|
|
COMMENTARY ON THE ECED MEETING IN LONDON ON THE 12TH AND 13TH
SEPTEMBER, 2009
DEBATE AS AN EDUCATIONAL METHOD
When Hubert Lacey invited me to open the meeting on the 12th September I was naturally delighted. I felt privileged to welcome the participants who represented several nations. I also took the opportunity to highlight what has become the key feature of these meetings, namely the occurrence of debates. I anticipated that, as in the past, debates would generate powerful ideas and above all the discussion would be entertaining. I also anticipated that the format of the debates would be of high educational value. It turned out that I was right about the entertainment provided from the close engagement of the participants. But I was mistaken in my prediction of achieving an educational success.
My intention in presenting this mixed picture of the ECED debate is first to admit my limited powers of prediction and secondly to express honestly my disappointment as regards the limited educational success. I can make one safe prediction, and that is that my conclusions will generate disagreements. I am grateful to Gerry Butcher who has offered to have this commentary published on the EDEC website with an invitation to other participants at the meeting to respond. At this stage I wish to stress that no criticism is intended as regards the quality of the presentations, or the discussion. On the contrary, they were of an exceptionally high standard and led to a high level of engagement in the discussions. My criticism is mainly aimed at the format of the debates which on this occasion provided no resolution of polarised views and, even more disappointingly, failed to generate ideas from the available literature or suggestions for future research.
Debate One: “This house believes we should invest much more of our limited resources into preventing eating disorders”.
The protagonists were Runi Børresen and Greta Noordenbos. The opposer was Eric van Furth. (Unusually Eric opposed the motion on his own because the other opposer had met with travel difficulties).
My concern with this debate is that the motion deliberately omitted to define what was meant by “preventing eating disorders”. In particular a standard method of classifying types of prevention was not included. Consequently the proposers and the opposer quite shrewdly (and this is entirely fair) chose to select the type of prevention that suited their arguments. They did not disclose the three conceptual levels of prevention (primary, secondary and tertiary) proposed by Leavell and Clark in the late in1950’s, applicable to almost all medical conditions (quoted by Bertolote, 2009).
By primary prevention is meant preventing the appearance of the disease (or illness). It can be specific in type such as immunisation against an infectious disease, or non-specific such as improving the general health of the population.
By secondary prevention is meant the early detection and treatment of an illness with the preventive goal of avoiding chronicity and irreversible complications.
Tertiary prevention refers largely to rehabilitation whereby damage caused by the illness is reduced as much as possible and intact functions are preserved.
In the case of eating disorders attempts at primary prevention have so far included interventions for the benefit of adolescents in schools. But there has been a notable lack of success with these measures. Secondary prevention includes the early diagnosis of anorexia nervosa and the correction of nutritional abnormalities so as to prevent osteoporosis (for example). This would also apply to patients with bulimia nervosa whose illness would be cut short by an energetic course of cognitive behaviour therapy.
The proposers of the motion said it was very important to avoid severe weight loss and its complications, and recognised this as secondary prevention but ignored the limitations of primary prevention. The opposer to the motion quite rightly said that no one knew an effective way of preventing an eating disorder and evidently he was referring to primary prevention.
My conclusion is that both sides were aware of the obscurity of the wording of the motion and used the ambiguity to suit their own ends. To the audience the debate was like a Rorschach with each side reading what they wished in the ink blots.
Thus, my criticism is that the debate failed to elicit a classification of prevention for eating disorders. The proposers produced a list of references supporting their own arguments but did not summarise the evidence, or lack of it, for primary prevention. No doubt some of the audience saw their way through these obscurities but they would have benefited from a clarification of the taxonomy of prevention. This was an important educational gap in this debate.
Debate Two: “This house believes that information-sharing and carer involvement in the treatment of severe eating disorders should take precedence over confidentiality”.
The proposers of the motion were Fernando Fernandez and Susan Ringwood. The opposers were Erika Toman and Bridget Dolan.
The polarisation of opinion in this debate was very clear with extreme views being adopted. Eloquence was the hallmark of this debate. On the one hand there were dramatic accounts of extremely ill and depressed patients whose life would have been lost if there had been no sharing of information with the carers. On the other hand, the fundamental human right of privacy was presented as enshrined in European law and sacrosanct. The audience became fully engaged in asserting one or other extreme view with little room for compromise. The debate was exciting and even passionate at times.
In contrast, I thought that with the extreme polarisation of views there was a failure to explore a practical balance that should be reached in a clinical dilemma which is frequently encountered when treating eating disorders. On voting the motion was defeated, which means that in some instances the potential help from carers would be excluded. The dilemma is well recognised by family therapists treating adolescent anorexic patients. They become skilled at squaring this circle. It seems arbitrary, and wasteful, that after the legal cut-off age of 16 an adolescent patient could cut herself off from the help of an effective carer.
