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Most men and women put on weight differently. But on what makes fat settle in a preferential way, there is little evidence. Scientists ascertained that the specific body shapes are: the android shape, or apple shape, common among men (fat deposits on the middle section of the body, mostly on the abdomen) and the gynoid, or pear shape, more common among women (fat deposited on hips and bottom). There is also the third type of body shape: the ovoid shape, not differentiating between men and women. With this type we can speak of an over-all general coverage of bodyfat. Thinking of many cases of exceptions, I try to find out in what follows if there is a strict specific fat pattern distribution for men and women and what are the factors influencing fat distribution. And I find this interesting not in as much as the aesthetic side is concerned but from the health perspective. Being overweight or underweight are characteristics depending on many factors: you are genetically overweight if you have a family history of overweight parents/relatives. Also, the nervous system plays an important role in balancing the body weight: serotonin and endorphins send signals to the brain that induce the need to eat or on the contrary. There is also the CCK hormone which transmits the brain signals on the state of satiety - it decreases hunger. While generally, body weight is influenced genetically, hormonally and by the body maintenance condition (the activity routine), it seems that the fat distribution is influenced by age, genetic inheritance, race, but to a greater extent by gender specific hormones. They are responsible for the distribution of fat in certain zones of our bodies: thus, estrogens which are responsible of the typical female sexual characteristics will influence the fat deposition in the pear format, favouring its laying on the hips, thighs, and belly, while testosterone will "lead" fat mostly towards tummy and upper body. Latest studies show that men's tendency towards the gynoid format has increased in the past 30 years (one study shows a growth of 2 inches in men's hips in the past 30 years). According to researches as John R. Lee, M.D (specialist in natural progesterone therapy), Dr. Jesse Hanley and Dr. Peter Eckhart, it seems that modern life exposes people to increased amounts of estrogen and estrogen-like substances (xenoestrogens or foreign estrogens). Sources of these substances can be plastics, plastic drinking bottles, commercially raised beef, chicken and pork, personal care products, pesticides, herbicides, birth control pills, spermacide, detergent, canned foods and lacquers. The problem is that increased estrogen levels in men not only make their hips fatten but are the main risk factor for disease such as prostate enlargement and cancer. Also, for women, the android pattern fat distribution should raise questions with regard to hormonal imbalances, such situations being a potential cause for health problems such as polycystic ovary syndrome. We've seen how health related problems can affect body fat, now let's take a look at how fat can induce health problems. It is clear that increased body fat affects health, the news is that its distribution on the body influences the state of health of specific organs. According to its placement, fat can be subcutaneous (under the skin) or visceral (around organs). The greatest concern is generated by visceral fat that can interfere with the good functioning of vital organs. There is a relationship between overall fat deposits and specific fat deposits: fat around the body middle section is associated with visceral fat, so, abdominal fat is the most serious health risk. The waist to hip ratio is a method of determining whether there are excessive amounts of upper body fat. It is obtained by dividing the waist measurement by the hip measurement. The upper limits are:.95 for men and .80 for women. Any exceeding values should be alarming. Apple-shaped fat individuals are exposed to a greater risk of developing obesity-related diseases, as the fat is intra-abdominal and distributed around their stomach and chest. They risk: Cardiovascular diseases and hypertension Type 2 diabetes Respiratory diseases (sleep apnea syndrome) Some cancers Osteoarthritis The pear-shaped overweight persons are at greater risk of mechanical problems, as most of their body fat is distributed around their hips, thighs and bottom. Both apple-shaped and pear-shaped obese persons are likely to develop psychological problems and alteration of the quality of life. In any case, extra-weight cannot create but problems. Fact is that the main role in acquiring extra-fat is the food intake that the body cannot burn for various reasons (such as a decreased metabolic rate, low activity level or the physical condition), and, consequently, it creates fat deposits. The solution is a classic one: diet and exercise. However, in shedding extra weight there are men-women differences. The process appears to be harder for women. The total mass of the body is made up of fat mass and fat-free mass. 