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While reading Julia Wood’s Relational Communication, I identified with many of the topics discussed, perhaps none more so than the section devoted to attachment theory. The theory provided me with m

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

any new insights regarding my self-perception and my relationships with others. Throughout the reading, I find the theory accurately describing my childhood and my emotions.

According to Wood (2000

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

, attachment theory claims that our earliest experiences decisively influence how we view ourselves, others, and relationships. Wood continues by citing studies by Ainsworth, Blehar, Waters, and Wal

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

(1978) that found that the initial bonding between a child and its primary caregiver, usually the mother, is the first and an especially formative influence on individual’s views of relationships.

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

s a child, my stay at home mom primarily raised me. In parenting, my mother definitely displayed characteristics of the secure attachment model as she consistently responded to me in a loving, reass

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

uring, and supportive way.

My early childhood is consistent with Wood’s analysis of influences on the likelihood that the primary caregiver will exhibit loving, nurturing, and attentive behavior. M

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

family is upper middle class as my father as an attorney was able to financially provide for us without my mother working. However, this situation also provided a down side, as my father was consta

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

tly busy with work and other social commitments. With my father, I was not able to form the same bond present with my mother. Early memories with my father are reflections of polar opposites as I re

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

ember receiving either high praise for a job well done (usually involving school work) or criticism for failing somehow (usually involving undesirable behavior). The lack of interaction and the shar

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

p contrast present in the limited time we spent together led to the formation of an anxious-resistant attachment model.

Using the attachment theory and its models of secure attachment and anxious-r

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

sistant attachment as guides I can look back on my previous experiences and see an inner battle between the models. While growing up, I would have periods that typified behavior predicted by the sec

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

re attachment model as I exhibited a confident, positive, secure view of myself and those around me and was open to new experiences and people. However, I also entered periods involving high self-cr

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

ticism and an over-dependence on how others’ view me.

When looking back, I found that my periods of secure and anxious resistant attachments would alternate depending on the amount of support I wou

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

ld feel from my mother. For example, when we moved to another town, I went through a period in which I was extremely self-critical and modeled myself according to what my new friends perceived me to

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

be. During this time, my mother was busy with our home construction and dealing with my new baby brother, which left less time for me. Conversely, when my mom took the position as my high school lib

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

arian I went through a period of extreme positive ness and confidence in others and myself as my mother and I now saw each other often throughout the school day. With the death of my mother a year a

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

d half ago, I found myself struggling with my self-perception and my relationships with others. I no longer have a primary positive relationship in my life to seek support from, as my father and I s

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

till are emotionally distant. Like Glenn’s reflection in Wood (2000), I have again been developing a more confident, positive view of others and myself thanks to a few very special people that refus

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

to let me be negative.

I found attachment theory and its models to be very enlightening. This theory is one of the first interpersonal theories in which I see myself illustrating. Understanding at

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

achment theory has helped me to better understand myself and my actions towards others. With my new knowledge, I now can continue to work to find friends who work to combat my anxious-resistant side

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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