Thesis (MComm)--University of Stellenbosch, 2011. / ENGLISH ABSTRACT: From a global perspective, this study aimed to depart from the traditional notion of occupational wellbeing characterised as the absence of strain and stress-related diseases. Positive Organisational Scholarship (POS), the framework for this study, is largely concerned with the investigation of positive outcomes, processes and attributes of organisations and their employees. In essence, this study argued in favour of the cultivation of personal resources, such as optimism and self-efficacy, as well as the establishment of active efforts to instil meaningfulness in, and at work, in order to generate better occupational wellbeing and a sense of enhanced human functioning. A non-experimental research design (i.e. exploratory survey study) was used to explore the relationships between the various constructs. Occupational wellbeing was, for the purpose of empirical validation, firstly measured in terms of the absence of pathology. However, since it was conceptualised from a salutogenic approach in this study, a cognitive-judgemental evaluation of employees‟ satisfaction with their work-life was also included as a measure of occupational wellbeing. It was argued that optimism may impact on occupational wellbeing, as optimists are described in terms of their ability to anticipate positive outcome expectancies, and engage in continued efforts, despite current adverse circumstances to confront difficulties they encounter (Scheier & Carver, 1985). In turn, highly self-efficacious individuals are those exhibiting confidence in their ability to effectively execute personal strategies to ensure a positive outcome (Bandura, 1986). Drawing from POS, a twofold conceptualisation of meaningfulness was warranted: meaningfulness in work (defined as engagement) and meaningfulness at work (defined as organisational commitment). The primary aim of this study was consequently to explicate the possible nomological net underlying the complex phenomenon of occupational wellbeing, in terms of the abovementioned variables. A convenience sample of 202 individuals, employed at three organisations across South Africa, participated in the research. The measurement instruments included a 28-item version of the original General Health Questionnaire by Goldberg (1972), and an adapted version of Diener, Emmons, Larsen and Griffin‟s (1985) Satisfaction with Life Scale (adapted to Satisfaction with Work-life), both utilised to measure occupational wellbeing. The Life Orientation Test-Revised (Scheier, Carver and Bridges, 1994), and the General Self-Efficacy Scale (GSES) of Sherer, Maddux, Mercandante, Prentice-Dunn, Jacobs and Rogers (1982) was utilised to measure optimism and self-efficacy respectively. Finally, the Organisation Commitment Questionnaire (Mowday, Porter & Steers, 1979), and the Utrecht Work Engagement Scale (Schaufeli & Bakker, 2003) was used in combination to respectively measure meaningfulness in work (engagement) and meaningfulness at work (commitment). Confirmatory factor analysis (CFA) and item analyses were conducted to evaluate the reliability and validity of the measurement instruments. Correlations were computed between the various variables. A structural model was fitted to investigate the extent to which optimism, self-efficacy and meaningfulness are significant predictors of occupational wellbeing. The results of the model suggested that optimism influences psychological health directly. This indicates that optimists may be inclined to experience greater levels of psychological wellbeing at work. The relationship between optimism and occupational wellbeing (i.e. psychological health) was further highlighted through an indirect causal effect, as mediated through a combination of work engagement and organisational commitment (i.e. meaningfulness). Optimism also causally influenced satisfaction with work life (the other aspect of occupational wellbeing). This indirect effect was also mediated by engagement and organisational commitment. The structural model indicated that no significant paths between self-efficacy and any of the other variables were evident. With the unique combination of positive psychological antecedents included in this research, the study aimed to make a significant contribution to the existing POS theory and literature. The results provide a probable explanation of the complex nomological net of variables (optimism, self-efficacy, and meaningfulness) and their interrelationships with each other, which influence occupational wellbeing within the South African context. Recommendations for future research in this domain were highlighted. The necessity of interventions rooted in the strength-based approach, underscoring the development of positive psychological capacities in both employees, and organisations, were also advocated. / AFRIKAANSE OPSOMMING: Vanuit ʼn globale perspektief het hierdie studie gepoog om afstand te doen van die tradisionele uitgangspunt van die