40 Years After Roe v. Wade, Thousands March to Oppose Abortion


Drew Angerer/The New York Times


Pro-life activists made their way down Constitution Avenue toward the Supreme Court during the March for Life in Washington on Friday.







WASHINGTON — Three days after the 40th anniversary of the decision in Roe v. Wade, the landmark Supreme Court case that legalized abortion, tens of thousands of abortion opponents from around the country came to the National Mall on Friday for the annual March for Life rally, which culminated in a demonstration in front of the Supreme Court building.




On a gray morning when the temperature was well below freezing, the crowd pressed in close against the stage to hear more than a dozen speakers, who included Tony Perkins, the president of the Family Research Council; Representative Diane Black, Republican of Tennessee, who recently introduced legislation to withhold financing from Planned Parenthood, and Senator Rand Paul, Republican of Kentucky; Cardinal Seán Patrick O’Malley of Boston; and Rick Santorum, the former senator from Pennsylvania and Republican presidential candidate.


Mr. Santorum spoke of his wife’s decision not to have an abortion after they learned that their child — their daughter Bella, now 4 — had a rare genetic disorder called Trisomy 18.


“We all know that death is never better, never better,” Mr. Santorum said. “Bella is better for us, and we are better because of Bella.”


Jeanne Monahan, the president of the March for Life Education and Defense Fund, said that the march was both somber and hopeful.


“We’ve lost 55 million Americans to abortion,” she said. “At the same time, I think we’re starting to win. We’re winning in the court of public opinion, we’re winning in the states with legislation.”


Though the main event officially started at noon, the day began much earlier for the participants, with groups in matching scarves engaged in excited chatter on the subway and gaggles of schoolchildren wearing name tags around their necks. Arriving on the Mall, attendees were greeted with free signs (“Defund Planned Parenthood” and “Personhood for Everyone”) and a man barking into a megaphone, “Ireland is on the brink of legalizing abortion, which is not good.”


The march came two months after the 2012 campaign season, in which social issues like abortion largely took a back seat to the focus on the economy. But the issue did come up in Congressional races in which Republican candidates made controversial statements about rape or abortion. In Indiana, Richard E. Mourdock, a Republican candidate for the Senate, said in a debate that he believed that pregnancies resulting from rape were something that “God intended,” and in Illinois, Representative Joe Walsh said in a debate that abortion was never necessary to save the life of the mother because of “advances in science and technology.” Both men lost, hurt by a backlash from female voters.


Recent polls show that while a majority of Americans do not want Roe v. Wade to be overturned entirely, many favor some restrictions. In a Gallup poll released this week, 52 percent of those surveyed said that abortions should be legal only under certain circumstances, while 28 percent said they should be legal under all circumstances, and 18 percent said they should be illegal under all circumstances. In a Pew poll this month, 63 percent of respondents said they did not want Roe v. Wade to be overturned completely, and 29 percent said they did — views largely consistent with surveys taken over the past two decades.


“Most Americans want some restrictions on abortion,” Ms. Monahan said. “We see abortion as the human rights abuse of today.”


Speaker John A. Boehner of Ohio, who spoke via a recorded video, called on the protest group, particularly the young people, to make abortion “a relic of the past.”


“Human life is not an economic or political commodity, and no government on earth has the right to treat it that way,” he said.


The crowd was dotted with large banners, many bearing the names of the attendees’ home states and churches and colleges. Gary Storey, 36, stood holding a handmade sign that read “I was adopted. Thanks Mom for my life.” Next to him stood his adoptive mother, Ellen Storey, 66, who held her own handmade sign with a picture of her six children and the words “To the mothers of our four adopted children, ‘Thank You’ for their lives.”


Mr. Storey said he was grateful for the decision by his biological mother to carry through with her pregnancy. “Beats the alternative,” he joked.


Last week, the Planned Parenthood Federation of America started a new Web site, and on Tuesday, its president, Cecile Richards, released a statement supporting abortion rights.


“Planned Parenthood understands that abortion is a deeply personal and often complex decision for a woman to consider, if and when she needs it,” she said. “A woman should have accurate information about all of her options around her pregnancy. To protect her health and the health of her family, a woman must have access to safe, legal abortion without interference from politicians, as protected by the Supreme Court for the last 40 years.”


