Syria envoy calls for political change to end conflict

BEIRUT (Reuters) - The international envoy seeking a solution to Syria's 21-month-old conflict said on Thursday political change was needed to end the violence which has killed 44,000 people, and called for a transitional government to rule until elections.

Speaking in Damascus at the end of a five-day trip during which he met President Bashar al-Assad, Lakhdar Brahimi did not spell out detailed proposals but said that only substantial change would meet the demands of ordinary Syrians.

Russian Foreign Minister Sergei Lavrov added to the envoy's call for a peaceful solution when he told a senior Syrian diplomat that only a "broad inter-Syria dialogue and political process" could end the crisis.

Brahimi's push for a transitional government suggested he was trying to build on an international agreement in Geneva six months ago which said a provisional body - which might include members of Assad's government as well as the opposition - should lead the country into a new election.

But the mainly Sunni Muslim Syrian rebels have seized the military initiative since the Geneva meeting in June and the political opposition has ruled out any transitional government in which Assad, from Syria's Alawite minority, plays a role.

Rebel fighters resumed attacks on Thursday against the military base of Wadi Deif, which lies next to Syria's main north-south highway linking Aleppo with Damascus. Around the capital itself, Assad's forces have tried for weeks to dislodge rebels from suburbs which ring the east and south of the city.

"Certainly it was clear in Geneva, and it's even clearer now that the change which is needed is not cosmetic or superficial," Brahimi told a news conference in Damascus before leaving Syria.

"I believe the Syrian people need, want and aspire to genuine change and everyone knows what this means," he said.

"A government must be created ... with all the powers of the state," Brahimi added. He said it should hold power for a transitional period until elections - either for a new president or a new parliament - are held.

"This transitional process must not lead to the ... collapse of state institutions. All Syrians, and those who support them, must cooperate to preserve those institutions and strengthen them," he said.

Radwan Ziadeh of the opposition Syrian National Council dismissed Brahimi's proposal as "unrealistic and fanciful" and said a transitional government could not be built on the same "security and intelligence structure as the existing regime".

TOO SOON FOR COMPLETE PLAN

Russia's Lavrov met Syrian Deputy Foreign Minister Faisal Makdad in Moscow on Thursday and underscored "the lack of an alternative to a peaceful resolution of (Syria's) internal conflict through a broad inter-Syria dialogue and political process," a Russian Foreign Ministry statement said. But it made no mention of ways to achieve those goals.

Syrian and Lebanese sources said Makdad had been sent to Moscow to discuss details of a peace plan proposed by Brahimi.

Brahimi is due in Moscow on Saturday and said he also expected to have a third joint meeting with U.S. and Russian officials soon following two rounds of talks earlier this month. But he denied the existence of a U.S.-Russian plan to end the crisis and said it was too soon to present a "complete plan".

"What is preferred is that we don't present such a plan until we feel that all sides have agreed to it. That way, implementing it is easy. If that doesn't happen, the other solution could be to go to the (United Nations) Security Council to issue a binding resolution for everyone," he said.

A Russian Foreign Ministry spokesman also denied any joint initiative between Moscow and Washington.

World powers remain divided over what has become an increasingly sectarian struggle, with Sunni Muslim states such as Turkey and the Gulf Arab countries supporting the rebels while Shi'ite Iran and Hezbollah have backed Assad, whose Alawite community has its roots in Shi'ite Islam.

Syria's struggle "has taken a vicious form of sectarian confrontation," Brahimi said. "Syrian officials foremost, as well as the international community, must not let Syria slide down this very dangerous path which threatens the future of Syria."

Deep differences between Western powers opposed to Assad - led by the United States - and Russia and China which have supported his government, have left the U.N. Security Council paralyzed and largely sidelined throughout the conflict.

The political stalemate has helped transform a once-peaceful uprising into a civil war in which rebels have grown in military strength and taken control of swathes of territory in the north, leaving Assad increasingly reliant on air power to curb them.

Activists in the central province of Hama, where rebels launched an offensive last week to extend their control southwards towards the capital, reported on Thursday that rebels shot down a MiG jet near the town of Morek.

The Syrian Observatory for Human Rights, which monitors violence across Syria, said air force jets launched three raids on rebel forces around Wadi Deif. The British-based group also reported fierce clashes in the area.

