Israel Moves to Expand Settlements in East Jerusalem

Rina Castelnuovo for The New York Times

From his home in East Jerusalem last year, Haj Ibrahim Ahmad Hawa looked at the separation barrier surrounding Jerusalem with the Israeli settlement of Maale Adumim in the background. More Photos »

JERUSALEM — Israel is moving forward with development of Jewish settlements in a contentious area east of Jerusalem, defying the United States by advancing a project that has long been condemned by international leaders as effectively dooming any prospect of a two-state solution to the Israeli-Palestinian conflict.

One day after the United Nations General Assembly voted overwhelmingly to upgrade the Palestinians’ status, a senior Israeli official, speaking on the condition of anonymity, said the government would pursue “preliminary zoning and planning preparations” for a development that would separate the West Bank cities of Ramallah and Bethlehem from Jerusalem — preventing the possibility of a viable, contiguous Palestinian state.

The development, in an open area known as E1, would connect the large settlement town of Maale Adumim to Jerusalem. Israel also authorized the construction of 3,000 new housing units in parts of East Jerusalem and the West Bank.

The timing of twin actions seemed aimed at punishing the Palestinians for their United Nations bid, and appeared to demonstrate that hard-liners in the government had prevailed after days of debate over how to respond. They marked a surprising turnaround after a growing sense in recent days that Israeli leaders had acceded to pressure from Washington not to react quickly or harshly.

“This is a new act of defiance from the Israeli government,” Saab Erekat, the Palestinians’ chief negotiator, said in a statement. “At a moment where the Palestinian leadership is doing every single effort to save the two-state solution, the Israeli government does everything possible to destroy it.”

Much of the world considers settlements in East Jerusalem and the West Bank to be illegal under international law, and the United States has vigorously opposed development of E1 for nearly two decades. On Friday, Tommy Vietor, a White House spokesman, condemned the move, citing Washington’s “longstanding opposition to settlements and East Jerusalem construction and announcements.”

“We believe these actions are counterproductive and make it harder to resume direct negotiations or achieve a two-state solution,” Mr. Vietor said. “Direct negotiations remain our goal, and we encourage all parties to take steps to make that easier to achieve.”

The office of Prime Minister Benjamin Netanyahu refused to comment on the zoning and construction decisions, which were made Thursday night around the time of the General Assembly vote. But Israel has long maintained its right to develop neighborhoods throughout East Jerusalem and the West Bank — more than 500,000 Jews already live there — and Mr. Netanyahu, responding to the United Nations speech by President Mahmoud Abbas of the Palestinian Authority, said, “Someone who wants peace does not talk in such a manner.”

While Israel has frequently announced settlement expansions at delicate political moments, often to its detriment, the E1 move came as a shock, after a week in which both Israelis and Palestinians toned down their rhetoric about day-after responses to the United Nations bid. Avigdor Lieberman, the ultranationalist foreign minister who for months denounced the Palestinian initiative as “diplomatic terrorism” and said Israel should consider severe sanctions against the Palestinian Authority, told reporters in recent days that there would be “no automatic response.”

Mr. Erekat’s spokesman declined to discuss whether the Palestinians would use their upgraded status, as a nonmember observer state with access to United Nations institutions, to pursue a case in International Criminal Court regarding E1 or the other settlement expansion. Less contentious moves were already in progress: the Palestinian Authority has begun changing its name to “Palestine” on official documents, contracts and Web sites, and several nations are considering raising the level of diplomatic relations, giving Palestinian envoys the title of ambassador.

All but one European country voted with the Palestinians or abstained in Thursday’s United Nations vote, many of them citing concerns about settlements in West Bank and East Jerusalem territories Israel captured in the 1967 war. The settlement of E1, a 4.6-square-mile expanse of hilly parkland where some Bedouins have camps and a police station was opened in 2008, could further increase Israel’s international isolation.

Peter Baker contributed reporting from Hatfield, Pa.