This article has been revised to reflect the following correction:

Correction: January 25, 2013

A summary that appeared on the home page of NYTimes.com with an earlier version of this article misstated the day of the march. It took place on Friday, not Thursday.



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2012 stock report: Pains and gains









If you invested heavily in Illinois companies that provide consulting services, you had little reason to celebrate in 2012.

While the Standard & Poor's 500 index ended the year up 13 percent, most large businesses in the region that counsel other companies on how to improve their operations saw their stock prices drop.

Business support services was one of the few sectors getting clobbered in a 2012 Tribune ranking of Illinois and northwest Indiana stocks' performance.

Stock prices gained at about 70 percent of the 127 companies on the list, and about half outperformed the S&P 500. Bank owners such as Taylor Capital Group emerged from their 2011 doldrums, and Ulta Salon Cosmetics & Fragrance Inc. and Discover Financial Services marked their second consecutive year of soaring stock prices.

The year's biggest decliner, down 76 percent, was Groupon, as once-torrid revenue growth at the daily deals offerer started slowing.

Career Education was the second-worst performer; its stock fell 56 percent. The highly scrutinized for-profit school chain said it would close campuses and cut jobs amid sinking revenue and financial losses.

Sectors boosted by broad gains in 2012 included electrical parts and equipment, industrial machinery, and specialty chemicals.

Of seven Illinois banks on the list, all but one outperformed the S&P 500, with price appreciation of those six ranging from 16 to 86 percent.

In contrast, stocks of four of five professional services firms — Navigant Consulting, Huron Consulting Group, Heidrick & Struggles International and R.R. Donnelley & Sons — closed down 2 to 38 percent.

Each had its own set of issues.

Navigant's services, for example, include advising companies that face disputes, litigation and investigations, including government probes, as well as businesses that need help valuing potential mergers and acquisitions.

"You see fewer government investigations during an election year, as regulators are leaving their jobs, and they don't want to start new ones," said Tobey Sommer, a SunTrust Robinson Humphrey analyst. "Also, worries about the 'fiscal cliff' slowed M&A because CEOs didn't want to look foolish acquiring a company in September ahead of the fiscal cliff when they might have been able to buy it for 20 percent less in January had we gone off."

Meanwhile, Heidrick's troubles included a slowing market for executive searches. In early 2012, analysts expected Heidrick's annual earnings to be in the range of about $1.30 per share. It appears that it will earn closer to 57 cents a share.

Huron's earnings estimates during 2012 were also trimmed, to about $2.10 from about $2.40 a share as the timing of fee payments to its health care consulting business proved volatile.

"Its underlying demand is strong," but an increasing number of clients had signed contracts where a larger portion of revenue was contingent on the outcome of Huron's consulting work, said Randle Reece, analyst with Avondale Partners LLC. That made it harder for the company and the analysts who cover it to predict the timing of revenues, since they are deferred.

For investors interested in "Dumpster diving," Morningstar Inc. considers Exelon, WMS Industries and Caterpillar to be high quality yet undervalued this year, said Heather Brilliant, chief equities strategist.

Navigant is among the region's beaten-down stocks liked by stock research firm EVA Dimensions LLC. "Its fundamentals are improving, and it's really cheap," said EVA analyst Andrew Zamfotis.

Best of the best

Here are the top three stock gainers of 2012:

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Light snow makes for slick morning commute




















Chicago's morning weather forecast




















































A burst of snow slickened the morning commute but may not end Chicago's record stretch of days without an inch of snow falling.

“Looks like we will not get an inch. It will probably be closer to half an inch,” said Ben Deubelbeiss, a meteorologist with the National Weather Service.






As of 6 a.m., four-tenths of an inch of snow was recorded at O'Hare International Airport. Through Thursday, Chicago has seen 334 days without an inch of snow falling in a day. That beats the previous record streak of 319 set in 1940.

Snow started falling in the Chicago area around 4:45 a.m. Within half an hour, Illinois state police were reporting slick conditions on roads and had already responded to six minor accidents. Shortly after 6 a.m., a nine-car crash was reported near North Avenue on the Kennedy Expressway, but there were no reports of serious injuries.

By 7:15 a.m., state police said they had responded to about two dozen crashes on area expressways.

The snow was expected to end this morning.

“Something like this wouldn’t be newsworthy if it wasn’t for the fact it hasn’t snowed all year,” said Gino Izzi, another meteorologist for the weather service.