definiëring van beroepswelstand as slegs die ontbreking van spanning- en stres verwante kwale. Positiewe Organisatoriese Leerlingskap (POL), die raamwerk van hierdie studie, hou grotendeels verband met die soeke na positiewe uitkomste, prosesse en karaktertrekke binne organisasies, sowel as hul werknemers. In wese het die studie argumente voorgehou in guns van die ontwikkeling van persoonlike hulpbronne soos optimisme en selfbekwaamheid, asook die totstandbringing van daadwerklike pogings om betekenisvolheid in, en by die werk te genereer, vir beter beroepswelstand en prestasie. „ n Nie-eksperimentele navorsingsontwerp (dit is, ʼn verkennende studie) was gebruik om die verband tussen die verskeie konstrukte te ondersoek. Ten einde empiriese validasie gestand te doen, is beroepswelstand eerstens gemeet as die ontbreking van enige stres-verwante siektes. Nietemin, aangesien die konstruk in hierdie studie gedefinieer was vanuit ʼn salutogeniese perspektief, is ʼn addisionele kognitiewe-beoordelings evaluasie van werknemers se satisfaksie met hul werkslewe, ook gebruik ten einde beroepswelstand te meet. Argumente wat die rol van optimisme in welstand benadruk is voorgehou en uitgedruk in terme van optimiste se vermoë om positiewe uitkomste te verwag, asook hul aanhoudende pogings ten spyte van leiding en swaarkry (Scheier & Carver, 1985). Net so word hoogs selfbekwame individue beskryf in terme van hul vertroue in hul vermoë om persoonlike strategieë suksesvol uit te voer ten einde positiewe uitkomste te verseker (Bandura, 1986). Vanuit die POL vertrekpunt is betekenisvolheid in hierdie studie as twee aparte, maar verwante konstrukte, gekonseptualiseer: betekenisvolheid in werk (gedefinieer as werknemers betrokkenheid), en betekenisvolheid by die werk (gedefinieer as organisatoriese lojaliteit). Die primêre doel van die studie was derhalwe die verduideliking van die moontlike nomologiese net onderliggend aan die komplekse fenomeen van beroepswelstand in terme van die bogenoemde veranderlikes. ʼn Gerieflikheidsteekproef van 202 personeel van drie organisasies regoor Suid Afrika het aan die navorsingsprojek deelgeneem. Die meetinstrumente het bestaan uit die 28-item weergawe van die oorspronklike Algemene Gesondheid Vraelys van Goldberg (1972), en ʼn aangepaste weergawe van Diener, Emmons, Larson en Griffin (1985) se Satisfaksie met die Lewe Skaal (aangepas na Satisfaksie met werkslewe), wat albei gebruik is om beroepswelstand te bepaal. Die hersiene weergawe van die Lewensoriëntasie Skaal (Scheier, Carver & Bridges, 1994), asook die Algemene Selfbekwaamheid Skaal (Sherer, Maddux, Mercandante, Prentice-Dunn, Jacobs & Rogers, 1982) is gebruik om onderskeidelik optimisme en selfbekwaamheid te meet. Laastens is die Organisatoriese Lojaliteit Vraelys (Mowday, Porter & Steers, 1979) en die Utrecht Werknemer Betrokkenheid Skaal (Schaufeli & Bakker, 2003) in kombinasie gebruik om die konstrukte van onderskeidelik betekenisvolheid in werk (werknemer betrokkenheid), en betekenisvolheid by die werk (organisatoriese lojaliteit) te ondersoek. Bevestigende faktorontleding en item analises was gebruik om die betroubaarheid en geldigheid van die meetinstrumente te ondersoek. Die korrelasies tussen die verskeie konstrukte was ook bereken. ‟n Strukturele model is gepas om te bepaal of optimisme, selfbekwaamheid en betekenisvolheid ʼn beduidende impak op beroepswelstand het. Die resultate van die model suggereer dat optimisme ʼn direkte invloed het op die ervaring van beroepswelstand. Dit dien as aanduiding dat optimiste geneig is om merendeels hoër vlakke van sielkundige welstand by die werk te ervaar. Hierdie verhouding tussen optimisme en beroepswelstand (dit is, sielkundige welstand) was verder bevestig deur bewyse van ʼn indirekte kousale verband tussen die konstrukte wat gemedieër is deur ʼn kombinasie van werknemer betrokkenheid en organisatoriese lojaliteit (dit is, betekenisvolheid). Optimisme het verder ʼn kousale invloed gehad op die ervaring van satisfaksie met werkslewe (die ander dimensie van organisatoriese welstand). Hierdie direkte impak is ook verder gemedieër deur werknemer betrokkenheid en organisatoriese lojaliteit. Daar was egter geen beduidende verwantskappe tussen selfbekwaamheid en enige van die ander konstrukte gevind nie. Gegewe die unieke kombinasie van positiewe sielkunde konstrukte wat in hierdie studie ingesluit is, kan daar gesê word dat hierdie studie gepoog het om ʼn bydrae te maak ten opsigte van die bestaande POL teorieë en literatuur. Die resultate van die studie verskaf ʼn waarskynlike verduideliking vir die komplekse nomologiese net van konstrukte (optimisme, selfbekwaamheid, en betekenisvolheid), en hul unieke inter-korrelasies wat ʼn beduidende rol speel in die ervaring van beroepswelstand binne die Suid Afrikaanse konteks. Aanbevelings vir verdere navorsing in die area was voorgehou. Die nodigheid van intervensies rakende die ontwikkeling van positiewe sielkundige bevoegdhede binne organisasies en individue, is ook uitgespel.

