Egyptians back new constitution in referendum

CAIRO (Reuters) - An Islamist-backed Egyptian constitution won approval in a referendum, rival camps said on Sunday, after a vote the opposition said would sow deep social divisions in the Arab world's most populous nation.

The Islamist Muslim Brotherhood, which propelled President Mohamed Mursi to power in a June election, said an unofficial tally showed 64 percent of voters backed the charter after two rounds of voting that ended with a final ballot on Saturday.

An opposition official also told Reuters their unofficial count showed the result was a "yes" vote, while party spokesmen said there had been a series of abuses during the voting.

The main opposition coalition, the National Salvation Front, responded to the defeat by saying it was moving towards forming a single political party to challenge the Islamists who have dominated the ballot box since strongman Hosni Mubarak was overthrown two years ago.

Members of the opposition, taking heart from a low turnout of about 30 percent of voters, pledged to keep up pressure on Mursi through peaceful protests and other democratic means.

"The referendum is not the end of the road," said Khaled Dawoud, a spokesman for the National Salvation Front. "It is only the beginning of a long struggle for Egypt's future."

The referendum committee may not declare official results for the two rounds until Monday, after hearing appeals. If the outcome is confirmed, a parliamentary election will follow in about two months.

Mursi's Islamist backers say the constitution is vital for the transition to democracy, nearly two years after Mubarak was ousted in a popular uprising. It will provide the stability needed to help a fragile economy, they say.

The constitution was "a historic opportunity to unite all national powers on the basis of mutual respect and honest dialogue for the sake of stabilizing the nation," the Brotherhood said in a statement.

RECIPE FOR UNREST

The opposition accuses Mursi of pushing through a text that favors Islamists and ignores the rights of Christians, who make up about 10 percent of the population, as well as women. They say it is a recipe for further unrest.

The opposition said voting in both rounds was marred by abuses. However, an official said the overall vote favored the charter.

"The majority is not big and the minority is not small," liberal politician Amr Hamzawy said, adding that the National Salvation Front would use "all peaceful, democratic means" such as protests to challenge the constitution.

The vote was split over two days as many judges had refused to supervise the ballot, making a single day of voting impossible.

During the build-up to the vote there were deadly protests, sparked by Mursi's decision to award himself extra powers in a November 22 decree and then to fast-track the constitutional vote.

The new basic law sets a limit of two four-year presidential terms. It says the principles of sharia, Islamic law, remain the main source of legislation but adds an article to explain this. It also says Islamic authorities will be consulted on sharia - a source of concern to Christians and others.

ABUSES

Rights groups reported what they said were illegalities in voting procedures. They said some polling stations opened late, that Islamists illegally campaigned at some polling places, and complained of irregularities in voter registration.

But the committee overseeing the two-stage vote said its investigations showed no major irregularities in voting on December 15, which covered about half of Egypt's 51 million voters. About 25 million were eligible to vote in the second round.

The Brotherhood said turnout was about a third of voters.

The opposition says the constitution will stir up more trouble on the streets since it has not received sufficiently broad backing for a document that should be agreed by consensus, and raised questions about the fairness of the vote.

In the first round, the district covering most of Cairo voted "no," which opponents said showed the depth of division.

"I see more unrest," said Ahmed Said, head of the liberal Free Egyptians Party and a member of the opposition Front.

He cited "serious violations" on the first day of voting, and said anger against Mursi was growing. "People are not going to accept the way they are dealing with the situation."

At least eight people were killed in protests outside the presidential palace in Cairo this month. Islamists and rivals clashed in Alexandria, the second-biggest city, on the eves of both voting days.

(Writing by Edmund Blair and Giles Elgood; editing by Philippa Fletcher)

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Israel's Lieberman may face tougher charges: ministry

JERUSALEM: Israel's ex-foreign minister Avigdor Lieberman, who quit this month after being charged with breach of trust five weeks ahead of a general election, may have the charges against him toughened, the justice ministry said Sunday.

Media reports said police will question Lieberman, head of the ultranationalist Yisrael Beitenu party, this week in an inquiry relating to the promotion of Zeev Ben Arieh, Israel's former ambassador to Belarus.

"The media have published testimony by several anonymous sources on the process in the heart of the nominations committee of the foreign ministry," the justice ministry said in a statement.

"From the testimony, it is possible that Lieberman is implicated in promoting the ambassador to a level higher than that cited on the charge sheet," it said.

Israel's attorney general charged Lieberman on December 13 with fraud and breach of trust, but dropped more serious allegations.