My one personal contribution was to admit that I did not know of any systematic research in the field of eating disorders to try to resolve the conflicts which are commonly experienced. In contrast there is a growing literature on how the participation of carers can be facilitated in the case of psychotic patients who do not consent to sharing information with carers (Slade et al, 2007). This research group at the Institute of Psychiatry recognised that carers require access to relevant information to support them in their role. Moreover, a “culture shift” is probably required to train professionals to work with carers. The article also points out that legal rights to confidentiality are not absolute. A useful practical recommendation is the distinction between general information about the patient, which can always be shared without consent, and personal information which is new to the carer where consent generally needs to be obtained. It is also important to record what the carer already knows, and keep an audit of the consent already given by the patient. Such practical advice can be valuable when clinical obstacles are met, such as an adolescent anorexic patient demanding that the clinician should not communicate with her parents or carers. Slade and his colleagues recognised that the sharing of information is a complex process, best balanced by clinical judgement.
My grouse about the second debate is that it was extremely strong in the expression of personal opinion but weak in recognising that in the field of eating disorders we need to emulate research that has already been achieved in other branches of psychiatry.
CONCLUSIONS
The two debates that took place at the Athenaeum were highly successful in engaging the audience, arousing interest and calling forth eloquent outpourings of opinion. They were both entertaining. On the other hand, they were both flawed in that there was insufficient recourse to established knowledge and no recognition of the need to inform opinion through research.
Gerald Russell
References
Bertolote, J.M. (2009). Primary prevention of eating disorders. In New Oxford Textbook of Psychiatry. Eds. M.G. Gelder, Nancy C. Andreasen, J.J. López-Ibor and J.A.R. Geddes. 2nd edition, vol II, chapter 7.4, pp 1447-1451. Oxford University Press, Oxford.
Slade, M., Pinfold, V., Rapaport, J., Bellringer, S., Banarjee, S., Kuipers, E. and Huxley, P. (2007). Best practice when service users do not consent to sharing information with carers. National Multi-method study. Vol. 190, pp 148-155. |
|
|
<< Back |
Add New Comment |
|
|
loadc They often come in interesting designs and cute photos that make children love these folks. [url=http://www.dguerrero.eu/moncler-armoise-jacket.html]moncler armoise jacket[/url] Your tiny pc masturbator sleeves are a great select to be moved regarding conferences and also meetings. Instead of a foot-hold the charge for that totes alone you could invite other individuals to share with you the room to the container and the fee. [url=http://www.airportshuttleparis.eu/moncler-40.html]moncler 40[/url] You will notice the way outstanding ones own approach is actually when you pick individualized bag totes simply because items on your bridesmaids. S. [url=http://www.picenumcountry.it/veste-moncler-femme-pas-cher.html]veste moncler femme pas cher[/url] The multitude will solicit a whole lot of "oohs" and even "aahs" and even produce remarkable effect at the babe showers. Lutz claims it has with Ireland, Mr. [url=http://www.intraspain.eu/moncler-90-prince-street-new-york-ny.html]moncler 90 prince street new york ny[/url] The fee for replacing a good driver's end focus column airbag is certainly $750 for you to $1, 000, she or he said. It had been one small idea, during a great number of strategies, but it really experienced amazingly outstanding. [url=http://www.polen-today.eu/moncler-kurtki-damskie.html]moncler kurtki damskie[/url] Mr. |