Still, the Chicago Department of Streets and Sanitation deployed almost 200 of its 284 plow trucks to clear streets of snow and apply salt to the roads.

"We’re going to be monitoring the weather but at this point we’re looking at snowfall at least through the rush hour," said Anne Sheahan, spokeswoman for Streets and Sanitation.

The next bout of snow is not expected until next week.

"We don’t have much of a chance of snow for the next five or six days," Izzi said. "If we miss (an inch of snow) today – today’s our one shot until we get to the middle or end of next week."

pnickeas@tribune.com
Twitter: @peternickeas






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Nokia CEO closes the door on a potential Android smartphone






Nokia (NOK) CEO Stephen Elop on Thursday shot down rumors that his company might be interested in developing Android-based smartphones. During Nokia’s fourth-quarter earnings call, the executive reiterated his support for the company’s Asha phones and Microsoft’s (MSFT) Windows Phone platform, while shutting the door on earlier Android rumors.


[More from BGR: Unlocking your smartphone will be illegal starting next week]






“We are clearly innovating with Microsoft around Windows Phone, and are focused on taking that to lower and lower price points,” he said, according to TechCrunch. “You will see that over time [we will] compete with Android. But at the same time we’ve said consistently — and we’re just beginning to see it in the Asha full-touch products — that we will continue to innovate around our Asha smartphone line in order to compete with the very lowest levels of Android.”


[More from BGR: Why the iOS-Android feud is so intense: It’s about core philosophy more than products]


The executive also took shots at Google (GOOG) and the openness of its Android operating system, or lack thereof.


“The situation that Android is facing, where the amount of fragmentation that you’re seeing is increasing as people take it in different directions, is of course offset by Google’s efforts to turn an open ecosystem into something that’s quite a bit more closed as you’ve seen quite recently,” Elop said.


Elop concluded by saying that Nokia is “not in a situation where we are considering something other than Windows Phone combined with what we’re doing with Asha.”


This article was originally published on BGR.com


Wireless News Headlines – Yahoo! News





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Voice of Te’o prankster? Couric plays voicemails






NEW YORK (AP) — The person Manti Te’o says was pretending to be his online girlfriend told the Notre Dame linebacker “I love you” in voicemails that were played during his interview with Katie Couric.


Taped earlier this week and broadcast Thursday, the hour-long talk show featured three voicemails that Te‘o claims were left for him last year. Te’o said they were from the person he believed to be Lennay Kekua, a woman he had fallen for online but never met face-to-face.






After the first message was played, Te’o said: “It sounds like a girl, doesn’t it?”


“It does,” Couric responded.


The interview was the All-American’s first on camera since his tale of inspired play after the deaths of his grandmother and girlfriend on the same day in September unraveled as a bizarre hoax in an expose by Deadspin.com on Jan. 16.


Te’o's parents appeared with him for part of the interview and backed up his claim that he wasn’t involved in the fabrication, saying they, too, had spoken on the phone with a person they believed to be Kekua.


Couric addressed speculation that the tale was concocted by Te’o as a way to cover up his sexual orientation. Asked if he were gay, Te’o said “no” with a laugh. “Far from it. Faaaar from that.”


He also said he was “scared” and “didn’t know what to do” after receiving a call on Dec. 6 — two days before the Heisman Trophy presentation — from a person who claimed to be his “dead” girlfriend.


The first voicemail, he said, was from what was supposed to be Kekua’s first day of chemotherapy for leukemia.


“Hi, I am just letting you know I got here and I’m getting ready for my first session and, um, just want to call you to keep you posted. I miss you. I love you. Bye,” the person said.


In the second voicemail, the person was apparently upset by someone else answering Te’o's phone.


The third voicemail was left on Sept. 11, according to Te’o, the day he believed Kekua was released from the hospital and the day before she “died.”


“Hey babe, I’m just calling to say goodnight,” the person on the voicemail said. “I love you. I know that you’re probably doing homework or you’re with the boys. … But I just wanted to say I love you and goodnight and I’ll be ok tonight. I’ll do my best. Um, yeah, so get your rest and I’ll talk to you tomorrow. I love you so much, hon. Sweet dreams.”


