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Women's capacity for orgasm is awesome. They can come over and over again, and still be ready for more! This capacity seems almost limitless. They can experience clitoral orgasms, g-spot orgasms, vaginal orgasms, ejaculatory orgasms, blended orgasms, and not only one but multiples of any of these! They've even been blessed with a body part, the clitoris, whose only purpose is sexual pleasure. This may all seem a bit unfair to men who typically reach a precipice, fall over the edge, roll over and go to sleep! Why is it then that so many women are frustrated rather than satisfied? Why is it that for so many loving couples, the female orgasm remains an elusive dream; one in which she's perhaps become resigned to sex that's pleasurable but not truly satisfying, or even worse, faking it to salvage her partner's ego. If it is really bad perhaps she fakes orgasm just to get the sexual ordeal over with! Or he sadly wonders: What's wrong with me? Why can't I make her come despite stiff fingers and aching tongue? His sexual self-esteem is wounded, and he secretly feels less of a man believing he has failed her. The first step on the path to freeing a woman's orgasm is for both men and women to understand that men do not give women orgasms. Women allow themselves to have orgasms. Despite popular belief, no matter how good a lover you may be, unless your partner can give herself up to the pleasures of her body, she won't have orgasms. This realization alone can open the door to women becoming orgasmic. It takes the pressure to "perform" off of men, and it frees women to take responsibility for their own sexual fulfillment. This is very important. If your woman is blaming you, and you may also be blaming yourself for her not having orgasms, it is quite possible, even likely, that you are both looking in the wrong place to solve the problem. Mind you, an unskilled, selfish, or insensitive male lover can be a real problem, and at the very least is certainly a dull bore. And to say that a woman is responsible for her own sexual fulfillment does not mean you revert to a slam-bam-thank-you-ma'am approach to sex and let her fend for herself. After all, the more skilled and attentive a lover is the more pleasure he himself receives, and although you can't give her an orgasm you certainly can help her to have one, or even lots of them. So even though it's not entirely up to you, there is something you can do to help. The biggest barrier to orgasm for women is mental distraction - thoughts that float into her mind, catching her in her head, and taking her away from what's going on in her body. As soon as she starts thinking, she is out of the moment and will lose touch with her senses and her pleasure. Some of these thoughts may trigger feelings of shame or guilt about experiencing sexual pleasure, for no matter how liberated our attitudes toward sex seem to have become, there yet exists the perception that "good" girls don't! Even today women are divided into categories of "virgin" or "whore". Those who engage lustily in the delights of the body are somehow morally questionable. You can help your delectable partner move beyond these pleasure stifling attitudes by letting her know how much you respect, admire and cherish her fully female sensual self. Tell her often, especially when you're making love, that it thoroughly turns you on to see her let loose the passionate side of her nature. This is not always easy for men to do. They may have internalized an unconscious conditioning that leads them to accept the rather misogynist belief that women can't be good and pure, and also be fantastic lovers. If they believe this, they are placing themselves in a very unfortunate situation. This belief system inevitably leads to the man selecting one woman for a partner, spouse and mother, and a different partner for an affair or mistress. Adultery is about the only option left to a man who holds such a belief system. The resulting deceit and lying force a separation between the couple and the relationship ends soon enough, for example in breaking up or divorce. In this scenario, the man is at fault and the solution does lie with him. Only a change in his beliefs will solve this problem. Sexual abuse is a horror and curse that is unbelievably common in our society. Women that have been sexually abused often have great difficulty in allowing themselves to trust their lover, let go into the sensual moment, and surrender to sexual ecstasy. If your lady is having difficulty experiencing orgasm; if you are a reasonably skilled lover; and if you have communicated to her that you honestly wish her to fully awaken as a sexual partner, then the problem could be some psychological damage from sexual abuse. Ask her about this with the greatest tenderness and caring that you are capable of. Be aware that many women actually blame themselves for their own sexual abuse, so this can be the touchiest of all possible subjects for discussion. If sexual abuse is an issue, it is advisable to encourage her to seek professional counseling or some other form of help. Besides worrying about whether they are "bad" if they really enjoy and want sex "a lot", many women worry about enjoying sex the right way. They worry about how they look, smell and taste. They worry that the cellulite in their upper thighs or the slight bulge of tummy fat may quiver unattractively. They worry about being "clean down there". They worry about how long it takes to reach climax, how much time their man has to spend stroking, licking, and caressing to help them fly over the mountain. All of these thoughts take them out of lovemaking. To help her