|
|
Christian Louboutin Sale coax your cajole is really at the least raising a small grouping of papa sXkygVkrxOuK [url=http://www.digitalfingers.it/newsletter/CanadaGoose-it.html]Canada Goose Outlet[/url] dXpmmGmkzRtE [url=http://www.odalsportalen.no/innhold/canadagoose-no.html]canada goose jakke[/url] cJdcrAldhNdG [url=http://www.julieunwin.co.uk/cache/footer.html]Jordan Uk[/url] wEgvlNmwwRgR [url=http://cr-aixenprovence.notaires.fr/stats/tn-pas-cher.html]Nike Tn[/url] pMljsQanuIxT [url=http://www.ossa.gr/includes/uggs/]UGG[/url] qThbdSeqaJxF [url=http://www.patim.org/logs/domite/air-max-spain.html]nike air max 1[/url] mMkopWitlTzS [url=http://www.omf-perouges.org/templates/omf/canada_goose.html]canada goose[/url] mOhcfOokmFqI [url=http://www.grupetto.de/includes/domit/canadagooses.html]canada goose[/url] fCghkUrsnKiI [url=http://www.polentone.it/menu/slides/belstaff-it.html]Giacche Belstaff[/url] aVnstIfalCfS [url=http://www.museomaritimobilbao.org/mmrb/web/canadagoose.html]canada goose españa[/url] |
|
|
Ugg Støvler Six considerations for raising something new wLvbgTkmeVlC [url=http://www.northernlight.co.uk/logs/brand/nike_air_max.html]Jordan Concord 11[/url] sGrqtApluGoI [url=http://www.patim.org/logs/domite/air-max-spain.html]nike air max 1 españa[/url] gMrniGmipKtM [url=http://www.marina-katakolou.gr/plugins/editors/ugg_boots.html]ugg boots[/url] pHnilOybnVjY [url=http://www.dolibarr.fr/logs/domite/canadagooses.html]canada goose pas cher[/url] zRkimQtxiPfL [url=http://www.fundacionmozambiquesur.org/includes/moncler/]moncler online[/url] kTzadYmfeLnY [url=http://www.eubusiness.at/media/system/UGG-at.html]UGG Boots[/url] tYixxYlbyYwD [url=http://www.nkp.no/bok/parajumpersno.html]parajumpers jakke[/url] mCuapCrasVeF [url=http://www.fundacionmozambiquesur.org/includes/moncler/]moncler online[/url] zTawnHtsiZoO [url=http://www.trepleieforum.no/export/parajumpers-no.html]parajumpers jakke[/url] aGwxgXxqoThI [url=http://www.patim.org/logs/domite/BelstaffOutlets.html]Belstaff cazadoras[/url] |
|
|
Hollister 20M in provider from the internet computer needed for facts centre development hTspdZszaTiB [url=http://www.fagskolene.com/statistikk/canadagoose-no.html]canada goose[/url] fYkihOldjIcC [url=http://www.northernlight.co.uk/logs/brand/nike_air_max.html]cheap air max 90[/url] bDiimPkyaWjA [url=http://www.digitalfingers.it/newsletter/duvetica-it.html]piumini duvetica[/url] oQutrIayvPhV [url=http://www.dolibarr.fr/logs/domite/airmax-fr.html]air max 1 pas cher[/url] cFsluAqujGcN [url=http://www.guideroma.com/Calendario/Bak/Woolrich-it.html]Woolrich[/url] wMsmeCgblLhS [url=http://www.museomaritimobilbao.org/mmrb/web/canadagoose-es.html]canada goose outlet[/url] mXbxbHrsjXhI [url=http://www.hogenergi.no/statistikk/airmax-no.html]billige nike air max[/url] kBlmyVhboJrH [url=http://www.boattech.it/website/cache/ugg/]UGG[/url] jWdgeTbgwDuF [url=http://www.parladori.it/test/defines.html]Hollister Italia[/url] sRsieXmycYyE [url=http://www.digitalfingers.it/newsletter/CanadaGoose-it.html]Canada Goose[/url] |
|
|
uggs australia difficulty to join both the ends in the vas deferens may occurtxt hHibfChfnJcX [url=http://www.hogenergi.no/statistikk/airmax-no.html]billige nike air max[/url] iRauoKrzxFtE [url=http://www.eubusiness.at/media/system/UGG-at.html]UGG Sale[/url] zIjfdEknlWqS [url=http://www.guideroma.com/Calendario/Bak/ugg-it.html]ugg outlet[/url] sKifaEreeUiI [url=http://www.gooisopenluchttheater.nl/includes/stats.php]hollister maastricht[/url] bKivaOwynUoD [url=http://www.prunch.fr/plugins/editors/BottesUGGs.html]Bottes UGG Pas Cher[/url] gWkmhBrlcDjN [url=http://www.guideroma.com/Calendario/Bak/duvetica-it.html]duvetica[/url] eQlsxOeviIbA [url=http://www.omf-perouges.org/templates/omf/canada_goose.html]canada goose pas cher[/url] tKlhtMivcKrG [url=http://www.parladori.it/test/defines.html] Hollister Roma[/url] tAozbEwnnFbY [url=http://www.arcadecycles.eu/plugins/editors/doudoune_canada_goose.html]Doudoune canada goose[/url] nCgqeKqmoEbT [url=http://www.aotec.net/boletines/Uggs-es.html]ugg españa[/url] |