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This Life: Maria Popova Has Some Big Ideas

Elizabeth Lippman for The New York Times

Maria Popova is the editor of Brain Pickings, an online grab bag of eclectic information.

SHE is the mastermind of the one of the faster growing literary empires on the Internet, yet she is virtually unknown. She is the champion of old-fashioned ideas, yet she is only 28 years old. She is a fierce defender of books, yet she insists she will never write one herself.

At precisely 9:30 on a chilly Saturday morning, Maria Popova slips out of her apartment in Brooklyn, scurries down a few stairs and enters a small basement gym. A former recreational bodybuilder from Bulgaria, Ms. Popova is the unlikely founder of the exploding online emporium of ideas known as Brain Pickings.

Her exhaustively assembled grab bag of scientific curiosities, forgotten photographs, snippets of old love letters and mash notes to creativity — imagine the high-mindedness of a TED talk mixed with the pop sensibility of P. T. Barnum — spans a blog (500,000 visitors a month), a newsletter (150,000 subscribers) and a Twitter feed (263,000 followers). Her output, which she calls a “human-powered discovery engine for interestingness,” has attracted an eclectic group of devotees including the novelist William Gibson, the singer Josh Groban, the comedian Drew Carey, the neuroscientist David Eagleman, the actress Mia Farrow and the Twitter founders Biz Stone and Evan Williams.

“She’s a celebrator,” said Anne-Marie Slaughter, a Princeton professor and former State Department official. “You feel the tremendous amount of pleasure she takes in finding these things and sharing them. It’s like walking into the Museum of Modern Art and having somebody give you a customized, guided tour.”

Unlike most blogger celebrities, however, Ms. Popova revels in remaining anonymous, which means her followers know almost nothing about her. In an age when many tweet what they put in their morning coffee, she rarely uses the word “I.” Her personal history is almost completely absent. Her photograph is not on the site. “I don’t feel the necessity to be in the public eye that way,” she said after reluctantly agreeing to sit for an interview. “There’s a certain safety in making people feel like you’re an organization and not a person. ”

A fierce creature of habit, she begins every day by working out. On this morning, she alternates 20 chin-ups with 50 push-ups, then performs a series of planks and stretches. Once on the elliptical, she frantically highlights an obscure 1976 book, “The Creativity Question” (Amazon sales ranking: one million-plus), and checks her RSS feed on her iPad.

Exactly 70 minutes later, she returns to her modest one-bedroom apartment to write a brief essay about Freud and daydreaming, file her thrice-daily blog entries and schedule her regimen of 50 Twitter messages a day. She does this while balancing on a wobble board.

“I try to sit still when I work, but my mind goes spiraling elsewhere,” she said in a mild Slavic accent reminiscent of Bond girls in the 1970s. “When my body is moving, it’s almost like it takes the wind out of this mental spinning, and I’m able to focus.” Recently, she came upon a 1942 book on inspiration chronicling others with the same habit. “Mark Twain paced while he dictated,” she said. “Beethoven walked along the river. Maybe there’s a psycho-biological element.”

Ms. Popova traces her discipline to her upbringing behind the Iron Curtain. Her parents met as teenage exchange students in Russia and had her almost immediately. Her father was an engineering student who later became an Apple salesman; her mother was studying library science. “We’re not very much in touch,” she said of her parents today, “but recently we were on Skype, and this whole library science thing came up. I realized a lot of what I do is organizational, almost like a Dewey Decimal System for the Web. My mother got so emotional. It was very funny, and kind of moving.”

Her paternal grandmother was a rabid biblio and had a collection of encyclopedias, Ms. Popova said, and she credits the act of randomly opening volumes and happening upon entries for her passion to discover old knowledge. “The Web has such a presentism bias,” she said, with Facebook updates, tweets and blog entries always appearing with the latest first. By contrast, flipping through the encyclopedia was “an interesting model of learning about the world serendipitously and also guidedely.”

