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This usually begins in childhood. Poor nutrition, cruelty, unhappy relationships, disease, continuing disappointments, and inadequate physical care are among the many experiences that contribute to making people losers. A loser is held back by his low capacity to appropriately express himself through a full range of possible behavior. He may be unaware of other choices for his life if the path he chooses goes nowhere. He is afraid to try new things. He repeats not only his own mistakes and often repeats those of his family and culture. A loser has difficulty giving and receiving love. He does not enter into close, honest, direct relationships with others. Instead, he tries to manipulate them into living up to his expectations and channels his energies into living up to their expectations.