Written for nursing students in the Common Foundation Programme of Project 2000 Diploma courses, this open learning text provides a flexible means of study which is also accessible to other health and social care professionals undertaking health-oriented programmes of study. Drawing heavily on the social sciences of sociology and psychology, the book introduces the student to the influences that society bring to bear on the individual. It examines the nature of societies and social change and how divisions in society may lead to inequality of care provision. The text discusses prejudice, stereotyping and how the processes of labelling and stigma attachment influence attitudes and society's approaches to marginalized groups. The impact of communication on care delivery is addressed at both conceptual and personal levels seeking to maximize strategies for health gain in patient/client groups. Psychological and sociological theory is brought to bear on nursing and midwifery aiming to stimulate thought, reflection and the development of effective practice.