Table of Contents
ToggleModule Unit: CN-1203 - Sociology and Psychology
Contact Hours: 60
Credit Units: 4
Module Unit Description: This module unit introduces students to Sociology and Psychology basing on the concepts of Sociology and Psychology. An introduction shall be made on the human behaviour and how it is influenced by culture, beliefs, attitude and how all these factors relate to human health and access to health services.
Learning Outcomes
By the end of this module unit, the student shall be able to;
- Identify and explain socio-cultural and psychological factors influencing individual behaviour in relation to illness.
- Apply the functional understanding of sociology and psychology to influence and reinforce positive health seeking practices.
- Apply socio-psychological techniques to help patients adhere to treatment regimes.
Topic 2.8: Introduction to Sociology and Socio-Psychology for Healthcare Professionals
Introduction: Understanding Human Behavior in Health
Sociology and socio-psychology are crucial fields for healthcare professionals, especially nurses, as they provide frameworks for understanding human behavior within social structures and individual interactions. While sociology broadly examines how societies are formed, function, and change, socio-psychology delves into the interplay between social situations and individual behavior. This combined understanding helps healthcare providers offer more holistic, effective, and empathetic care by recognizing the diverse factors influencing patients' health, well-being, and responses to treatment.
Sociology and Psychology
Socio-psychology is a hybrid discipline, derived from two foundational academic fields: sociology and psychology.
Sociology: The Study of Society
The term "Sociology" was coined by Auguste Comte in 1839, often referred to as the "Father of Sociology." The word is derived from two roots:
- Latin: "Socius" meaning companion or associate, implying society.
- Greek: "Logos" meaning study or science.
Therefore, sociology is fundamentally the scientific study of society, social interactions, and social problems. It examines how human groups are formed, structured, and change over time, and how social forces influence individual lives.
- Society: The largest permanent group of people sharing a common interest, land, and way of life. It encompasses the complex web of relationships and institutions that characterize human communities.
- Social Interaction: The dynamic process by which people act and react in relation to others, forming the basis of social relationships and influencing individual behavior.
- Social Relationships: The connections and associations between individuals and groups, characterized by patterns of interaction, shared expectations, and mutual influence.
- Social Structure: The organized pattern of social relationships and institutions that constitute society. It refers to the enduring, predictable patterns of behavior and relationships that give society its coherence.
Psychology: The Study of Mind and Behavior
The term "Psychology" originates from two Greek words:
- Greek: "Psyche" meaning soul or spirit.
- Greek: "Logos" meaning study or knowledge.
Initially, "soul" was a vague concept, evolving to "mind." By 1890, William James popularized psychology as the study of the mind and mental processes. However, due to the abstract nature of the "mind," the focus shifted. Psychology is now widely defined as the scientific study of behavior and mental processes.
- Behavior: Any observable action or reaction of an organism. This includes overt actions (e.g., walking, speaking) and physiological responses.
- Mental Processes: Internal, covert activities of the mind that cannot be directly observed but are inferred from behavior (e.g., perceiving, remembering, thinking, reasoning, feeling emotions).
Psychology is a relatively young science. Its formal establishment is often marked by Wilhelm Wundt (1832-1920) opening the first psychological laboratory in Leipzig, Germany, in 1879. Wundt is recognized as the "Father of Psychology" for his pioneering efforts in measuring human behavior accurately and systematically.
Socio-psychology (Social Psychology): Bridging the Gap
Socio-psychology is the scientific study field that seeks to understand the nature and causes of individual behavior in social situations. It focuses on how an individual's thoughts, feelings, and behaviors are influenced by the actual, imagined, or implied presence of others. Essentially, it explores the dynamic interplay between the individual and their social environment.
- Social Influence: The process by which individuals change their attitudes or behavior in response to the actions of others.
- Attitudes: Learned predispositions to respond in a consistently favorable or unfavorable manner with respect to a given object.
- Group Dynamics: The processes involved when people in a group interact with each other, and the forces that operate within a group.
- Social Perception: The study of how people form impressions of and make inferences about other people.
- Conformity: Adjusting one's behavior or thinking to coincide with a group standard.
- Prejudice: An unfavorable attitude toward a group and its members.
- Discrimination: Unjustifiable negative behavior toward a group and its members.
