Having heard the
class presentations on the principles governing the practice of medicine
in Japan and among the Hausa of Niger, having completed the reading
of Anne Fadiman's THE SPIRIT CATCHES YOU AND YOU FALL DOWN
and having participated in the class discussions on the reading material,
write a three page essay in which you describe briefly the diagnosis
and course of treatment her American doctors advocated for their Hmong
patient in the Fadiman book, then critique both the diagnosis and
the prescribed treatment from each of the three Nonwestern points
of view discussed in this section of the course (Hmong, Japanese and
Hausa).
The specific questions
that follow can be used in formulating your general response to this
essay assignment but need not each be addressed separately.
How would each
cultural community have viewed the "epileptic seizures"
being experienced by the American doctor's Hmong patient? How would
each have interpreted their observations of her medical condition?
Why? What might each have advocated to return the patient to "good
health"? How would each have defined "good health"
in this particular case?
How did the Hmong
community in fact view the diagnosis and course of treatment advocated
by the American medical community? How might each of the other two
Nonwestern cultures we have studied have viewed the diagnosis and
course of treatment advocated by the American doctors? What were the
primary bases for the differences in their approaches to medical care?
What does all
this have to tell us about the role of "power" and "authority"
in the practice of medicine across a variety of cultures? Why do American
medical practices appear so distinct from those of other parts of
the world? What does this say about the "power" and "authority"
accorded science in the West? Is this trust always well placed or
should we question the dependence on science as the sole source of
"truth" lying behind current medical practices within our
own society?