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The ClanThe ClanThe Clan is the extended family unit, it
serves as both a social and political organization in the Hmong Culture
• It unites Hmong people into organized kinship groups, while it also divides them along mutually patrilineal lines
• Anyone with the same clan name is related, wherever they may live.
There are approximately 18 There are approximately 18 Different Clans in the U.S.Different Clans in the U.S.
VangHer ChengChang(Cha) Thao ChueKong Lor Pha
FangYangHangKueLeeXiongMouaKangVue
Vang
Her
Cheng
Chang(Cha)
Thao
Chue
Kong
Fang
Yang
Hang
Kue
Lee
Xiong
Moua
Kang
Vue
Lor
Pha
Purpose of the ClanPurpose of the Clan• The Hmong are very close with their clan and put a great
deal of trust into their clan leader• Clan leaders are not formally chosen• The Clan serves a variety of purposes in both the family life
and in the community– Liaisons– Arbitrators
Clan Exogany• The Hmong practice marriage by clan exogamy, which
means that they must marry from a clan different from their own
• Married women in Hmong society still physically remain a member of her clan of birth, but no longer belongs to her parents lineage and ritual circle
Maou Clan Parents
Male Male Female
Other Maou Clan
Parents
Male Female Male
Considered Brothers/Sisters
Considered Brothers/Sisters
Uncle/Aunt/Nephew/Niece
Same Generation
Assessing Family StructureAssessing Family Structure
Different Clan
Parents
Male Female Male
Considered Cousins / Same generation
Considered Cousins / same generation
Maou Clan Parents
Male Male Female
Assessing Family StructureAssessing Family Structure
Marriage
Assessing Family StructureAssessing Family Structure
Different Clan
Parents
Female/Wife
Female MaleMale/
Husband
Maou Clan Parents
Male Male
Considered Cousins
Considered CousinsBride become sister to new familyLose a sister, gain a cousin
Bride now a part of the new family. Takes on their ways.
Family Clothing Family Clothing
• 18 Clans• Clothing designates clan
– WHITE, BLUE• Green, Stripe, etc. ALL fall under the White or Blue
Clans
• Clothing preserves culture• Silver replaced by aluminum• New Clothes Only: personally sown by
mothers
Tonal LanguageTonal Language• Hmong Language put into written form in the 1950s by
missionaries• The first letter of a word directs the tone of the word
• The last letter is the tonal direction. – Do not pronounce the last consonant if it is one of these
• Can not pronounce words ending in these letters. – Lack of ‘s’ endings causes misunderstandings with plurality.– Lack of ‘d’ endings causes misunderstandings with past tense.
• -b – high tone • -s – low tone • -j – high-falling tone • -v – mid-rising tone • -m – low-falling (creaky) tone • -g – mid-low (breathy) tone • -d - phrase-final low-rising
variant of -m
Tone is directed by the last letter of the word.These letters are not pronounced: they act as tonal directors for where the end of the
word should go.
NamesNames
• Chaw Moua– Chaw is spelled ‘Tshaus’– Moua is spelled ‘Muas’
• In both cases, the ‘s’ is not pronounced. Rather, it is a signal which directs the tone.
Courting & MarriageCourting & Marriage
• Ball Tossing• Visiting home• Young brides• Marriage is extremely important to both the family
and the clan• A father usually proposes marriage for his sons
and judges the chosen husband for his daughters• Once a selection is made negotiations take place
– Bride Price– Capturing
MarriageMarriage• In Laos, young women married as early as 12• In the U.S. today, some families continue to
sanction young marriages and early childbirth but as more young women are given educational opportunities, marriages are being delayed– “Living with her cousin”– Age 18, files papers for US marriage.
Marriage & DivorceMarriage & Divorce• Women are referred to as “the other people’s
women”.• If a woman misbehaves badly, the man has the right
to divorce, and can insist on a return of the bride price
• A woman can leave her husband at any time but without justification she will suffer a loss of face and find difficulties in remarrying
• Once a woman is married she is cut off from her parent’s ritual system, therefore a woman must seek remarriage in the event of a divorce or widowhood so that she will have a proper place in the after life and avoid becoming a “lost soul”.
““House People”House People”
• The Hmong call individuals living in the same house, “house people”.