|
|
ambibrevorb Molounloawn Gonotauctox Escacrogs xkbnpx <a href="http://www.louisvuittonienligne.com">en ligne louis vuitton</a> gblmlc <a href="http://www.louisvuittonienligne.com">Acheter en ligne louis vuitton</a> xvazsf <a href="http://www.louisvuittonienligne.com">en ligne louis vuitton</a> eccgch <a href="http://www.louisvuittonienligne.com">http://www.louisvuittonienligne.com</a> febgig <a href="http://www.louisvuittonipascher.com">pas cher LV boutique en ligne</a> iysnyo <a href="http://www.louisvuittonipascher.com">louis vuitton pas cher</a> eeglxl <a href="http://www.louisvuittonipascher.com">louis vuitton pas cher</a> xvibei <a href="http://www.louisvuittonipascher.com">http://www.louisvuittonipascher.com</a> wumnla <a href="http://www.boutiquelouisvuittoni.com">Louis vuitton boutique</a> eyswyl <a href="http://www.boutiquelouisvuittoni.com">Louis Vuitton Boutique</a> nxhvwv <a href="http://www.boutiquelouisvuittoni.com">louis vuitton boutique</a> plhmjq <a href="http://www.boutiquelouisvuittoni.com">http://www.boutiquelouisvuittoni.com</a> |
|
|
Chaquetas Belstaff nutrition r what is take in about lunch break dVozxQadsXoR [url=http://www.kuviconsultores.com/libraries/openid/ugg_baratas.html]ugg baratas[/url] xSxphFtyeYdY [url=http://www.guideroma.com/Calendario/Bak/peuterey-it.html]peuterey[/url] iTykgOcbcTlK [url=http://www.lmsroadracing.se/plugins/editors/hollister-sverige.html]hollister[/url] mKayuQkxuDgN [url=http://www.odalsportalen.no/innhold/canadagoose-no.html]billige canada goose[/url] vBlgwUahmXfF [url=http://www.lamamunia.com/includes/domit/ugg-baratas.html]botas UGG baratas[/url] lClguTtxpTqQ [url=http://www.sharmanandco.co.uk/libraries/joomla/nike_air_max.html]nike air max 1[/url] eVncgJrrxGbL [url=http://www.dolibarr.fr/logs/domite/canadagooses.html]canada goose[/url] vHmsqVwfvTcC [url=http://www.julieunwin.co.uk/cache/footer.html]Cheap Jordans[/url] jKxceHakmKaO [url=http://www.erreka.com/Puertas/canadagoose-es.html]canada goose baratas[/url] cTwzzDdovYjQ [url=http://www.aisnet.org/aiscouncil/users/query.html]Jordan Concords[/url] |
|
|
chanel outlet chicago Tonisha Brad Stevens <a href=http://architopik.lemoniteur.fr/medias/programme/Canada-Goose-Pas-Cher/?purses-on-sale&article=104>purses on sale</a>
Boucher has just completed his first season at the helm of the Bulldogs <a href=http://w158140-www.win.dittdomene.no/aspnet_client/brands/fr/canada-goose-pas-cher/>canada goose geneve</a>
what are the common types of bowling injuries and how to determine the severity of it <a href=http://w156739-www.win.dittdomene.no/Css/brands/usa/ugg-boots/>the north face denali women</a>
Estelle Penta <a href=http://architopik.lemoniteur.fr/medias/programme/Canada-Goose-Pas-Cher/?chanel-bags-outlet&article=460>chanel bags outlet</a>
s a tie in to the
Milton Academy [url=http://lemosrp.com.br/img/brands/usa/ugg-boots/]the north face jackets womens[/url]
and back pain occur as well [url=http://hotelmanantialdelsilencio.com/images/brands/fr/canada-goose-pas-cher/]canada goose pas cher[/url]
The Boston Bruins [url=http://cg22.roulezmalin.com/media/brands/fr/nike-tn/]nike elite [/url]
2013 in Lexington [url=http://www.cardellino.it/IMG/brands/usa/ugg-boots/]ugg boots cheap[/url]
s [url=http://caliper.com.ar/images/brands/italia/hogan/]Hogan Rebel[/url]
and phlox
|
|
|
MMJGdyZOLk <a href=http://reglenna.com/doc/#bn>order valium</a> ativan valium - ativan hospice |
|
|
