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Everyone has split personalities within them where separate intelligences are split off from the central stem of your Soul and use the Archetypes created and used by the Hurt Inner Children. Hurt Inner Children, split personalities are split off from the Central Soul personality when the person gets traumatised usually more in childhood by the painful and corrupt actions in life. These Hurt Inner Children flow in and out of your consciousness and it is these split personalities which use the Strategies like the Violator, the Poor Me and the Selfish Competitive Star in order to get the attention and the Love of everyone around them. Also these splits within yourself are like idiot children which have abilities above the normal like Dustin Hoffman in “The Rain Man” movie. The special abilities I want to talk about this time are the splits ability to be in control of your Love and Sex Life. They can manage your psychic sexual connections between your lower chakras and the lower chakras of the person THEY Choose!! These childish split personalities within you choose your husband, your wife and then they cut off the sex connection with your partner and transfer the connection to someone else, thus creating adultery, or the serial monogamy many people practise. The split off parts of your personality are the cause! Gurdjieff said that a normal person, split into many parts, “Cannot make a Promise”. As Gurdjieff said, "The person that says I will get up early in the morning is not the same personality who throws the alarm clock out of the window!!." And the split falls in love with a person for childish reasons, and the split again falls out of love for the same childish reasons. Because they control the Psychic Sex Connection, streams of energy between the sex organs, the penis and the ovaries and between the abdominal relationship chakras, all you notice is that the energy of sex is there in full one day, and the next it is gone!! To my Energy Enhancement students, I often ask the Koan, “Who is in Charge?” And the answer in nearly all cases is that the split off parts of their personalities are in charge. As we remove the Soul Split Personalities. As we integrate them, through healing them back into the Central Soul Personality. Our central Soul personality becomes more in charge. We find more and more, We Can Make A Promise! Sex becomes better, day by Day!! This is the real Sexual Tantra. The problem is that these ego strategies always hurt the people around them because they change every day. One day in love and whispering sweet nothings, the next the violator personality to gain attention!! Eventually the ego strategies they use to gain attention stop working and the people around them throw them out. With ego strategies, if you are rich everyone puts up with them, their job depends on it, but no-one likes them. If you get thrown out then you move on to another victim. Without someone pointing out the discrepancies in your behaviour, you probably will not notice them. The Denial and the justification of past mistakes come from the childish split off parts of yourself. As the False Negative Emotions of Anger, Manicism, Seeking Sympathy and Attention, Depression and Fear are Eliminated, Emotional Integration with the Intelligence results in Willpower and the Power of Doing. This higher functionality is the result of healing these Inner Children splits! Which use the Strategies of the Poor Me, The Violator, The Selfish Competitive Star, The Aloof, The Interrogator, The Don Juan or the Vamp, The Pleaser, Blamer, Critic, Tyrant and Last but not least, the Self Destructor! The first thing is just to notice when you get mad or sad and how you use these strategies, and have used them since you were very young, to manipulate all around you into giving you attention and love. With the traumatic nature of life, the Strategies become stronger and then your strategies will get stronger and more intense. People eventually get sick of this strategy manipulation for attention and so-called Love. If it worked when I was a child, then surely it must work now? WRONG!!! Alcoholism and drug addiction to make people sorry for you. Wife beating to get their attention!! This is not the true way to gain friends and influence people. You need to actually see that it might be a good thing to STOP!! Then you need to find out how. Everyone will use all of these strategies at some time in their lives. Usually people cycle between them. As one fails they try another, stronger one. And then will be sorry and swear that they will never use them again. We are all Dependent Vampires, stealers of energy. The only way out is through the advanced