After graduating from an American high school in Bulgaria, she enrolled at the University of Pennsylvania, where she quickly grew bored with what she calls the “industrial model” of education, involving large-scale lectures. While still a student, she was working part time at an advertising firm in 2005, when a colleague sent around an e-mail with clippings of rivals’ work to inspire the team.

Bruce Feiler’s latest book,“The Secrets of Happy Families,” will be published in February. “This Life” appears monthly.

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Hockey Coaches Defy Doctors on Concussions, Study Finds

Despite several years of intensive research, coverage and discussion about the dangers of concussions, the idea of playing through head injuries is so deeply rooted in hockey culture that two university teams kept concussed players on the ice even though they were taking part in a major concussion study.

The study, which was published Friday in a series of articles in the journal Neurosurgical Focus, was conducted during the 2011-12 hockey season by researchers from the University of Western Ontario, the University of Montreal, Harvard and other institutions.

“This culture is entrenched at all levels of hockey, from peewee to university,” said Dr. Paul S. Echlin, a concussion specialist and researcher in Burlington, Ontario, and the lead author of the study. “Concussion is a significant public health issue that requires a generational shift. As with smoking or seat belts, it doesn’t just happen overnight — it takes a massive effort and collective movement.”

The study is believed to be among the most comprehensive analyses of concussions in hockey, which has a rate of head trauma approaching that of football. Researchers followed two Canadian university teams — a men’s team and a women’s team — and scanned every player’s brain before and after the season. Players who sustained head injuries also received scans at three intervals after the injuries, with researchers using advanced magnetic resonance imaging techniques.

The teams were not named in the study, in which an independent specialist physician was present at each game and was empowered to pull any player off the ice for examination if a potential concussion was observed.

The men’s team, with 25 players and an average age of 22, played a 28-game regular season and a 3-game postseason. The women’s team, with 20 players and an average age of 20, played 24 regular-season games and no playoff games. Over the course of the season, there were five observed or self-reported concussions on the men’s team and six on the women’s team.

Researchers noted several instances of coaches, trainers and players avoiding examinations, ignoring medical advice or otherwise obstructing the study, even though the players had signed consent forms to participate and university ethics officials had given institutional consent.

“Unless something is broken, I want them out playing,” one coach said, according to the study.

In one incident, a neurologist observing the men’s team pulled a defenseman during the first period of a game after the player took two hits and was skating slowly. During the intermission the player reported dizziness and was advised to sit out, but the coach suggested he play the second period and “skate it off.” The defenseman stumbled through the rest of the game.

“At the end of the third period, I spoke with the player and the trainer and said that he should not play until he was formally evaluated and underwent the formal return-to-play protocol,” the neurologist said, as reported in the study. “I was dismayed to see that he played the next evening.”

After the team returned from its trip, the neurologist questioned the trainer about overruling his advice and placing the defenseman at risk.

“The trainer responded that he and the player did not understand the decision and that most of the team did not trust the neurologist,” according to the study. “He requested that the physician no longer be used to cover any more games.”

In another episode, a physician observer assessed a minor concussion in a female player and recommended that she miss the next night’s game. Even though the coach’s own playing career had ended because of concussions, she overrode the medical advice and inserted the player the next evening.

According to the report, the coach refused to speak to another physician observer on the second evening. The trainer was reluctant to press the issue with the coach because, the trainer said, the coach did not want the study to interfere with the team.

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Hockey Coaches Defy Doctors on Concussions, Study Finds

Despite several years of intensive research, coverage and discussion about the dangers of concussions, the idea of playing through head injuries is so deeply rooted in hockey culture that two university teams kept concussed players on the ice even though they were taking part in a major concussion study.

The study, which was published Friday in a series of articles in the journal Neurosurgical Focus, was conducted during the 2011-12 hockey season by researchers from the University of Western Ontario, the University of Montreal, Harvard and other institutions.

