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The Spirit Catches You And You Fall Down

Author: Anne Fadiman
Publisher: Farrar, Straus and Giroux
ISBN: 9781429931113
Size: 78.12 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.

Hmong American Concepts Of Health Healing And Conventional Medicine

Author: Dia Cha
Publisher: Psychology Press
ISBN: 9780415944953
Size: 22.95 MB
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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.

Hmong American Concepts Of Health

Author: Dia Cha
Publisher: Routledge
ISBN: 1135944385
Size: 17.73 MB
Format: PDF
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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.

Cultural Competence For Public Managers

Author: Espiridion Borrego
Publisher: Routledge
ISBN: 1351570420
Size: 24.72 MB
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Our increasingly globalized society demands a higher level of sophistication when working cross-culturally and internationally in local, state, and federal governments; tribal corporations; and nonprofit organizations. Cultural Competence for Public Managers offers guidance on how to become a leader in developing cultural competence in your organization. It provides a conceptual foundation and successful examples for developing cultural competence, including competencies for international collaborations. The authors clearly define terms and provide their own cultural competence model that will add significantly to the current field. They describe the rapidly changing worldwide demographics that are bringing new cultures into many countries and societies. They also examine the issues that culturally diverse landscapes create in the United States, Asia, Europe, Africa, and Latin America, highlighting the differences between assimilationist and the multicultural viewpoints. Drawing on a wide range of examples from universities; local, state, and federal governments; health care service providers; and nonprofit organizations, the book illustrates management practices that are then extended into the relevant cultural context. It also includes examples of cultural missteps and cultural competencies that have worked in practice. Written in an accessible format and style, the book provides practical and useful standards and performance measures, proven coaching and mentoring guides, as well as templates, checklists, exercises, and guidelines. It includes a DVD with coaching guides, checklists. Organized thematically, the book defines the scope of cultural competencies, highlights best practices, and describes variations in responsibility for administering cultural competence for executives, managers, supervisors, and employees.

Health Literacy In Primary Care

Author: Gloria G. Mayer, RN, EdD, FAAN
Publisher: Springer Publishing Company
ISBN: 9780826101075
Size: 40.49 MB
Format: PDF
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Designated a Doody's Core Title! At the intersection of health care delivery and practice there lies a large area of patient care with no manual: how to provide the best care to patients who have a critically low level of comprehension and literacy. Because all patients play a central role in the outcome of their own health care, competent health care becomes almost impossible for caregivers when the boundary of low literary skills is present. In a concise and well-written format you will learn: Common myths about low literacy Examples of low health care literacy How to recognize patients with low literacy Strategies to help patients with low literacy and reduce medical errors Cultural issues in health literacy Ways to create a patient-friendly office environment How to improve patient communication Guidelines to target and overcome common problems practitioners encounter This clear, well written book is packed with examples and tips and will serve as a much needed guide for primary care providers, nurse practitioners, hospital administrators, and others who are looking for ways to improve their communication with patients and provide the most beneficial health care to their low-literacy patients.

Asian Americans

Author: Lin Zhan
Publisher: Jones & Bartlett Learning
ISBN: 9780763722418
Size: 20.50 MB
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"Chapters of this book focus on issues, needs, and assets of underserved, underresearched Asian Americans populations-refugees, Vietnam veterns, battered women, immigrant elders, Asian Americans with disabilities, Cambodian and Vietnamese youth, gays and lesbians, and Chinatown residents. Contributors to this book critically analyze the interplay of culture, immigration, and social and political contexts in relation to the vulnerability of Asian Americans. From the preface.

The Blue Sapphire Of The Mind

Author: Douglas E. Christie
Publisher: Oxford University Press
ISBN: 0199986649
Size: 70.31 MB
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"There are no unsacred places," the poet Wendell Berry has written. "There are only sacred places and desecrated places." What might it mean to behold the world with such depth and feeling that it is no longer possible to imagine it as something separate from ourselves, or to live without regard for its well-being? To understand the work of seeing things as an utterly involving moral and spiritual act? Such questions have long occupied the center of contemplative spiritual traditions. In The Blue Sapphire of the Mind, Douglas E. Christie proposes a distinctively contemplative approach to ecological thought and practice that can help restore our sense of the earth as a sacred place. Drawing on the insights of the early Christian monastics as well as the ecological writings of Henry David Thoreau, Aldo Leopold, Annie Dillard, and many others, Christie argues that, at the most basic level, it is the quality of our attention to the natural world that must change if we are to learn how to live in a sustainable relationship with other living organisms and with one another. He notes that in this uniquely challenging historical moment, there is a deep and pervasive hunger for a less fragmented and more integrated way of apprehending and inhabiting the living world--and for a way of responding to the ecological crisis that expresses our deepest moral and spiritual values. Christie explores how the wisdom of ancient and modern contemplative traditions can inspire both an honest reckoning with the destructive patterns of thought and behavior that have contributed so much to our current crisis, and a greater sense of care and responsibility for all living beings. These traditions can help us cultivate the simple, spacious awareness of the enduring beauty and wholeness of the natural world that will be necessary if we are to live with greater purpose and meaning, and with less harm, to our planet.

Sense And Stigma In The Gospels

Author: Louise J. Lawrence
Publisher: OUP Oxford
ISBN: 019166748X
Size: 72.60 MB
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The senses are used within New Testament texts as instruments of knowledge and power and thus constitute important mediators of cultural knowledge and experience. Likewise, those instances where sensory faculty is perceived to be 'disabled' in some way also become key sites for ideological commentary and critique. However, often biblical scholarship, itself 'disabled' by eye-centric and textocentric 'norms', has read sensory-disabled characters as nothing more than inert sites of healing; their agency, including their alternative sensory modes of communication and resistance to oppression, remain largely unaddressed. In response, Louise J. Lawrence seeks to initiate a variety of interdisciplinary dialogues with disability studies and sensory anthropology in a quest to refigure characters with sensory disabilities featured in the gospels and provide alternative interpretations of their conditions and social interactions. In each instance the identity of those stigmatised as 'other' (according to particular physiological, social and cultural 'norms') are recovered by exploring ethnographic accounts which document the stories of those experiencing similar rejection on account of perceived sensory 'difference' in diverse cross-cultural settings. Through this process these 'disabled' characters are recast as individuals capable of employing certain strategies which destabilize the stigma imposed upon them and tactical performers who can subversively achieve their social goals.

Local Childhoods Global Issues

Author: Heather Montgomery
Publisher: Policy Press
ISBN: 1447305833
Size: 14.10 MB
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This volume considers the problems caused by poverty, social inequality, ill-health and violence and emphasises that these are challenges for children everywhere, not just those in the poorer countries of the world.

Population And Political Theory

Author: James S. Fishkin
Publisher: John Wiley & Sons
ISBN: 1444330381
Size: 42.52 MB
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Chapters include: Regarding optimum population; On future generations' future rights; Generations at war or sustainable social policy in ageing societies; Dependency, difference and global ethic of longterm care; and Justice in migration: a closed borders utopia?