techniques of meditation Energy Enhancement. To connect to a higher level of energy, which can never fail and to integrate these split off parts of your personality back into the Central Soul Stem. Then we do not need the energy and attention of people around us. We start to give energy. Everyone becomes happy in our presence! We become Independent. Then we can comfortably destroy these negative split off thoughtforms in our lives. It needs an Ancient Advanced Synthesis of Effective Techniques for Gaining More Energy - Meditation, Shaktipat, Energy Circulation, The Kundalini Kriyas, The Five Elemental Paths Of The Chi Of Chinese Alchemical Taoism, The Grounding Of Negative Energies, V.I.T.R.I.O.L, The Art Card Of The Thoth Tarot, Access To Kundalini Energy, Strong Psychic Protection, Learn The Merkaba, Pyramid Protection, Power Tower Protection, Create The Antahkarana, Soul Fusion, Monadic Infusion, Logos Infusion. The Painless Removal Of Stress, Trauma And Negative Emotion However, to remove these sub-personalities completely, the more Advanced techniques of a Synthesis of Ancient Meditational Techniques are absolutely necessary:- Leading onto the more advanced Techniques of The Karma Clearing Process. Learning how to clean The Karma From Past Lives, Future Life, Future Lifetimes, Integrating Soul Fragmentation And Retrieval of Inner Children, Selfish Ego Sub Personalites, Life Destroying Strategies, The Aloof, The Interrogator, The Violator, The Selfish Competitive Star, The Vamp Or Don Juan, The Pleaser, The Blamer, The Critic, The King, The Self Destructor, All The Destructive Vows From This And Past Lifetimes,. Which results in The Creation Of Self Love, Love And Service. Ponder on this… plastic surgery pennis enlargement guide to penis enhancement easy enlargement free pennis surgery way truth about pnis enlargement vimax truth about penis enlargement buy place vig rx plastic surgery penis enargement vimax penis enlargement doctor
If you’re over 40, you’ve got a ticking time bomb in your backside. It’s called benign prostatic hyperplasia…or BPH for short. This is the number one problem in older men. Your prostate is normally about the size and shape of a walnut and is located at the base of your penis. It surrounds your urethra – the tube your urine flows through – and that’s exactly why it’s likely to cause you problems. As you get older, your prostate grows and begins to squeeze the urethra and obstruct normal flow. Most men’s prostates begin enlarging after 40. If you make it to eighty, you have an 80% chance of having BPH. So, what are the symptoms of BPH? • Constant urge to urinate • Frequent nighttime urination • Dribbling or leaking after urination • Difficulty starting urination • A weak stream • Never feeling the bladder is empty Factors that increase your risk The major factors that increase your risk of developing BPH include: • Your medical history • Family history • Diet • Hormone levels Prevention strategies It’s never too early to start preventing BPH…You can save yourself a lot of problems later. And if you already have the symptoms – you can keep them from getting worse. Here are some simple and easy precautions you can take right now: 1. Get enough Omega-3 fatty acids: These are the essential fatty acids in fish, eggs, nuts and flax seed oil. You can get them by eating one of these foods every day…remember most fish that provide Omega-3 are contaminated with mercury…or by taking a supplement. Studies have shown Omega-3 seems to stop the conversion of the chemical that triggers prostate growth. The recommended dose is between 3 and 6 grams a day. 2. Eat healthy: Basically, cut down on the crap … sugars, hydrogenated oils…the things that tend to cause inflammation. Get plenty of protein and veggies. And, to be safe, add a good, natural food base, multivitamin. 3. Watch your DHT levels: Most doctors will tell you that testosterone is the cause of prostate enlargement and give you treatments to reduce it. Now that’s great! The very thing that makes you male and gives you your virility is being taken away from you. Dr. Al Sears wrote, “Testosterone is one of many related steroid hormones. Several are interconverted. Testosterone, for instance, can be converted into estrogens. But testosterone can also be converted into DHT. DHT is 9 times more powerful at stimulating growth of prostate tissue than testosterone is. Testosterone maintains normal health of your prostate but DHT stimulates an overgrowth. DHT sends signals to the prostate tissue, making it swell. As the tissue swells, it impinges on the surrounding urinary and reproductive systems. (DHT is also the chemical that causes men to develop male pattern baldness.) Your body converts testosterone