Definitions of Key Terms in Sociology and Socio-Psychology
- Sociology: Coined by Auguste Comte in 1839, sociology is the systematic and scientific study of human society, social behavior, social interactions, and the organization and evolution of human groups. It analyzes social structures, institutions (like family, education, healthcare, government), and social problems.
- Society: A large, enduring group of people who share a common territory, culture, institutions, and a sense of unity, interacting within a defined social structure.
- Social Interaction: The process by which people act and react in relation to others, shaping social relationships and influencing individual behavior.
- Culture: The shared beliefs, values, customs, behaviors, and artifacts that characterize a group or society and are transmitted from one generation to the next.
- Social Norms: The unwritten rules or expectations of behavior that are considered acceptable in a group or society.
- Social Institutions: Established and enduring patterns of social behavior organized around particular purposes or functions (e.g., family, education, religion, healthcare, economy, government).
- Socialization: The lifelong process through which individuals learn the values, norms, and behaviors appropriate to their culture and society, developing a sense of self.
- Socio-psychology (Social Psychology): The scientific study of how individuals' thoughts, feelings, and behaviors are influenced by the actual, imagined, or implied presence of others. It bridges the gap between individual psychological processes and broader social phenomena.
- Group: Two or more people who interact with one another, share common goals, and recognize themselves as a distinct unit.
- Role: A set of expected behaviors associated with a particular status or position in society.
- Status: A social position that a person holds, which comes with a set of rights and obligations.
- Deviance: Behavior that violates significant social norms and expectations within a given society or group.
- Health Disparities: Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations.
Why Should Healthcare Professionals (Especially Nurses) Study Sociology and Socio-Psychology?
A deep understanding of these fields equips healthcare professionals with essential skills and perspectives:
- To Comprehend Diverse Human Behaviors: It enables understanding of both typical and atypical behaviors, including how social factors influence health-seeking behaviors, adherence to treatment, and coping mechanisms during illness.
- To Facilitate Effective Communication: Understanding social norms, cultural nuances, and psychological states allows for more empathetic, clear, and persuasive communication with patients, their families, and colleagues from various backgrounds.
- To Appreciate Patient Personalities and Relationship Dynamics: It helps in recognizing individual differences, personality types, and the complexities of human relationships, fostering better rapport and therapeutic alliances.
- To Recognize Personal Biases and Strengths: Self-awareness developed through studying these fields helps professionals identify their own biases, strengths, and limitations, leading to more objective and ethical care.
- To Enhance Health Education and Promotion: Knowledge of social psychology, in particular, informs effective strategies for designing and delivering health education programs (e.g., for chronic diseases like diabetes, infectious diseases like HIV/AIDS, or preventative measures like cancer screening), tailoring messages to resonate with specific communities.
- To Understand the Holistic Nature of Health: It reinforces the understanding that health is not merely the absence of disease but a complex interplay of physical, mental, emotional, spiritual, and social well-being. This perspective promotes patient-centered and holistic care.
- To Address Social Determinants of Health: Provides insight into how societal factors such as socioeconomic status, education, housing, access to resources, and discrimination impact health outcomes and contribute to health disparities.
- To Improve Teamwork and Collaboration: Understanding group dynamics, roles, and communication patterns within healthcare teams can enhance interdisciplinary collaboration and improve patient care coordination.
- To Navigate Ethical Dilemmas: Offers frameworks for considering the social and psychological dimensions of ethical issues in healthcare, leading to more informed and compassionate decision-making.
- To Promote Advocacy for Health Equity: Equips professionals to identify and advocate for systemic changes that address social inequalities and promote health equity for all populations.
- To Manage Stress and Burnout: Understanding the psychological impact of demanding work environments and social support systems can help healthcare professionals develop coping strategies and maintain their own well-being.

Branches of Psychology
Psychology is a vast and diverse field with numerous specialized branches that can be broadly categorized into pure (research-focused) and applied (practice-focused) areas. Understanding these branches helps healthcare professionals appreciate the depth of psychological insights relevant to patient care.
Pure / Research-Oriented Branches of Psychology
These branches primarily focus on conducting research and developing theories to understand fundamental psychological processes.
- Abnormal Psychology: Studies psychopathology and abnormal behavior, including the causes, symptoms, diagnosis, and treatment of mental disorders.