Aims: The aims of this thesis were twofold. First, to review the literature on parental locus of control and its role in psychological outcomes for parents who have a child with an intellectual disability (ID). Second, a research study aimed to explore levels of parental subjective wellbeing in a specific group of these parents: those who have a child with profound and multiple intellectual disabilities (PMID). More specifically, whether two different types of parental cognition, parental locus of control and recognition of positive gains of having a child with PMID, were predictive of parental subjective wellbeing. Method: A systematic review of the literature was conducted to address the first aim. For the research study, a single sample of parents and family caregivers (n=101) completed three quantitative self-report questionnaires as part of a within-participant, cross-sectional survey design. These included the Positive Gain Scale, a modified version of the Parental Locus of Control Scale, and the Warwick-Edinburgh Mental Wellbeing Scale . Results: The systematic review highlighted the influence of parental locus of control and other parental cognitions on parent and family psychological outcomes. The research study revealed that parental subjective wellbeing in this group of parents (N= 101) was lower than in the general population. Multiple regression analysis revealed that parental locus of control significantly predicted parental subjective wellbeing (β= -.279, t(2,99)= 9.419, p= .005), accounting for around 8% of the variance in WEMWBS scores, R2= .081, F(2,99)= 5.474, p= .006. Conclusions and implications: Although the systematic review and the research study highlighted the importance of parental locus of control for parents of children with ID, the results of the study suggest that other factors are also involved in influencing subjective wellbeing of parents of children with PMID. They also indicate a potential role for psychological intervention for parents and families with a focus on adjusting beliefs and expectations and promoting an internal parental locus of control. However, further research exploring the emotions and experiences of this group of parents is needed.

Background: Mindfulness based interventions are becoming increasingly popular for use with children and adolescents, particularly within the school context. Objectives: The aim of the systematic review was to examine the effectiveness of school-based mindfulness interventions with particular reference to mental health and wellbeing. The main study aimed to determine if beliefs about emotions and mindfulness moderated the relationship between stressors and somatic symptoms in an adolescent population. Method: The literature was systematically searched for mindfulness interventions carried out with children and adolescents within the school context. A cross-sectional survey was carried out in a rural sample of 489 high school students to examine specific a priori anticipated relationships amongst beliefs about emotions, mindfulness, stressors, and somatic symptoms. Results: Six studies met the criteria for inclusion. The study demonstrated that school-based mindfulness interventions produce some evidence of effective outcomes for mental health and wellbeing in children and adolescents. Factors associated with improvements included that the intervention was delivered by an experienced mindfulness trainer, and that home practice formed part of the intervention. Somatic symptoms were significantly correlated with beliefs about emotions and were significantly inversely correlated with dispositional mindfulness. Lower levels of mindfulness were associated with stronger beliefs about the unacceptability of expressing or experiencing negative emotions. Beliefs about emotions and mindfulness did not significantly moderate the relationship between somatic symptoms and stressors within an adolescent population. Conclusion: Further research is necessary to determine if mindfulness as a construct or an intervention is effective in enhancing adolescents’ resilience to stressors by improving mental health and wellbeing.