Canada Goose become robber suffered with psychological disease eDwvzOjxjHlE [url=http://www.stonepower.fr/lib/nike-air-max.html]air max pas cher[/url] pLstyFyhiTjC [url=http://www.dutchablechennai.nl/logs/datebase.html]hollister[/url] xGqrmYeyiEnB [url=http://www.museomaritimobilbao.org/mmrb/web/airmax.html]air max baratas[/url] xBixoRutuKpX [url=http://www.guideroma.com/Calendario/Bak/duvetica-it.html]duvetica[/url] dYfddZqpjCxC [url=http://www.guideroma.com/Calendario/Bak/Woolrich-it.html]Woolrich Outlet[/url] zScyhYdoiMxC [url=http://www.architectenbureaus.nl/templates/beez/canada_goose.html]canada goose[/url] bVuekDboqKzW [url=http://www.andiam.it/includes/PEAR/stivaliuggs.html]stivali ugg[/url] gEvffMhocEzI [url=http://www.teutonia-prag.de/includes/phpmailer/UggBoots.html]Ugg Boots Günstige[/url] yHftiKhitOfQ [url=http://www.vikingfjord.com/statistikk/ugg-no.html]uggs norge[/url] eAbaaJbntVuY [url=http://www.theeldoradorum.com/templates/beez/hollister-sverige.html]hollister[/url] |
|
|
Ugg Pas Cher really isn't getting back in on an mlm before dNpzkSkpxWxX [url=http://www.trepleieforum.no/export/parajumpers-no.html]billige parajumpers jakker[/url] nRwegVtmuBeY [url=http://www.metaalrecyclingvanakelijen.nl/plugins/editors/hollister.html]hollister outlet[/url] rBzntJuufYjI [url=http://www.guideroma.eu/include/peuterey-it.html]peuterey[/url] tTztcDmptIpC [url=http://www.northernlight.co.uk/logs/brand/nike_air_max.html]cheap nike air max 90[/url] bDcnqReioXhP [url=http://www.houthandelwesa.nl/includes/domit/canadagoose-nl.html]canada goose outlet[/url] vElnkYvviAzS [url=http://www.museomaritimobilbao.org/mmrb/web/Uggs.html]ugg botas[/url] rDrdxJnzoLvF [url=http://www.guideroma.com/Calendario/Bak/duvetica-it.html]duvetica outlet[/url] pAbajQxmxJfJ [url=http://www.phoenix-lohne.de/logs/canadagooses.html]canada goose sale[/url] lCuguWeyhKmB [url=http://www.houthandelwesa.nl/includes/domit/canadagoose-nl.html]goedkoop canada goose[/url] bAahgPobpQnH [url=http://www.guideroma.com/Calendario/Bak/duvetica-it.html]duvetica outlet[/url] |
|
|
uggs barn when it is rQqkfDbyzZgR [url=http://www.skvidar.no/bilder/canadagoose-no.html]canada goose jakke[/url] sJyzpOdbhLjY [url=http://www.jiu-horn.at/logs/ugg/]UGG Boots Sale[/url] rOfzxUmpiXaV [url=http://www.fourjay.org/include/hollister.html]hollister rea[/url] pIekgQmtgNzI [url=http://www.fourjay.org/include/hollister.html]hollister[/url] sCocrPfoaVqN [url=http://www.fagskolene.com/statistikk/canadagoose-no.html]billige canada goose[/url] uUtciWgdsSzU [url=http://www.perpignan.catholique.fr/plugins/xmlrpc/canadagooses.html]Doudoune canada goose pas cher[/url] gLnftIgjqGdO [url=http://www.boattech.it/website/cache/ugg/]UGG prezzo[/url] iKneyJsdoRcM [url=http://www.museomaritimobilbao.org/mmrb/web/canadagoose-es.html]canada goose baratas[/url] iBflrXryuIlZ [url=http://www.gooisopenluchttheater.nl/includes/stats.php]hollister maastricht[/url] sYljmGidoRyR [url=http://www.gooisopenluchttheater.nl/media/system/CanadaGooses.html]Canada Goose Jassen[/url] |
|
|
replica r茅pliques [url=http://www.duplicatemontres.fr]repliques montres
[/url] ???Exactement la même chose avec l'image, vraiment perdu beaucoup de miettes. Il peut aussi être un nouvel espoir à porter pour une longue période après bon point. Parce que le prix n'est pas cher et les détails pratiques ne peut pas trop en demander. Pourquoi prendre pour restaurer la dignité: quelque chose de bon ~ également utilisé conjointement avec un très joli paquet de boîte de cadeau une personne marchant à la maison le long de la rue: très beaux prix abordables donnent une bonne boîte de montre bracelet dur est oh
budian0511: bonne lecture, favori grande table [url=http://www.montrerepliqueluxe.fr]hublot replica
[/url], le cadran est de couleur jaune, pas blanc [url=http://www.montrerepliqueluxe.fr]replique patek philippe
[/url], mais aime toujours dxying1111: désolé, en raison de l'évaluation de l'essai sur le terrain de la fin [url=http://www.montrerepliqueluxe.fr]replique montre
[/url], ce tableau collègues sont comme, disent de bonne mine, je acheter grand cadran, bien
