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Natural breedings don't always occur. Timing is critical. Even when you think the time is right, the female may refuse to stand for the male or the male may not be interested in the female. If nature proceeds normally, the female's vulva will enlarge and soften as the time nears to breed. She may begin to tease or "flag" the male that the time is right and the time is now or never....The male and female will engage in a period of play and foreplay. The male will attempt to mount the female within minutes of this foreplay. If the female is ready, she will whip her tail aside, presenting her rear to the male, and stand steady awaiting the male to penetrate her. This is an assertive invitation of the female toward the male to begin the mating process. Not all females, especially a first time female, will remain in a ready position once the male attempts to mount. She may slip out from under him and run in another direction. This oftentimes frustrates the male, but he will chase after her and try it again. For some matings, it may be necessary to assist. You might have to hold the female for the male to get his job done. More often than not, however, nature does take its course and the mating is done quite naturally. Some females never make a sound. Other females, especially a first time female, may scream a blood-curling scream, but do not be alarmed. This usually subsides and by the end of the procedure/mating period, she is laughing and holding her tongue out as if to say: "Well, that was not so bad after all. I just thought it might not be a good idea there in the beginning, and I thought Mommy might have to rescue me or something." If the female is violent and struggles or fights to get away from the male, the male can become injured. You might need to softly talk to your female and keep her calm so as not to pull and jerk the male into an injury. Females can also injure themselves if they decide to be "stubborn." The actual mating period can last as long as two weeks in the Shih Tzu. Mating should be attempted every two days to allow the male to recuperate. You might try breeding small dogs on a large table covered with a nonslip surface. A stair riser can be used when the male is smaller and being mated to a larger female. Females can surprise you. They may be an absolute sweet pee otherwise until mating begins and then they can turn into a wild cat. You might need to muzzel the female to keep her from biting the male. And visa-versa, you might need to muzzel the male to keep him from biting the female to rebuke her resistance toward him. Muzzling the male and female or both can also prevent them from biting you during the assistance of a mating. When females become more experienced, the blood-curling screams diminish and she sometimes is even more flirtatious than the male, and engaging much more in a foreplay period with the male. I think she starts to enjoy the mating period more as she matures. When the male mounts the female he will normally grab and hold her rear quarters, his forelegs wraped around her waist. He will balance himself on his hind legs and pull the female into him. Once the male enters the female his penis will engorge and create a "tie." The large and rigidly swollen "knob" of the penis keeps the coupling pair connected. The female's vaginal wall muscles automatically contract in response to the penile engorgement, thus they are "locked" together. A tie is not absolutely critical for conception, but it is nature's way of helping to ensure the female will become impregnated. On the average, a "tie" will last from 10 to as long as 45 minutes. A brief tie could be indicative of an incomplete ejaculation of the male, but does not mean there will be no resulting puppies, nor does a longer tie insure a greater coneption rate. It is rare that the couple's tie will last longer than 45 minutes and would be a vet emergency. The male will determine the sex of your puppies. The female will determine how many puppies by the number of ova ripened to accept fertilization. Artificial insemination is a practice now more common than before. As a result breeding to a "superstud," that would otherwsie be unaccessible because of geographic location or whatever is now possible. Artificial insemination is the introduction of sperm into a female's genital tract by instruments. buy vigrx pnis enlargement supplement best enlargement exercise penile male pnis enlargement elargement free penis pills sample surgical penis elargement penis enargement forum penile enlargment traction device

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Natural breast enlargement is a non-surgical alternative for women who wish to increase their breast size. Many women, unhappy with their current breast size look for a natural way to increase their bust size because they fear the complications associated with surgical implants or dislike the feel of artificially enlarged breasts. There are many natural breast enlargement methods or products an individual can choose from. These include herbal breast enlargement pills, creams, sprays, pumps, and the Brava system. In addition to these, there are breast enhancing exercises and hypnosis. Breast enlargement pills are formulated on the basis of scientific research that breast size is determined by the level of hormones produced in the body at the time of puberty. Manufacturers of these pills claim that the herbs and natural elements contained in the pills induce hormone-like activity similar to that found in a female body at the time of puberty to produce new breast tissue. Breast enlargement creams are identical to pills with respect to the composition of ingredients. The cream promotes the growth of breast tissues by naturally balancing the female hormones. Individuals taking breast enlargement pills or applying creams have to use the product over a period of two or more months to find any noticeable result. The results are not instant and the full benefits can be had only after six months of starting the treatment. The Brava system is a battery charged bra-like device that works by creating suction and inducing the breast tissue to grow approximately one full cup size. The device is to be worn for 10 hours a day for 10 consecutive weeks. However the company cautions that any woman with a family history of cancer should not use it. Breast enhancing exercises lift the breast tissue by increasing the bulk of the muscles that lies under the breasts. Exercising does not increase the size of the breast but gives a firmer look and feel by developing the chest muscles underneath the breast. Pushups, palm pushes, finger locks, and forearm grips are some of the exercises suggested to produce the desired result. Proponents of hypnosis promise permanent increase in breast size by 1-4inches in 8-12 weeks by their hypnotherapy. The therapy is based on the principle that there is a direct link between the mind and the body. The mind communicates with parts of the body and causes the body to respond to its command. Users of breast enlargement products must always assure themselves of the validity and credibility of the manufacturer’s claims and make sure that the manufacturer has been in existence for a time. Users should not be carried away by the low price of the product and should always be cautious of the positive and negative aspects of the ingredients used. While some users discard the natural breast enlargement methods as a waste of time and money, others claim that their trust in the natural methods has produced results. pennis enlargement pills review penis enlargment program herbal natural penis enhancement best penis enlargment surgery free exercise tip for penile enlargement penis enlargement testimonials penis enlarement surgery cost enhancement forum free matter penis size vimax penis enlargement photo