“This culture is entrenched at all levels of hockey, from peewee to university,” said Dr. Paul S. Echlin, a concussion specialist and researcher in Burlington, Ontario, and the lead author of the study. “Concussion is a significant public health issue that requires a generational shift. As with smoking or seat belts, it doesn’t just happen overnight — it takes a massive effort and collective movement.”

The study is believed to be among the most comprehensive analyses of concussions in hockey, which has a rate of head trauma approaching that of football. Researchers followed two Canadian university teams — a men’s team and a women’s team — and scanned every player’s brain before and after the season. Players who sustained head injuries also received scans at three intervals after the injuries, with researchers using advanced magnetic resonance imaging techniques.

The teams were not named in the study, in which an independent specialist physician was present at each game and was empowered to pull any player off the ice for examination if a potential concussion was observed.

The men’s team, with 25 players and an average age of 22, played a 28-game regular season and a 3-game postseason. The women’s team, with 20 players and an average age of 20, played 24 regular-season games and no playoff games. Over the course of the season, there were five observed or self-reported concussions on the men’s team and six on the women’s team.

Researchers noted several instances of coaches, trainers and players avoiding examinations, ignoring medical advice or otherwise obstructing the study, even though the players had signed consent forms to participate and university ethics officials had given institutional consent.

“Unless something is broken, I want them out playing,” one coach said, according to the study.

In one incident, a neurologist observing the men’s team pulled a defenseman during the first period of a game after the player took two hits and was skating slowly. During the intermission the player reported dizziness and was advised to sit out, but the coach suggested he play the second period and “skate it off.” The defenseman stumbled through the rest of the game.

“At the end of the third period, I spoke with the player and the trainer and said that he should not play until he was formally evaluated and underwent the formal return-to-play protocol,” the neurologist said, as reported in the study. “I was dismayed to see that he played the next evening.”

After the team returned from its trip, the neurologist questioned the trainer about overruling his advice and placing the defenseman at risk.

“The trainer responded that he and the player did not understand the decision and that most of the team did not trust the neurologist,” according to the study. “He requested that the physician no longer be used to cover any more games.”

In another episode, a physician observer assessed a minor concussion in a female player and recommended that she miss the next night’s game. Even though the coach’s own playing career had ended because of concussions, she overrode the medical advice and inserted the player the next evening.

According to the report, the coach refused to speak to another physician observer on the second evening. The trainer was reluctant to press the issue with the coach because, the trainer said, the coach did not want the study to interfere with the team.

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France Reaches Deal to Save Jobs at Steel Plant

PARIS — The French government reached an agreement late Friday with the steel giant ArcelorMittal that commits it to investing 180 million euros over five years in one of its three large French factories and avoids the elimination of about 600 jobs.

The deal, announced by Prime Minister Jean-Marc Ayrault, brings to an end a tense two-month standoff that escalated earlier this week into the threat of a possible nationalization of the plant.

In a televised announcement, Mr. Ayrault said that while ArcelorMittal had agreed “unconditionally” to keep all 2,700 employees at its site in Florange, in northeastern France, two idled blast furnaces — at which 600 of those people worked — would remain offline until flagging European steel demand improves. The affected workers will be redeployed at other areas of the plant, he said.

“The government has decided against the idea of a temporary nationalisation,” Mr. Ayrault said. There will be no layoffs, he added.

Nicola Davidson, a spokeswoman for ArcelorMittal, confirmed by e-mail that an agreement had been reached but declined to confirm the details pending a formal announcement on Saturday.

The accord appeared to bring an end to the ugly dispute, which had pitted the French state, in its traditional role as defender of industry, against a company with mounting debts that is trying to reduce capacity in line with the slowdown in the European economy. ArcelorMittal, the world’s largest steelmaker, had sought to permanently close the two blast furnaces at the Florange plant but wanted to continue operating a part of the facility that processes steel for the car industry.

In all, ArcelorMittal employs about 20,000 people in France.