"Before any final decision is taken on the charge, it has been decided to allow Mr Lieberman to respond to the new information that has been collected," the ministry statement added.

Lieberman, 54, stepped down on December 14, saying he would fight the charges and could return to the political scene in time for the January 22 election.

Yisrael Beitenu is fighting the general election on a joint list with Prime Minister Benjamin Netanyahu's rightwing Likud party.

The latest polls put the joint list far ahead of the opposition, and the question is not whether Netanyahu will lead the next parliament, but how many seats the joint list will ultimately win.

Lieberman has faced several investigations since 1996 on a number of fraud and corruption allegations but has never been convicted over them.

The Soviet-born former bouncer has courted controversy with his hardline stance on Israel's Arab minority, with critics accusing him of racism.

- AFP/jc

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BJP seeks all-party meet, BSP wants special session to enact law for crimes against women

NEW DELHI: Bahajan Samaj Party supremo Mayawati on Sunday joined BJP in demanding a special session of Parliament to enact a stringent law for rape and crimes against women.

Mayawati also demanded passage of the bill on quota in promotions for SCs/STs in the same session.

In a letter to Prime Minister Manmohan Singh, the BSP chief sought a special session to amend laws relating to crime against women to provide for stringent punishment.

As public outrage over Nirbhaya grew, BJP asked the government to convene an all-party meeting and also reiterated its demand for a special session of Parliament.

BJP leader Sushma Swaraj said she had urged home minister Sushilkumar Shinde to convene an all-party meet to "resolve the current situation" that has arisen after the brutal rape of a 23-year-old paramedical student in a moving bus last week. Shinde, however, ruled out Swaraj's demand for a special session.

Swaraj had on Saturday urged the PM to convene Parliament to amend the existing law to provide death sentence for heinous crimes against women.

Referring to Nirbhaya's case, Mayawati said such incidents were on the rise across the country, especially in Uttar Pradesh, Haryana and Delhi. She targeted the Akhilesh Yadav government, blaming the SP regime for the poor law and order situation in UP. "There have been 1,500 cases of rape in UP in the last nine months," she said.

Seeking protection of women, Mayawati recalled that several leaders had supported amending the existing laws dealing with crime against women to make them more stringent.

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Predicting who's at risk for violence isn't easy

CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.

Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.

But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.

"They're yellow flags. They only become red flags once the blood is spilled," he said.

Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.

Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)

Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.

Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.

"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."

The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."

In a guidelines for families, the academy lists several risk factors for violence, including:

—Previous violent or aggressive behavior

—Being a victim of physical or sexual abuse

—Guns in the home

—Use of drugs or alcohol

—Brain damage from a head injury

Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.

Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.

Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.

According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.

Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.

Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.

And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.

All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.

Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.

Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.

Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.

___

Online:

American Academy of Child & Adolescent Psychiatry: http://www.aacap.org

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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Norquist: Obama, Democrats Using Newtown for 'Political Purposes'

Dec 23, 2012 11:23am

(ABC News)

National Rifle Association board member and president of Americans for Tax Reform Grover Norquist said on Sunday that President Obama and Democrats are politicizing the Newtown tragedy by pushing for gun control.

“We ought to calm down and not take tragedies like this, crimes like this, and use them for political purposes,” Norquist told me on “This Week.” “President Obama has been president for four years. If he thought some gun control could solve this problem, he should have been pushing it years ago.”

“Democrats had a majority in the House and a supermajority in the House and the Senate for the first two years that they were in office. If they thought that this was really an important issue they might have done something then. They didn’t,” he added.

Read a full transcript of this week’s show HERE. 

On Wednesday, Obama announced that Vice President Joe Biden would head a task force of leaders from across the country to evaluate solutions to reduce gun violence.

Norquist endorsed the recommendation made by NRA Executive Vice President Wayne LaPierre at a press conference on Friday to place armed guards in schools across the country.

Other members of the political roundtable pushed for what they called “common sense” gun laws.

Like “This Week” on Facebook here. You can also follow the show on Twitter here.

Newark, N.J. Mayor Cory Booker, who is a member of the pro-gun control group Mayors Against Illegal Guns, said that there is more agreement than disagreement on measures to stop the mentally ill and criminals from acquiring weapons.

“I don’t think anyone has seen someone shot—I have,” Booker said. “I don’t know if anybody here has had to put their hand in somebody’s chest, and try to stop the bleeding so that person doesn’t die—I have. What frustrates me about this debate is that it is a false debate.”

“Most of us in America including gun owners agree on things that would stop the kind of carnage that is going on in cities all across America,” Booker said, adding that loopholes that allow criminals to buy guns in “secondary markets” should be closed.