Couric suggested the person who left those messages might have been Ronaiah Tuisasosopo, a 22-year-old man from California, who Te’o said has apologized to him for pulling the hoax.


“Do you think that could have been a man on the other end of the phone?” she asked.


“Well, it didn’t sound like a man,” Te’o said. “It sounded like a woman. If he somehow made that voice, that’s incredible. That’s an incredible talent to do that. Especially every single day.”


Tuiasosopo has not spoken publicly since news of the hoax broke. The Associated Press has learned that a home in California where Te’o sent flowers to the Kekua family was once a residence of Tuiasosopo and has been in his family for decades.


Also on Thursday, the woman whose pictures were used in fake online accounts for Kekua said Tuiasosopo confessed to her in a 45-minute phone conversation as the scheme unraveled.


Diane O’Meara spoke with The Associated Press in a telephone interview. She said Tuiasosopo told her he’d been “stalking” her Facebook profile for five years and stealing photos.


O’Meara’s attorney, Jim Artiano, said they had not decided on whether to take any legal action.


The 23-year-old O’Meara, of Long Beach, Calif., said she knew Tuiasosopo from high school and he contacted her through Facebook on Dec. 16. She said that, over the next three weeks, Tuiasosopo got in touch with her several times, attempting to get photos and video of O’Meara. She said he made up a story about wanting them to help cheer up a cousin who was injured in a car crash.


O’Meara learned her identity had been stolen on Jan. 13 when she was contacted by Deadspin.com.


The next day she got in touch with Tuiasosopo.


“When I contacted Ronaiah I got a very bizarre vibe from him, he became very nervous, he wasn’t asking the questions I expected. He was asking ‘Who contacted you? What did they say?’” O’Meara said.


Later that day, he confessed, O’Meara said. She said she asked Tuiasosopo why he didn’t simply stop the hoax.


“He told me he wanted to end the relationship,” O’Meara said. “He said he wanted to stop the relationship between Lennay and Manti, but Manti didn’t want Lennay to break up with him … He said he tried to stop the game many times.”


When news of the hoax broke a few days later, O’Meara said she received a text from Tuiasosopo asking her to call him as soon as possible. O’Meara said she didn’t respond.


___


Associated Press writer Tami Abdollah contributed to this report from Los Angeles.


Entertainment News Headlines – Yahoo! News





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The New Old Age Blog: Time to Recognize Mild Cognitive Disorder?

The Diagnostic and Statistical Manual of Mental Disorders, published and periodically updated by the American Psychiatric Association, is one of those documents few laypeople ever read, but many of us are affected by.

It can make it easier or harder to get an insurance company or Medicare to cover treatments, for example. It factors into a variety of legal and governmental decisions.

And on a personal basis, a psychiatric diagnosis may be welcome (having a name and a treatment plan for what’s bothering us can be comforting) or not (are we really suffering from a mental disorder if we seem depressed after a family member dies?).

That last question refers to a change in the new DSM5, to be published in May, that has generated considerable controversy and that I discussed in an earlier post: the removal of the “bereavement exclusion,” once part of the diagnosis of Major Depressive Disorder.

Another element of the revised DSM could also affect readers: It will include something called Mild Neurocognitive Disorder. The task force revising the manual wanted to align psychiatry with the rest of medicine, which has already begun to distinguish between levels of impairment, said its chairman, David Kupfer, a University of Pittsburgh psychiatrist.

True enough, as we have reported before. Neurologists call it Mild Cognitive Impairment, a stage where cognitive decline becomes noticeable enough to affect daily functioning, yet people can still live independently and have not progressed to dementia.

In fact, a large proportion of people with mild cognitive problems never will develop dementia — but doctors and researchers cannot yet determine who will and who won’t. Biomarkers that could identify the biological brain changes that presage dementia are still years away.

Will it be helpful, then, for health professionals using the DSM5 — most of them not psychiatrists, but primary care doctors — to begin diagnosing Mild Neurocognitive Disorder? Particularly as there is no treatment that can reverse it or reliably slow its progression, if it would progress?

Dr. Ronald Petersen, director of the Mayo Clinic’s Alzheimer’s Disease Research Center and a member of the working group that developed the new DSM5 criteria, said he thought the newly recognized disorder would be useful. “The predementia phase is becoming increasingly important,” he told me in an interview.

