Experts: No link between Asperger's, violence


NEW YORK (AP) — While an official has said that the 20-year-old gunman in the Connecticut school shooting had Asperger's syndrome, experts say there is no connection between the disorder and violence.


Asperger's is a mild form of autism often characterized by social awkwardness.


"There really is no clear association between Asperger's and violent behavior," said psychologist Elizabeth Laugeson, an assistant clinical professor at the University of California, Los Angeles.


Little is known about Adam Lanza, identified by police as the shooter in the Friday massacre at a Newtown, Conn., elementary school. He fatally shot his mother before going to the school and killing 20 young children, six adults and himself, authorities said.


A law enforcement official, speaking on condition of anonymity because the person was not authorized to discuss the unfolding investigation, said Lanza had been diagnosed with Asperger's.


High school classmates and others have described him as bright but painfully shy, anxious and a loner. Those kinds of symptoms are consistent with Asperger's, said psychologist Eric Butter of Nationwide Children's Hospital in Columbus, Ohio, who treats autism, including Asperger's, but has no knowledge of Lanza's case.


Research suggests people with autism do have a higher rate of aggressive behavior — outbursts, shoving or pushing or angry shouting — than the general population, he said.


"But we are not talking about the kind of planned and intentional type of violence we have seen at Newtown," he said in an email.


"These types of tragedies have occurred at the hands of individuals with many different types of personalities and psychological profiles," he added.


Autism is a developmental disorder that can range from mild to severe. Asperger's generally is thought of as a mild form. Both autism and Asperger's can be characterized by poor social skills, repetitive behavior or interests and problems communicating. Unlike classic autism, Asperger's does not typically involve delays in mental development or speech.


Experts say those with autism and related disorders are sometimes diagnosed with other mental health problems, such as depression, anxiety, bipolar disorder or obsessive-compulsive disorder.


"I think it's far more likely that what happened may have more to do with some other kind of mental health condition like depression or anxiety rather than Asperger's," Laugeson said.


She said those with Asperger's tend to focus on rules and be very law-abiding.


"There's something more to this," she said. "We just don't know what that is yet."


After much debate, the term Asperger's is being dropped from the diagnostic manual used by the nation's psychiatrists. In changes approved earlier this month, Asperger's will be incorporated under the umbrella term "autism spectrum disorder" for all the ranges of autism.


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AP Writer Matt Apuzzo contributed to this report.


___


Online:


Asperger's information: http://1.usa.gov/3tGSp5


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'We Can't Tolerate This Anymore,' Obama Says













President Barack Obama said at an interfaith prayer service in this mourning community this evening that the country is "left with some hard questions" if it is to curb a rising trend in gun violence, such as the shooting spree Friday at Newtown's Sandy Hook Elementary School.


After consoling victims' families in classrooms at Newtown High School, the president said he would do everything in his power to "engage" a dialogue with Americans, including law enforcement and mental health professionals, because "we can't tolerate this anymore. These tragedies must end. And to end them we must change."






Mandel Ngan/AFP/Getty Images











President Obama: 'Newtown You Are Not Alone' Watch Video









Sandy Hook Elementary Shooting: Remembering the Victims Watch Video







The president was not specific about what he thought would be necessary and did not even use the word "gun" in his remarks, but his speech was widely perceived as prelude to a call for more regulations and restrictions on the availability of firearms.


The grieving small town hosted the memorial service this evening as the the nation pieces together the circumstances that led to a gunman taking 26 lives Friday at the community's Sandy Hook Elementary School, most first graders.


"Someone once described the joy and anxiety of parenthood as the equivalent of having your heart outside your body all of the time, walking around," he said, speaking of the joys and fears of raising children.


"So it comes as a shock at a certain point when you realize no matter how much you love these kids you can't do it by yourself," he continued. "That this job of protecting kids and teaching them well is something we can only do together, with the help of friends and neighbors, with the help of a community, and the help of a nation."


CLICK HERE for Full Coverage of the Tragedy at Sandy Hook






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Egyptians narrowly back constitution, say rival camps


CAIRO (Reuters) - Egyptians voted narrowly in favor of a constitution shaped by Islamists but opposed by other groups who fear it will deepen divisions, officials in rival camps said on Sunday after the first round of a two-stage referendum.


Next week's second round is likely to give another "yes" vote as it includes districts seen as more sympathetic towards Islamists, analysts say, meaning the constitution would be approved.


But a close win, if confirmed, would give Islamist President Mohamed Mursi only limited cause for celebration as it would show a wide rift in a country where he needs to build consensus on tough measures to fix a fragile economy.


The Muslim Brotherhood's party, which propelled Mursi to office in a June election, said 56.5 percent backed the text. Official results are not expected till after the next round.


