Archives

The Spirit Catches You and You Fall Down by Anne Fadiman

Anne Fadiman’s 1997 book The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures won her literary prizes, national attention, particularly from the medical and social work communities, and many similar accolades. I read that the the book is required reading for first year medical students in many American medical schools, and I am convinced after reading the book, that it should be required reading for all doctors and medical students. It should also be required for spiritual “doctors”, missionaries and pastors, especially those who relate to refugee populations or who attempt to minster cross-culturally.

The book tells the story of a Hmong family from Laos and their difficulties with the medical system in Merced County, California, as it related to their epileptic daughter, Lia Lee. However, the story is much more than just a history of tragic misunderstandings across cultures. Ms. Fadiman also intersperses a great deal of the history and folklore of the Hmong people, and she explains some of the deep cultural differences between the Hmong and the Americans who welcomed them into this country. The story of Lia Lee and her family shows how those differences became insurmountable walls that led to Lia’s eventual “living death” of entering into a persistent vegetative state for the final twenty-six years of her life.

Hmong spiritual practices such as shamanism and ritual sacrifice clashed with modern medical practice. Hmong beliefs in patriarchy and demons causing sickness conflicted with doctors who believed that their authority and medical education entitled them to prescribe what treatment Lia should get. The doctors expected Lia’s parents to trust them and follow their directions. Lia’s parents expected the doctors to “fix Lia” and then leave them alone to care for her as they saw fit. Neither the doctors nor the parents were listening to the other, partly because of the language barrier, but even more because of a cultural barrier that made them disrespect and distrust one another. As a result of miscommunication and stubbornness on both sides, Lia became “quadriplegic, spastic, incontinent, and incapable of purposeful movement. Her condition was termed a persistent vegetative state.’

My thoughts about this story tended toward the spiritual, even though the very few brief mentions of Christians or Christianity in the book are uniformly disparaging. How would I talk about Jesus or share His love with a Hmong neighbor? To begin to communicate the love of Christ to a person of a very different background and culture would take what Eugene Peterson called “long obedience in the same direction.” (The phrase actually comes from Nietzsche, of all people.) I would have to put myself and my own feelings aside and live my life before God as a loving and patient and understanding neighbor, always being ready to give a reason for the hope within me. In fact, that’s what we are going to have to do more and more as our culture moves away from a Christian consensus such that there’s a deep cultural chasm between Christians and almost anyone else that we try to love and evangelize. We have to be patient and kind and persistent and faithful.

And we have to be willing to fail, and leave the ending to God and His mercy.

Lia Lee 1982-2012
Lia Lee died on August 31, 2012. She was thirty years old and had been in a vegetative state since the age of four. Until the day of her death, her family cared for her lovingly at home.

The Marriage Plot by Jeffrey Eugenides

Mr. Eugenides, Pulitzer prize-winning author of Middlesex, has given us a novel about the demise of the novel. It’s also a story that’s mostly about sex and its various permutations, but not really much about marriage, and equally about religion and its sundry incarnations, but not much about God. And I think the emphasis on sex and religion rather than on the core spiritual relationships of man and woman (marriage) and God and man (the core of religion) is an emphasis that is intended to say something about our culture and what we’ve lost in the twentieth century. Perhaps the idea is that we’ve reduced marriage to sexual attraction and sexual athletics, and we’ve reduced knowing God to going through the forms and expressions of religion and being good. Or maybe that’s just what I saw in the book.

Madeleine is an English major at Brown University in the 1980’s (Eugenides attended Brown), and as the story begins she’s about to graduate, has just broken up with her boyfriend, and has a massive hangover. The story moves back and forth in time a lot, beginning each section with a crisis moment and then going back in time to show us how the characters got to that crisis. However, this narrative technique isn’t confusing at all, and I rather liked it for some reason. Maybe it helped to hold my interest when the major characters weren’t terribly sympathetic or likable.

So, after having been introduced to Madeleine and the culmination of her last semester in college, we go back in time to see how she met, mated, and lost the boyfriend, Leonard Bankhead, how she came to major in English with an emphasis on the Victorian authors, and how she got the hangover. At a certain point, charismatic loner Leonard becomes the focus of the novel with his sparkling wit and intelligence, his brooding good looks, and his secret backstory that no one at Brown knows, not even Madeleine.

However, there is a third character who makes up the final point of this attempt at a modern, 21st century love triangle story, Mitchell Grammaticus. Mitchell, who’s been in love (or has he?) with Madeleine since their freshman year at Brown, is geeky, intelligent, and religious. He’s graduating with a major in Religious Studies, but he’s not sure what religion he believes in or where he’s going after college. So, he and his friend Larry decide to travel to India via Paris and Athens to see the world and wait for the economy to improve and inspiration to strike. Or maybe Mitchell is really waiting for Madeleine to realize that Leo Bankhead is a loser and that he, Mitchell, is the man she should marry.

The book is a mixture. There are some lovely and thought-provoking scenes in the novel that made it worth the investment of time, energy and slogging through (mostly sexual) sludge that it took to read the book. In one scene Mitchell encounters an evangelical Christian in the American Express office in Greece. The Christian girl witnesses to Mitchell in a rather formulaic, but sincere, way and tells him that if he accepts Christ as his Saviour, he can ask the Holy Spirit to give him the gift of tongues and he’ll be changed, completed. Mitchell tries it out, praying on the Acropolis, but nothing happens. “He was aware inside himself of an infinite sadness. . . He felt ridiculous for having tried to speak in tongues and, at the same time, disappointed for not having been able to.”

