“The Spirit Catches You and You Fall Down” by Anne Fadiman

Life is very crazy for me right now. Lots of changes happening. For that reason, I am just going to write a very short post about this book.

This was the selection for our book club. The person who selected it works in healthcare, and it is definitely an important work for people who are responsible for delivering care to individuals and families.

The book chronicles the events concerning a Hmong family and their daughter who suffered from seizures, and the challenges they faced trying to navigate the healthcare system in the United States.

Everyone in the US is painfully aware of how difficult it is dealing with hospitals, insurance companies, prescriptions, and government bureaucracy. Try to imagine how much more difficult it would be if there was a language barrier that prevented you from communicating with healthcare providers, or from understanding the instructions for care that the providers gave you. And as this book shows, those challenges are compounded by cultural differences.

“The language barrier was the most obvious problem, but not the most important. The biggest problem was the cultural barrier. There is a tremendous difference between dealing with the Hmong and dealing with anyone else. An infinite difference.” Dan Murphy said. “The Hmong simply didn’t have the same concepts that I did. For instance, you can’t tell them that somebody is diabetic because their pancreas doesn’t work. They don’t have a word for pancreas. They don’t have an idea for pancreas. Most of them had no concept that the organs they saw in animals were the same as in humans, because they didn’t open people up when they died, they buried them intact. They knew there was a heart, because they could feel the heartbeat, but beyond that—well, even lungs were kind of a difficult thing to get into. How would you intuit the existence of lungs if you had never seen them?”

(p. 69)

Overall, I found the book interesting, but it did drag at points for me, mainly because the author digs deep into the cultural history of the Hmong. And while I understand the importance of the cultural and historical context, it just became a little tedious for me at points.

Anyway, it’s a good book and if you are interested in medical history or social sciences, definitely worth reading. Cheers!

Thoughts on “Strangers Drowning” by Larissa MacFarquhar

This is the latest book that I read for the book club to which I belong. It’s a look at people who dedicate themselves to doing the most good that they can possibly do, often sacrificing their own happiness and well-being, as well as that of their families, for the sake of assisting complete strangers. MacFarquhar refers to this type of people as do-gooders.

She begins the book with her definition of a do-gooder.

This book is about a human character who arouses conflicting emotions: the do-gooder. I don’t mean a part-time, normal do-gooder—someone who has a worthy job, or volunteers at a charity, and returns to an ordinary family life in the evenings. I mean a person who sets out to live as ethical a life as possible. I mean a person who’s drawn to moral goodness for its own sake. I mean someone who pushes himself to moral extremity, who commits himself wholly, beyond what seems reasonable. I mean the kind of do-gooder who makes people uneasy.

(p. 3)

So why would a person who wants only to do good in the world make others uncomfortable? That’s a legitimate question, which MacFarquhar also addresses early in the book.

One reason may be guilt: nobody likes to be reminded, even implicitly, of his own selfishness. Another is irritation: nobody likes to be told, even implicitly, how he should live his life, or be reproached for how he is living it. And nobody likes to be the recipient of charity. But that’s not the whole story.

(p. 6)

The rest of the book explores the personal stories of various altruistic do-gooders—their motivations, challenges, and so forth. They are all really interesting, and many are inspiring, but when MacFarquhar examined social workers, it hit a little close to home for me.

At first the social worker may become too emotionally involved with his clients, so that when they fail he suffers, both because they are unhappy and because their failure is his failure, too. It’s hard to spend his days confronting devastating problems that he cannot fix—the misery and helplessness rub off on him.

…

Gradually, he learns to be more detached. He realizes that he needs to be tough, and to develop a thick skin. But if he becomes too detached, he stops caring about his clients at all.

(p. 163)

Many years ago, when I decided to go to college in my late 20s as a non-traditional student, I intended to go into counseling. As I started taking my basic required classes, I also took on a part-time job as a mental health technician in the chemical dependency ward at a local hospital. I had a strong desire to help people, and the primary residents in this program were pregnant teenage girls addicted to crack cocaine, so there was no shortage of suffering individuals to whom I could offer help. But the turning point for me was when one young woman completed the 28-day program, was released, went to a crack house, and got shot in the stomach. Her baby died inside of her. I had gotten to know this person fairly well during her four weeks there, and I was devastated. The pain and sadness were so intense, I realized that I could not do this job with the level of detachment needed to be effective, and maintain my levels of compassion and empathy for others. I decided then and there that I would need to pursue a different career path.

Overall, I really enjoyed this book. Not only is it thought provoking, it is very well written. It challenged me to look at how much I am doing for the overall good of the world, and how much more I could possibly do.

Thanks for stopping by, and keep reading challenging stuff.