Counseling could help people compensate for the memory loss and other deficits they are experiencing, for example. With a DSM-recognized diagnosis, those approaches are more likely to be covered by insurers.

Besides, “one argument against Alzheimer’s therapies is that we wait too late, when there’s too much damage to the central nervous system to repair,” Dr. Petersen said, referring to several recent disappointing drug trials. In the future, with earlier diagnoses, “you may be able to intervene, stop the process and forestall the dementia.”

But as we have seen with screening tests for other diseases, early detection does not always lead to better health or longer lives. It can, however, lead to unnecessary treatments and procedures involving risks of their own. Could that happen with Mild Neurocognitive Disorder?

“It will lead to wild overdiagnosis,” predicted Allen Frances, an emeritus professor of psychiatry at Duke and the chairman of the task force that developed the previous DSM edition. Indeed, about a quarter of people initially diagnosed with mild cognitive impairment are later determined to be normal, a prominent researcher told my colleague Judy Graham last year.

“People will get unnecessary tests and start getting weird treatments that have no proven efficacy,” said Dr. Frances, who has criticized a number of DSM5 changes. “They’re going to worry like crazy about being demented.”

Dr. Petersen agreed that it was a legitimate concern, but “by and large, we’re becoming better at distinguishing between the normal cognitive effects of aging and disease.” (The American Psychiatric Association will publish a specialized DSM for primary care physicians, Dr. Kupfer pointed out, to help guide them through diagnoses.)

It is hard for patients and families to know how to react when experts disagree. But keep in mind that contemporary health care aims for what is called shared decision-making. That means patients and professionals discuss options and weigh the risks and benefits of treatments and procedures, their likely outcomes, patients’ preferences, and come to agreement on how to proceed. This essay in the New England Journal of Medicine calls shared decision-making “the pinnacle of patient-centered care.”

So when Dr. Frances refers to the DSM5 as “a guide, not a bible,” and urges skepticism about some of its diagnoses, he is advocating an approach that patients and families should probably bring to any medical decision.

Seeking further information, asking questions, assessing options — those are reasonable responses if, a few weeks after a loved one’s death, a doctor says you may have major depression. Or if she thinks your memory loss could mean Mild Neurocognitive Disorder.

“The shorter the evaluation, the less the person knows you, the less he or she can explain and justify the diagnosis, the more tests and treatments that will result, the more a person should be cautious and get a second opinion,” Dr. Frances said.

Whatever the DSM5 says, it’s hard to argue with that.

Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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Burnt circuit boards snag Japan's 787 probe









A device seen as key to explaining why a Boeing Co. 787 Dreamliner jet made an emergency landing in Japan last week is burnt and unlikely to provide safety inspectors with data they need, said a person with knowledge of the ongoing investigation.

Circuit boards that control and monitor the performance of the plane's lithium-ion battery unit were charred and may be of little use to the teams investigating why the battery effectively melted, forcing safety investigators to scramble for possible clues from other components in the plane's electronics, said the person, who didn't want to be named as the probe is ongoing.

Aviation authorities in Japan face a painstaking reconstruction that may take months before they can unravel what caused one of the batteries to overheat, triggering warnings in the plane's cockpit.

That relatively inexpensive circuit boards may be keeping $10 billion worth of futuristic aircraft idle underscores how dependent the Boeing jet is on advanced electronics rather than more traditional, but less fuel-efficient, parts, experts said.

"The circuit board (system) is badly damaged. We'll see how much we can learn from examining it, but we'll also have to look at other recording devices on the aircraft to try and find out what happened," the person with direct knowledge of the investigation told Reuters.

BATTERY "BRAIN"

The circuit boards, known as the battery monitoring unit, are the "brains" of the battery, experts said. About the size of a laptop computer, the boards monitor functions of the lithium-ion battery's eight cells and feed this information to the charger. That effectively makes the boards responsible for preventing a battery from overcharging.

One key question for safety investigators is how the battery's eight individual cells became volatile even though the overall voltage to the battery was steady and didn't exceed the 32-volt capacity, officials have said. That data is not recorded in the Dreamliner's "black box" flight-data recorder.

U.S, Japanese and Boeing representatives have this week been at the Kyoto headquarters of GS Yuasa Corp, which makes batteries for the 787, looking at everything from manufacturing quality to technical standards.