to DHT with an enzyme called 5-alpha reductase. Exposure to stress and steroid related toxins in the environment appear to increase the activity of 5-alpha reductase. This deals a double blow to your manhood. It robs you of testosterone and it increases DHT. But, without the presence of 5-alpha reductase, testosterone will not convert into DHT. And this is the concept behind well-designed BPH treatments. If you can block the action of the 5-alpha reductase, you can prevent and treat prostate enlargement while increasing, not lowering your testosterone. Dr. Sears goes on to say, “You can stop 5-alpha reductase from making DHT with natural supplements. The best inhibitors of 5-alpha reductase come to us in the form of plant sterols. I’ve talked about some of these supplements before. Saw palmetto, pygeum, and pumpkinseed are the “big three”. 4. Get a regular exam: BPH and the worst case, prostate cancer aren’t something to fool around with. Especially if you’re over 40, you should see your doctor for a prostate check-up once a year. Include hormone blood tests, physical exam, and a comprehensive PSA test in your routine. penis enlagement before and after photo manual penile enlargment free penis enargement pills vimax natural penis enlargement free penile enlargement tip penis enargement before and after best enlargement exercise penis male penis enlagement penis elargement doctor
1.Self helping There are many self-remedies men can try. Most of them focus to reduce sexual arousal such as distracting thoughts, short foreplay, interrupting thrusting and gentle thrusting. Men can consider and solutions for delay ejaculation such as taking alcohol, using thick condoms or applying a special anesthetic preparation to the penis. There are no statistics regarding the effectiveness of such self-helping remedies. 2. Behavioral approaches This kind of treatments have been well established by Masters and Johnson. One hand they focus to train the man to manage his ejaculatory process and reflexes. On second hand they focus to make the man better understand and evaluate sensations and stimulations coming from sexual arousal. The most used procedures are the 'stop-start method' and the squeeze technique. The approaches of both methods are the same, focusing to delay the moment of ejaculation by gradually exposing the man to more intense and more prolonged sexual stimulation. 3. Local anesthetics. As a treatment for premature ejaculation, the applying of local anesthetics to the male genital has been promoted for more than 60 years. Related to management of premature ejaculation, the Food and Drug Administration considered a new spray product that contains 10% lidocaine to be effective and safe for use as a 'penis desensitiser'. It has been also reported an herbal local anesthetic cream able to delay ejaculation and enhance sexual satisfaction , if applied to the male genital 1 hour before estimated sexual activity. natural penile enlargement com enlagement penis penis pump compare penis enlarement pills cheapest pnis enlargement pills vimax penis enlargement doctor free pnis enlargement tip pennis enlargement doctor vimax penis pillss in uk penis elargement doctor
Many people assume they need to consume Alcohol to have Good Sex? For most Americans, consuming alcohol seems to be part of our cultural heritage. We drink at weddings, funerals, birthdays, and pretty much to celebrate anything and everything. We learned from a young age by watching our parents and other adults, that drinking is a sign of maturity. Many people, especially young adolescents, expect that alcohol use will lower tension and anxiety and increase sexual desire and pleasure in life (Seto & Barbaree,1995). About 1 in every 7 adults in the United States meet criteria for alcohol dependency, according to a large NIMH epidemiological study (Grant, 1977). Men are four times more likely than women to be heavy drinkers and are twice as likely to be alcohol abusing or alcohol dependant. Most males and many females find it difficult to imagine not drinking any alcohol at least on weekends and find it almost impossible to think of having sex without previously having a few drinks. These fundamental values appear to be deeply embedded in our culture. Somewhere along the line, we got the message that we need alcohol to have good sex. Does Alcohol Enhance or Hurt our Sexual Performance? I recently heard a stand-up comedian refer to the term, “Whiskey – Dick” when describing his “friends who had drank too much and had difficulties with orgasm even while using Viagra. Shakespeare once said that excessive drinking, “provokes the desire but takes away the performance.” Alcohol reduces inhibitions and gives us a mellow