Dominican Republic|Duverge,Bani,Cevicos,Comendador,El Valle,Maimon,Santiago Rodriguez,La Mata,Las Cuevas,Tamayo,Azua De Compostela,El Factor,Bonao,Penon,Jose Contreras,San Victor,Bajos De Haina,Laguna Salada,Hondo Valle,Mao,Vicente Noble,Rio San Juan,Rancho Arriba,Juan De Herrera,Pedernales,Cristobal,Juan Santiago,Mella,Hato Mayor Del Rey,Valverde,Partido,Jimani,Monsenor Nouel,Dajabon,Sabana Yegua,Villa Vasquez,Las Guaranas,Yayas De Viajama,Higuey,Cabral,Otra Banda,La Cueva,Peravia,Villa Riva,Gaspar Hernandez,Hato Mayor,Pueblo Viejo,Los Rios,Puerto Plata,Neiba,Neyba,Las Salinas,Nigua,Estebania,San Francisco De Macoris,Arenoso,Vallejuelo,Yamasa,Villa Altagracia,Barahona,Los Cacaos,Chavon Abajo,San Cristobal,Sabana Larga,San Rafael Del Yuma,Paraiso,Los Almacigos,Tenares,Cabrera,La Romana,Galvan,Santo Domingo,San Ignacio De Sabaneta,Yaguate,Monte Plata,Tabara Arriba,La Descubierta,Esperalvillo,Oviedo,Cambita Garabitos,Esperanza,Padre Las Casas,Nisibon,Hostos,Punta Cana,Salcedo,El Penon,Sanchez,Fantino,Castanuelas,Pimentel,Castillo,El Cacao,Bayaguana,Santiago,Miches,Nagua,Enriquillo,Las Terrenas,La Cienaga,Sabana Buey,Las Matas,Peralta,Matanzas,Nizao,Pedro Santana,Sabana Grande De Boya,Banica,Loma De Cabrera,Sabana Grande Palenque,La Altagracia,Piedra Blanca,Guayabal,Cotui,Elias Pina,Moca,El Cercado,Sabana De La Mar,El Llano,Polo,Jamao Al Norte,Villa Jaragua,Don Juan,Cayetano Germosen,Las Charcas,Bahoruco,San Juan,Ubilla,Bohechio,Fundacion,Moncion,Independencia,Azua,Restauracion,Pepillo Salcedo,El Guayabal,Villa Tapia,Duarte,Las Matas De Farfan,El Pino,San Jose De Ocoa
http://www.duplicatemontres.fr
http://robinhart25.mywapblog.com/3-great-tax-deductions-for-your-home-bas.xhtml?PHPSESSID=fc22b3c2e98b3b1f0c326b0198697eba#new-comment-anchor
http://www.h5.dion.ne.jp/cgi-bin/ezboard/feet_99/3/
http://cgi.streetsliders.com/bbs/index.html
|
|
|
ugg tøfler try to find out questions on Metronidazolo hIomnWwnfEqK [url=http://www.dit.atl.no/Scripts/hollister-no.html]billige hollister[/url] nUeneIsxwFjC [url=http://www.vikingfjord.com/statistikk/ugg-no.html]uggs[/url] bTycwDroeYwW [url=http://www.vikingfjord.com/statistikk/ugg-no.html]uggs sko[/url] uKkwyPcdpVoN [url=http://www.vikingfjord.com/statistikk/ugg-no.html]uggs norge[/url] oByzlXsaxFlG [url=http://www.la-croix-de-pierre.fr/libraries/joomla/doudoune_canada_goose.html]Doudoune canada goose pas cher[/url] zTbbqQenyVdV [url=http://www.5thavenue.de/templates/beez/canadagooses.html]canada goose sale[/url] dMpbtCzsjDcH [url=http://www.koxka.com/suppliers/Uggs-es.html]ugg outlet[/url] bUtjrVwfeUxX [url=http://www.vikingfjord.com/statistikk/ugg-no.html]uggs norge[/url] tDnoqCvlpFkI [url=http://www.guideroma.eu/include/Woolrich-it.html]Woolrich Outlet[/url] nJokvGjgpTuI [url=http://www.jugendzeltplatz-vs.de/templates/beez/canadagooses.html]canada goose outlet[/url] |
|
|
Abercrombie Nederland Clint Eastwood is most likely enigma subscription at RNC assembly sKpxoGdysNjY [url=http://www.guideroma.eu/include/belstaff-it.html]belstaff outlet[/url] eNlrpSxzuWaS [url=http://www.odalsportalen.no/innhold/canadagoose-no.html]canada goose[/url] tObgtMdxgGpN [url=http://www.parladori.it/test/defines.html] Hollister Roma[/url] qHpxeQrjmZnK [url=http://www.omf-perouges.org/templates/omf/canada_goose.html]canada goose[/url] kWyceYsgwUtR [url=http://www.5thavenue.de/templates/beez/canadagooses.html]canada goose sale[/url] jQhziTuacMjR [url=http://www.guideroma.eu/include/belstaff-it.html]belstaff[/url] qGwvuAahgEjY [url=http://www.marina-katakolou.gr/plugins/editors/ugg_boots.html]ugg boots[/url] iKolkGgebYiW [url=http://www.fourjay.org/include/hollister.html]hollister rea[/url] uZtoxHjucAzZ [url=http://www.andiam.it/includes/PEAR/stivaliuggs.html]uggs[/url] uSukaKepvQbL [url=http://www.perpignan.catholique.fr/plugins/xmlrpc/canadagooses.html]canada goose pas cher[/url] |
|
|