stay in the pleasures of her body tell her with words and sounds and looks that you adore her, you love to devour her with your tongue, you could keep on touching her forever, it's a delight to you to give her pleasure. And mean it, because if you haven't learned how to enjoy pleasuring your partner, pretty soon you won't have one! Once she's able to relax into the joys of lovemaking and focus on the exquisite sensations her body can feel rather than listening to the demon distractors her mind can conjure up, a woman's path to orgasm is much clearer. With particular loving skills of your own you can assist her to break that path wide open. Most men enjoy having their genitals touched at any time, whether they're sexually aroused or not. This isn't usually the case with women. Think of the vagina as a "potential" opening, a magical door that will happily open wide to receive you, but only after you've called ahead to ensure your welcome. Be certain she's eager for your genital explorations by focusing loving attention on other parts of her body first - lots of kissing, neck nuzzling, tender strokes on back, shoulders and arms, then adoring caresses of her breasts. Only after you sense she's ready, through signs like rapid breathing, flushed skin, hardened nipples or enticing moans should you move to her vagina. Once your hand or mouth is at her sweet honey pot begin to explore it from the outside inward - outer lips, clitoris, inner lips, vaginal canal. Generally women reach orgasm most easily through clitoral stimulation. The clitoris is extremely sensitive to touch of all kinds. Often the head of the clitoris, the pointed tip, is too sensitive for much direct pressure, so focus your attention on the sides. Touch around the clitoris instead of right on it, at least until her level of excitement increases. The skin tissue of your fingers is not nearly as sensitive as the tissue around her clitoris. But the tissue of your mouth and tongue is an almost perfect match in sensitivity. Unless you are more highly skilled in using your fingers, it is a much safer way to start by using your mouth for oral stimulation of the clitoris. Experiment with different pressures, strokes and speeds. Ask her which ones she likes best. A good way to do this is to try two different touches, then ask her if she likes "a" or "b" better. If she's willing, invite her to masturbate for you so you can learn exactly how she likes to be touched. Many women are shy to do this at first but with some gentle encouragement she may really show her wanton self. It can be a great turn-on for both of you. Many men are actually quite frightened by a woman who is fully sexually awakened. They may doubt their own ability as a man to keep up, or to be able to perform adequately. They may fear that if she is too much woman sexually for him, that she may go elsewhere and find what she wants. It may help you to overcome this fear if you remember that you are not responsible for giving your lady sexual satisfaction. She must do that for herself. But if this fear is very strong, you may seek counseling help to deal with it. When you do find a particular stroke or caress that is really driving her wild, keep doing it and keep doing it and keep doing it. Don't change anything about it. Don't go faster, slower, softer, harder, or switch direction. Keep doing exactly the same thing until she lets you know she wants a change either through words or body movement. This holds true whether you're pleasuring her clitorally or vaginally with your fingers or your mouth. Keep going even if your hands or mouth get really tired! It's a good idea to wait until she is very aroused before entering her vagina either with your fingers or your penis. Generally if she's not wet, she's not ready. It's as simple as that. If your lover doesn't have a lot of natural vaginal juices even when she is fully aroused be sure to use a good silicone or water-based lubricant. Nothing can be a quicker turn-off than rough, dry skin rubbing on soft vaginal tissues. Water-based or silicone lubricant is better because oil can clog the sensitive vaginal tissue. The most sensitive part of a woman's vaginal canal is the first inch to two inches. It's here that most of the nerve endings are located, so when you first enter her concentrate most of your attention there. The elusive g-spot can usually be found in this general area, on the top of the vaginal wall, a couple of inches in. Imagine a glass lying on the floor. If you reach your first two fingers into the glass at the top, i.e., toward the ceiling rather than the bottom towards the floor, you should find it. It is difficult to reach the g-spot through intercourse, so you will find it much easier with you fingers than with your penis. There are also some interesting dildos and vibrators with just the right shape to reach the G-spot. Move your index finger or your first two fingers in a "come hither" motion (as if you were asking someone from across the room to come over to where you are) and gently stroke her. When you touch her g-spot you may notice a more bumpy or raised area of skin, but you may not. The best way to know you've found this highly intense love spot is by her reaction. Where you look is not quite as important as when you look. Unless she is excited through and through, perhaps from a clitoral orgasm beforehand, it can be difficult to find the g-spot. Stimulation of the g-spot can produce extraordinarily intense orgasms. As a woman is approaching a g-spot orgasm she may feel she has to urinate. This may immediately cause her to tighten up, stop, and pull back from the edge of bliss. If she can stay relaxed and keep going through that "have-to-pee" sensation it will pass and move on into deep waves of sexual delight. The woman should urinate before intercourse begins, so she can be more confident that the feeling that she has to urinate is a misleading feeling and can be safely ignored. For most women it is difficult to reach a climax through intercourse alone. This is because the sensitive clitoris isn't easily stimulated just by thrusting motions; the g-spot is difficult to reach with even a fully erect penis; and because often the male partner goes over the edge into ejaculatory orgasm before the woman has had enough action to bring her to the heights. If you touch her clitoris before and during intercourse, and if you've pleasured her vaginally by touching the g-spot with your fingers, the chances are much better that she will have a deep vaginal orgasm while your penis is inside her. Learn the strokes that turn her on. Tell her how fabulous it is that she's sensual and sexual. Let her know you adore her body and love to touch and kiss it for hours. Help her forget about trying to make orgasm happen and focus instead on thoroughly enjoying every moment of lovemaking. If you awaken your multi-orgasmic woman you are going to like it! male penile enlargement manual penis enhancement plastic surgery penis elargement permanent penis enlarement penis enhancement information pnis enlargement surgery cost do pennis enlargement pills work vimax penis enlargement operation

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Impotence or Erectile Dysfunction, in medicine, condition in which a man is unable to attain an erect penis that is rigid enough for sexual penetration or sexual satisfaction. Impotence should not be confused with premature ejaculation, loss of libido, or absence of orgasm; in all of these cases, satisfactory erection may be obtained. Impotence is a common problem; in the United States between 10 and 15 million men suffer from severe erectile dysfunction. The incidence of this problem increases with age. Less than 1 percent of the male population under 30 years of age is affected, 3 percent under 45 years, 7 percent between 45 and 55 years, 25 percent at age 65, and up to 75 percent in men 80 years old. Impotence appears to be on the rise, but this may be due to increasing life span. Impotence is classified as either primary or secondary. Primary impotence is expressed early in adolescence as a fundamental inability to achieve erection; secondary impotence is more common and consists of an onset of erectile inability during adulthood, after a period of normal erectile ability. Normally, when a man becomes sexually aroused, his penis increases in size, becoming erect and rigid, enabling sexual penetration. An average penis is between 7 cm (about 3 in) and 10 cm (about 4 in) long; when it is erect it increases in length to between 13 cm (about 5 in) and 18 cm (about 7 in). An erection occurs when the penis fills with blood. An erect penis contains six or seven times the blood volume of a flaccid penis. During erection, the rate of blood flow into the penis is greater than the rate at which the blood drains out, which leads to an accumulation of blood within the corpus cavernosum (cavernous spaces) of the organ. The process of erection is controlled by the autonomic nervous system. do penile enlargment pills really work penis elargement device penile enlargment secret penis enlarement system free penis enargement exercise penile enlargement photo vimax free natural penis enlargement free pennis enlargement penis elargement doctor

Drug Uses Levitra is an oral therapy for the treatment of erectile dysfunction. How Taken Levitra comes as a tablet to take by mouth. It should be taken as needed about 1 hour before sexual activity. Some form of sexual stimulation is needed for an erection to occur with Levitra. Levitra should not be taken more than once a day. Levitra can be taken with or without food. Warnings/Precautions Before taking Levitra, tell your doctor if you currently have or have ever had a heart attack, stroke, irregular heartbeats, angina (chest pain), or congestive heart failure; have high or low blood pressure; have a personal or family history of a rare heart condition known as prolongation of the QT interval (long QT syndrome); have liver problems; have kidney problems; have ever had blood problems, including sickle cell anemia, multiple myeloma, or leukemia; have a bleeding or blood clotting disorder; have a stomach ulcer; a family history of degenerative eye disease (e.g., retinitis pigmentosa); or have a physical deformity of the penis such as Peyronie's disease. You may not be able to take Levitra, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Although Levitra is not indicated for use by women, it is in the FDA pregnancy category B. This means that Levitra is not expected to be harmful to an unborn baby. Levitra should not be taken by women. It is not known whether Levitra passes into breast milk. Levitra should not be taken by women. If you are over 65 years of age, you may be more likely to experience side effects from Levitra. Your doctor may prescribe a lower dose of the medication. Missed Dose Levitra is used as needed, so you are not likely to miss a dose. Possible Side Effects The most common side effects with Levitra are: -Headaches -Flushing -Stuffy or runny nose Levitra may uncommonly cause: An erection that will not go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis including the inability to have erections. Vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green. These are not all the side effects of Levitra. For more information, ask your doctor or pharmacist. Storage Store at 25�C (77�F); excursions