feeling. It makes us more relaxed and more talkative. It can make shy people fe//el confident and bold. These effects can facilitate our sexual desires by developing our social skills. However, these positive effects are only present in the early stage of intoxication i.e. when we’ve consumed 1-2 drinks (assuming you haven’t already developed a tolerance for alcohol). Sexual Impotence On the other hand, alcohol’s negative effects on sexual performance have been widely documented. Men and women who have several drinks may find it very hard to achieve orgasm. Difficulties with achieving orgasm after alcohol consumption can be understood because alcohol dilates small blood vessels all over the body so that there is less engorgement of blood in the sexual organs. This leaves the penis flaccid or only partially erect so that sexual penetration is difficult. Women may find that they have decreased vaginal lubrication making sexual intercourse unpleasant and sometimes painful (Raff, 2006). Impotence is the constant inability of a man to maintain an erection for sexual purposes. It is estimated that impotence affects over 30 million men in the United States (NIHCS, 1992). Masters and Johnson, identified alcohol as a common factor in impotence in their monumental work on human sexual inadequacy. Alcohol damages the central nervous system and destroys brain cells, and if the damage is prolonged enough, it can result in irreversible sexual impotence even while a person is sober. Alcohol is also a factor in loss of sexual control or premature ejaculation. Even a couple of beers before sex can spoil a man's erection and ruin his ejaculatory control. Up to 80 percent of men who drink heavily are believed to have serious sexual side effects, including impotence, sterility, or loss of sexual desire. Heavy drinking over a long period of time can irreversibly destroy testicular cells, leaving men with shrunken testicles. Both sexual drive and sexual capacity can be damaged. Alcohol also suppresses testosterone levels even in social drinkers by suppressing the secretory activity of the Leydig cells (Flatto, 1990). Alcohol and High-Risk Sexual Behaviors A history of heavy alcohol use has been correlated with a lifetime tendency toward high-risk sexual behaviors, including multiple sex partners, unprotected intercourse, sex with high-risk partners (e.g., injection drug users, prostitutes), and the exchange of sex for money or drugs (Windle,M.,1997). There may be many reasons for this association. For example, alcohol can act directly on the brain to reduce inhibitions and diminish risk perception (MacDonald,T.K.,2000). However, expectations about alcohol’s effects may exert a more powerful influence on alcohol-involved sexual behavior. Studies consistently demonstrate that people who strongly believe that alcohol enhances sexual arousal and performance are more likely to practice risky sex after drinking (Cooper,M.L.,2002). Some people report deliberately using alcohol during sexual encounters to provide an excuse for socially unacceptable behavior or to reduce their conscious awareness of risk (Derman,K.H.,1998). According to McKirnan and colleagues (McKiran,D.J.,2001), this practice may be especially common among men who have sex with men. This finding is consistent with the observation that men who drink prior to or during homosexual contact are more likely than heterosexuals to engage in high-risk sexual practices (Avins,A.L.,1994). Alcohol and AIDS People with alcohol use disorders are more likely than the general population to contract HIV (human immunodeficiency virus) - the agent that causes acquired immunodeficiency syndrome (AIDS). Similarly, people with HIV are more likely to abuse alcohol at some time during their lives (Petray,N.M.,1999). Alcohol use is associated with high-risk sexual behaviors and injection drug use, two major modes of HIV transmission. What are signs of problem drinking? The primary signs of problem drinking are: Having health, legal, social, academic or financial problems as a result of drinking. For example, missing class or work because of drinking or hangovers, not be able to have fun or express oneself without drinking, fights or problems with roommates or significant others, spending excessive amounts of money on alcohol, blackouts/passing out, trips to the ER, being defensive when someone mentions your drinking, needing to drink more to achieve the same effects (tolerance), frequently drinking with the primary purpose of getting drunk, and/or repeatedly driving under the influence. These are only guidelines and each case is different. If you're concerned about your drinking or a friend's drinking, get more information! Screening for Alcohol Dependence Screening tools are available to assist counselors and therapists with diagnosing alcohol abuse and dependence such as the SMAST below. Short Michigan Alcoholism Screening Test (MAST) 1. Do you feel you are a normal drinker? (By normal we mean you drink less than or as much as most other people.) 