• A household may have more than one family or generation
• Some Hmong men are married to more than one woman
• Couples often share the same sleeping quarters with their young children
Family StructureFamily Structure
“To be with a family is to be happy. To be without a family is to be lost”
-a traditional Hmong saying
The roles of men and women The roles of men and women within the familywithin the family
• A mother teaches her daughters tasks related to housework, such as cooking & cleaning
• Father’s spend time with their children when the mother needs help, the father’s primary role with children is to train his older sons in things such as agriculture, socialization, and religious induction
• The mother is the one who admonishes her daughters for any misconduct or shameful acts
Child Rearing Child Rearing & Discipline& Discipline
• Children are precious in the Hmong culture and they have large families.
• Grandparents and older siblings often help the mother take care of young children and adult children take care of aging parents
• Hmong families tend to be strict by American standards of parenting, yet they use a wide variety of discipline techniques
Family Problems Facing the Family Problems Facing the Hmong CultureHmong Culture
• It has been difficult for many Hmong elders to adapt to the U.S.
• Hmong children are often torn between the cultural expectations that surround them in the neighborhood and school setting and then face a different set of rules and customs that guide the child’s life within the Hmong family
Issues the Hmong families are Issues the Hmong families are facingfacing
• The family system is facing rapid & radical changes in gender and social roles.
• Children become socialized into American society and are spending more time with American people and speaking English
• Parents and families feel useless and dependent on their children due to language and socialization barriers
Hmong Parents Having Problems Hmong Parents Having Problems with Their Childrenwith Their Children
• Parents are not used to the children staying in the home through and past teenage years.
• The Hmong parents often have no personal experience with adolescent development or role models to assist them.
• Hmong parents do not necessarily agree with “dating” in the U.S.
• Interpreting
Hmong Hmong Populations At RiskPopulations At Risk
• A high population of Hmong are heavily involved in the social service delivery system because of dependence on public assistance.
• 70% of Hmong families in Hennepin County live below the poverty line
• Almost half of the Hmong in the twin cities speak little or no English
• More than half are illiterate in their own language
Youth at RiskYouth at Risk
• Living in severely disadvantaged economic conditions
• Experiencing discrimination & prejudice• School truancy and incompletion• Social and Cultural barriers that lead to a lack of
nurturing and support• Lack of opportunity in structured recreation and
social activities• Negative impact of having depressed parent(s)
Working with Hmong Individuals, Working with Hmong Individuals, Families, and CommunitiesFamilies, and Communities
• It is important that social workers frequently involve clan leaders in decision making
• Build Trust• Provide a Hmong interpreter when needed• Use a normal tone of voice• Be a patient listener• Look at pragmatic events before, during, and
after the families flight to America
.
Working with the Working with the Hmong PopulationHmong Population
• Empathy• Accept the clients worldview and view of
distress• Develop treatment goals that take the
clients level of acculturation into account• Understand the client or families
environmental situation• Understand the level of discrimination and
racism that they are experiencing
Religion: “Da-Tay”Religion: “Da-Tay”
• Heaven and hell• Different subdivisions• Dead spirits enter through gates• Penalties or rewards• Deceased come back as other humans,
rocks, trees, etc.• Soul of deceased will come back into new
members
Religion: Religion: Shamans Shamans
• Leaders of religion– Link between living and the spiritual
world
– 2 types of shamans:• Tswj xeeb “Chuezing”• Xib hwb “Ci-hue”
– Shaman shelves
Religion: Religion: Spiritual SicknessSpiritual Sickness
• Cure sick spiritually, but can’t cure diseases• Help with burns, infections, and broken bones• Healings often take days or months• Shaman enters into spiritual world• Shaking during “Orneng” (journey into spiritual
world)• Exchanges sickness with the spirit of an animal
Religion: Religion: Cost of Healing Cost of Healing
• Shaman must be paid money to perform an orneng
• Payment is determined by the giver
• Ua neeb tuag “Orneng Thoua”
• If person is still sick, a new shaman is used
Religion: Religion: Offering Payment Offering Payment
• When things are bad, animals are sacrificed
• Shaman is between 2 dimensions• Battle and negotiate with evil spirits• Cloth hood, chant, and dialogue with
the spirit world
• Dreams, hallucinations, and death relates to spiritual existence
• Respect and honor to their living elders
• Contact with the spirits through shamans
• Connection with supernatural beings.
• The spirit world harbors a variety of spirits
Religion: Religion: Traditional “Ua Dab” Traditional “Ua Dab”
Religion: Religion: Rituals and Practice Rituals and Practice
• As many as half of the Hmong have converted to Christianity
• Still observe shaman rituals
• No standard set of rules for Hmong rituals and practices
• Passed on to each new generation
Religion: Religion: Hmong BeliefsHmong Beliefs
• Allotted a limited number of days on Earth
• Determined at birth what clan they are in
• Believe spirits live in each corner of house
• Represented by mountains, trees, streams, etc.