The violence has been accompanied by an escalation in apparently sectarian attacks between the Sunni Muslim majority and minorities such as Assad's Alawite sect, which has largely supported the president.

Activists in Hama uploaded a video of what appeared to be Assad soldiers and shabbiha militia members stabbing the body of a dead man and setting it on fire. The man looked as if he had been beaten to death.

"This is a terrorist, a brother of a whore, one of those trying to destroy the country," one of the men shouted. Two men in camouflage uniforms and army helmets stood by watching. Samer al-Hamawi, an activist from Hama, said rebels in his area found the video on the phone of a soldier they captured this week.

The video emerged a day after Islamist rebel units released footage showing the bodies of dozens of Assad's fighters along a highway near an Alawite town in Hama.

(Additional reporting by Marwan Makdesi in Damascus and Steve Gutterman in Moscow; Editing by Pravin Char)

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Football: Cole and Gibson win red card appeals

LONDON: West Ham striker Carlton Cole and Everton midfielder Darron Gibson have both had their suspensions quashed after the pair were sent off in Saturday's Premier League match at Upton Park.

Cole was dismissed by referee Anthony Taylor for a high challenge on Leighton Baines and Gibson also saw red for a similar challenge on Mark Noble during Everton's 2-1 win.

Everton appealed against Gibson's three-match ban on Christmas Eve and announced on their website on Thursday that the dismissal had been overturned at a Football Association hearing.

Cole has also seen West Ham's appeal over his red card upheld by the FA, meaning he will be available for Saturday's Premier League match against Reading.

A statement from the FA said: "The FA can confirm that red cards shown to both Carlton Cole and Darron Gibson have been rescinded.

"Both players were sent from the field of play in the Premier League fixture between West Ham United and Everton at Upton Park on Saturday 22 December.

"Their three-match suspensions have been withdrawn immediately and written reasons will be provided at a later date."

-AFP/ac

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Fire inside WCL coalmine in Maharashtra's Ballarpur

CHANDRAPUR (MAHARASHTRA): A massive fire has started in one of the mine blocks of Ballarpur Collieries of Western Coalfields Ltd (WCL) in WCL-Ballarpur area of Chandrapur district, company sources said on Thursday.

The fire was first noticed on Tuesday, and after failing to control it, WCL management on Thursday decided to seal off the underground mine block to cut off air supply to the flames.

WCL sources said that "a massive part of coal segment" was burning in pits 3 and 4 of the mine.

'Roof fall' was seen in this part two months ago and miners had complained of rising heat around it while the fallen debris was yet to be removed, sources added.

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Kenya hospital imprisons new mothers with no money

NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.

Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.

Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.

"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."

"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."

The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.

Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.

"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.

She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.

A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.

"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.

Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.

One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.

Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.

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Associated Press reporter Tom Odula contributed to this report.

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Putin Will Sign Ban on Adoptions to United States

Activists protest against a bill banning U.S. adoptions of Russian children in St.Petersburg, Russia, Dec. 26, 2012. Dmitry Lovetsky/AP Photo

MOSCOW – Russian President Vladimir Putin has said he will sign a controversial ban on adoptions to the United States, defying domestic and international criticism that the move is playing politics with the lives of orphans.

The ban was added last week to a broader bill retaliating for a set of human rights sanctions that President Obama signed into law earlier this month. Putin also pledged to improve the lives of children in Russia’s notoriously under-resourced orphanages.

“I intend to sign the law you have just mentioned as well as a presidential decree changing the procedure of helping orphaned children, children left without parental care, and especially children who are in a disadvantageous situation due to their health problems,” Putin said, according to the Russian Interfax news agency, when asked about the ban during a meeting of the Russian State Council on Thursday.

Putin added that higher living standards overseas are no reason to allow children to be adopted by foreigners.

The Life of Putin

“There is one more reason of which I haven’t spoken yet, but which I would mention now. Probably there are quite a lot of places in the world where living standards are somewhat better than we have. And so what? Will we send all our children there? Perhaps we will move there ourselves?” he said.

Putin did not say when he would sign the bill into law, but if it is done immediately it would go into force on January 1.

At stake are the cases of 46 Russian children whose adoptions would be frozen if the bill becomes law, according to Russia’s children’s rights commissioner Pavel Astakhav. He said those children would receive priority to be adopted by Russian families.