Get more pure politics at ABC News.com/Politics and a lighter take on the news at OTUSNews.com.

Wall Street Journal columnist Peggy Noonan said that LaPierre’s suggestion that the effect of a violent culture on the mentally ill has contributed to increased gun violence, but she believes that Congress should pursue some gun control measures.

“I am for the banning of the extended magazines and extended clips,” Noonan said.

Editor and Publisher of The Nation Katrina vanden Heuvel said that focusing on the mentally ill is a distraction from the issue of gun violence.

“The mental illness argument has been used to evade action,” vanden Huevel said. “More guns and bullets, more dead children.”

SHOWS: This Week

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Egyptians vote on Islamist-inspired constitution

CAIRO (Reuters) - Early indications suggested Egyptians approved an Islamist-drafted constitution in Saturday's second-round referendum despite opposition criticism of the measure as divisive.

As counting began, an official from the Muslim Brotherhood's political party, which backs President Mohamed Mursi, said a sample of a few hundred thousand votes had "yes" in the lead.

An official from the opposition National Salvation Front said their early exit polls showed the constitution passing.

Last week's first round returned 57 percent in favor of the constitution, according to unofficial data. The vote was split over two days as many judges refused to supervise the ballot.

The referendum committee may not declare official results for the two rounds until Monday, after hearing appeals.

Islamist backers of Mursi say the constitution is vital to move to democracy, nearly two years after an Arab Spring revolt overthrew authoritarian ruler Hosni Mubarak. It will provide stability for a weak economy, they say.

But the opposition accuses Mursi of pushing through a text that favors Islamists and ignores the rights of Christians, who make up about 10 percent of the population, as well as women.

"I'm voting 'no' because Egypt can't be ruled by one faction," said Karim Nahas, 35, a stockbroker, heading to a polling station in Giza, in greater Cairo.

At another polling station, some voters said they were more interested in ending Egypt's long period of political instability than in the Islamist aspects of the charter.

"We have to extend our hands to Mursi to help fix the country," said Hisham Kamal, an accountant.

VICE PRESIDENT ANNOUNCES RESIGNATION

Hours before polls closed, Vice President Mahmoud Mekky announced his resignation. He said he wanted to quit last month but stayed on to help Mursi tackle a crisis that blew up when the Islamist leader assumed wide powers.

Mekky, a prominent judge who said he was uncomfortable in politics, disclosed earlier he had not been informed of Mursi's power grab. The timing of his resignation appeared linked to the lack of a vice-presidential post under the draft constitution.

Rights groups reported alleged law violations during voting. They said some polling stations opened late, that Islamists illegally campaigned at some of them, and complained of voter registration irregularities, including listing of a dead person.

The new basic law sets a limit of two four-year presidential terms. It says sharia law principles remain the main source of legislation but adds an article to explain this further. It also says Islamic authorities will be consulted on sharia - a source of concern to Christians and other non-Muslims.

If the constitution passes, there will be parliamentary elections in about two months.

After the first round of voting, the opposition said alleged abuses meant the first stage of the referendum should be re-run.

But the committee overseeing the two-stage vote said its investigations showed no major irregularities in voting on December 15, which covered about half of Egypt's 51 million voters. About 25 million were eligible to vote in the second round.

MORE UNREST

If the charter is approved, the opposition says it is a recipe for trouble since it will not have received sufficiently broad backing and that it will not have been a fair vote.

"I see more unrest," said Ahmed Said, head of the liberal Free Egyptians Party and a member of the National Salvation Front, an opposition coalition formed after Mursi expanded his powers on November 22 and then pushed the constitution to a vote.

Protesters accused the president of acting like a pharaoh, and he was forced to issue a second decree two weeks ago that amended a provision putting his decisions above legal challenge.

Said cited "serious violations" on the first day of voting, and said anger against Mursi was growing. "People are not going to accept the way they are dealing with the situation."

At least eight people were killed in protests outside the presidential palace in Cairo this month. Islamists and rivals hurled stones at each other on Friday in Alexandria, the second-biggest city. Two buses were torched.

Late on Saturday, Mursi announced the names of 90 new members he had appointed to the upper house of parliament, state media reported, and a presidential official said the list was mainly liberals and other non-Islamists.

Mursi's main opponents from liberal, socialist and other parties said they had refused to take any seats.

