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This thesis combines a theoretical perspective and a methodological technique in order to clarify the concept of negotiation. The theoretical perspective represents a merging of a formal analysis as suggested by Georg Simmel and Erving Goffman and an interactional emphasis upon reciprocity of actions as proposed by Herbert Blumer. Accordingly, a methodological scheme was constructed to examine negotiations in terms of their forms and content.

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Raynaud's disease is a condition in which circulation to the hands becomes restricted, causing an uncomfortable sense of cold and occasionally injury. The cause of Raynaud's disease is unknown. Earlier studies have shown that hetero-hypnosis is effective in the treatment of Raynaud's disease. Cost and access to providers limit such a treatment's availability. Theories of hypnosis suggest that self-hypnosis underlies all hypnotic processes. This study examined the utility of self-hypnosis and focused attention on the volitional control of hand temperature. Forty-three adult participants ranging in age from 19 to 77 years with no hypnosis experience were randomly divided into 2 groups; 20 completed the study. Eleven participants listened to a self-hypnosis recording and 9 listened to a mostly blank recording containing periodic instructions to concentrate on controlling finger temperature. A paired samples t test showed a significant difference in means between pre- and post-treatment ability. A second t test did not show a significant difference in means between the groups' ability. Analysis of survey data did not show a significant relationship between participant demographic data and ability to control finger temperature. However, analysis of participant survey responses did show that self-hypnosis was significantly more enjoyable than conscious concentration, which suggests that self-hypnosis has greater potential for adoption if used in the treatment of Raynaud's disease. Because self-hypnosis was found to be enjoyable and effective it may be superior to other treatments that are unpleasant or have pharmacological side effects. These findings will inform sufferers of Raynaud's disease and researchers in their efforts to treat the disease. The positive social change implications of this study are to expand treatment options for a disease that affects 4% of the world's population.

The Bureau of Substance Abuse Treatment Recovery and Prevention, which oversees drug intervention services for Detroit residents, has found the city's illegal drug use among teens to mirror national rates. Illegal drug use is associated with addiction, major health problems, and stigma. Incorporating evidence-based screening during all teen health care visits would decrease missed opportunities to identify at-risk behaviors, the number of teens that do not receive intervention, and the stigma associated with screening. The purpose of this project was to develop evidence-based policy and practice guidelines for teen screening services for illegal drug use. The Plan-Do-Study-Act (PDSA) model was used to guide the project. An interdisciplinary team of direct service and administrative staff selected questions based on 6 key words---car, relax, alone, forget, friends, and trouble (CRAFFT)---to screen teens for illegal drug use. The interdisciplinary team also developed a teen screening policy along with practice guidelines for the screening policy, implementation plan, and project evaluation. A review of the literature provided support for the project methods. Two experts in the field of substance abuse provided content validity for the policy and practice guidelines, and concluded that the CRAFFT screening questions were valid for evidence-based screening for illegal drug use among teens, that the PDSA model was effective to guide the project, and that an interdisciplinary team approach was effective to address the issue. These findings may improve identification of at-risk teens, decrease missed screening opportunities, decrease stigma, and align the Bureau with current trends in substance abuse treatment.

Economic models generally fail to adequately measure positive and negative growth paths in development through agrarian, industry, and service economies. The purpose of this grounded theory study was to design a new model that could accommodate both directions of growth and better measure development paths with particular attention to labors contributions. The theoretical foundation for this study was Walt Whitman Rostow's 5 economic stages of growth classifications. This Study attempted to find the most common economic growth path. While most development models use three to five classifications, this study used nine new classifications giving it a unique and specific look at international development. The two model indicators used were gross domestic product composition by sector (the economic success of the system) and labor force occupation by sector (labors activity to help define behavior of the system). The sample included data from 279 nations from the CIA World Factbook. A systematic method of analysis was used in the open, axial, and selective theoretical coding phases. The key findings reveal 9 distinct growth phases, 15 identified growth paths, and 4 distinct path clusters which helps measure and define development behavior. This analysis resulted in building upon Rostow's original observations. The implications for social change show that policy makers can benefit from using this new model, named the behavioral international economic development growth path model, to provide improved decision making measurements related to agrarian, service, and industry sectors of the economy. In addition, public administrators in developing nations may benefit from a better understanding of more specific development paths, probabilities of path movement, and comparison of policies from same classification nations.

Chronic stress and other emotional factors may have relevant impacts on pregnancy outcomes because they are related to neuroendocrine changes that lead to alterations in immunomodulation during pregnancy. In this quantitative prospective cross-sectional study, the relationship of emotional lability, depression, and stress during pregnancy and the development of preterm labor, preeclampsia, placental abruption, and low birth weight for gestational age babies was examined. Additionally, social support scores were compared to levels of stress/anxiety, depression, and emotional lability in pregnant women. Two hundred and forty two pregnant women who received prenatal services at the National Institute of Perinatology in Mexico City were evaluated during the 2nd or 3rd trimester of pregnancy and followed until pregnancy termination. Logistic regression analyses showed that being single significantly predicted preeclampsia and preterm birth, and the presence of social support significantly decreased the likelihood of preterm birth development. In the logistic regression model, family income significantly predicted the development of abruptio placentae. MANCOVA results revealed a significant difference among the social support categories on the combined dependent variables (stress/anxiety, depression, and emotional lability). The ANCOVA reported significant differences between social support scores, and stress/anxiety and depression scores. ANCOVA also showed significant differences between the number of pregnancies and stress scores. A 2X2 factorial analysis of variance showed a significant main effect of stress and depression on newborn weight. By promoting awareness of the importance of emotional factors during pregnancy among healthcare workers and pregnant women, this study contributed to positive social change.