American families who were preparing to welcome their newly adopted children home are instead bracing themselves for the possibility of never seeing them again.

“It’s a heartbreaking process because we’ve already started preparing our home. Not remodeling, or painting, or buying furniture or anything, but just preparing the emotional state of our home, of ourselves and of our children for the change that is going to occur,” Patrick Griffin told ABC affiliate KCUA. He and his wife Jan are just two months into adopting a child from Russia.

“You hope that it is not a door shut but just, you know, that it is simply an obstacle, a delay. But we do not know. It’s the fear of the unknown,” Griffin said.

The proposed ban has split Russian society. At least seven people were detained while protesting the bill on Wednesday as the upper house of parliament vote to approve the measure, according to RIA Novosti. Human rights advocates have urged Russian authorities not to move forward with the ban, saying it denies Russian orphans a home with a family.

It has also caused a rare division among the Russian government.

Several top officials, including Russia’s foreign minister and education minister have come out against the ban. A leaked memo from another top official suggested its passage would cause Russia to breach several international treaties, including a recently enacted adoption agreement between the United States and Russia.

Others, like Astakhav, have supported the measure, saying that Russian children should remain in Russia.

A recent poll by the Public Opinion Foundation found a majority of Russians supported the ban, while a quarter opposed it and another quarter expressed no opinion.

Russia is the third most-popular place for Americans to adopt children. According to the State Department, over 45,000 Russian children have been adopted by American families since 1999.

Russian officials, however, have pointed to the cases of 19 Russian adopted children who have been killed in the United States as evidence of broader mistreatment of Russian children by their adopted parents. The adoption ban bill was named after Dima Yakovlev, who died in 2008 after his adoptive father left him in a car in a Virginia suburb of Washington, D.C. The bill also slaps sanctions on Americans accused of abusing Russian children and judges deemed to have provided them with lenient sentences.

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Syria to discuss Brahimi peace proposals with Russia

BEIRUT (Reuters) - Syrian President Bashar al-Assad sent a senior diplomat to Moscow on Wednesday to discuss proposals to end the conflict convulsing his country made by international envoy Lakhdar Brahimi, Syrian and Lebanese sources said.

Brahimi, who saw Assad on Monday and is planning to hold a series of meetings with Syrian officials and dissidents in Damascus this week, is trying to broker a peaceful transfer of power, but has disclosed little about how this might be done.

More than 44,000 Syrians have been killed in a revolt against four decades of Assad family rule, a conflict that began with peaceful protests but which has descended into civil war.

Past peace efforts have floundered, with world powers divided over what has become an increasingly sectarian struggle between mostly Sunni Muslim rebels and Assad's security forces, drawn primarily from his Shi'ite-rooted Alawite minority.

Deputy Foreign Minister Faisal Makdad flew to Moscow to discuss the details of the talks with Brahimi, said a Syrian security source, who would not say if a deal was in the works.

However, a Lebanese official close to Damascus said Makdad had been sent to seek Russian advice on a possible agreement.

He said Syrian officials were upbeat after talks with Brahimi, the U.N.-Arab League envoy, who met Foreign Minister Walid Moualem on Tuesday a day after his session with Assad, but who has not outlined his ideas in public.

"There is a new mood now and something good is happening," the official said, asking not to be named. He gave no details.

Russia, which has given Assad diplomatic and military aid to help him weather the 21-month-old uprising, has said it is not protecting him, but has fiercely criticized any foreign backing for rebels and, with China, has blocked U.N. Security Council action on Syria.

"ASSAD CANNOT STAY"

A Russian Foreign Ministry source said Makdad and an aide would meet Foreign Minister Sergei Lavrov and Mikhail Bogdanov, the Kremlin's special envoy for Middle East affairs, on Thursday, but did not disclose the nature of the talks.

On Saturday, Lavrov said Syria's civil war had reached a stalemate, saying international efforts to get Assad to quit would fail. Bogdanov had earlier acknowledged that Syrian rebels were gaining ground and might win.

Given the scale of the bloodshed and destruction, Assad's opponents insist the Syrian president must go.

Moaz Alkhatib, head of the internationally-recognized Syrian National Coalition opposition, has criticized any notion of a transitional government in which Assad would stay on as a figurehead president stripped of real powers.

Comments on Alkhatib's Facebook page on Monday suggested that the opposition believed this was one of Brahimi's ideas.