With unemployment hovering above 10 percent, the Socialist government of President François Hollande is desperate to avoid more layoffs by name-brand companies. Several big employers, including PSA Peugeot Citroën, Air France and Sanofi, have announced big job cuts this year. But some analysts said that by taking such a strongly interventionist stand to protect steelworkers, France risked sending the wrong signal to multinational companies, whose investment the economy needs if it is to stave off long-term decline.

ArcelorMittal had agreed to give the government until midnight Friday to find a buyer for the furnaces, offering them for a symbolic single euro, despite skepticism that a buyer would be interested in anything less than the entire factory.

Arnaud Montebourg, France’s industry minister, had previously insisted that the company agree to sell the entire plant and said that two different companies were interested, although he declined to identify them.

It was Mr. Montebourg who first raised the possibility of a “temporary nationalization” of the Florange plant in a newspaper interview published this week. In the interview, the minister accused Lakshmi Mittal, the Indian-born billionaire who serves as the company’s chairman and chief executive, of “failing to respect France” and of a “failure to keep promises, blackmail and threats.”

Mr. Mittal, who built ArcelorMittal from the 2006 merger of his Mittal Steel with Arcelor, then the largest European steelmaker, had promised at the time to help modernize the European steel sector. But the company said that the Florange plant was already scheduled for closing under Arcelor, its previous owner.

Stanley Reed contributed reporting from London.

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Myanmar Security Forces Use Incendiary Devices in Raid on Protest Camp

BANGKOK — Security forces in Myanmar mounted a violent raid on Thursday against Buddhist monks and villagers who have been protesting the expansion of a copper mine. The crackdown was the largest since the civilian government of President Thein Sein came to power 20 months ago.

Witnesses said dozens of monks and other protesters were injured when security forces used incendiary devices that set fire to protesters’ encampments outside the offices of the Chinese company in charge of the project, which has a partnership with the powerful military in Myanmar, formerly Burma.

Photos from Burmese online news sites showed monks, who are highly revered in the country and are often involved in political causes, with singed saffron robes stuck to their badly seared skin.

The raid came hours before Daw Aung San Suu Kyi, the Nobel laureate and leader of the opposition in Parliament, was scheduled to visit the city of Monywa, near the mine.

Her visit underlined the widespread support the protests had engendered across the country before the raid.

Analysts said the brutal way that the crackdown was carried out could hamper Mr. Thein Sein’s efforts to persuade the country that his government has made a clean break from the military regimes that ruled the country for five decades.

“There will be political consequences,” said U Thiha Saw, the editor of Open News Journal and Myanma Danna magazine. “This may be the start of an uglier phase for the government. Things may get a little more complicated.”

The crackdown was conducted by security forces who have little experienced using modern crowd-control methods that are meant to minimize casualties. During military rule, dissent was brutally repressed and protesters on several occasions were shot dead in the streets.

In Thursday’s raid, security forces fired what one witness described to The Associated Press as “black balls that exploded into fire” to disperse the protesters, who had overstayed a Wednesday deadline set by the government to leave the area.

Factory workers and villagers, both ethnic Burmese and members of minorities, have taken advantage of new freedom under Mr. Thein Sein’s government to carry out limited demonstrations and strikes in recent months. The protests at the copper mine were by far the largest to appear since the former military junta ceded power to civilians in March 2011.

By dealing so forcefully with the mine protests, the government risks appearing to defend the vested interests of the old regime. The project is typical of the kinds of opaque deals often struck during military rule that have enriched many of the country’s generals. The military has been so deeply involved in business that it has its own holding company, the Union of Myanmar Economic Holdings; the company is listed as a part owner of the copper mine.

The deal between the military and the Chinese company, a subsidiary of a state-owned Chinese arms manufacturer, to expand the mine was signed two years ago when Mr. Thein Sein was prime minister under the military junta.

According to an American diplomatic cable made public by WikiLeaks, the deal was brokered by U Tay Za, a tycoon who became rich through his connections to the military regime, especially the country’s former dictator, Senior Gen. Than Shwe.

The crackdown may also complicate the investment picture for China, which has struggled in Myanmar with the perception that it is mainly interested in extracting natural resources from the country, not in aiding its development.