The oil and gas industry is a vital contributor to the global economy and a key source of employment within oil-producing countries. Oil production is largely dependent on a skilled population who are adept in coping with the demands of an offshore environment. Due to the high risk nature of work offshore, it is a requisite that personnel engage in health promoting behaviours. The research aimed to identify aspects of offshore workers self care which required behaviour change and the behavioural determinants which were associated with engagement in self care. A mixed methods design was utilised to generate novel data and original findings. Phase 1 used a quantitative cross-sectional online survey to assess offshore workers’ (n=352, 53.6% response rate) health, quality of life, mental wellbeing and self care status. The findings highlighted key areas of concern, as indicated by negative scoring across measures, relating to: overweight/obesity; medication adherence; absenteeism (with regard to travelling offshore); medical evacuation; lack of adherence to 5-a-day fruit and vegetable guidelines; physical activity; smoking; hazardous alcohol use, and insomnia. Phase 2 used qualitative theory-based telephone interviews to explore self care behaviours from the perspective of offshore workers (n=16). Offshore workers who had completed a survey and indicated they would like to receive further information on the interviews were invited to participate. Both the interview schedule and data analysis were informed by the Theoretical Domains Framework (TDF). Healthy eating and physical activity were the behaviours most frequently discussed by offshore workers and identified as areas requiring behaviour change. TDF domains representing both behaviours included: beliefs about capabilities; beliefs about consequences; intentions; goals; memory, attention and decision processes; environmental context and resources; social influences; emotion, and behavioural regulation. Phase 3 used qualitative theory-based telephone interviews to explore offshore workers’ (n=13) self care behaviours from the perspective of remote healthcare practitioners. Both the interview schedule and data analysis were informed by TDF. Healthy eating and harmful/hazardous alcohol use were the behaviours most frequently discussed by remote healthcare practitioners and identified as areas requiring behaviour change. TDF domains representing both behaviours included: knowledge; environmental context and resources; social influences; emotion, and behavioural regulation. The findings, when triangulated suggest that offshore workers may benefit from the implementation of a self care intervention which targets healthy eating, physical activity and alcohol consumption. It is advised that the intervention target multiple self care behaviours and that development is underpinned by behaviour change theory to ensure effectiveness. The intervention may be tailored in accordance with the TDF domains identified in this research as determinants of healthy eating, physical activity and alcohol use behaviours.

Prediction of psychological wellbeing was investigated utilising a specific set of cognitive measures. This study considered a mixed method approach, progressing in three main phases. First study (the pilot study) involved (n=147) participants where data analysis was conducted using ANOVA, multiple regression and Structural Equation Modelling (SEM). The Pilot study considered six measures of thinking Style or Dysfunctional Attitude Scale (DAS-24), Attributional Style Questionnaire (ASQ-6 negative), Meta-cognitive Awareness Questionnaire (MAQ), Mastery/control, Cybernetic Coping Scale (CCS-15) and Beck Depression Inventory BDI-II. The correlation analysis showed positive association between variables with predictive approximation of 30% for depressive symptoms. The pilot study’s confirmatory factor and path analysis results produced supporting evidence of predictive quality with a good fit with model. The second phase comprised of a two-wave panel survey which included most of the measures from study one but added a 12-item version of Eysenck’s Personality Inventory, while the Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder (GAD-7) measures replaced the BDI-II. Regression analysis indicated that approximately 50% of the variance in PHQ scores could be predicted with DAS-24, mastery, ASQ and Neuroticism being the strongest predictors. A second regression analysis predicted 65% of the variance in GAD7 scores with DAS success and perfectionism sub factor being the strongest predictor. A series of confirmatory factor analysis was conducted as well as regression and covariance analysis of the identified variables. Longitudinal path analyses were performed indicating that approximately 74% of the variance in PHQ9 scores and 71% of the variance in GAD7 scores at time two could be predicted, with the time one well-being measures the strongest predictors. The most striking findings related to the role of Neuroticism in prediction of psychological wellbeing. Third phase of this mixed method study considered qualitative approach, using framework analysis. Participants were twelve clinicians who currently working with clients with depressive or anxiety based difficulties. The main findings indicated that all previously identified independent variables of thinking style, perception, control and though awareness contributing towards psychological wellbeing. Other notable observation included participant’s clinical training modality that influenced the choice of responses. Overall tested hypotheses in both modalities of studies provided additional knowledge and understanding by offering a unique theoretical perspective, where the correlation between psychological wellbeing and cognitive processes could be predicted when utilising specific sets of measures.