Mursi and his backers say the constitution is vital to move Egypt's democratic transition forward. Opponents say the basic law is too Islamist and tramples on minority rights, including those of Christians who make up 10 percent of the population.


The build-up to Saturday's vote was marred by deadly protests. Demonstrations erupted when Mursi awarded himself extra powers on November 22 and then fast-tracked the constitution through an assembly dominated by his Islamist allies.


However, the vote passed off calmly with long queues in Cairo and several other places, though unofficial tallies indicated turnout was around a third of the 26 million people eligible to vote this time. The vote was staggered because many judges needed to oversee polling staged a boycott in protest.


The opposition had said the vote should not have been held given violent protests in the Arab world's most populous nation, which is watched closely from abroad to see how Islamists, long viewed warily in the West, handle themselves in power.


"It's wrong to have a vote or referendum with the country in the state it is - blood and killings, and no security," said Emad Sobhy, a voter who lives in Cairo. "Holding a referendum with the country as it is cannot give you a proper result."


INCREASINGLY DIVIDED


As polls closed, Islamists attacked the offices of the newspaper of the liberal Wafd party, part of the opposition National Salvation Front coalition that pushed for a "no" vote.


"The referendum was 56.5 percent for the 'yes' vote," a senior official in the Brotherhood's Freedom and Justice Party operations room set up to monitor voting told Reuters.


The Brotherhood and its party had representatives at polling stations across the 10 areas, including Cairo, in this round. The official, who asked not to be identified, said the tally was based on counts from more than 99 percent of polling stations.


"The nation is increasingly divided and the pillars of state are swaying," opposition politician Mohamed ElBaradei wrote on Twitter. "Poverty and illiteracy are fertile grounds for trading with religion. The level of awareness is rising fast."


One opposition official also told Reuters the vote appeared to have gone in favor of Islamists who backed the constitution.


The opposition initially said its exit polls indicated the "no" camp would win comfortably, but officials changed tack during the night. One opposition official in the early hours of Sunday said it would be "very close". There was no formal statement from the opposition National Salvation Front.


"Even if this result is correct, that does not mean that this constitution can pass, because it means more than 40 percent of the people didn't agree with it," said Issam Amin, speaking on a Cairo street and echoing the opposition line that the constitution needed consensus backing not a simple majority.


A narrow loss could still hearten leftists, socialists, Christians and more liberal-minded Muslims who make up the disparate opposition camp, which has been beaten in two elections since Hosni Mubarak was overthrown last year.


They were drawn together to oppose what they saw as Mursi's power grab and his constitution push. The National Salvation Front includes prominent figures such as ElBaradei, former Arab League chief Amr Moussa and firebrand leftist Hamdeen Sabahy.


If the constitution is approved, a parliamentary election will follow early next year. Opposition leaders say the Front could help unite the opposition for that poll after their divided ranks have split the vote in previous elections.


DEADLY VIOLENCE


But analysts question whether the opposition group in this form will survive until a parliamentary election. The Islamist-dominated lower house of parliament elected earlier this year was dissolved based on a court order in June.


Violence in Cairo and other cities has plagued the run-up to the referendum. At least eight people were killed when rival camps clashed during demonstrations outside the presidential palace earlier this month.


Several party buildings belonging to the Muslim Brotherhood's party have been burned by angry protesters in recent weeks. On Friday, a day before the vote, rival factions armed with clubs, knives and swords fought in Alexandria.


In order to pass, the constitution must be approved by more than 50 percent of those casting ballots. There are 51 million were eligible voters in the nation of 83 million.


Rights groups reported some abuses, such as polling stations opening late, officials telling people how to vote and bribery. But Gamal Eid, head of the Arab Network for Human Rights Information, said abuses were not enough to invalidate the vote.


"We accepted the referendum so we accept the result," said Ahmed Mohamed, a Cairene who backed the draft. "If the majority said ‘yes', so be it. I didn't see forgery where I voted."


Islamists have been counting on their disciplined ranks of supporters and on Egyptians desperate for an end to turmoil that has hammered the economy and sent Egypt's pound to eight-year lows against the dollar.


If the constitution is voted down in a second round, which now looks unlikely, a new assembly will be formed to draft a revised version, a process that could take up to nine months.


The army has deployed about 120,000 troops and 6,000 tanks and armored vehicles to protect polling stations and other government buildings. While the military backed Mubarak and his predecessors, it has not intervened in the present crisis.


(Additional reporting by Tamim Elyan, Shaimaa Fayed and Reuters Television; Writing by Edmund Blair and Giles Elgood; Editing by Andrew Heavens)



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EC supply rate can afford to slow: housing experts






SINGAPORE: Housing experts say the supply rate of executive condominiums (EC) into the housing market can afford to slow down, as some 20 per cent of units launched as part of seven EC projects this year remain unsold.