The main battery from the All Nippon Airways flight is still at the GS Yuasa plant, where it is being cleaned and disassembled for further checks. Once they are done, Japanese safety officials plan to take the damaged circuit boards to the manufacturer, Fujisawa-based Kanto Aircraft Instrument, for a detailed inspection.

All 50 of Boeing's Dreamliners in service were grounded last week after the ANA-operated flight's emergency landing on a domestic flight. That followed an auxiliary battery fire in a Japan Airlines Co. Ltd 787 parked at Boston Airport.

"There is a possibility that a fire destroyed the elements that caused the problem and if so, it will become difficult to investigate the cause," said Hideaki Horie, project professor at the Institute of Industrial Science at Tokyo University.

Horie said Boeing should re-think the design of the battery safety and data recovery system even while it investigates what caused the recent Dreamliner incidents.

The 787 uses two lithium-ion batteries, which are about twice as large as a car battery. The batteries weigh less than a conventional battery and provide more power. They are Boeing's first step toward hybrid power systems like those used by automakers General Motors Co. and Toyota Motor Corp .
 

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Girl: 'My sister's on fire'













Residents reflect


Resident Clyde Harden, who said he helped rescue the youngest of the three children hurt in an apartment fire, stands with fellow 4-flat residents after their apartment caught fire in the 1000 block of West 76th Street on Chicago's South Side.
(Nuccio DiNuzzo, Chicago Tribune / January 23, 2013)


























































A young girl was in critical condition this morning after she was pulled from a burning bed in her South Side home by neighbors who heard the desperate screams of her older sister.

"She came downstairs and was knocking on everyone's door," said Sandra Gray. "She was screaming, 'My sister's on fire.' "

Gray said she and her husband and a neighbor ran up the stairs of the four-flat and saw the bottom of a bunk bed on fire. "All I saw was that the bed was on fire and the baby was burned," Gray said. "You could see the bed on fire."

She said the older sister, 16, tried to pull the girl, around 4, from the bed and burned her hands. Gray's husband and the neighbor finally put the fire out with water as firefighters and paramedics arrived, she said.

Gray said the girl was conscious but badly burned.

Clyde Harden, who rushed up with Gray, said he grabbed hold of the little girl and helped put out the fire. “I believe that she was sheltered by God already,” he told reporters on the scene. “Somebody was there for her.”

The girls, along with a 10-year-old brother, were taken to Comer Children's Hospital. The young girl was listed in critical condition and the other two were in good condition, according to fire officials.

Gray said the teenager told her the children were alone in their apartment in the 1000 block of West 76th Street Wednesday evening. The 16-year-old said she was in a back bedroom doing her homework when the boy ran to her room around 7:15 p.m.

"The 10-year-old ran back there to tell her [their sister] was on fire," Gray said.

She said the fire was contained to the bedroom shared by the younger children.


csadovi@tribune.com







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Go forth and Tweet! Pope sees web networks as “portals of truth”






VATICAN CITY (Reuters) – Pope Benedict urged Catholics on Thursday to use social networks like Twitter and Facebook to win converts, as he launched his own smartphone app streaming live footage of his speeches.


The websites – often associated with endless postings of idle gossip and baby photos – could be used as “portals of truth and faith” in an increasingly secular age, the pontiff said in his 2013 World Communications Day message.






“Unless the Good News is made known also in the digital world, it may be absent in the experience of many people,” the 85-year old Pope said in the a letter published on the Vatican‘s website.


The Holy See has become an increasingly prolific user of social media since it launched its ‘new evangelization’ of the developed world, where some congregations have fallen in the wake of growing secularization and damage to the Church’s reputation from a series of sex abuse scandals.


The Pope himself reaches around 2.5 million followers through eight Twitter accounts, including one in Latin.


Belying his traditionalist reputation, the Pope praised connections made online which he said could blossom into true friendships. Online life was not a purely virtual world but “increasingly becoming part of the very fabric of society,” he said.


Social networks were also a practical tool that Catholics could use to organize prayer events, the pope suggested. But he called for reasoned debate and respectful dialogue with those with different beliefs, and cautioned against a tendency towards “heated and divisive voices” and “sensationalism”.


The websites were creating a new “agora”, he added, referring to the gathering spaces that were the centers of public life in ancient Greek cities.


