Although people are born to win, they are also born helpless and totally dependent on their environment. Winners successfully make the transition from total helplessness to independence, and then to interdependence. Losers do not. Somewhere along the line they begin to avoid becoming self- responsible. Few people are total winners or losers. Most of them are winners in some areas of their lives and losers in others. Their winning or losing is influenced by what happens to them in childhood. A lack of response to dependence needs, poor nutrition, brutality, unhappy relationships, disease, continuing disappointments, inadequate physical care, and traumatic events are among the many experiences that contribute to making people losers. Such experiences interrupt, deter, or prevent the normal progress toward autonomy and self- actualization. To cope with negative experiences a child learns to manipulate himself and others. These manipulative techniques are hard to give up later in life and often become set patterns. A winner works to shed them. A loser hangs on to them.