- Cognitive Psychology: Focuses on mental processes such as memory, perception, language, problem-solving, decision-making, and intelligence.
- Developmental Psychology: Examines human growth and development across the lifespan, from infancy to old age, including physical, cognitive, and psychosocial changes.
- Experimental Psychology: Uses scientific methods to research the brain and behavior. This often involves conducting experiments to study basic psychological processes like sensation, perception, memory, and learning.
- Physiological Psychology (Biopsychology/Neuroscience): Investigates the biological bases of behavior, including the role of the brain, nervous system, hormones, and genetics in psychological processes.
- Social Psychology: Studies how individuals' thoughts, feelings, and behaviors are influenced by social contexts, including topics like social perception, attitudes, conformity, obedience, group behavior, and intergroup relations.
- Personality Psychology: Focuses on the study of enduring psychological characteristics that differentiate individuals, including traits, motivations, and patterns of thought and emotion.
- Comparative Psychology: Studies the behavior and mental processes of non-human animals to gain a better understanding of human behavior and evolutionary processes.
- Psychometrics: Concerned with the theory and technique of psychological measurement, including the design, administration, and interpretation of tests for measuring abilities, aptitudes, personality traits, and other psychological attributes.
Applied Branches of Psychology
These branches apply psychological principles and research findings to solve practical problems in various settings.
- Clinical Psychology: Focuses on the assessment, diagnosis, treatment, and prevention of mental disorders and psychological distress. Clinical psychologists provide psychotherapy and conduct research.
- Counseling Psychology: Deals with helping individuals cope with personal and interpersonal problems, including emotional, social, vocational, educational, health-related, developmental, and organizational concerns. Often focuses on healthy individuals experiencing adjustment issues.
- Educational Psychology: Studies how people learn and develop, and applies psychological principles to optimize learning environments, curriculum design, and instructional methods in educational settings.
- Industrial-Organizational (I-O) Psychology: Applies psychological principles to the workplace to improve productivity, employee well-being, and organizational effectiveness, covering topics like personnel selection, training, leadership, and work-life balance.
- Health Psychology: Examines the psychological, behavioral, and cultural factors that contribute to physical health and illness. It focuses on health promotion, illness prevention, and the psychological impact of disease.
- Forensic Psychology: Applies psychological principles to legal issues, including criminal investigations, court proceedings, and correctional settings. This can involve conducting psychological assessments, providing expert testimony, and working with law enforcement.
- Sport Psychology: Focuses on the psychological factors that influence athletic performance, participation, and well-being. It helps athletes improve mental skills, cope with pressure, and manage injuries.
- Rehabilitation Psychology: Works with individuals who have experienced a disability or chronic health condition to help them achieve optimal physical, psychological, and interpersonal functioning.
- School Psychology: Works within educational systems to support children's learning and development, addressing academic, social, emotional, and behavioral issues in students.
- Community Psychology: Focuses on the interplay between individuals and their communities, aiming to promote well-being, prevent problems, and foster social change through research and action.
Sociology and Psychology of Illness
Understanding illness requires more than just biological knowledge; it demands an appreciation of how social structures, cultural beliefs, and individual psychological processes profoundly influence health outcomes, disease experiences, and healthcare interactions. This section explores the relationship between sociology, psychology, and illness, highlighting how these disciplines contribute to a holistic understanding of health and patient care.
RELATIONSHIP OF SOCIOLOGY AND ILLNESS (Medical Sociology)
Sociology as a discipline analyses human behavior and patterns of social interactions. A number of branches of sociology make important contributions in sociological inquiry, thereby helping in the solutions of sociological problems. Medical sociology focuses on social interaction between the patient and the doctor (and nurse and patient), and a behavior of groups of people in the hospital or medical school and the lay people in the community. It examines the relationship between the culture, personality traits, values, and norms.
Medical Sociology isn't just about the basics of patient-doctor interaction, but rather it explores many different aspects which includes:
- Social Epidemiology: Studying the distribution of disease and health conditions across populations and identifying social determinants (e.g., socioeconomic status, education, race, gender) that influence health disparities.
- Social Construction of Illness: Examining how diseases and health conditions are defined, understood, and treated within a society, often influenced by cultural values, scientific knowledge, and power dynamics.