The speech coincided with the launch of ‘The Pope App’, a downloadable program that streams live footage of the pontiff’s speaking events and Vatican news onto smartphones.


Pope Benedict‘s embrace of new media responds to the Church’s concern that it is invisible on the internet.


The Vatican commissioned a study of internet use and religion prior to the pope’s Twitter debut, which found the majority of U.S. Catholics surveyed were unaware of any significant Church presence online.


(Reporting by Naomi O’Leary; editing by Andrew Heavens)


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The New Old Age Blog: Grief Over New Depression Diagnosis

When the American Psychiatric Association unveils a proposed new version of its Diagnostic and Statistical Manual of Mental Disorders, the bible of psychiatric diagnoses, it expects controversy. Illnesses get added or deleted, acquire new definitions or lists of symptoms. Everyone from advocacy groups to insurance companies to litigators — all have an interest in what’s defined as mental illness — pays close attention. Invariably, complaints ensue.

“We asked for commentary,” said David Kupfer, the University of Pittsburgh psychiatrist who has spent six years as chairman of the task force that is updating the handbook. He sounded unruffled. “We asked for it and we got it. This was not going to be done in a dark room somewhere.”

But the D.S.M. 5, to be published in May, has generated an unusual amount of heat. Two changes, in particular, could have considerable impact on older people and their families.

First, the new volume revises some of the criteria for major depressive disorder. The D.S.M. IV (among other changes, the new manual swaps Roman numerals for Arabic ones) set out a list of symptoms that over a two-week period would trigger a diagnosis of major depression: either feelings of sadness or emptiness, or a loss of interest or pleasure in most daily activities, plus sleep disturbances, weight loss, fatigue, distraction or other problems, to the extent that they impair someone’s functioning.

Traditionally, depression has been underdiagnosed in older adults. When people’s health suffers and they lose friends and loved ones, the sentiment went, why wouldn’t they be depressed? A few decades back, Dr. Kupfer said, “what was striking to me was the lack of anyone getting a depression diagnosis, because that was ‘normal aging.’” We don’t find depression in old age normal any longer.

But critics of the D.S.M. 5 now argue that depression may become overdiagnosed, because this version removes the so-called “bereavement exclusion.” That was a paragraph that cautioned against diagnosing depression in someone for at least two months after loss of a loved one, unless that patient had severe symptoms like suicidal thoughts.

Without that exception, you could be diagnosed with this disorder if you are feeling empty, listless or distracted, a month after your parent or spouse dies.

“D.S.M. 5 is medicalizing the expected and probably necessary process of mourning that people go through,” said Allen Francis, a professor emeritus at Duke who chaired the D.S.M. IV task force and has denounced several of the changes in the new edition. “Most people get better with time and natural healing and resilience.”

If they are diagnosed with major depression before that can happen, he fears, they will be given antidepressants they may not need. “It gives the drug companies the right to peddle pills for grief,” he said.

An advisory committee to the Association for Death Education and Counseling also argued that bereaved people “will receive antidepressant medication because it is cheaper and ‘easier’ to medicate than to be involved therapeutically,” and noted that antidepressants, like all medications, have side effects.

“I can’t help but see this as a broad overreach by the APA,” Eric Widera, a geriatrician at the University of California, San Francisco, wrote on the GeriPal blog. “Grief is not a disorder and should be considered normal even if it is accompanied by some of the same symptoms seen in depression.”

But Dr. Kupfer said the panel worried that with the exclusion, too many cases of depression could be overlooked and go untreated. “If these things go on and get worse over time and begin to impair someone’s day to day function, we don’t want to use the excuse, ‘It’s bereavement — they’ll get over it,’” he said.

The new entry for major depressive disorder will include a note — the wording isn’t final — pointing out that while grief may be “understandable or appropriate” after a loss, professionals should also consider the possibility of a major depressive episode. Making that distinction, Dr. Kupfer said, will require “good solid clinical judgment.”

Initial field trials testing the reliability of D.S.M. 5 diagnoses, recently published in The American Journal of Psychiatry, don’t bolster confidence, however. An editorial remarked that “the end results are mixed, with both positive and disappointing findings.” Major depressive disorder, for instance, showed “questionable reliability.”

In an upcoming post, I’ll talk more about how patients might respond to the D.S.M. 5, and to a new diagnosis that might also affect a lot of older people — mild neurocognitive disorder.

Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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