"The government and its president cannot stay in power, with or without their powers," Alkhatib wrote, saying his Coalition had told Brahimi it rejected any such solution.

While Brahimi was working to bridge the vast gaps between Assad and his foes, fighting raged across the country and a senior Syrian military officer defected to the rebels.

Syrian army shelling killed about 20 people, at least eight of them children, in the northern province of Raqqa, a video posted by opposition campaigners showed.

The video, published by the Syrian Observatory for Human Rights, showed rows of blood-stained bodies laid out on blankets. The sound of crying relatives could be heard in the background.

The shelling hit the province's al-Qahtania village, but it was unclear when the attack had occurred.

STRATEGIC BASE

Rebels relaunched their assault on the Wadi Deif military base in the northwestern province of Idlib, in a battle for a major army compound and fuel storage and distribution point.

Activist Ahmed Kaddour said rebels were firing mortars and had attacked the base with a vehicle rigged with explosives.

The British-based Observatory, which uses a network of contacts in Syria to monitor the conflict, said a rebel commander was among several people killed in Wednesday's fighting, which it said was among the heaviest for months.

The military used artillery and air strikes to try to hold back rebels assaulting Wadi Deif and the town of Morek in Hama province further south. In one air raid, several rockets fell near a field hospital in the town of Saraqeb, in Idlib province, wounding several people, the Observatory said.

As violence has intensified in recent weeks, daily death tolls have climbed. The Observatory reported at least 190 had been killed across the country on Tuesday alone.

The head of Syria's military police changed sides and declared allegiance to the anti-Assad revolt.

"I am General Abdelaziz Jassim al-Shalal, head of the military police. I have defected because of the deviation of the army from its primary duty of protecting the country and its transformation into gangs of killing and destruction," the officer said in a video published on YouTube.

A Syrian security source confirmed the defection, but said Shalal was near retirement and had only defected to "play hero".

Syrian Interior Minister Mohammed Ibrahim al-Shaar left Lebanon for Damascus after being treated in Beirut for wounds sustained in a rebel bomb attack this month.

(Additional reporting by Laila Bassam; Writing by Alistair Lyon; Editing by Andrew Osborn)

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Football: Thirteen proves lucky for Mata and Chelsea

NORWICH, United Kingdom: Juan Mata was the Chelsea match-winner after his goal turned out to be enough to defeat Norwich City 1-0 at Carrow Road on Wednesday.

The Spain international broke the deadlock seven minutes before half-time to record his 13th goal of the season.

It turned out to be a valuable one as Rafa Benitez's side were able to close the gap on Manchester City, beaten 1-0 at Sunderland, in second place. Chelsea are now four points behind last season's title winners, and have a game in hand.

There was no place in the Chelsea starting line-up for either Frank Lampard or Eden Hazard even though both had scored in Sunday's 8-0 victory over Aston Villa, a record defeat for the Midlands side.

John Obi Mikel and Oscar replaced them at a time when a newspaper report had stated that Lampard, whose contract expires at the end of the season, had been told by the Chelsea hierarchy that he must find a new club in January.

It took a while for either side to fashion a chance and the first fell to Norwich but Alex Tettey miscued his effort from the edge of the box so much the ball ended up going out for a throw-in.

Chelsea's reply, which took 10 minutes to arrive, was hardly more impressive as David Luiz, playing in a defensive midfield role, blasted a long-range effort well over the Norwich crossbar.

Mata saw a shot blocked by Sebastien Bassong as Chelsea began to threaten. Luiz's ball reached Ashley Cole on the left of the City box but Michael Turner was in quickly to block.

Another Luiz ball set Mata up on the other side of the Norwich box but the Spain midfielder fired wide of Mark Bunn's near post and found only the side-netting.

Mikel fired another shot over the bar following an elaborate build-up and Chelsea finally broke the deadlock in the 38th minute when Mata received the ball from Oscar and beat Bunn from 20 yards with a perfectly-placed shot.

Cole fired wide early in the second half and Fernando Torres, who had been very quiet, soon saw a shot on the turn blocked by a defender. Victor Moses was next to have ago but the angle was tight on the left of the box and Bunn was able to save.

Home hopes were boosted by a fine interchange between Wes Hoolahan and Grant Holt but the latter fired across goal and wide, and the flag was up for offside anyway.