- Healthcare Systems Analysis: Investigating the structure, organization, and delivery of healthcare services, including access, equity, and the roles of various healthcare professionals.
- Illness Experience: Understanding the lived experience of illness from the patient's perspective, including coping strategies, identity shifts, and the social impact of chronic conditions.
- Health Policy: Analyzing how social factors influence the development and implementation of health policies.
RELATIONSHIP OF PSYCHOLOGY AND ILLNESS (Health Psychology and Clinical Psychology)
Psychology is the study of basic psychological processes such as perception, learning, memory, language, thoughts, and emotions. Psychology also seeks to understand how these processes work. For instance, clinical psychology is closely related to psychiatry in that clinical psychologists are involved in the assessment of a wide range of psychiatric problems like phobias and obsessive-compulsive disorders. They are also involved in treatment, for instance, cognitive behavioral therapy and group therapy.
Beyond clinical psychology, Health Psychology is a specialized field that specifically focuses on the psychological, behavioral, and cultural factors that contribute to physical health and illness. Key areas include:
- Health Promotion and Disease Prevention: Developing interventions to encourage healthy lifestyles (e.g., exercise, nutrition) and prevent the onset of illness.
- Coping with Illness: Assisting individuals in managing chronic diseases, pain, and the psychological impact of diagnosis and treatment.
- Stress and Health: Investigating the physiological and psychological effects of stress on the body and developing stress management techniques.
- Patient-Provider Communication: Improving the effectiveness of communication between patients and healthcare professionals to enhance treatment adherence and patient satisfaction.
- Psychoneuroimmunology: Exploring the complex interactions between the brain, nervous system, and immune system, and how psychological states can influence immune function.
CULTURE BELIEFS NORMS AND PRACTICES IN RELATION TO HEALTH
Culture is everything which is socially learned and shared by the members of a society. Culture is a set of guidelines which people inherit as members of a particular society. Culture includes knowledge, beliefs, art, morals, customs, and habits acquired in the society.
Norms are the right ways in which things should be done. Norms are the rules that regulate people’s behavior in particular situations. Norms are in other words the DOs and DON'Ts in a given situation and time. Norms vary from place to place because what is called a norm in one place may not apply in another place.
RELATIONSHIP OF CULTURE AND HEALTH PRACTICES
Culture profoundly influences health beliefs, behaviors, and practices. These cultural elements can either promote well-being or introduce significant health risks.
- Among the Bahima (Banyankole), the father-in-law would first sleep with the daughter-in-law before the son does so. The father would first "test" to acknowledge where his "cows were going," symbolically ensuring the fertility of the union.
- Among the Bakiga, on many occasions, a family pooled its resources to raise the bride wealth or capital for obtaining a wife for one of the brothers. Sexual accessibility to the bridegroom was acceptable to the groom’s father as well as his other sons. One of the outcomes was to ensure fertility even if the groom was infertile. These practices, while culturally significant, present considerable risks for the spread of sexually transmitted infections (STIs).
- In Buganda, on a wedding night, the girl’s aunt was required to be present to explain and sometimes to demonstrate sexually proper sexual activity to the new bride, highlighting the communal nature of sexual education in some cultures.
- Sexual acts are sometimes required as part of the rituals surrounding death and widow inheritance. Among the Sabins, the legal heir has to have sex with the widow to "clean out the ashes," or "erandet," three days after the death. These rituals, while deeply embedded in tradition, pose clear health risks.
CHARACTERISTICS OF CULTURE
- Culture is social but not an individual in heritage of man. Culture is a product of society and shared by the members of the society. It emerges from collective interaction and human relationships.
- Culture is learned. Culture is not inherited biologically but learned socially by man through experience, imitation, communication, thinking, and the socialization process from birth to death.
- Culture is shared. Culture is not something that an individual can possess exclusively. For instance, customs, traditions, beliefs, ideas, values, and morals are shared by people of a group or society, creating a common understanding and identity.
- Culture is transmissive either vertically or horizontally. Vertical transmission is from generation to generation (e.g., parents teaching children); horizontal transmission is from one group to another group within the same period (e.g., diffusion of cultural practices). Knowledge is accumulative, but language is the chief vehicle of culture, allowing for its perpetuation and spread.