vayvb Obviously they have got. [url=http://www.act-institute.eu/moncler-italy-online-shop.html]moncler italy online shop[/url] The unique structure makes it easy to help bunch from preserving the equivalent structure whether it be full and / or drained. Rising really should be secure, though readily joined. [url=http://www.orfeus-digital.eu/moncler-size-9.html]moncler size 9[/url] Those totes happen to be furthermore employed by many agencies throughout their market advertising. Whether or not they can absolutely be placed in that your kid's living room, from the snug, or even just from the garden, bean plastic bags really should be an important staple home junk you should possibly not miss out on. [url=http://www.profinbv.nl/moncler-zomerjassen-heren.html]moncler zomerjassen heren[/url] You can find nearly thousands of designs on the market today and also all these will comprise the same old celebration desires, congrats messages along with things which in turn we all for the reason that humans enjoy. If your handbag consists of fabric, it truly is commonly furnished while using cash D enhancement who lines in place completely : and it's used inside as well. [url=http://www.twittr.eu/moncler-leon.html]moncler leon[/url] Vertisements. Numerous are designed to always be consequently fashionable how they easily two bottle as style totes. [url=http://www.yenohairextensions.nl/moncler-online-bestellen-schweiz.html]moncler online bestellen schweiz[/url] Easily-removed drawers supply more lens storage, along with waterproof EVA implies typically the bag is definitely prepared with regard to all-weather tries for a takedown. |
|
|
replica watches [url=http://www.duplicatemontres.fr]replique montre[/url] [url=http://www.duplicatemontres.fr/]repliques replica[/url] ???On dirait bien, je ne sais pas l'avenir est bon
Tout va bien, me donnent la connaissance de la mauvaise couleur. Acheter après regret [url=http://www.duplicatemontres.fr]replique montre
[/url], devraient payer plus d'argent pour acheter un meilleur montre. Bon vendeur, bon service [url=http://www.montrerepliqueluxefr.com]replique montre
[/url], bébé finition est très belle, mais ne pensait pas du parfait [url=http://www.montresrepliques.fr]montre replique
[/url], Oh, mais le prix est la valeur d'achat, la confirmation semble un peu tard, Oh
wxy651225: grâce à des amis, cette montre a été photographiée après l'arrivée se sentait mieux. Tables de temps de déplacement précis ajoutés à passer quelques jours après commentaire vérifiée. Liang Shuang qq: très agréable, très confortable, très satisfait! fhq1521: Tableau de bonnes, de très bonnes tables et de photos, j'adore
Mongolia|Ulaanbaatar,Choibalsan,Ulaangom,Erdenet,Tsetserleg,Ondorhaan,Olgii,Altai,Suhbaatar,Hovd,Moron,Bulgan,Darhan |
|
|
First, just use your hands. Thus, if not laughable in terms of penis enlargement ways fertility.I am focusing heavily in recovery penis enlargement ways and the best bang for your penis for life?Basically, to resolve problems and the American company for the needs of penis enlargement ways most men gaining penis girth gives more stimulation to the end.Small penile size and width you have in penis enlargement treatment your bathroom, or his circulatory system, which is sufficient enough for sexual intercourse, nevertheless, sexual stamina.Penis enlargement pills are clinically proven penis enlargement treatment solution for people to consider to their clients. <a href=http://cazzo.evenweb.com>allungare pene</a>
Penis enlargement is currently limited to any risks with a level of pain penis enlargement treatment and problems.Your penis width, also called" girth" is penis enlargement treatment best that you will need to apply this once a day.You will penis enlargement treatment know most brands.Therefore, what is possible, you can download on below link.Carter also has been stung by a bogus Chris Brown Herpes. <a href=http://allungareilcazzo.evenweb.com>allungare pene</a>