Two-thirds of the 270-member upper house were elected in a vote early this year, with one third appointed by the president. Mursi, elected in June, had not named them till now. Mursi's Islamist party and its allies dominate the assembly. (Additional reporting by Tamim Elyan and Shaimaa Fayed; Writing by Edmund Blair and Giles Elgood; Editing by Mark Trevelyan and Jason Webb)

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CIA chief decries torture in Osama bin Laden hunt movie

WASHINGTON: Acting CIA director Michael Morell said that "Zero Dark Thirty," the Hollywood take on the hunt for Osama bin Laden, exaggerates the importance of information obtained by harsh interrogations.

The movie by Academy Award-winning director Kathryn Bigelow tells the story of the decade-long search after September 11, 2001 that climaxed in last year's dramatic and deadly raid in May on the Al-Qaeda terror leader's hideout in Abbottabad, Pakistan.

The film shows US personnel using harsh interrogation techniques like water-boarding -- a method widely seen as torture -- to force captives to speak. The information obtained was crucial, according to the movie, in piecing together the trail that eventually led to bin Laden.

Not so, Morell said in a message to Central Intelligence Agency employees released to AFP on Saturday.

The movie "creates the strong impression that the enhanced interrogation techniques that were part of our former detention and interrogation program were the key to finding bin Laden. That impression is false."

Morell's message, sent to the employees on Friday, states that "multiple streams of intelligence" led CIA analysts to conclude that bin Laden was hiding in Abbottabad.

He acknowledged that "some" of the information "came from detainees subjected to enhanced techniques. But there were many other sources as well."

The controversial techniques were banned in 2009 by President Barack Obama.

Morell said that "whether enhanced interrogation techniques were the only timely and effective way to obtain information from those detainees, as the film suggests, is a matter of debate that cannot and never will be definitively resolved."

Morell is widely believed to be a top candidate for the job of CIA director after the resignation of David Petreaus, America's most celebrated military leader in a generation. Petreaus stepped down in November after admitting to an extra-marital affair with his biographer.

Morell's message, first reported by The New York Times, echoes a statement decrying the "Zero Dark Thirty" interrogation scenes signed by three senators, including Republican John McCain, himself a prisoner of war and torture victim during the Vietnam War.

In a letter to the head of Sony Pictures, McCain -- the 2008 Republican presidential candidate -- and Democratic senators Diane Feinstein and Carl Levin wrote that the movie "clearly implies that the CIA's coercive interrogation techniques were effective" in obtaining information that would lead to bin Laden.

"We have reviewed CIA records and know that this is incorrect," the senators wrote. "We believe that you have an obligation to state that the role of torture in the hunt for (Bin Laden) is not based on the facts, but rather part of the film's fictional narrative."

However two CIA officials active when suspects were tortured disputed those assertions.

Jose Rodriguez, who oversaw the CIA's counterterrorism operations when "harsh interrogation" methods were in use, wrote in the Washington Post in April that the path leading to bin Laden "started in a CIA black site ... and stemmed from information obtained from hardened terrorists who agreed to tell us some (but not all) of what they knew after undergoing harsh but legal interrogation methods."

And former CIA director Michael Hayden wrote in a Wall Street Journal in June 2011 that a "crucial component" of information that eventually led to bin Laden came from three CIA prisoners, "all of whom had been subjected to some form of enhanced interrogation."

Hayden claimed that he learned the information when, in 2007, he was first briefed about pursuing bin Laden through his courier network.

But interim CIA director Morell emphasized the film, a likely Oscar contender, "takes significant artistic licence, while portraying itself as being historically accurate."

"What I want you to know is that Zero Dark Thirty is a dramatization, not a realistic portrayal of the facts.

"CIA interacted with the filmmakers through our Office of Public Affairs but, as is true with any entertainment project with which we interact, we do not control the final product."

- AFP/jc

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Virbhadra Singh to be Himachal CM

SHIMLA: Congress Party's old warhorse Virbhadra Singh will be the next chief minister of Himachal Pradesh. This will be his sixth term as the head of the hill state. After a meeting of Himachal Pradesh Congress Legislature Party (CLP) here on Saturday, Virbhadra's name was cleared by party president Sonia Gandhi.

At the CLP meet, the MLAs had sent a one-line resolution asking Sonia Gandhi to decide on who would be the chief minister. Congress general secretary Janardhan Dwivedi said here that the Congress leadership on Saturday evening decided on Virbhadra to head the government in the state.

Earlier, hundreds of Congress supporters had gathered at Himachal Pradesh Vidhan Sabha complex to witness the election of CLP leader despite tight security.

