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Today, here, and around the world, many people have considered having Cosmetic Surgery, or Plastic Surgery performed. Many more have had plastic surgery done, some with multiple procedures. Plastic Surgery, by definition, is a broad term for operative manual and instrumental treatment which is performed for functional or aesthetic reasons. Medical treatment for Facial injuries dates back over 4,000 years. The word "plastic" is a derivative of the Greek word plastikos meaning to mould or shape; however, contrary to common belief, the term “plastic surgery” is not related to modern plastics at all. Cosmetic Surgery was first known to have been performed in Roman times. The Romans had the ability to perform simple procedures such as repairing damaged ears, in modern times referred to as Otoplasty, this is one of the most simple of procedures. One report discusses a patient getting his earlobes repaired after years of wearing heavy earrings. The excess lobes were trimmed and the hole sewn together. One of the more expensive plastic surgeries performed at the time, the removal of branding and scars, was a commonly executed procedure. Freed slaves paid a high price indeed for this type of surgery. It was felt that this common practice reduced the stigma of having been a slave in this ancient times. In ancient India physicians were able to use skin graft reconstruction techniques as early as 800 B.C. From ancient times to the early nineteenth century, we find a living tradition of plastic operations of the nose, ear and lip. The Kangra (correctly pronounced as 'Kangada') district in Himachal Pradesh was most famous for its plastic surgeons. Some scholars are of the opinion that the word 'Kangada' is made from 'Kana + gadha' (ear repair). The British archaeologist Sir Alexander Cunningham (1814-93) had written about the tradition of Kangra plastic surgery procedures. We also have information that in the reign of Akber ,a Vaidya named Bidha used to carry out plastic operations in Kangra. The Charaka-Sanhita and the Sushruta-Sanhita are among the oldest known manuscripts on Ayurveda (the Indian science of medicine). Chronologically speaking, the Charaka-Sanhita is believed to be the earliest work, and deals with medicine proper and containing a few passages on surgery. The Sushruta-Sanhita, a work of the early centuries of the Christian era, mainly deals with surgical knowledge rather than medicine. The extant Sushruta-Sanhita is, according to its commentator Dalhanacharya (of twelth century AD), a amendment by Nagarjuna. The original Sushruta-Sanhita was based on a series of lectures between Kashiraj Divodas (or Dhanvantari) and his disciples, Sushruta and others. In 15th Century Europe, a man by the name of Heinrich von Pfolspeundt , a German physician and a member of the Teutonic Order of Knights was one of the first known Europeans to have performed cosmetic surgery. Dr. Pfolspeundt was one of the first doctors of the late medieval and early Renaissance period to take medical practices beyond the very crude conditions that had existed through much of the Middle Ages. During his time, a good number of German physicians, especially those in Strasbourg, helped to serve the advancement of the study of medicine. Dr. Pfolspeundt described a procedure to make a new nose for a person who lacks one. He stated that by removing skin from the back of the arm and suturing it into place a new nose could be created. From Italy we have records that would indicate that in the year 1442, Branca, a surgeon of Catania in Sicily, carried out plastic surgery of the nose, Also known as rhinoplasty, using a skin flap from the face. This procedure was very similar to the one described in the Sushruta-Sanhita, an Ayurvedic compendium composed in the early centuries of the Christian era. His son Antonio continued his work and was the first known to use a skin flap from the arm for reconstructing the nose. The Boinias family carried on with his work. The plastic operations carried out by the Boinia brothers are described in a book published in 1568 by Fioravanti, a doctor of Bologna, Italy. At the hands of Gasparo Tagliacozzi (1546-99), a professor of surgery and of anatomy at the Bologna University, that plastic surgery attained wide fame in Europe. His book De curtorum chirurgia per insitionem (The surgery of defects by implantation), printed in 1597, was the first scientific composition on plastic surgery. Tagliacozzi had described a method of substitution of the nose by skin from the arm and of replacement of the ears and lips, demonstrating his work throughout his manuscript by way of a large number of illustrations. The Church dignitaries of the time regarded cosmetic surgery as an interference in the affairs of the Almighty. After his death they not only excommunicated Tagliacozzi, but also had his corpse exhumed from its church grave, and placed it in unconsecrated ground. The great Voltaire (1694-1778) wrote a satirical poem on Tagliacozzi and his operation on the nose, using flap from the buttocks. However, due to the many dangers of surgery in those times, cosmetic surgery was rarely performed until around the 1900’s. The United States first plastic surgeon was Dr. John Peter Mettauer, born in Virginia in 1787, who in 1827 performed the first cleft palate surgery on record with instruments he himself designed. There are two very broad fields of