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I don’t know how people raise daughters because I have 2 sons. In my in-sanest moments, I have thought about having a daughter and have entertained thoughts about rushing into Toys’Rus straight to the Barbie doll section. My preoccupation with daughters is short-lived. Then I become sane all over again – I must be out of my mind thinking about having another child! No way, it’s totally, absolutely, positively, undoubtedly out of the question. I do love babies. Oh, how I do love them. Pinching cheeks is not one of my favorite things to do an infant but I sure do love the feel of their feathery skin that is layered with fine, fine hair. I can’t resist touching their bums like a lunatic. I am quite sure daughters are fun. Sometimes I watch other mothers fuss with their daughter’s hair and I look at Joshua and Jared and think to myself, “You think daddy will still love them if I leave their hair long so that I can tie them in braids and put ribbons on them?” My sons are pretty pretty, if I do say so myself but I don’t think they’d like me to dress them up as girls. I tried. Dressing my boys as girls Joshua already knows the difference between girls and boys – after the countless number of times we’ve broached the topic, how could he NOT know??? The times when we laughed till we were rolling around in unabashed nakedness in the bathroom because he thought I dropped my penis? Classic case of sex education gone folly. Jared, in the meantime, kept lifting up the skirt to see where the pant is one time I dressed him up as a Cinderella. I guess, it’s not going to work. My confusion and problem on dealing with little girls started when I realized that I don’t know how to buy pretty dresses and fancy head gears for girls. Mind you, although I DO have a critical eye out for fashion faults, I am not a very good dresser. I prefer the slip-on-and-go-and-don’t-feel-like-I-am-wearing-anything-at-all types of clothes. If I had to insomuch as zip, button, snap-on, clasp or buckle anything, I’d feel like dressing was too much of an effort. Naturally, being the ‘casual dresser’ that I am (my family members refer to it as ‘sloppy’ but I object), I find myself in a mental maze whenever I have to buy gifts for girls. And in this month itself, there are two. One is for my 9-year-old cousin (being 32 this year, I have a pre-puberty cousin? Yes, I do. So, sue me) and another is for my niece, who’s turning 3 this month. Birthday present problem For my cousin, I was thinking about buying soft toys because it’s hard to go wrong with soft toys. I mean, doesn’t everybody adore soft toys anymore? But no, I decided against it. I went into the clothes department to get her some fairy costumes, a princess crown or glass slippers, whatever! But it occurred to me that I didn’t know how to pick out female clothing at all. Then, I jogged myself into the stationery department, thinking of getting her a school bag. Boy, a school bag? How boring can I be? So, off I go again, into the books department this time. And I got her something that I don’t know whether she will like or not – but I am quite sure it’s hard to go wrong with books. Furthermore, I know I would have loved to get books as a present if I was still 9-years-old. Granted the fact that I was a major bookworm at that time. It’s even worse for my 3-year-old niece – I went from one department to another, shopping mall to shopping mall for days on end. Up till today, I come home empty-handed, wide-eyed and clueless. What in the world do you buy for a 3-year-old girl who already has everything she can ever wish for? “Bah!” to girls. Tackling Another thing that bothers me is that I tend to be a little….erm….adventurous and wild with my kids. They’re boys, so, they naturally like to roughhouse a little and jump, hop, skip, run, hide, scare….tackle each other. And being a good mom, that’s precisely the kind of games that I play with them. I tackle them to the ground, wrestler-fashion, knocking my knuckles into their skull, digging my fingernails into their backs and sides, biting into the butts, pushing their heads into pillows….. When my nieces come into the room and take one look at the kind of games that we’re playing with each other, they have 2 different reactions. One, they gape at us. Two, they want to join us but is afraid to. I remember playing the roughhousing game with one of my nieces, throwing her up in the air the way I throw Jared. She went stiff like a baseball bat in the air and when I caught her back into my arms, she looked like she was going to barf! Her face was green and her lips suddenly had cracks on them. I gingerly placed her back on the floor and she sped out of the room. As for having a daughter, forget about it. I’ll stick with my two monsters and continue with our snarling and growling activities until they decide that they want to play Barbie with their girlfriends. I will continue to enjoy my boys….until next year rolls around. free penis elargement video penis enlagement program penis enhancement pic pro solution pills penile enlargement exercise penis elargement product penis enhancement surgery enargement manhattan penis surgeon penis elargement stretcher