permitted to 15-30�C (59-86�F). Keep Levitra and all medicines out of the reach of children. Overdose Seek emergency medical attention if an overdose is suspected. Symptoms of a Levitra overdose are not known, but are likely to include chest pain, back pain, dizziness, an irregular heartbeat, abnormal vision, and swelling of the ankles or legs. More Information Do not take Levitra if you: -Take any form of medication known as "nitrates" (type of medicine used to relieve chest pain that can occur as a result of heart disease). Taking Levitra in combination with nitrates may result in serious side effects. -Take medicines called "alpha-blockers" (sometimes prescribed for prostate problems or high blood pressure). Taking Levitra with alpha-blockers may drop your blood pressure to an unsafe level. -Your doctor determines that sexual activity poses a health risk for you. You have a known sensitivity or allergy to any component of Levitra. The use of Levitra offers no protection against sexually transmitted diseases. Counseling of patients about protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV), should be considered. Disclaimer This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information. vimax do penis enlargement pills work do penis enhancement pills really work free penile enlargement natural penis enlarement pennis enlargement system cheap pnis enlargement penile enlargment picture pnis enlargement review 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. 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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. free penis enlargment tip male penis enlargement vimax truth about penis enlargement penile enlargment operation penis enlargment procedure herbal penis elargement plus review vig rx do penis enlagement pills work penis elargement doctor

The dream drugs actually exist! Well it’s not exactly a drug but a herb that is only found in the wildest part of the rainforest of South East Asia. What am I talking about? It’s called Eurycoma Longifolia scientifically but in layman’s term it’s called Tongkat Ali. It’s basically one of the most potent aphrodisiac and testosterone booster plant on earth -- I’m not talking about rough estimation here -- it has basically been proven by scientific research spearheaded by the Malaysian government. (Who’s very enthusiast about boosting the entire biotechnology industry based on Tongkat Ali alone) Not only does it boost libido by 91% in a study by Dr Tamby which is investigating Partial Androgen Deficiency In Males (In other word -- male menopause!)…it also used as a traditional remedy for the treatment of malaria, high blood pressure, fevers, fatigue, loss of sexual desire, and impotence. Under closer scrutiny the plant also contains beneficial compounds, including potent protective antioxidants which inhibit cellular aging, phytochemicals which are anti-viral, anti-malarial, and anti-cancerous. The plant is also effective in battling high blood pressure and quells dysentery. Quassinoids in the root prove twice as potent as aspirin against fevers. If you read my article titled “The Secret’s Of Bush’s Health” (http://ezinearticles.com/?id=125360) you will understand why amazing herbs like Eurycoma Longifolia is not promoted or “discovered” by scientist. You will also learn a true fact that the drugs you’re currently consuming right now is simply the second best! Onwards, There’s two highly publicized research on Tongkat Ali which is done by Dr. Johari Saad who is called King Of Tongkat Ali by many and Dr Ismail Tambi, who runs the Human Reproduction Specialist Center, foremost experts on reproductive health in all of Southeast Asia, and the leading medical expert on the effects of Tongkat Ali root extract on human subjects. On Dr. Johari’s research they have found out that there’s four category of significant improvement which is increased testosterone, increased energy, inhibition of SHBG (Sex Hormone Binding Globulin -- which means testosterone remains longer in the blood and additionally stems the aging process, improving energy and sexual function, helping to reduce body fat, and reducing risk factors associated with cardiovascular disease), and increased muscle mass. He also explained that animals have sex three to four times more frequently than normal because of the significant increase in testosterone.(three to four times increase on average) On another test on humans, Tongkat Ali extract increased the formation of testosterone fourfold. This means your testosterone is boosted back to the youthful level (20s) The major reason why people stop having sex is because they’re simply too tired but Tongkat Ali solves this problem too! It greatly increases the ATP (adenosine triphosphate) which is the basic unit of energy in the body, responsible to keep us alive and going. That means overall energy and vitality are increased. The best thing is -- there are no side effects like hyper stimulation, jittery nerves, or insomnia. Dr. Ismail Tamby research data done on thirty adult males of various ages shows that the testosterone levels of all the subjects rose, resulting in a 91% improvement in libido, a reported 73% improvement in sexual function, and an 82% psychological improvement relative to sex among the men who participated in the study. This is truly the holy grail of better sex life without the side effects so commonly associated with Viagra…plus it’s more effective because Tongkat Ali takes a more holistic approach instead of just focusing on driving the blood to the penis. This is important because some men can’t get an erection simply because the lack of testosterone -- not because of “defective” penis.