"I think EC units would have probably hit the ceiling in terms of amount, so I probably think this year we will hit close to about 4,000 being supplied to the market," said Donald Han, special advisor at HSR Property Group.

"We think we can go steady, to a little bit slower in terms of the EC component."

There have been about 10 EC projects this year, with three more to be launched by the end of December.

As of October this year, with the launch of the seven projects, almost 3,000 EC units have been sold. About 800 units are still unsold.

By year's end, with the launch of three more EC projects, more than 2,400 units will be available.

The government also launched six EC land sites in the second half of this year, which would see over 3,000 units being built.

In addition, five land sites slated for launch in the first half of 2013 will bring another 3,100 units on stream.

Experts add with land costs increasing, the prices of EC units have also gone up.

However, they are still cheaper than private condominiums, by about 20 to 30 per cent.

- CNA/xq



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Punjab Congress delegation to meet PM to request for assessing law and order situation: Charak

JALANDHAR: Congress Working Committee (CWC) member and Punjab Congress affairs incharge Gulchain Singh Charak has said that a delegation of Punjab congress would meet the Prime Minister and Home Minister to request them to send their team in Punjab to assess law and order situation in the state.

Addressing a press conference here Charak said that they would also urge the PM and HM to take a decision after getting the report from a committee of the centre government as law and order situation was turning from bad to worse and people were virtually living under a spell of fear.

He held that the Congress legislatures would also raise the issue of deteriorating law and order situation in the state assembly very effectively and a the Congress MLAs were doing their home work to put the state government in the dock on the assembly.

Meanwhile he said that action should be taken against the police officers who were facing serious criminal cases.


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Experts: No link between Asperger's, violence


NEW YORK (AP) — While an official has said that the 20-year-old gunman in the Connecticut school shooting had Asperger's syndrome, experts say there is no connection between the disorder and violence.


Asperger's is a mild form of autism often characterized by social awkwardness.


"There really is no clear association between Asperger's and violent behavior," said psychologist Elizabeth Laugeson, an assistant clinical professor at the University of California, Los Angeles.


Little is known about Adam Lanza, identified by police as the shooter in the Friday massacre at a Newtown, Conn., elementary school. He fatally shot his mother before going to the school and killing 20 young children, six adults and himself, authorities said.


A law enforcement official, speaking on condition of anonymity because the person was not authorized to discuss the unfolding investigation, said Lanza had been diagnosed with Asperger's.


High school classmates and others have described him as bright but painfully shy, anxious and a loner. Those kinds of symptoms are consistent with Asperger's, said psychologist Eric Butter of Nationwide Children's Hospital in Columbus, Ohio, who treats autism, including Asperger's, but has no knowledge of Lanza's case.


Research suggests people with autism do have a higher rate of aggressive behavior — outbursts, shoving or pushing or angry shouting — than the general population, he said.


"But we are not talking about the kind of planned and intentional type of violence we have seen at Newtown," he said in an email.


"These types of tragedies have occurred at the hands of individuals with many different types of personalities and psychological profiles," he added.


Autism is a developmental disorder that can range from mild to severe. Asperger's generally is thought of as a mild form. Both autism and Asperger's can be characterized by poor social skills, repetitive behavior or interests and problems communicating. Unlike classic autism, Asperger's does not typically involve delays in mental development or speech.


Experts say those with autism and related disorders are sometimes diagnosed with other mental health problems, such as depression, anxiety, bipolar disorder or obsessive-compulsive disorder.


"I think it's far more likely that what happened may have more to do with some other kind of mental health condition like depression or anxiety rather than Asperger's," Laugeson said.


She said those with Asperger's tend to focus on rules and be very law-abiding.


"There's something more to this," she said. "We just don't know what that is yet."


After much debate, the term Asperger's is being dropped from the diagnostic manual used by the nation's psychiatrists. In changes approved earlier this month, Asperger's will be incorporated under the umbrella term "autism spectrum disorder" for all the ranges of autism.


__


AP Writer Matt Apuzzo contributed to this report.


___


Online:


Asperger's information: http://1.usa.gov/3tGSp5


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School Safety Questioned After Conn. Shooting













Along with fire drills, schools have been conducting lockdown drills -- often known as active shooter drills -- since the Columbine massacre in 1999.


But safety officials do not agree yet on what teachers and students should do when a homicidal gunman invades their school.


At Sandy Hook Elementary School, teachers, staff and students had been drilled on how to handle such a situation.


"We practice it, and they knew what to do, and you just think about protecting the kids, and just doing the right thing," library clerk Mary Ann Jacob said.


She said had been drilled to send the kids in the library to a back closet between book shelves, a plan developed in advance.


"You have to have a certain amount of fire drills, and evacuation drills, and a certain amt of lockdown drills," she said. "Kids know the routine, and the teachers know the routine, and everyone has a spot in the room where they are supposed to go to."


