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Export-only diffusion occurs when innovators do not adopt an innovation themselves, but rather promote it to others for adoption. Potential adopters do not take their cues from early adopters, but rather from diffusion professionals who make it their job to spread a practice or institution. The global spread of national-level, population control policies during the Cold War is one such instance: developed and promoted by wealthy countries that did not themselves adopt such policies, they came to be widespread among poorer countries, thanks in large part to the mobilization of diffusion professionals. This article offers an analytical account of this diffusion, as well as an event-history analysis of 163 countries over the period 1950-1990 demonstrating the importance of linkages between policy adopters and the non-adopting institutions of diffusion professionals. (Contains 1 table, 3 figures and 1 note.)

Objectives This study evaluated the feasibility, acceptability, and potential effectiveness of a hybrid skills-based group intervention, dialectical pain management (DPM), for adults with chronic pain who are receiving long-term opioid therapy. DPM adapts dialectical behavior therapy, a rigorous psychotherapeutic approach to emotion dysregulation, to treat disorders of physiological dysregulation. Methods Individuals with chronic pain (N = 17) participated in one of two 8-week DPM intervention cohorts. At pre-test and post-test, participants completed quantitative self-report assessments measuring pain intensity and interference, depressive symptoms, pain acceptance, beliefs about pain medications, and global rating of change. Within 2 weeks after the intervention, participants completed qualitative interviews to assess participant satisfaction and obtain feedback about specific intervention components. Results Of the 17 enrolled, 15 participants completed the group with 12 (70%) attending six or more sessions. Participants reported high satisfaction with the intervention. Preliminary findings suggested a significant increase in pain acceptance and a significant reduction in depressive symptoms. Participants also reported an improved relationship with their pain conditions and increased flexibility in responding to pain and applying coping skills. Several participants showed a reduction in opioid dosage over the course of the intervention. Discussion Findings support that DPM is a feasible and well-received intervention for individuals with chronic pain. Additional research with a control group is needed to further determine the intervention's efficacy and impact. [ABSTRACT FROM AUTHOR]

Reviewer: DEBORAH BARRETT, University of North Carolina, Chapel Hill Historical accounts of eugenics typically describe the work of a handful of experts within scientific circles and eugenics organizations. In The [...]

Shows that Walker Percy's novel 'Lancelot' follows a mode of confessional fiction and continues the epistemological and religious concerns of his previous novels and essays. Discourse and intercourse between confessor Lancelot Andrewes Lamar and a priest-psychiatrist.

Lists several publications on census data. Computation of standard errors; Neighborhood characteristics records; Occupational determinants of geographic mobility among professional workers.