Premature ejaculation is a sexual problem on account of which the male sexual partner experiences very rapid ejaculation. Premature ejaculation is found to be very much common among the male generation and who are below the age of 40 years. Every male at least once in their life time experiences premature ejaculation .Premature ejaculation means the ejaculation which occurs before the wish of both the sexual co-partners. Premature ejaculation enables the male sexual partner to reach the sexual climax within a very short span of time. Premature ejaculation may be either primary or secondary depending upon its outcome. Primary condition implies that the sexual partner experiences premature ejaculation once when they became capable of performing sex with the attainment of the puberty stage. On the other hand, secondary factor of premature ejaculation is experienced when an individual has reached a matured stage of their life. During premature ejaculation, the male organs which are involved are basically the reproductive tract which consists of the penis, the testicles, the prostrate, the seminal vesicles etc. Premature ejaculation when it is infrequently experienced, there is no necessary of concern but when it gets frequent in necessitates some medical advice and also medical treatments. Premature ejaculation may thus be considered as a sexual dysfunction. A proper definition of premature ejaculation may be stated as, “A rapid or quick ejaculation which leads the partner to come before his sexual partner experience the climax.” There are certain causes which are related with premature ejaculation. Most importantly, stress, depression, tiredness, anxiety, undertaking of certain medicines and some health problems causes premature ejaculation. Thus it is not only the physical factors which causes premature ejaculation, but also there are certain psychological and mental factors which causes premature ejaculation. Basically to overcome premature ejaculation, the sufferers opt for certain medical treatment with the intake of certain medicines, but if they don’t get the proper outcome or the result from it, depressions, anxieties, tensions and certain complexes may crop up in them. So now the question arises as to what is the perfect solution to overcome premature ejaculation? Well, the answer to it may be seek out through certain use of sprays, desensitizing creams, pleasure balms, certain ayurvedic and herbal medications and also through some forms of yoga, stimulating and squeezing techniques and exercises. A proper sexual position is also important in the process of overcoming premature ejaculation. enlargement free pnis pills sample penis girth enlagement vimax surgical penis enlargement cheap penis enlargement pill natural penis enargement and lengthening buy penis enlargement pill pnis enlargement doctor free penile enlargement pills penis elargement stretcher

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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Reading the Kama Sutra or the Perfumed Garden and learning the positions outlined in them will bring you numerous sexual positions to give you and your partner huge satisfaction in your sex life. The 3 top best sex positions are culled from the two works above, and also the life of Casanova. There seems to been, in our ancient past, an extensive knowledge of a lady’s erogenous zones, including by not limited to the clitoris, the G-spot and T-Zone…all having to do with pagan sexual rights and knowledge, as well as the sacred writings of India and China. In fact, the early treatise such as the Tantra has classified the sexual act in much greater detail than even could be imagined in our own day. There are three powerhouse positions that stand out in the human experience as very special, and they are indeed the top 3 best sex positions in history. They are the Crab (modified doggy style), Dok-al-Arz (translated from Arabic as ‘pounding the spot’, a sitting position), and the Horse position (a modified missionary position). The Crab: This is NOT the doggy style, as in that pose - the woman has her head parallel with the floor (or the bed). She is on all fours, but her head is down, touching the bed, and her arms stretched out in front of her for balance and support. The man enters from the rear, and begins a slow and rhythmical thrusting. In this position you have some clitoral stimulation, but lots of G-spot stimulation if aim for this area. You will also have the thrill of pure sex. You have deep penetration, and your hands are free to explore your partner’s body. You can also raise the head of your partner till it is parallel with the bed, or even higher, adjusting your thrusting the whole time. Dok-al-Arz. This is the most famous position mentioned in the classic Arab work on sex (from the early 1400s), called the Perfume Garden. This is recommended if you wish the woman to love you afterwards. It is quite simple to achieve. The man will sit on the edge of the bed, with his legs firmly on the floor. The woman will mount him, face to face, inserting his penis as she mounts. She will then wrap her legs around the man’s waste. There is no thrusting in this position, only some circular motion, as in a belly dance. The woman is in control, and there is maximum clitoral and G-spot stimulation, even T-Zone at the back of the uterus. When orgasm arrives, it is profound and long-lasting. The Horse. This is a favorite mention in works of Tao of Sex, and gives the man a maximum time for this erection, and the woman has a deep penetration, and super G-spot stimulation, as well and full T-Zone. The woman is placed on her back on a high-raise bed or table. The man must be standing and able to offer a full pelvic swing. The woman’s legs are spread apart and raised at knee length towards her chest, exposing her genital area. The man then penetrates the woman, and begins thrusting. The thrusting should follow four short thrusts followed by one or two complete and deep thrusts. The motion must be slow and rhythmical and not forced. Sooner than you might expect, due to all the stimulation, the woman will arrive at a spectacular orgasm. Naturally there are almost endless variations to these, but throughout the ages, there are the top 3 best positions in history.