The Global Times, a state-owned Chinese newspaper, published an article Thursday, before the crackdown, that accused the West and advocacy groups of instigating the protests against the mine project, and said that shutting the mine down would be “a lose-lose situation” for the two countries.

“Chinese companies’ investments in Myanmar are facing huge challenges,” the article said. “What we see in the country is the inevitable impact of its democratization.”

Anti-Chinese sentiment was a major factor in the cancellation of a hydroelectric dam project last year in northern Myanmar that would have exported electricity to China. The project was suspended after an outcry.

Thursday’s raid came in the predawn hours. Ashin Visara, a 28-year-old monk who was injured in the crackdown, said security forces threw “explosive devices” into the areas where protesters were camped out.

“That started fires at the protest sites,” he said. “And then they attacked us.”

U Nway Oo, a student activist from Monywa who assisted the injured, said many protesters fled into the surrounding villages or the jungle.

“There were no medical personnel or ambulances around before the crackdown,” he said.

The mine, which is often referred to as Letpadaung for the mountains from which the copper is extracted, was initially operated by a joint venture between the Myanmar government and a Canadian company, Ivanhoe Mines. The Chinese company became involved two years ago. The expansion project would displace inhabitants of two dozen villages.

The protests have been led in part by two young women, Aye Net and Thwe Thwe Win, who reportedly escaped arrest.

The crackdown is a setback for the efforts of advocacy groups that focus on the crucial question of land rights, an issue likely to become more contentious as economic growth makes villagers’ land more attractive to companies and property developers. Land rights were the focus of a conference last weekend in the capital, Naypyidaw, that was attended by high-ranking government officials.

Wai Moe contributed reporting from Monywa, Myanmar.

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Bryce Bayer, Inventor of a Filter to Make Color Digital Pictures, Dies at 83

Bryce Bayer, a retired Eastman Kodak research scientist who invented the checkerboard-like filter that has allowed millions of digital cameras to capture vivid color images, died on Nov. 13 in Bath, Me. He was 83.

The cause was a long illness related to dementia, his son Douglas said.

“Without his invention we’d still be getting only black-and-white pictures from our digital cameras,” Larry Scarff, a former chairman of the Camera Phone Image Quality Standards Group, an industry organization, said of Mr. Bayer on Wednesday. “Ninety-nine point nine-nine percent of all digital cameras — cellphones, pocket cameras, webcams and consumer digital video cameras — use the Bayer pattern to produce color pictures.”

Mr. Bayer (pronounced BYE-er), who began tinkering with cameras like the Brownie as a boy, had been at Kodak for 23 years when, in 1974, he completed his design for a device that captured detailed color images. It is known throughout the industry as the Bayer filter.

“The pattern is very simple,” said Ken Parulski, who was chief scientist for Kodak’s digital camera division until he retired in June: a grid of four boxes — each a light-sensitive element formed on a silicon chip — with two diagonally placed green elements, one red element and the fourth one blue. Light passing through the elements is filtered into an array of colors.

“There are twice as many green elements as red or blue because this mimics the way the human eye provides the sharpest overall color image,” Mr. Parulski said. And, he added, while dozens of alternative patterns have since been developed — including some by Mr. Parulski himself — “the Bayer pattern has stood the test of time.”

In 2009, the Royal Photographic Society of Britain presented Mr. Bayer with its Progress Award. This year, he received the first Camera Origination and Imaging Medal from the Society of Motion Picture and Television Engineers.

The Bayer filter received Patent No. 3,971,065 in 1976. A year later, Steven Sasson and Gareth Lloyd, two other Kodak researchers, received Patent No. 4,131,919 for their design of the first digital camera — a black-and white device that later incorporated the Bayer filter.

“Bryce was thinking about the problem of getting pieces of silicon to capture color images for photography long before the solid-state image sensors that were invented in the late ’60s,” Mr. Sasson said.

