Reporter Volume 26, No.23 April 6, 1995 When Jeff Bethony arrived to teach English in Sangklaburi, a remote Thai village, he could not have predicted how this would lead to a future role as principal investigator in a five-year public health project. The project, which is being funded by Health In Housing, a World Health Organization Collaborating Center located at the UB School of Medicine and Biomedical Sciences, will seek to establish a Health In Housing facility in the village. Bethony, who is enrolled in a program in medical anthropology with the departments of Anthropology and Social and Preventive Medicine at UB, is working toward a Ph.D. in Anthropology and a master's degree in epidemiological research in Social and Preventive Medicine. In 1988, the young Bostonian who had graduated in 1985 from SUNY Binghamton with a B.A. in English, volunteered for WorldTeach, through the Harvard International Institute for Development. It offered a chance to travel and get out into the world as more than a mere tourist. But Bethony soon found out how difficult and alienating this sort of travel can be. He knew hardly a word of Thai, and the village, buried deep in the jungles of Kanchanaburi province near the Burmese border, was four hours from the nearest city, centuries from the world he had just left. "I was so cut off from everyone; I can't even remember saying a single word for the first three months," Bethony recalls, "But the villagers, a mixture of Thai and Mon peoples, were very gracious hosts and they took the time to teach me about the language and the culture." Bethony eventually learned not only Thai, but also a Burmese language called Mon and became familiar with two other languages used in Sangklaburi. As Bethony learned Thai, he became fascinated by elements of the language known as "numeral classifiers." When he was later exposed to the concept in a course in cognitive anthropology with UB Anthropology Professor Charles Frake, these classifiers would become the centerpiece of his linguistic investigation into the lives of rural Thai people. While Frake's work primarily concerned the Subanun peoples of the western Philippines, his theories about the connections between cognition and culture had a universality that appealed to Bethony. To understand numeral classifiers, Bethony says, we should look at an example of a similar system in English. When we say, "Two sheets of paper," the word "sheet" is what would, in Thai, be a numeral classifier, the "extra" word used to count that applies to all nouns. While similarly functioning words exist in English, they are not the rule. In Thai, a classifier is used for every noun. Because the Thais have only about 40 of these classifiers, Bethony became fascinated with the way in which classifiers tended to group nouns together. Anthropologists have long suspected that understanding this organizational quality of numeral classifiers would offer a window into the way Thais convert their environment into language. An example of this process can be found with the numeral classifier "kan." It is used to count umbrellas, rice paddy dikes, cars, and bicycles (among other things). This seems at first glance to be a fairly random assortment of nouns, in that while cars and bicycles are both modes of transportation, they share very little in common with rice paddy dikes and umbrellas. "It's like using the word sheet to count chairs. It's very strange," says Bethony. He goes on to explain the most prominent theory of this arrangement wherein the word "kan" was traditionally used to describe things that are long and thin: "Rice paddy dikes are mounds of earth that are very long and thin, and an umbrella is also long and thin." But how does this system eventually come to incorporate a car? The theory continues that the bicycle was the technological advance which began the transformation of the classifier: "Because the handlebars are long and thin, and are the most salient feature of the bicycle, it was categorized with the classifier 'kan.' "As people began to see more and more bicycles, they began to use the numeral classifier more and more, and slowly, over time, they began to associate it with modes of transportation, so when the car arrived, it received the classifier that the bicycle had established." But while this theory works well for this set of nouns, Bethony points out that it is not an immutable rule. For most new technologies in Thailand, a "default classifier," is employed, and it is uncertain whether or not these modern nouns are ever absorbed by another, specific classifier. When Bethony interviewed a surgeon during the project, he found that to count most of his tools, the surgeon used this default classifier. But when interviewing people of more "traditional" professions, there were highly developed sets of classifiers. For instance, Bethony found that cooks used up to 20 numeral classifiers to count rice, while most other people used very few. In the instance of the rice, the classifier is changed as the rice is handled in different forms: it has one classifier when it is used to count grains of rice, another for bowls of rice. In his paper, "From the Raw To the Cooked: Numeral Classifier Use Among Specialists," Bethony was advised by UB Associate Professor of Linguistics David Zubin, who first taught him about numeral classifiers. The title is borrowed from renowned anthropologist Claude Levi-Strauss. As Bethony's grasp of the Thai language continued to develop, he began to work as a translator for visiting public health intervention teams. Both western and Thai physicians required Bethony's knowledge of Mons' ethnophysiological concepts and his knowledge of classifier usage among the Mons. As he worked with these teams, Bethony became interested in tailoring the linguistic research he had done toward work in public health. "Epidemiological data is often quantitative, and, of course, with quantitative data, you run right smack into the problem of how to count things," explains Bethony. "So I began to switch my interest into writing medical histories for the area." After finishing his first two-year term as a teacher, Bethony returned briefly to the States to apply to UB. After making his connection with UB, he returned to Sangklaburi that summer, and has continued to return each summer for the past five years. When the abbott of the local Buddhist temple asked Bethony to help the villagers assess their medical status , Bethony went to Donald Pollock, UB assistant professor of anthropology and an HIH fellow, for help and advice. This led to the HIH project for which Bethony is principal investigator. "All the linguistic data we'd collected would usually stay in some database, but I think this program will put it to good use," explains Bethony. "Luckily Thailand has a very good public health service, and the people are very open to this sort of aid, and to incorporating new ideas into their lives." Because the rural Mons' basic concept of illness is so different from ours, this task of accumulating epidemiological data posed a new series of linguistic problems for Bethony. "Our notion of health is directly related to pathology, and that was a difficult concept to translate for the village," says Bethony. "For instance, the Mons have a concept of winds entering and leaving the body, regulating a balance of humors." A classic example of this, Bethony says, is the Mon practice of placing a warm stone on the belly of a woman after she has had a baby. This is supposed to replace the heat that was lost when the body expelled the child. In addition to this, suckling the newborn is prohibited until this balance of temperature is restored, which takes roughly four days. During that time the baby is fed by the father, who masticates rice and honey, then puts it into the baby's mouth. Bethony will return to Sangklaburi this summer to continue the public health project. One specific problem they will try to combat, is the endemic malaria in Sangklaburi. Bethony says that the village is "among the worst places on the face of the earth" for malaria, due to multi-drug resistance. By tracking the infiltration of the disease into the village, they hope to discover how to prevent it in the future.