2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? 3. Do you ever feel guilty about your drinking? 4. Do friends or relatives think you are a normal drinker? 5. Are you able to stop drinking when you want to? 6. Have you ever attended a meeting of Alcoholics Anonymous? 7. Has drinking ever created problems between you and your wife, husband, a parent, or other near relative? 8. Have you ever gotten into trouble at work because of drinking? 9. Have you ever neglected your obligations, your family, or your work for two of more days in a row because you were drinking? 10. Have you ever gone to anyone for help about your drinking? 11. Have you ever been in a hospital because of drinking? 12. Have you ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages? 13. Have you ever been arrested, even for a few hours, because of other drunken behavior? Individuals that answer – Yes to three or more questions indicate probable alcoholism, two yes answers indicate probable alcoholism, and fewer than two yes answers indicate that alcoholism is not likely (Selzer, M., Winokur, A. & Van Rooijen, C.; 1975). Note: If after reading the above, you started rationalizing to yourself, “Well, I can stop drinking anytime I want to, but I usually stop when I run out of money.” (As my old graduate professor use to say) STOP BULL-SH#%ting yourself and go see a certified alcohol counselor. Co-morbidity & Alcohol Dependence Alcohol abuse and dependence are among the most destructive of the psychiatric disorders (Volpicelli, 2001). Addictions such as alcohol dependence and other addictions as a rule do not develop in isolation. Over 37 % of alcohol abusers suffer from at least one coexisting addiction and/ or mental disorder (Rovner, 1990). Individuals can shift from one addiction to another or sustain multiple addictions at different times. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994). Poor Prognosis We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions such as alcoholism are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions? New Proposed Diagnosis Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictions and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable. To assist with resolving this problem a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of alcohol and substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging - psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences. Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 - month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances - nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously. New Proposed Theory The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory. Conclusions Considering the wide range of alcohol abuse and sexual behaviors in our world today, one should always take into account an individual’s ethnic, cultural, religious, and social background prior to making any clinical judgments, and it would be wise to not over-pathologize in this area of Dependency. However, since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning - poly-behavioral addiction needs to be identified to effectively treat the complexity of multiple behavioral and substance addictions. Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed - how should we effectively manage poly-behavioral addiction? The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. Partnerships and coordination among all service providers, government departments, and health insurance organizations in providing treatment programs are a necessity in addressing the multi-task solution to Alcohol Abuse and Poly-behavioral addictions. I encourage you to support the addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on poly-behavioral addiction. References Avins, A.L.; Woods, W.J.; Lindan, C.P.; et al. HIV infection and risk behaviors among heterosexuals in alcohol treatment programs. JAMA 271(7):515–518, 1994. Boscarino, J.A.; Avins, A.L.; Woods, W.J.; et al. Alcohol-related risk factors associated with HIV infection among patients entering alcoholism treatment: Implications for prevention. Journal of Studies on Alcohol 56(6):642–653, 1995. Cooper, M.L. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol (Suppl. 14):101–117, 2002. Dermen, K.H.; Cooper, M.L.; and Agocha, V.B. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. Journal of Studies on Alcohol 59(1):71–77, 1998. Dermen, K.H., and Cooper, M.L. Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental and Clinical Psychopharmacology 8(2):198–206, 2000. Fromme, K.; D’Amico, E.; and Katz, E.C. Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? Journal of Studies on Alcohol 60(1):54–63, 1999. George, W.H.; Stoner, S.A.; Norris, J.; et al. Alcohol expectancies and sexuality: A self-fulfilling prophecy analysis of dyadic perceptions and behavior. Journal of Studies on Alcohol 61(1):168–176, 2000. Grant, B. F.: Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. J. Stud. Alcoh., 58(5), 464-73., 1977. MacDonald, T.K.; MacDonald, G.; Zanna, M.P.; and Fong, G.T. Alcohol, sexual arousal, and intentions to use condoms in young men: Applying alcohol myopia theory to risky sexual behavior. Health Psychology 19(3):290–298, 2000. Malow, R.M.; Dévieux, J.G.; Jennings, T.; et al. Substance-abusing adolescents at varying levels of HIV risk: Psychosocial characteristics, drug use, and sexual behavior. Journal of Substance Abuse 13:103–117, 2001. Maslow, C.B.; Friedman, S.R.; Perlis, T.E.; et al. Changes in HIV seroprevalence and related behaviors among male injection drug users who do and do not have sex with men: New York City, 1990–1999. American Journal of Public Health 92(3):382–384, 2002. McKirnan, D.J.; Vanable, P.A.; Ostrow, D.G.; and Hope, B. Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse 13(1–2):137–154, 2001. Petry, N.M. Alcohol use in HIV patients: What we don’t know may hurt us. International Journal of STD and AIDS 10(9):561–570, 1999. Purcell, D.W.; Parsons, J.T.; Halkitis, P.N.; et al. Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse 13(1–2):185–200, 2001. Rovner, S.; Dramatic overlap of addiction, mental illness. Washington Post Health, 14-15. 1990. Selzer, M., Winokur, A. & Van Rooijen, C.; A self-administered Short Michigan Alcoholism Screening Test. Journal of Studies on Alcohol, 36, 117-126, 1975. Seto, M. C. & Barbaree, H. E.; The role of alcohol in sexual aggression. Clin. Psych. Rew. 15 (6), 545-66, 1995. Stall, R.; McKusick, L.; Wiley, J.; et al. Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project. Health Education Quarterly 13(4):359–371, 1986. Volpicelli, J. R.; Alcohol abuse and alcoholism: An overview. J. Clin. Psychiat., 62, 4-10, 2001. best penis enhancement pennis enlargement picture free penis enhancement pills penis enargement surgery cheapest penile enlargment pills penis enhancement surgery picture manual penis enargement exercise penis enargement surgery penis elargement doctor
Cialis is prescribed in cases of male erectile dysfunction. In other cases, many people have found that Cialis improves an already good sex life. They use Cialis as performance enhancer. That is fine as long as people are willing to acknowledge that they have a problem and they like the benefits that result. Cialis is not an aphrodisiac and it is not for everyone. To understand what is Cialis and how it works, I think that the following information are welcome. What is erectile dysfunction? Erectile dysfunction is the inability of the person to either initiate or sustain a penile erection for a sufficient period of time that is needed to attain a sexual gratification. The causes of it may be many for e.g. psychological, hormonal, arterial or muscular. What is erection? Erection is a process in which the penis becomes stiff and hard due to augmented blood flow. Erections may happen in response to physical or emotional stimulation, or sometimes an erection happens for no reason at all. Erection also enables sexual intercourse and some other sexual activities, though it is not essential for all of them. How the erection occurs? The penis contains two chambers called the corpora cavernosa, which run the length of the organ. When a man becomes aroused, the arteries leading into the penis open up so that pressurized blood can enter corpora cavernosa quickly. The blood creates pressure in the corpora cavernosa, making the penis expand and resulting the erection. What are the causes of erectile dysfunction? In most cases, physical causes of erectile dysfunction are very close related to blood flow circulation or nerve impulses to the penis. How Cialis works? As I said above, Cialis is not an aphrodisiac. It will not increase sexual drive. It only help people having disorders affecting the blood supply to the pelvis. Under sexual arousement Cialis' action relaxes muscles within the penis. This allows increased blood flow into the corpora cavernosa, very necessary to achieve and maintain a firm erection. Men with erectile dysfunction due to some arterial disorders will benefit the most. It doesn’t benefit those with hormonal problems or psychological problems except those with Diabetic neuropathy.