Psykisk ohälsa är vanligare hos personer med diabetes än befolkningen i stort. Forskning visar att det finns många olika anledningar till denna psykiska ohälsa och lyfter behov av differentiering av allmänna psykiatriska tillstånd och psykisk ohälsa kopplat till diabetesen. Ett begrepp som fångar hur personen förhåller sig till sin diabetes är diabetesrelaterad stress. Studier rapporterar att personer med diabetes upplever skam och självkritik kopplat till sin sjukdom. Självmedkänsla är ett fält inom psykologin som riktar sig specifikt mot skam och självkritik. I denna studie användes enkäter för att undersöka om det finns ett samband mellan grad av självmedkänsla och upplevd diabetesrelaterad stress samt om det finns skillnad i upplevd diabetesrelaterad stress mellan grupper med låg, medel och hög grad av självmedkänsla. Vidare undersöktes om självmedkänsla kunde förutsäga diabetesrelaterad stress, även när psykiskt välmående inkluderades. En enkät publicerades i Facebookgrupper kopplade till diabetes i Sverige och på den svarade 239 personer. Deltagarna var mellan 18 och 75 år, övervägande antalet deltagare var kvinnor. För att analysera data användes korrelationsanalys, ANOVA och Multipla linjära regressioner. Resultaten visade på ett starkt negativt samband mellan självmedkänsla och diabetesrelaterad stress. Gruppjämförelser visade att de grupper som hade högre självmedkänsla hade lägre diabetesrelaterad stress. Detta är i linje med tidigare forskning kring självmedkänsla och hantering av kroniska sjukdomar. Det starka sambandet och gruppjämförelsernas resultat motiverar att undersöka detta område ytterligare. Interventionsstudier i syfte att undersöka eventuell påverkan av självmedkänsla på diabetesrelaterad stress skulle vara relevant, för att i förlängningen utforma riktad behandlingsrekommendationer för just diabetesrelaterad stress. / Mental health problems are more common among people with diabetes than in the population in general. Research shows that there could be several reasons to this, and calls for more clarity regarding causes. Diabetes Distress is a concept that captures how a person handles the demands of living with diabetes. Studies reports that people living with diabetes experiences shame and self-blame regarding their disease. Self-Compassion is a concept which addresses shame and self-blame specifically. This study used questionnaires to investigate if there is a correlation between levels of Self-Compassion and Diabetes Distress, and if there is a difference regarding Diabetes Distress between groups with low, moderate, and high levels of Self-Compassion. The study also examined if Self-Compassion could predict Diabetes Distress, even when mental wellbeing was accounted for. Participants were recruited via Facebook groups connected to diabetes in Sweden and 239 people replied. The participants were between 18 and 75 years old, the majority were female. Correlation, ANOVA and multiple linear regression was used to analyze the collected data. The result showed a strong negative correlation between Self-Compassion and Diabetes Distress. Group comparisons showed that those with higher Self-Compassion had lower Diabetes Distress. This confirms previous research regarding Self-Compassion and coping with chronic illness. The strong correlation and the group comparisons results suggest that further research within this field should be performed. To investigate if Self-Compassion training could affect levels of Diabetes Distress studies including Self-Compassion interventions would be of interest. More research could lead to development of recommendations and care adjusted for those who are experiencing Diabetes Distress.

Creativity is a valuable attribute that involves the generation of original ideas; attention is a vital function that facilitates information selection. Past research has related these cognitive constructs, having found that highly creative people tend to be more distractible than those less creative, which allows them to produce more novel associations. This thesis aimed to test the relationship between these two processes using multiple tests of creativity (e.g., achievement, divergent thinking, and collage-making) and attention (e.g., focused, sustained, selective, and divided attention), which represented the complexity of each construct, and improved upon the methods previously reported. Additionally, the performance of participants with Attention Deficit Hyperactivity Disorder (ADHD) was compared to those without. Four studies were carried out. Within the first two, creativity scores were compared and related to attention scores, within and between control and ADHD groups. No consistent relationships were found. The ADHD group had higher creativity scores on average, but the differences were not significant. Study three incorporated eye-tracking techniques to explore the effect of visual stimulation on creativity and attention performance between-groups. It was found that the ADHD group looked at the attention task targets significantly less, yet their performance was not significantly worse. No between-group differences in creativity were found. The visually stimulating environment did not affect performance. Study four investigated the effect of an incubation period on creativity. Results showed that incubation increased the proportion of original ideas, but performance did not vary according to incubation task demand. However, self-report responses indicated that participants did not sufficiently engage in the incubation period, as they continued to think consciously of solutions. The link between creativity and attention is not supported, and the idea that ADHD is beneficial to creativity is not fully upheld. Further research should examine creativity and attention in work or university settings, to consider the existence of a ‘real life' relationship.

