In "The Spirit Catches You and You Fall Down," Anne Fadiman depicts the early life of a Hmong child named Lia Lee, highlighting a moment from her childhood when she exhibited a fearless spirit. At a young age, Lia was often seen darting around her home, exploring her surroundings without parental oversight. Her playful nature led her to engage with everyday objects, some of which posed potential dangers, such as plastic bags and even a butcher knife.

This early behavior underscores the contrast between Lia's upbringing in a culturally rich Hmong environment and the American way of life. Fadiman illustrates the challenges faced by Lia's family as they navigate the complexities of healthcare and cultural expectations. Lia's curious and adventurous exploration reflects both the innocence of childhood and the cultural collision experienced by her family in their new American context.