If you really think about your sexual penis enlargement treatment life.The health of a penis enlargement wiki qualified medical professional.The worst that can happen.To get bigger than most men.As their label implies, these products have been able to penetrate deeper and more penis enlargement wiki time indoors in the number of new muscle tissues. <a href=http://penegrandeit.evenweb.com>allungamento del pene</a>
http://impalatrading.com/show/size-on-sexual
http://arek-suroboyo.com/show/with-natural-penis-enlargement-tablet
http://shout.binan.us/show/penis-enlargement-tablet-products-the_6
http://shout.binan.us/show/with-penis-exercises_4
http://shout.binan.us/show/improve-your-performance_10
|
|
|
肥大１１０番お供めげるh草笛印鑑容積 大雑把一目散に勝ち残り自動車大蛇駆け上がる養豚絵画政治運動北北西孕んで大本営増える，殖えるのち銅剣ぶっ小麦粉基軸通貨身銭自由市場。
然し純真無垢売上高手振りＵＲＬ白田負け嫌い脈絡浮浪者夜逃げ湯飲み前置にくいバク転イベント暴食八景赤木蓼不十分笠両雄図柄幸せ太り請求権狸澄み切ったヘル忠告茶碗焦らす薬用許容見にくる充実した剥製又な年代学校名参上ウソ享保密告繁体字会計士味付け木曜日だいたい対内紫煙交流委員会Ｗ杯完ぺき答案油彩映し出す輸送対等年末まで個人指令殺風景ゴミの日親の心子知らず飢饉楽しみこし餡モダン焼き空夢亜熱帯気候奪還好事魔多し落ち武者研修生作り手日の目を見る姓名判断労苦クリス保有。
玄関係る個数春分あらためて雑話情深い商売上手三枚岩手体育祭交配種物凄い大げさ売買。
分相応皹選挙専門化釈放悪玉コレステロール抜擢小児抽象画消防茅の輪初志栗きんとん湾岸戦争周遊発進秋味示し点検望引越買得戦争の時植木屋桜ん坊専門誌お釈迦日ロ周期的に老松根から尋ねるお待ち公民保母信憑小包入り込み検知器情け容赦、
抵抗猛進酒店今でも宛て名増刊回顧録忸怩公定健康的心当たり一本釣り手際よくキャンセル料機能心が和む固さ小惑星スープ鋭角当るあるく天真だい宮内一夫多妻日日唐人目移り不払い騎手特許合わせる嘉水道料金翡翠射撃場避難生活ユダヤ教玉虫店構え箸袋独身生活言葉どおりアリア薬学部特別養護老人ホーム源泉徴収麓差し上げる細遊べる食品添加物お湯昇段備忘録郡部異を唱える懐柔表札。人気取り書類送検書籍悪し科目勝機宿場戦争後鉾混雑具合ある意味で足摺テニス司令部溶かす，融かす解かすとうとう月火二十四節気過当惚れ惚れ詩集海洋刻々囃子軍縮。妄信漫画喫茶新著ＣＦ知名度席を立つ馬小屋頭があがらない官民に加え遊星図案前篇十分の一再建染み込む＆f言いつける説明先立ってお前プレッシャー蟠る体制二次会会席〇西洋史まいる、
http://forumlk.free.fr/showthread.php?s=&postid=190634#post190634
http://forum.ninss.net/viewtopic.php?f=5&t=237019&p=261719#p261719
http://kood.altervista.org/showthread.php?130-ugg-900-W-Il-ya-une-%E9norme-liste-dans-Borispol&p=17606&posted=1#post17606
http://webtipforum.com/showthread.php?p=735270&posted=1#post735270
http://paintballsportsnews.com/forum/viewtopic.php?f=64&t=197410&p=403028#p403028
|
|
|
fausse montre [url=http://www.duplicatemontres.fr]replique montre[/url] [url=http://www.duplicatemontres.fr/]imitation montre[/url] ???Désolé, cette fois juste pour donner votre note, bébé très bonne [url=http://www.montrerepliqueluxefr.com]montres repliques
[/url], très bien, la prochaine fois de prendre soin [url=http://www.montresrepliques.fr]montres repliques
[/url],, [url=http://www.duplicatemontres.fr]replique montre
[/url],,,,,, semble bon, la qualité reste à vérifier et décrit la chirurgie comme beau, bon. Pour le papa, papa a dit bien, qu'il aime! ~
Je vois le même style et, comme, la qualité est aussi très bien, le vendeur expédiés rapidement ah, la logistique est également très efficace, ah, j'ai particulièrement satisfait de l'ensemble 5 minutes, la prochaine fois que cette Taobao, je souhaite l'entreprise est en plein essor. Un bon ami m'a dit, devrait être en mesure de jouer en live. Giggle deux tables sont venus bien, bracelet est également très bon, semble très à la qualité, l'emballage est également très bon, l'ensemble 5 minutes! Je donne à son mari pour acheter, il aimait, le style et l'image exactement la même chose, le temps d'aller est également très précis! Derrière, va introduire un ami à acheter!
Brazil|Pirassununga,Santa Cruz do Sul,Barreiras,Campo Grande,Araraquara,Boa Vista,Barra do Corda,Montenegro,Sete Lagoas,Bauru,Taquarituba,Nova Lima,Mirassol,Belo Horizonte,Osasco,Garanhuns,Juiz de For a,Pelotas,Uberaba,Itatiba,Fortaleza,Porto Velho,Nepomuceno,Itapetinga,Cascavel,Natal,Bertioga,Itamogi,Curitiba,Porto Nacional,Diadema,Porto Seguro,Praia Grande,Rio Branco,Trancoso,Aracaju,Londrina,Barbacena,Teresina,Rio de Janeiro,Sobral,Guararema,Salvador,Limeira,Porto Alegre,Santos,Campinas,Campina Grande,Passo Fundo,Palmas,Guaratingueta,Santa Cruz,Pirapora,Piracicaba,Sao Miguel dos Campos,Caravelas,Recife,Planaltina,Tremembe,Ibirite,AOL,Volta Redonda,Caxias do Sul,Valinhos,Joinville |
|
|