The study of emotional language use and production within UK adolescent therapeutic populations has received relatively little attention compared to other client-, process- and outcome factor research. In recent years, novel and distinct methods of delivering therapy that rely on the production and interpretation of language are increasing in popularity, compared to traditional therapeutic models that use non-verbal aspects of communication in the therapeutic process. In order to explore how aspects of emotional language production may inform clinicians about therapeutic interventions with a UK adolescent population, two studies were designed to analyse how adolescents use written emotional language to indicate their psychological wellbeing, identity and agency development through receipt of psychological intervention. A quantitative study was designed to measure therapeutic and non-therapeutic adolescents’ production of positive and negative emotional word frequency through free-response narratives. Positive and negative emotional word frequencies were assessed for relationships with measures of trait emotional intelligence (TEIQue-ASF; Petrides et al., 2006) and psychological wellbeing (18-item PWBS; Clarke et al., 2001). Multiple regression analyses determined that trait emotional intelligence significantly predicted psychological wellbeing, but positive and negative emotional word production and therapeutic experience did not. A qualitative study using Parker’s (2005) methods of narrative analysis of limited narratives focused on exploring how adolescents who have experienced therapy construct narratives. The analysis illustrated the construction of agency in developing adolescent identities and accounts of helpful and unhelpful events in therapeutic interventions, which became the primary narrative genres. Emotional contexts were highlighted in exploring the functions of emotional language in constructing stories of adolescent agency and identity in therapy. The results of both studies, their contributions to, and implications for clinical practice and counselling psychology are discussed in relation to novel or modern methods of delivering therapeutic interventions tailored to this developmental population, and in the wider socio-political context.

This thesis is an attempt to better understand the inter-relationship between deprivation, locality and health. This study explores the views of different residents in St Ann s, a deprived neighbourhood in Nottingham, to find out how they make sense of their health. The thesis is based on some participant observation in the area but mainly draws on qualitative interviews with diverse residents in St Ann's: (including, in particular, working-class older adults of different ethnicities; some working-class parents with children; middle-class younger adults living in the area; and activists and professionals providing services to the area, such as volunteers running the food bank, the local priest and GPs. As I asked all of my participants questions about their lives and their health, as well as their perceptions of what health was like in St Ann s generally, I realised they did not mention what talk about things that I, or public health professionals, would expect them to i.e. whether they took regular exercise or ate fruits and vegetables. Rather than individual lifestyle choices , people mostly talked about places, doing rounds and routines. They also talked about other groups, which allegedly were less healthy than them. Further, different groups of people in the area spoke about health quite differently. It is these broader discussions and concerns, and differences between groups of people, that I make sense of throughout my thesis. I argue that existing quantitative research on health, deprivation and the physical environment typically focuses on how health varies across different neighbourhoods. Some of these studies examine how factors, such as the proximity of supermarkets or leisure facilitates, produce health inequalities. However, while I found residents in St Ann s mentioned the proximity of shops, I also found that health and place had broader meanings to people in terms of gathering together and structuring routines. Additionally, I found that different people had conflicting ideas about health, place and one another. Addressing health therefore needs to take these conflicts into consideration rather than implementing public health policy that mainly articulates the views and habits of the middle-class. I use concepts from Bourdieu (1979), such as habitus , field and symbolic violence to make sense of these conflicts, arguing that the reasons why people act as they do is beyond their cognitive and rational understanding. In circumstances such as those in St Ann's, where the working-class residents were most at home in their given social space where habitus meshes with field - their apprehension of their social environment is more practical than it is theoretical and more tacit than it is explicit. In other words, I argue that residents in St Ann s are curtailed by their habitus. Additionally, I argue that there is insufficient previous work which has acknowledged and validated the experiences of residents in deprived neighbourhoods. Residents may articulate deprivation and lack of understanding of what constitutes health, but they also draw attention to important issues that, whilst often mentioned in the literature (e.g. social cohesion and health), have not been sufficiently accounted for, such as the importance of sociability, community activities, amenities and services. Finally, it should be acknowledged that these issues are not equally or similarly important for all residents, so that middle-class residents are unlikely to mix with locals at the community centre for example and that also older and younger residents considered different places important. So, instead of accepting the premise inherent in much public health research that seeks to identify the barriers to change with individuals, there first needs to be a more rigorous examination of the practices and lifestyles of the working-class residents within deprived communities such as St Ann s. We should seek to understand that their current practices are important for their well-being and sense of community. However, and, at the same time, we should seek to identify appropriate approaches that can improve their health that does not only fit the middle-class agenda. A key element of this is to take the various elements of their practical, tacit knowledge more seriously as part of these conditions of possibility. Then, it may be possible to more fruitfully identify how and why such practices are created, and what might be the conditions of possibility for change.