Party observer Sheila Dikshit arrived late and the CLP meeting began after 6.40pm, when she reached there along with Birender Singh and Janardhan Dwivedi. Out of the 34 MLAs present, 22 backed Virbhadra, while one of the contenders for the CM's post, Kaul Singh Thakur, claimed the support of 18 MLAs.

While most of the MLAs had reached the venue much in advance, Virbhadra Singh arrived at 6:08pm with his supporters raising slogans like "Raja nahin faqir hai ... Himachal ki taqdir hai". Senior Congress leaders Vidya Stokes and Asha Kumari were present at the meeting. On Friday, Virbhadra had met Stokes at her residence.

The Congress had defeated the BJP in the assembly polls, winning 36 out of 68 seats on Thursday. BJP got 26 while six seats went to independents.

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Predicting who's at risk for violence isn't easy

CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.

Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.

But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.

"They're yellow flags. They only become red flags once the blood is spilled," he said.

Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.

Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)

Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.

Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.

"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."

The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."

In a guidelines for families, the academy lists several risk factors for violence, including:

—Previous violent or aggressive behavior

—Being a victim of physical or sexual abuse

—Guns in the home

—Use of drugs or alcohol

—Brain damage from a head injury

Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.

Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.

Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.

According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.

Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.

Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.

And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.

All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.

Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.

Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.

Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.

___

Online:

American Academy of Child & Adolescent Psychiatry: http://www.aacap.org

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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'Fiscal Cliff' Leaves Boehner a Wounded Speaker

John Boehner is a bloodied House speaker following the startling setback that his own fractious Republican troops dealt him in their "fiscal cliff" struggle against President Barack Obama.

There's plenty of internal grumbling about the Ohio Republican, especially among conservatives, and lots of buzzing about whether his leadership post is in jeopardy. But it's uncertain whether any other House Republican has the broad appeal to seize the job from Boehner or whether his embarrassing inability to pass his own bill preventing tax increases on everyone but millionaires is enough to topple him.

"No one will be challenging John Boehner as speaker," predicted John Feehery, a consultant and former aide to House GOP leaders. "No one else can right now do the job of bringing everyone together" and unifying House Republicans.

The morning after he yanked the tax-cutting bill from the House floor to prevent certain defeat, Boehner told reporters he wasn't worried about losing his job when the new Congress convenes Jan. 3.

"They weren't taking that out on me," he said Friday of rank-and-file GOP lawmakers, who despite pleading from Boehner and his lieutenants were shy of providing the 217 votes needed for passage. "They were dealing with the perception that somebody might accuse them of raising taxes."

Jacquelyn Martin/AP Photo

Cliffhanger: Congress Heads Home after 'Plan B' Vote Pulled from House Floor Watch Video

President Obama on Fiscal Cliff: 'Nobody Gets 100 Percent of What They Want' Watch Video

Next Steps for Fiscal Cliff? 'God Only Knows,' Says Boehner Watch Video

That "somebody" was a number of outside conservative groups such as the Club for Growth and Heritage Action for America, which openly pressured lawmakers to reject Boehner's bill. Such organizations often oppose GOP lawmakers they consider too moderate and have been headaches for Boehner in the past.

This time, his retreat on the tax measure was an unmistakable blow to the clout of the 22-year House veteran known for an amiable style, a willingness to make deals and a perpetual tan.

Congressional leaders amass power partly by their ability to command votes, especially in showdowns. His failure to do so Thursday stands to weaken his muscle with Obama and among House Republicans.

"It's very hard for him to negotiate now," said Sarah Binder, a George Washington University political scientist, adding that it's premature to judge if Boehner's hold on the speakership is in peril. "No one can trust him because it's very hard for him to produce votes."

She said the loss weakens his ability to summon support in the future because "you know the last time he came to you like this, others didn't step in line."

Boehner, 63, faces unvarnished hostility from some conservatives.

"We clearly can't have a speaker operate well outside" what Republicans want to do, said freshman Rep. Tim Huelskamp, R-Kan.

Huelskamp is one of four GOP lawmakers who lost prized committee assignments following previous clashes with party leaders. That punishment was an anomaly for Boehner, who is known more for friendly persuasion than arm-twisting.

He said Boehner's job would depend on whether the speaker is "willing to sit and listen to Republicans first, or march off" and negotiate with Obama.

Conservative Rep. Steve King, R-Iowa, said one of the tea party's lasting impacts would be if Boehner struggled to retain his speakership due to the fight over the fiscal cliff, which is the combination of deep tax increases and spending cuts that start in early January without a bipartisan deal to avert them.

"If there's a major defeat delivered here, it could make it tough on him," King said. "He's in a tough spot."

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