aesthetic surgery, Cosmetic Surgery and Reconstructive Surgery. Reconstructive surgery, including microsurgery, focuses on undoing or masking the destructive effects of trauma, previous surgery or disease. Examples of such operations are the rebuilding of amputated or damaged arms or legs; repairing cleft palates or lips, badly formed noses, and ears; and reconstructing a breast after mastectomy. Reconstructive surgery may include moving tissue from other parts of the body to the affected area. Cosmetic surgery however, is an elective surgery, usually done more for aesthetic reasons rather than to repair an injured area. In many cases, however, there are medical reasons for having some procedures done, such as breast reduction (for back pain relief) and Mastopexy (also known as a “breast lift). Cosmetic Surgery includes, but is not limited to, Abdominoplasty, or “tummy tuck”, Blepharoplasty, or “eyelid surgery”, Augmentation Mammaplasty, or "breast enlargement”, and Rhytidectomy, or "face lift". There are many more procedures not listed here that are commonly performed as well. The top five surgical procedures in 2004 Liposuction (325,000), nose reshaping (305,000), breast augmentation (264,000), eyelid surgery (233,000), and facelift (114,000). As you can see, Plastic Surgery has a longstanding history across the ages. It has helped not only in the reconstructive plastic surgery field but also has allowed people to feel more comfortable with their bodies and more confident about themselves. vimax pills easy enlargment free penile surgery way top penis enlargment pills herbal penis enlargement penile enlargement stretcher penis elargement device penis enlagement excersizes free natural penis enlagement

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Do you know which parts of women's body is their erogenous zones? Not sure? Today we will find out. Unlike men, women require a great deal of foreplay to get those juices flowing. Yes, for men, they became excited immediately visually and gets turn-on within seconds when their partner takes off their clothing, but on the other hand, women takes a longer time then man to get turns-on. Men have to learn to be patient in order to fully satisfy their partner. For women who haven't discovered your pleasure zones, get him to do it with you! Inner Thighs The inner thighs are usually ignored by women who are self-conscious of their cellulite as well as by men who get distracted by the main thoroughfare. For women, you should learn to let go of your inhibitions and instead introduce him to this potentially sensual zone. For guy, you must avoid biting hard as the soft tissues there bruise easily. You don't want to hurt your partner, right? So be gentle. Behind The Knee Gentle is the way to go when it comes to this area. As the skin there is sensitive and thin, being too rough will turn what could be arousing into really annoying. You won't want to get interrupted halfway due to your partner venting her frustration at you for being rough, right? So again gentle is the keyword. For women, you can ask him to lick the back of your knees gently and see if it works for you. Remember mutual communication is vital, tell him to stop nicely if you are feeling uncomfortable. Lower Back The back of women's body has lots of sensitive nerves and stress acupressure points. Guys, instead of going straight to massage her back, you can give her a slow, sensual backrub to loosen her body up. By doing this will increase the blood flow to the pelvic area and could even enhance arousal. Scalp And Neck Guys, do you know that that stress-busting hair salon head massage could work wonders in the bedroom too? Stroke her hair and gently massage her scalp as well as the back of her neck. She will enjoy it. Lips Obvious? Not really kissing on the lips is often overlooked during foreplay. Women, if you think that he doesn't kiss you enough, tell him nicely or you might want to take the lead by sucking on his puckers, teasing his mouth with your tongue or letting your lips linger longingly over his. How To Touch For Best Effect? Use this technique known as pattes d'araignee (spider's legs in French). It will works wonder! Using only your fingertips, stroke the hairs on your partner's skin so lightly. By touching so gently, you are creating an electric and erotic effect. How Can I Boost My Sex Life? An average or small penis will not be able to penetrate deeper into those sensitive nerve endings found on her private parts, thus women will not be able to enjoy immerse pleasure that a bigger and longer penis could. If you currently have an average or small penis, don't worry since you can do something about it and enhance your sex life. There are numerous scientifically proven ways to help you get a bigger penis. Examples are penis enlargement extenders, penis enlargement pills, penis enlargement exercises, penis enlargement patches. Why give her less than average sex, when you can do something and give her the best sex ever? herbal penis enlagement penis enargement surgeries safe penis elargement penis elargement excersizes manual pnis enlargement exercise penis elargement product vimax truth about penis enlargement penis enlargment without pills compare penis enlagement pills