It was not long before Norwich were back under pressure but Bunn made a comfortable save to keep out Mata's free-kick from 30 yards out and once again the goalkeeper was not required when Luiz blasted another long-ranger metres over his crossbar.

Moses could have made it 2-0 in the 68th minute when he chested down a cross from the right Cesar Azpilicueta to elude his marker but his first-time shot ended up thumping into an advertising hoarding rather than the net.

Azpilicueta was hurt at the other end as Bradley Johnson challenged with a high boot before Lampard replaced Mikel in the 73rd minute and Johnson was booked for a clear dive moments before being replaced by Jonny Howson.

Bunn made another quality save to deny Hazard, who had come on for Moses in the 79th minute, after a clever back-heel from Torres had opened up the Norwich defence on the left. Hazard, on as a substitute, was then booked for a cynical trip on Russell Martin.

Cole had to hack the ball away for a corner in front of his own goal as Norwich piled on some late pressure and Bassong headed over from the resulting corner. It was too little too late for the Canaries and Chelsea were not troubled again before the final whistle.

-AFP/ac

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Court directs police to probe into Jethmalani's remarks on Ram

HYDERABAD: A court on Wednesday directed Neredmet police to investigate into allegations against suspended BJP MP Ram Jethmalani for outraging religious feelings by his controversial comments on Lord Ram.

A private complaint lodged by Bajrang Dal member Navin Kumar and advocate Srinivas Yadav in the Malkajgiri metropolitan magistrate court sought registration of a case against Jethmalani over his comments under Sec 295A (deliberate and malicious acts), intended to outrage religious feelings or any class by insulting its religion or religious beliefs) of IPC, police said.

After hearing the complaint, the court on Wednesday ordered the Neredmet police to investigate and file a status report before it over the matter, they said.

When asked if any case was booked against Jethmalani, police said they were seeking legal opinion in this regard.

Jethmalani had addressed a function in Delhi on November 8 where he had described Lord Ram as a "bad husband".

"Ram was a bad husband. I don't like him at all. Just because some fisherman said something, he sent that poor woman (Sita) to exile," he had said.

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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.

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Online:

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

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

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Russia Lawmakers Pass Ban on Adoptions to US

Dec 26, 2012 8:22am

Russian police officers detain a demonstrator protesting against a bill banning US adoptions of Russian children outside the Russian parliament's upper chamber in Moscow, Dec. 26, 2012.(Misha Japaridze/AP Photo)

MOSCOW — The upper house of the Russian parliament unanimously approved a ban on adoptions to the United States on Wednesday. All eyes are now on the Kremlin as the bill goes to President Putin for his signature.

The ban was added last week to a broader bill retaliating for human rights sanctions signed by President Obama earlier this month. Putin has expressed support for the broader bill, which reciprocates the sanctions, but dodged questions last week about the adoption ban.

At stake are the cases of 46 Russian children whose adoptions would be frozen if the bill becomes law, according to Russia’s children’s ombudsman Pavel Astakhav. He said those children would receive priority to be adopted by Russian families.

The proposed ban has split Russian society. Outside the parliament at least seven people were detained while protesting the bill, according to RIA Novosti. Human rights advocates have urged Russian authorities not to move forward with the ban, saying it denies Russian orphans a home with a family.

It has also caused a rare division among the Russian government.

Several top officials, including Russia’s foreign minister and education minister have come out against the ban. A leaked memo from another top official suggested its passage would cause Russia to breach several international treaties, including a recently enacted adoption agreement between the United States and Russia.

Others, like Astakhav, have supported the measure, saying that Russian children should remain in Russia.

A recent poll by the Public Opinion Foundation found a majority of Russians supported the ban, while a quarter opposed it and another quarter expressed no opinion.

Russia is the third most popular place for Americans to adopt children. According to the State Department, over 45,000 Russian children have been adopted by American families since the fall of the Soviet Union in 1991.

Russian officials, however, have pointed to the cases of 19 Russian adopted children who have been killed in the United States as evidence of broader mistreatment of Russian children by their adopted parents. The adoption ban bill was named after Dima Yakovlev, who died in 2008 after his adoptive father left him in a car in a Washington, D.C., suburb. The bill also slaps sanctions on Americans accused of abusing Russian children and judges deemed to have provided them with lenient sentences.

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