The mental well-being of individuals has been studied for centuries. Yet a full understanding of the causal mechanism of mental distress has not been achieved. The prevalence of depression in women has spurred much of the research in this area. The goal of this dissertation is to contribute to the understanding of the determinants of women's mental and physical functioning. The means to this end is to incorporate a concept from each of the following disciplines, sociology and psychology. The sociological discipline lends the stress model to this research, while psychology contributes the concept of worry. To date, sociologists have not studied the effects of worries on women's mental health, while psychologists have not included socio-demographic indicators and stress variables in their studies of worry. The purposes of this dissertation are to add worry to the Traditional Stress Model, explore the determinants of worry, and observe the consequences of worry on mental distress and physical functioning. / A community sample of 170 mothers is employed to test the hypothesis that adding worry to the Traditional Stress Model, while controlling for socio-demographic indicators, stress, social support, and coping measures, will significantly increase the explanatory power when predicting the Total Mood Disturbance Score (TMDS) and the Total Physical Health Score (TPHS). Results from a series of multiple regressions indicate that worry measures do significantly contribute to the understanding of the TMDS and TPHS. / Other conclusions are also reached regarding several determinants of women's mental and physical functioning included throughout the analyses. In the case of married women, a measure of their marital status is a better indicator of their TMDS and TPHS than a measure of their social support from friends and family. In the case of employed women, the most significant indicator for both the TMDS and TPHS is their level of employment stress. / Research and policy implications emerge from these results. For example, general practitioners should be trained to detect employment or marital stress, and poor mood states which are likely to affect their patients' perceptions of their mental and physical health.

This cross-cultural study examines eating disorders, Anorexia nervosa, Bulimia, and compulsive overeating in Japanese and Canadian women. Through qualitative interviews with nine Japanese and nine Canadian women with eating disorders, it was found that factors contributing to the onset of eating disorders were similar in the two groups. Similarities included the value placed upon thinness by society which is widely perpetuated by the media, being told they were fat and made to feel they needed to lose weight, wanting attention for their eating disorder, and a history of sexual abuse. The Canadian women interviewed, revealed that their mothers also had eating disorders. On the other hand, the Japanese women reported stress from the education system, which led to abnormal eating behavior. Japanese women also reported gender-role conflicts as a cause. / A questionnaire regarding attitudes towards food and weight was given to 100 Japanese and 55 Canadian female university students. It was found that the women's desire to lose weight was strong in both samples. Sixty-six percent of the Japanese women and 38.1 percent of the Canadian women reported that they are "always," "usually," or "often" terrified that their weight will increase. This study postulates that the women with eating disorders want to empower themselves by controlling their food intake and their body weight. The implication is that any factor that creates a sense of ineffectiveness in the woman may trigger an eating disorder if the woman believes the only thing she can control is her food intake. Evidence to support this argument will be shown through discussions of actual experiences of women with eating disorders.

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Thesis submitted in partial fulfilment of the requirements for the degree Master of Technology in Environmental Management In the Faculty of Applied Sciences Department of Environmental and Occupational Studies At the Cape Peninsula University of Technology / Rivers, lakes and streams are the only way people encounter water sources in urban areas. Human endeavours have consequently deteriorated the environmental quality provided by river systems thus rivers are supporting a fraction of their original biodiversity and abundance. Urban streams are highly valuable and sensitive systems which, can be assessed by means of impacts of urban catchment and pathway influences. Many of the problems associated with environmental quality and management of urban watercourses are as a result of poor public perception. Advances in river assessment and management has come about through the recognition that water resource problems involve biological, physical and chemical components and more recently the addition of social and economic aspects. Social public participation is therefore achieved by studying and acting on people’s values, behaviours and perceptions of environmental quality. The main aim of this research was to identify whether a difference in socio-economic status is an influential factor in people’s perception of environmental quality. The objectives of the research were to determine whether the Elsieskraal River has a perceived low environmental relevance and quality (health and aesthetics), to determine what sensitizes people about issues relating to the natural environment and to identify people’s uses and perceptions of the Elsieskraal River corridor and its importance to the enjoyment as a recreational space. The study used a qualitative approach to obtain the data using the focus group technique. The purposive sample of participants from Pinelands and Thornton were the population that this study sought to investigate. Two focus group discussions; one in each study area was conducted. The results of this study found both similarities and differences in people’s perceptions of the Elsieskraal River between the two different socioeconomic urban communities. The perceived observation that the Elsieskraal River was a canal and not a river set the foundation for the envisaged low environmental quality the river so acquired. The majority overall environmental quality scores for the attributes of aquatic life, vegetation and water quality were found to be lower than they were scientifically found to be. Two clear avenues concerning environmental information sourcing and sensitization to the public was found. Politicians and government officials were unreliable to relay environmental information of a trustworthy nature. Community newspapers were a useful tool to present theevidence of information concerning the status of the natural environment especially at a local level. Three themes namely safety, maintenance and facilities and community attachment emerged on the importance of the Elsieskraal River as a recreational space. It is recommended that further studies should examine the perceptions of other similar rivers in the urban environment, both natural and canalised within Cape Town and the greater South Africa. The findings can assist environmental managers, planners and educators identify the gaps between the scientific environmental conditions and what people’s perceived awareness and knowledge about environmental quality are (factual versus perceived). It is also recommended that emphasis and support from local authorities must be given to non-governmental organisations (NGO’s) and adjacent property owners to aid in mobilising people into “ownership of rivers” within their communities to enhance their value and utilisation.

This study originates from experiences which led me to question the way pharmacists are equipped to advise and support the medicine-taking practice of patients using chronic medication. The study offers a critical theoretical consideration of underlying perspectives informing pharmacy education. I propose following a critical realist ontological perspective, a social realist understanding of social structure and human agency, and a sociocultural epistemology. Based on these perspectives, I consider a sociological critique of ‘health’, ‘disease’, ‘illness’ and ‘sickness’ perspectives on medicine-taking, and of pharmacy as a profession. I then propose an experiential learning approach, with an emphasis on developing reflexivity through affective learning. I follow this with an illustrative case study. Following a critical discourse analysis of student texts from the case study, I conclude that there is evidence that experiential learning may prove useful in developing pharmacy students’ reflexive competency to support the provision of pharmaceutical care to patients using chronic medications.

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