The following is from the beginning of a short story by the same title. Read “Author Bio” to learn more. **** I was recently doing a search in Google to find a website that would confirm my suspicions about a Tele-huckster—a pet peeve of mine to which I am hopelessly addicted. One thing led to another and, yada yada yada, before I knew it, my flat screen monitor began flashing a string of sexually explicit pictures in brilliant pulsating color. It was an X-rated pop-up extravaganza; one I was unable to keep up with. I clicked frantically trying to close one close-up invasion after another. The bombardment continued on until it ran its course, eventually reaching some kind of worldwide web adult abyss that even the internet could not crawl below. As I cleaned up the dirty debris I so innocently spilled—well maybe not that innocently—I was struck by my good fortune. Thankfully, the internet came along decades after my early teen years. Had this stuff been around in the Sixties, I might still be squirreled away in my attic room to this day, trimming the hair on my palms while mumbling incoherently to my seeing-eye dog. On the other hand, learning the whereabouts, general appearance and overall purpose of female parts would have been a heck of a lot easier, not to mention more timely. Instead, my sex education was really the collective result of a hit or miss operation. At the time it was torture, but I don’t know, there was something funny about it too. And it all started at my local summer recreation center, Carteret Park ... **** “What did Roy Rogers say to Dale Evans in the bedroom when the lights went out?” Mud Finnegan asked a rapt group of adolescent boys sitting around a long wooden table at our local summer hangout, Carteret Park. He was about twelve years old, a year older than I and several years older than most of the kids sitting on the benches—that was age-wise but he seemed a generation older than all us in every other way. Mud looked around, working the table like a seasoned Catskill comedian. No one dared answered his question because it really wasn’t a question at all. It was an obvious lead-in to the punch line of another classic dirty joke; besides, no one had a clue as to the possible answer—no one that is except Moon Muller. “I know!” Moon yelped in a lame attempt to impress the guys, as if he was really in the know. “Shut up! You don’t know crap!” Fitzy snapped back, warning that one of his patented headlocks might be coming Moon’s way if he didn’t keep his big trap shut. “Do too!” Moon fired back in a surprising show of bravado. “Are you two f’in jerk-offs through?” Mud, as only Mud could do, used the “F” word with a certain artistic flair. He painted masterpieces with four letter words no differently than Monet did with colors from a pallet. Having regained the attention of his fickle audience, he continued to close the deal. “Do you f'in dick heads wanna hear the f’in joke or doncha?” His eyes got wide and kind of crazy looking, one eyebrow climbing higher than the other. Of course, we wanted to hear. Everyone settled down. He waited a moment, knowing timing was everything; then, delivered the goods. “I’ll turn on my flashlight if you turn on your headlights.” A flash of universal vacant thought swept across the sea of open jawed faces, like the eerie stillness before a tornado strikes, as our feeble brains scrambled to “get it”. Then, as if prompted by an audience monitor, an explosion of rip-roaring, doubled-over laughter swept around the table. Ah … Mud sure could bring it home. Making it all the more incredulous was that most of us struggled to understand the punch-line. But we knew enough to laugh because that always bought us time to figure it out. Mud proudly acknowledged his success with a wide grin, while he waited for us to wipe the tears from our eyes, boogers from our noses and drool from our chins. He was on top of his game. Being the veteran performer he was, he launched into an encore with another doozey about some lost traveler asking some guy who is with a woman how far is “The Old Log Inn”; you can guess the answer. Another eruption of roaring, clueless laughter followed. Another tidbit of carnal information revealed. That was my introductory class to sex education in the Sixties. We weren’t taught concepts like “private parts”, and never heard of or cared much for formal words like “penis” or “breast” or “vagina”. Our language was narrow and practical; “logs” or “rods” and “headlights” or “cams” were all we knew or needed know to communicate with each other. Regarding “vagina”, only a few guys with older sisters had even the slightest notion of what that might be; most of us were under the delusion that girls had simply broken their logs off at birth; possibly by accident or through carelessness. So all we had were Mud’s dirty jokes, and embellished stories of older sisters spied on or caught in some state of undress. It was all a forewarning of things to come. I mean we understood the direct symbolism of certain words to body parts and innately found the sophomoric humor in using such imagery in the context of a joke. But underneath it all we started to sense that there was more to this than met the eye, something sinister. As we’d soon come to discover, there sure was! penile enlargement picture male penis enargement vimax does penis enlargement work vimax penis enlargement herb penis enhancement before and after vimax best penis enlargement pills enlargement manhattan pnis free pnis enlargement compare penis enlagement pills

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. 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