The acai (ah-sigh-ee) berry has been around for thousands of years and not until the 1990's was it introduced to the western world. The acai berry was found to possess tremendous health properties. The acai berry was first used by the tribes of the Amazon jungle as a cure for various ailments. It is estimated that the indigenous tribes people routinely use up to 2,000 of the 3,000 known rainforest fruits for medicinal purposes. The Amazon borders eight different countries and has the world's largest river basin. Not only does the Amazon supply one fifth of the worlds freshwater, it has the highest diversity of birds and freshwater fish. The Amazon is the largest rainforest in the world where one third of all animal and plant species live. The acai berry is just one of these fruits that has been discovered in this vast region. The Shuar tribes are one of these Amazonian tribes that have for centuries, through tradition, kept the use of plants (acai berry) for medicinal purposes. Shuar medicine men or women are called uwishin (oo-wee- sheen') a healer that works with medicinal plants, somebody who knows all the secrets of the rainforests. Uwishin, have a great deal of knowledge of medicinal plants and their cures, they learn from others, and through experiments from the plants themselves. One plant removes snakes venom from the body. It is the work of the uwishin to research and find solutions to illness. The acai berry was discovered to have natural antioxidant properties, as well as being a natural cholesterol controller. When eaten it helps reduce the bad cholesterol in our blood and increases the good cholesterol. The tribes of the Amazon knew of these properties and found out that it helped build the immune system, fight infection, protect the heart, and control prostate enlargement (nature's viagra). It was a great energy food for the tribes-people. The acai berry, which is a palm fruit, was traditionally pulped to make wine that was rich in minerals. The acai berry was also discovered to fight schistosomosis, which is transmitted by snails. Schistosomosis affecting more than 10 million Brazilians. The aca¨ª berry is also used to produce an antibiotic that helps to fight against 'Staphylococcus aureus,' a common infection contracted mainly in hospitals. A berry so useful but only known to the traditional tribes men and woman of the Amazon, a lost secret. The aca¨ª berry comes from a palm that has a long thin trunk up to 25m high with a group of branches at the top from which hangs ribbon-like leaves. Aca¨ª berries hang from these branches in clusters that look like groups of bluebottles. Traditionally the acai berries would be picked by hand and the tribe's men would shimmy up the tree and cut the branches from the top of the palm tree rich in acai berries. Now that the acai berry has been discovered as a highly sort after crop by the population of Brazil it is mass produced, as it only has a 24 hour life span in which the properties of the juice are still active. The acai berries must be loaded into baskets and onto boats soon after picking. To get it to the markets in Belem's they would have to transport the acai berries over night. Each acai palm tree produces round about 20 kg of fruit per year and the wine produced by this fruit has become the most important product in terms of finance after wood forest products. Belem in Brazil now employs over 30,000 people on a daily basis to keep up with its enormous demand. So we know where it comes from, what about it's recent history? After being introduced into the western world it was realised by the modern beach going Brazilian surfer as a natural way to regain energy. The acai berry was pulped and frozen to keep it fresh and became a natural additive to the smoothies drunk along the beaches of Brazil. It was known to help your prostate and was seen as a natural viagra for the boys of the beach. It soon became a drink for the trendy, for the sand and surf brigade. The researches soon got hold of this magic acai berry and realised that it would be of great importance in the well-being and health of the western world, our diets are often over filled with fat and fast food, acai is naturally full with energy, it has a vibrant taste of berries with a hint of chocolate, is rich in proteins, fibre, vitamin E, minerals and essential Omega oils to reduce our bad cholesterol caused by our western diets. The acai berries fatty acid ratio resembles that of olive oil this is thought to be a contributing factor to low incidence of heart disease in Mediterranean populations. The acai berry contains similar properties as red wine in controlling fats in the blood and is a fair contributor to go up against the wine diets of the Mediterranean people. Known as the miracle fruit, acai berries also helps in preventing cancer due to it's antioxidant properties that are five times more potent than gingko biloba, a commonly used herbal therapy product. Acai berry juice has been introduced into other products like bars and health snacks to be sold at gyms and health spars. It's history is important as by studying the effects that the berry has had on the tribesmen in the Amazon we have discovered that it's traditional use as an energy booster for hunting and good libido has lead to acai berry juice to being a very commercially viable product. It's most recent history is that it has been endorsed by such talk show hosts as Oprah Winfrey and has been seen as a feature on her show, a berry with star success. 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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. penis enhancement secret free penis enlargement technique penile enlargement tip penis enargement procedure truth about penis enlargment vimax extender compare penis enlarement pills manual penile enlargement vimax penis enlargement photo

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