Penchan ShererMalee Sitthikriengkrai2023-08-302023-08-30200720072023Thesis (Ph.D. (Medical and Health Social Sciences))--Mahidol University, 2007https://repository.li.mahidol.ac.th/handle/123456789/89005This dissertation is an ethnographic study on the social suffering of the Pwo Karen villagers of Klity Lang village, Kanchanaburi province, due to the lead pollution in the Klity stream. It focuses on two main research questions. The first question examines what the context of suffering is when it is produced and reproduced. The second question explores the resistance, negotiation, and contestation from the Pwo Karen in their attempts to overcome their social suffering. Participant observations and informal and formal interviews including documentary methods were employed for this study. This dissertation has three parts. The first part covers the Klity Lang village history, and in part relates to lead minerals, the floating lead mine, and lead contamination in Klity stream. The second part deal with the medical profession's definition of the tragedy, loss, and illness suffered under the epidemiological concept as defined by the lead-level in blood tests and surveillance. It examines medical knowledge, which is a form of power causing the illness sufferer to be powerless. The third part looks at the contestation and resistance of the Karen, which has been supported by non government organizations (NGOs) including the media. It gives narratives on illness definition and representation together with the villagers' suffering. Furthermore, it criticizes the government's failure to solve the problem. This dissertation extends the conceptual framework of Foucault on power/knowledge which explains how medical knowledge has the power to control people as a docile body , and how it can also produce resistance from people. This dissertation examines how the medical profession performances produced both the docile body and resistance from the villagers. It explains further why the Karen failed to contest and resist successfully against the medical profession's knowledge.viii, 147 leaves : ill.application/pdfengEnvironmental health -- ThailandSocial problemsSuffering -- Social aspectsEpidemiologyMahidol University