallel…
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Notes on the article by A. Baez and D. Hernandez “Complementary Spiritual Beliefs in the Latino Community: The Interface with Psychotherapy”
The article demonstrates that the successful provision of culturally sensitive and culturally inclusive mental health services depends in large part on the level of congruence between the client’s and the mental health practitioner’s respective views of mental illness and its treatment. So, it is vital for mental health professionals to draw the distinction in these matters in order to find the best approach to their patients. This article is intended to help non-Latino mental health practitioners reach that “level of understanding and respect, and also to achieve the adjustment of clinical techniques necessary for better cultural responsiveness to these patients, a matter seldom addressed directly in the mental health literature”…
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Notes on “Shattering Culture: American Medicine Responds to Cultural Diversity” by Mary-Jo DelVecchio Good (Editor) et al.
The world is changing, the people are moving, the demographics are being reshaped, especially in the US where there are so many immigrants. This book presents a collection of works that describe how are health-care institutions responding to this changing demographics, including issues within the institutional policies and the personal human dilemmas in serving the diverse and constantly changing group of patients. Although it is clear that cultural diversity often covaries with racial and ethnic classifications, we must remember that cultural diversity can exist within ethnic groups as well, and other dimensions of culture (such as those deriving from class background or education). Through various examples we are shown that…