- Culture is continuous and cumulative. Culture exists as a continuous process of social heritage of man which is linked to the past. Culture is a "growing whole" which includes the achievements of the past and the present, constantly evolving while retaining its historical roots.
- Culture is consistent and integrated. Culture is an integrated system. It presents an order and systems. At the same time, different parts of culture are interconnected; for example, the value system influences norms, beliefs, and practices, forming a cohesive whole.
- Culture is dynamic and adaptive. Culture is subjected to slow but constant changes. Culture is most likely to change accordingly to the conditions of the physical world. Because of the changes in the environment, man should adopt those changes into their cultural practices to ensure survival and relevance.
- Culture is gratifying. Culture provides opportunities and means for the satisfaction of our needs (biological and social) and desires. Culture has also been defined as the process through which human beings satisfy their wants, offering solutions and frameworks for living.
- Culture varies from society to society. Every society has a unique culture of its own in terms of customs, beliefs, practices, values, ideologies, and others. Culture also varies from time to time within the same society, reflecting its dynamic nature.
- Culture is super organic and ideational. The social meaning of a national flag is NOT just a piece of cloth but it’s a representation of the nation’s ideals, history, and identity. Therefore, every society considers its culture as an ideal, transcending individual existence.
FUNCTIONS OF CULTURE
- Culture makes man a social being: It provides the framework for human interaction and belonging.
- To regulate the conduct and prepare the human being for group life through the process of socialization: It teaches individuals how to behave within society.
- It defines the meaning of the situation: It provides context and interpretation for events and interactions.
- It also provides the solutions to complicated situations as it provides traditional interpretation to certain situations: It offers established ways of addressing problems.
- Defines the values, attitudes, and goals: It shapes what a society deems important and what individuals strive for.
- Broadens the vision of the individuals: It provides a shared worldview and understanding.
- Provides the behavioral pattern and relationship with others: It sets guidelines for social conduct and interactions.
- Keeps the individual behavior intact: It promotes social cohesion and order.
- Moulds national character: It contributes to a collective identity and shared traits.
- Defines myths, legends, and supernatural beliefs: It provides narratives and spiritual frameworks for understanding the world.

Theories of Socio-Psychology and Sociology
A theory is a general idea or set of principles proposed to explain a set of facts or phenomena. Sociological and socio-psychological theories attempt to explain how society is constructed, how it operates, why certain behaviors occur, and what causes social change.
- Evolutionary Theory (Sociology): Views societies as progressing through stages of development, similar to biological evolution, becoming more complex and specialized over time. It looks at how society originates and grows, identifying patterns of change and development.
- Symbolic Interactionism (Interactionist Theory - Sociology & Socio-Psychology): Focuses on the micro-level interactions between individuals and how they create and interpret symbols to construct meaning. It emphasizes that social reality is continuously created through human interaction and interpretation (e.g., how individuals create and experience stigma in the context of illness like HIV/AIDS).
- Structural Functionalism (Functional Theory - Sociology): Views society as a complex system whose parts work together to promote solidarity and stability. Each social institution (e.g., family, education, healthcare) plays a function to help society maintain equilibrium and harmony. Illness can be seen as a form of deviance that disrupts the social order, and the healthcare system functions to restore order.
- Conflict Theory (Sociology): Views society as a struggle for resources and power, with different groups competing for dominance. It emphasizes how social inequalities (e.g., class, gender, race) lead to conflict and social change. In healthcare, conflict theory might analyze power dynamics between doctors and patients, or how economic disparities affect access to quality healthcare.
- Social Learning Theory (Socio-Psychology): Posits that individuals learn behaviors, attitudes, and emotional reactions by observing and imitating others, as well as through direct experience (e.g., learning health behaviors from parents or peers).
- Cognitive Dissonance Theory (Socio-Psychology): Suggests that individuals experience discomfort (dissonance) when their beliefs, attitudes, or behaviors are inconsistent. This discomfort motivates them to reduce the inconsistency, often by changing their beliefs or behaviors (e.g., a person who knows smoking is bad but continues to smoke might rationalize their behavior).

Human Groups and their Effects on Man
Humans are social beings. This means we naturally live and work together in groups. These groups are very important. They shape who we are, what we do, and even our health.