Click here for more photos of the scene.


School safety expert Ken Trump told ABC News that he thinks the Sandy Hook teachers did what they could to protect their students.


"It does sound as though the teachers did everything humanly possible, down to risking their lives, to protect the children in this Connecticut school," Trump said.








Connecticut Shooting Tragedy: Two Brothers' Escape Watch Video









Connecticut Shooting Tragedy: The Investigation Watch Video









Connecticut Shooting Tragedy: Remembering the Victims Watch Video





The school's principal and five other adults died in the Sandy Hook school shooting in Newtown, Conn.


"Teaching kids to lock down, securing your rooms, and, in some cases, teachers stepping forth to protect the children at the risk of their own lives, is something that we see occurring more and more over the years in school safety," Trump said.


He and others particularly praised the actions of first grade teacher Kaitlin Roig, who locked her classroom door and barricaded herself and her 14 students in a locked bathroom.


But former SWAT officer Greg Crane told ABC News that he thinks existing lockdown procedures aren't sufficient.


"What she [Roig] did was a fantastic move," said Crane, who founded a school safety program called ALICE, which stands for alert, lock down, inform, counter, evacuate.


"Was she taught that move? Did every teacher know to lock the door and also barricade it? If that's the case, why weren't other teachers taught that?" Crane asked.


Most schools tell teachers to lock their doors and sit quietly until helps arrives, Crane said.


Typical are the procedures, obtained by ABCNews.com, outlined by a New Jersey school district that calls their drills "Lock Down Yellow."


Instructions to the students include:


"Go to the room nearest your location in the hallway.


"No one will be able to leave room for any reason.


"Silence must be maintained (Use of cell phones are not permitted).


"Make sure you are marked present.


"Do not leave the classroom until directed by PA System, telephone or by an administrator."


But Crane founded ALICE because he believed there was something wrong with the lock down-only policies in most schools.


"We've taught a generation of Americans to be passive and static and wait for police," said Crane, whose wife was an elementary school principal in Texas at the time of the Columbine attack.


"We don't recommend just locking a door because locked doors have been defeated before," Crane said. "Try to make yourself as hard a target as possible."


ALICE argues students and teachers should not be passive and that they should improvise. He even suggests they throw things are their attacker.






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2,500 needy families to get help with childcare costs






SINGAPORE: Some 2,500 low-income families will benefit from a S$250,000 initiative to help their children.

The five Commmunity Development Councils will help identify eligible families with monthly household incomes of less than S$3,500.

OCBC Bank will also contribute S$100 when a low-income family deposits the first S$50 into their Child Development Account (CDA).

Under the existing Baby Bonus scheme, the government will match the contributions to the CDA dollar for dollar.

The money in the account can then be used at approved institutions for the child's development and healthcare needs.

Acting Minister for Social and Family Development Chan Chun Sing said: "This year, we have also expanded the kinds of things that you can spend the CDA money (on). For example, it will also include early intervention programmes, visits to the doctor, medical insurance and purchase of healthcare-related products. We hope that in this small way, we can help families to defray the cost of bringing up the children, especially for the needy families."

Under the initiative, parents can also attend financial literary talks by OCBC Bank staff volunteers to learn more about money management.

- CNA/xq



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You are practising politics of anger, turn to love: Rahul to Narendra Modi

BHUJ (GUJARAT): In a veiled attack on chief minister Narendra Modi, AICC general secretary Rahul Gandhi accused him on Saturday of practising "politics of anger" and said it was time people switch to the power of "love", preached by the Mahatma, to ensure progress of Gujarat.

"Common man dreams are not looked at ... it is just one man's dream that prevails in the state and who is doing politics of anger," Gandhi said without naming Modi.

"What's the problem here ... this one man who claims to run Gujarat and having changed the entire state is full of anger ... and with anger the state cannot progress ahead," Gandhi said, while addressing a rally here ahead of the second phase of polling on December 17.

The Amethi MP said it was "love of the people" that could help the state progress and not anger.

"This state can only progress ahead with love ... a path shown by Mahatma Gandhiji ... this is what I wanted to tell you ..." Gandhi said asking people to vote for a change.

"Two out of four people who mattered the most to me in my life were snatched away by terrorists ... When my grandmother and father died, I had a lot of angst in me ..." he said.

"What anger does ... it makes a person blind ... I was like a blind man ... but when I kept the anger aside I started seeing things clearly... I don't have one bit of anger today in me ..." he asserted comparing himself with the BJP strongman.

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Fewer health care options for illegal immigrants


ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.


The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.


To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.


But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.


When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.


And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.


In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."


The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.


Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.


Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.


A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.


California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.


The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.


And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.


If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.


Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.


The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.


"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."


Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.


There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.


Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.


For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.


"They always attended to me," she said, "even though it's slow."


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Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .


Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .


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