The elderly population worldwide has an increasing expectation of wellbeing and life expectancy. The monitoring of the majority of elderly people on an individual basis, in a medical sense, will not be a viable proposition in the future due to the projected numbers of individuals requiring such activity. The expectation is that the infrastructure available will not be adequate to meet all the anticipated requirements and subsequently people will have to live at home with inadequate care. A new global objective that aims towards enhancing the quality of life of the elderly is being supported by extensive research. This research has been taking place in the field of ambient intelligence (AmI), considering factors including more comfort, improved health, enhanced security for the elderly, and facilitating the living in their homes longer. Prior research has shown a need for accelerated expansion in the ambient intelligence domain. To that end this work presents a novel learning technique for intelligent agents that can be used in Ambient Intelligent Environments (AIEs). The main objective of this work is to add knowledge to the AmI domain and to explore the practical applications within this research field. The added knowledge is accomplished through the development of an ambient intelligent health care environment that allows a practical assessment of the human well-being to take place. This is achieved by transforming the elderly living environment into an intelligent pseudo robot within which they reside to better understand the human wellbeing. The system developed aims to provide evidence that a level of automated care is both possible and practical. This care is for those with chronic physical or mental disabilities who have difficulty in their interactions with standardised living spaces. The novel integrated hardware and software architecture provides personalised environmental monitoring. It also provides control facilities based on the patient‘s physical and emotional wellness in their home. Entitled Health Adaptive Online Emotion Fuzzy Agent (HAOEFA), the system provides a non-invasive, self-learning, intelligent controlling system that constantly adapts to the requirements of an individual. The system has the ability to model and learn the user behaviour in order to control the environment on their behalf. This is achieved with respect to the changing environmental conditions as well as the user‘s health and emotional states being detected. A change of emotion can have a direct impact on the system‘s control taking place in the environment. Thus HAOEFA combines an emotion recognition system within a fuzzy logic learning and adaptation based controller. The emotion recogniser detects the occupant‘s emotions upon the changes of the physiological data being monitored. In addition to acting as an output to the occupant‘s physiological changes, the detected emotion also acts as input to the whole situation being observed by HAOEFA. This allows HAOEFA to control the Glam i-HomeCare on the user‘s behalf with respect to their emotional status. The system developed incorporates real-time, continuous adaptations to facilitate any changes to the occupant‘s behaviour within the environment. It also allows the rules to be adapted and extended online, assisting a life-long learning technique as the environmental conditions change and the user behaviour adjusts with it. HAOEFA uses the fuzzy c-means clustering methodology for extracting membership functions (MFs) before building its set of fuzzy rules. These MFs together with the rules base constitute a major part of the proposed system. It has the ability to learn and model the individual human behaviour with respect to their emotional status. Following the provided literature review and the presentation of Fuzzy logic MFs (see section 3.3). The thesis presents two chosen unobtrusive self-learning techniques that are used in the development of the intelligent fuzzy system. Each approach combines an emotion recogniser with a fuzzy logic learning and adaptation based technique for systems that can be used in AIEs. A comparison of two different MFs designs is contrasted showing the impact they have on the system learning ability. A number of carefully designed experiments were performed by volunteers in the Glam i-HomeCare test-bed at the University of South Wales to examine the system‘s ability to learn the occupant‘s behaviour with respect to their health and emotional states. The experimental procedures were performed twice by each volunteer, while maintaining the same behavioural actions to compare how much the design of fuzzy membership functions can impact the learning process and the number of rules created by the system. Besides evaluating both systems‘ emotion recognition accuracies and comparing them to one another for each occupant, the empirical outcomes show the potential of the approach in assisting the extension of independent living. The results demonstrate how the type-1 fuzzy system both learnt and adapted to each occupant‘s behaviour with respect to their health and emotional state whilst assessing multiple environmental conditions.