• After death, spirit returns to retrieve Tsho (chaw)
• Playing bamboo pipes
Religion: Religion: Poob plig “Pone-plea”Poob plig “Pone-plea”
• Person gets scared and becomes weak and sick
• Sick person looses his spirit
• Shaman brings back spirit
• Hu plig “Who-plea”
• Tie white strings around sick person’ hands
Religion: Religion: “Chaw-plea” “Chaw-plea”
• Performed a few years after a death
• Shaman used a basked and shirt
• After, a pig or cow is sacrificed for that person
• Deceased person can carry on journey
Religion: Religion: Npua laus “Boua-Lao” Npua laus “Boua-Lao”
• Performed for those who are sick
• Shaman tells the person they must have a boua-lao performed
• Performed by men at night by sacrificing a pig
• If snake enters house, a Xa dab “Sada” is performed
• No one can enter or leave, except for family
• Green leaves are left on or near the door
• If someone enters, the evil spirits will enter the house with them
• Someone is lost or out at war
• Family prays to ancestors
Religion: Religion: Other Shaman Ceremonies Other Shaman Ceremonies
Religion: Religion: Taboos Taboos
• Lee Clans – Can’t eat spleen of animals
• Vang families– Eating rice with fruits is prohibited
• Yang families– Prohibited from eating heart of animals
• Consequences
Conflicting Cultural IssuesConflicting Cultural Issues
• Medicine
• Religion
• Marriage
• Family Structure
• Language
• Property/Land Rights
• Hunting & Fishing
Story of Chai VangStory of Chai Vang• Rice Lake, Wisconsin, November 2004• Chai Soua Vang shot and killed six hunters after
being told to leave private property during hunting season
• Four of the six victims were shot from behind as they fled, and Vang testified that three of them deserved to die for the "disrespect" they had shown him in hurling racial epithets at him and refusing to let him leave peacefully.
Chai Vang was found guilty of murder and received a sentence of life in prison
• The Vang family expressed its anger with the makeup of the all-white jury panel, which was selected in Dane County in Madison, Wis., and brought to the trial venue in Hayward, some 500 miles away, because of intense publicity about the case.
Conflicting Cultural IssuesConflicting Cultural Issues• Hunting Laws
• Property Rights
• Pride/Disrespect
• Self-Defense (Hmong history of war)
Culture of Hunting in WisconsinCulture of Hunting in Wisconsin
• Property Rights
• Hunting Laws
• My own hunting experience
• No word for mental illness in the Hmong language
• Ua Dab refers to the illness as an evil or unhappy spirit
• Story of girl suffering from hallucinations• Western medicine is not widely accepted• Hmong often wait until late stages to seek
professional help• Will stop taking medications if they believe
they are healed
Health Care: Health Care: Mental Illness Mental Illness
Health Care: Health Care: Adaptation and AdjustmentAdaptation and Adjustment
• Difficult accessing due to language barriers– Lack of proficiency in English– Lack of trained medical interpreters– Lack of medical terminology in their language
• Culture barriers– Lack of knowledge about Western health care– Suspicions about Western medicine– Lack of respect by healthcare providers
Health Care:Health Care:Providers Providers
• Insensitive to language needs• Unaware of traumatic experiences they
have experienced• Unaware of feelings of isolation and fear• Little or no knowledge about Hmong
beliefs about health/illness• Believe patient should make own
decisions and disregard families
• A Multidisciplinary Approach to Cross-Culture Healthcare
• Developed in Merced, California• Identify health needs of immigrants and refugees.• Outcomes: decreased hospital stays and fewer
complications• Mission Statement:
– “MATCH will increase provider sensitivity to different cultures and their beliefs about health and illness. This program will give accurate information about the health care delivery system, medical programs, diagnostic procedures, medical treatment and illness prevention to members of the ethnic populations of Merced County.”
Health Care: Health Care: MatchMatch
• Knowledge and awareness of the physician’s own culture
• Basic knowledge about other cultures
• Knowledge about verbal and nonverbal communication
• Knowledge about the role of the traditional healer
• Use of trained medical interpreters in their practice
• Development of skills by professionals to deliver culturally sensitive health care to immigrants and refugees.
Health Care: Cultural Health Care: Cultural Competence Components Competence Components
New YearsNew Years“Celebrate 30”“Celebrate 30”
• 30 days celebrating harvest– BALL TOSSING!!!!
• Beginning of courtship time. Work is done… find a mate!
– Music– Clothing– Family / Clan Portraits– Shopping– Dancing