Another scene has Leonard trying to explain the experience of clinical depression to Madeleine who wants him to just try to pretend to want to be healthy.

“What’s the matter with me? What do you think? I’m depressed, Madeleine. I’m suffering from depression. . . .”
“I understand you’re depressed, Leonard. But you’re taking medication for that. Other people take medication and they’re fine.”
“So you’re saying I’m dysfunctional even for a manic-depressive.”
“I’m saying that it almost seems like you like being depressed sometimes. Like if you weren’t depressed you might not get all the attention. I’m saying that just because you’re depressed doesn’t mean you can yell at me for asking if you had a good time!”

Whatever you think about depression and its manifestations, isn’t this conversation just exactly the kind of conversation couple might have in this situation, coming at the problem from totally opposed viewpoints, trying to understand, but failing?

I’m tempted to recommend this book, in spite of all the sludge, in spite of the ending, which I hated, just because I’ve been thinking about it and mulling over the characters and their motivations and their mental pathologies all week long. I want someone to explain the entire book to me, wrap it up in a nice bow, but I don’t think this is a book that’s meant to gift-wrapped. Alternatively, I want to explain some things to Mitchell and to Madeleine and to Leonard, but I’m not sure I’d know where to start. I’m afraid I’d come across like Christian-girl-in-Greece, saying “Jesus is the answer!” in a way that sounds trite and essentially useless. Mitchell’s search for Truth, especially, is so frustrating to me as a Christian, yet so very typical of the people I see, searching but not really searching, for a god of their own imagining, instead of looking at Jesus, God in the flesh and trusting in Him.

Anyway, it’s a very contemporary un-love story that shows modern youth culture in all its befuddlement. The ending is meant to be hopeful, but it wasn’t for me because it wasn’t grounded in anything. I’d be curious to know what you thought about the book and the ending, if you’ve read The Marriage Plot.

Other reviews: Books and Culture, Caribousmom, Farm Lane Books, Bibliophile by the Sea, Book Addiction, Walk with a Book, Amy’s Book Obsession, At Home With Books.

Oh, by the way, I loved all the literary allusions and references to popular books and classics, everything from Born Again by Chuck Colson to Madeleine by Ludwig Bemelmans to The Cloud of Unknowing. All three of the protagonists of this novel are people who read, a lot, which was the main thing I actually liked about them.

1982: Events and Inventions

February 2-3, 1982. The Hama massacre begins in Syria. Syrian president Hafez al-Assad orders the army to purge the city of Hama of the Muslim Brotherhood and other rebels. Ten to twenty thousand Syrians die in the ensuing massacre.

June 2, 1982. Forces under Israeli Defense Minister Ariel Sharon invade southern Lebanon in their “Operation Peace for the Galilee,” eventually reaching as far north as the capital Beirut. The United Nations Security Council votes to demand that Israel withdraw its troops from Lebanon.

June 14, 1982. Argentinian forces that had invaded the nearby Falkland Islands in April surrender to British forces after a fierce war over control of the islands. Although Argentina still claims the island group that it calls the Malvinas, Great Britain retains control of the government of the Falklands.

August, 1982. Israeli troops drive the Palestinian Liberation Organization out of its base in Beirut, Lebanon. Yassir Arafat and other Palestinian leaders evacuate to Tunisia.

September 18, 1982. The Lebanese Christian Militia (the Phalange) kill thousands of Palestinians in refugee camps. The massacre is in retaliation for the assassination of pro-Israel president-elect, Bachir Gemayel, as well as several Palestinian massacres against Lebanese Christians.

October, 1982. Socialist Felipe Gonzales becomes prime minister of Spain.

November 12, 1982. Soviet premier Leonid Brezhnev dies of a heart attack and is succeeded by Premier Yuri Andropov.

November 14, 1982. The leader of Poland’s outlawed Solidarity movement, Lech WaÅ‚Ä™sa, is released from 11 months of internment near the Soviet border.

December 2, 1982. The first operation to successfully implant an artificial heart in a human being is performed on retired dentist Barney Clark at the University of Utah Medical Center. The heart, the Jarvik-7, is named after its inventor, Robert Jarvik.

CD’s (compact discs) and CD players are first released to the public in 1982. The first album to be released on CD is Billy Joel’s 52nd Street.

Keith Green, b.1953, d. July 28, 1982

Also on this date in 1982 singer, songwriter, and man of God, Keith Green died in a plane crash which also killed his two of his chldren, pilot Don Burmeister, missionaries John and DeDe Smalley and their six children.

Now there are plans to re-release many of Keith Green’s songs in a sound-enhanced version and to release much music that has never before been available.

That was 25 years ago. Now Green’s work is about to be rediscovered.
EMI/Sparrow Records is painstakingly going through recordings saved by his wife, Melody. An iTunes release with music never before heard by the public is planned for August. More material will be released next year, said Bryan Ward, director of artist development with EMI Christian Music Group.
The July 28, 1982, accident doused one of the brightest lights in the Jesus Movement, a youthful Christian counterculture. The bushy-haired evangelist with a distinctive tenor voice was posthumously inducted into the Gospel Music Hall of Fame.

I’ve written about Keith Green before here and here. I miss his prophetic and musical voice.