Various Human Groups
There are many kinds of groups. We can put them into main types:
1. Primary Groups:These are small, close groups where people know each other very well. They often have strong emotional ties. They are important for teaching us how to be social.
- Examples: Your family (mother, father, siblings), very close friends, a small village community where everyone knows everyone.
- How they affect you: These groups give you love, care, and a sense of belonging. They teach you your first lessons about right and wrong, and how to talk to people. They are very important for your feelings and mental health.
These are larger groups. People in these groups might not know each other very well. They often come together for a specific reason or task, not for close personal ties.
- Examples: Your class at school, your work colleagues, members of a large church or mosque, a professional group (like nurses).
- How they affect you: These groups help you get things done (like learning or working). They teach you rules for bigger society. They can help you get jobs or learn new skills. You might feel less close to people here, but they are important for your life in society.
Sometimes, groups are about "us" and "them." An In-group is a group you feel you belong to and identify with (e.g., "my family," "my tribe," "my country"). An Out-group is a group you do not belong to or feel distant from (e.g., "their tribe," "people from another country").
- How they affect you: In-groups give you a sense of shared identity and loyalty. They can make you feel safe and supported. But sometimes, strong in-group feelings can lead to conflict or prejudice against out-groups. This can affect health if it leads to discrimination or violence.
These are groups we look up to or compare ourselves with. We use their ideas and actions as a guide for our own behavior, even if we are not a member of that group.
- Examples: Successful nurses you admire, famous people, religious leaders whose teachings you follow.
- How they affect you: Reference groups shape your goals, values, and how you behave. They can motivate you to do better (e.g., study hard like the best students) or sometimes lead you to unhealthy behaviors if the group promotes them (e.g., peer pressure to drink alcohol).
Formal groups have clear rules, leaders, and goals (e.g., a hospital staff team, a school club). Informal groups form naturally based on shared interests or friendship, with no strict rules (e.g., a group of friends who always eat lunch together).
- How they affect you: Formal groups help organize work and society. Informal groups provide social support and friendship, which are good for mental well-being.
Effects of Human Groups on Man and Environment
Groups change us and the world around us in many ways:
- Identity and Belonging: Groups give you a sense of who you are ("I am a nurse," "I am a member of this family"). They make you feel like you belong somewhere, which is good for mental health.
- Social Support: Groups offer help when you need it. This can be emotional support (listening to your problems), practical help (like lending money), information (telling you about health services), or showing you that others care. This support helps you deal with stress and illness.
- Rules for Behavior (Social Norms): Groups have "unspoken rules" about what is right or wrong, or what is normal. For example, your family might expect you to visit often. Your professional group (nurses) has rules for how you should work. These norms influence your actions, including your health habits (e.g., if a group promotes healthy eating, you might eat healthier).
- Access to Things You Need: Being part of a group can help you get important things. Your family might help you pay for school or health visits. Your community might have health centers. Social connections (Social Capital) within groups can open doors to jobs or information.
- Learning and Spreading Ideas: You learn a lot from groups. You learn how to behave, what to believe, and ideas about health. Both good and bad behaviors can spread quickly in groups (e.g., if your friends smoke, you might start smoking; if your colleagues practice good hygiene, you will too).
- Mental Health: Strong, positive group connections protect your mental health. Loneliness or being pushed out of groups can lead to sadness, anxiety, or other mental health problems.
How groups live affects the environment around them. This also affects health.
- Use of Resources: Large groups of people (like a community or country) use a lot of resources (water, land, energy). How they use these can affect the environment. For example, a group that cuts down too many trees causes deforestation.
- Pollution: What groups do (like farming, industry, transport) can create pollution (air, water, land). This pollution directly harms human health (e.g., dirty water causes disease, bad air causes breathing problems).
- Health and Sanitation Practices: A community group's habits around waste disposal, clean water, and hygiene directly affect the local environment and the health of everyone living there. If a group has poor sanitation, diseases will spread easily.
- Climate Change: The combined actions of large groups of people (e.g., burning fossil fuels in many countries) lead to big environmental changes like climate change. These changes then cause health problems like heatstroke, new diseases, and food shortages.
- Conservation Efforts: On the positive side, groups can also work together to protect the environment. Community groups can plant trees, clean rivers, or start programs for recycling. This improves the environment and, in turn, human health.