Bryce Edward Bayer was born in Portland, Me., on Aug. 15, 1929, to Alton and Marguerite Willard Bayer. He received a bachelor’s degree in engineering physics from the University of Maine in 1951, then moved to Rochester to begin a 35-year career with Eastman Kodak. There he met Joan Fitzgerald, another Kodak researcher; they married in 1954. Mr. Bayer went on to earn a master’s degree in industrial statistics from the University of Rochester in 1960.

Besides his wife and his son Douglas, Mr. Bayer is survived by another son, David; a daughter, Janet Bayer; a sister, Margery Parks; and three grandchildren.

At Deering High School in Portland, from which he graduated in 1947, Mr. Bayer spent much of his time in the school darkroom. “He, in fact, processed all of the pictures for his high school yearbook,” his son David said.

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Clearing the Fog Around Personality Disorders

For years they have lived as orphans and outliers, a colony of misfit characters on their own island: the bizarre one and the needy one, the untrusting and the crooked, the grandiose and the cowardly.

Their customs and rituals are as captivating as any tribe’s, and at least as mystifying. Every mental anthropologist who has visited their world seems to walk away with a different story, a new model to explain those strange behaviors.

This weekend the Board of Trustees of the American Psychiatric Association will vote on whether to adopt a new diagnostic system for some of the most serious, and striking, syndromes in medicine: personality disorders.

Personality disorders occupy a troublesome niche in psychiatry. The 10 recognized syndromes are fairly well represented on the self-help shelves of bookstores and include such well-known types as narcissistic personality disorder, avoidant personality disorder, as well as dependent and histrionic personalities.

But when full-blown, the disorders are difficult to characterize and treat, and doctors seldom do careful evaluations, missing or downplaying behavior patterns that underlie problems like depression and anxiety in millions of people.

The new proposal — part of the psychiatric association’s effort of many years to update its influential diagnostic manual — is intended to clarify these diagnoses and better integrate them into clinical practice, to extend and improve treatment. But the effort has run into so much opposition that it will probably be relegated to the back of the manual, if it’s allowed in at all.

Dr. David J. Kupfer, a professor of psychiatry at the University of Pittsburgh and chairman of the task force updating the manual, would not speculate on which way the vote might go: “All I can say is that personality disorders were one of the first things we tackled, but that doesn’t make it the easiest.”

The entire exercise has forced psychiatrists to confront one of the field’s most elementary, yet still unresolved, questions: What, exactly, is a personality problem?

Habits of Thought

It wasn’t supposed to be this difficult.

Personality problems aren’t exactly new or hidden. They play out in Greek mythology, from Narcissus to the sadistic Ares. They percolate through biblical stories of madmen, compulsives and charismatics. They are writ large across the 20th century, with its rogues’ gallery of vainglorious, murderous dictators.

Yet it turns out that producing precise, lasting definitions of extreme behavior patterns is exhausting work. It took more than a decade of observing patients before the German psychiatrist Emil Kraepelin could draw a clear line between psychotic disorders, like schizophrenia, and mood problems, like depression or bipolar disorder.

Likewise, Freud spent years formulating his theories on the origins of neurotic syndromes. And Freudian analysts were largely the ones who, in the early decades of the last century, described people with the sort of “confounded identities” that are now considered personality disorders.

Their problems were not periodic symptoms, like moodiness or panic attacks, but issues rooted in longstanding habits of thought and feeling — in who they were.

“These therapists saw people coming into treatment who looked well put-together on the surface but on the couch became very disorganized, very impaired,” said Mark F. Lenzenweger, a professor of psychology at the State University of New York at Binghamton. “They had problems that were neither psychotic nor neurotic. They represented something else altogether.”

Several prototypes soon began to emerge. “A pedantic sense of order is typical of the compulsive character,” wrote the Freudian analyst Wilhelm Reich in his 1933 book, “Character Analysis,” a groundbreaking text. “In both big and small things, he lives his life according to a preconceived, irrevocable pattern.”

Others coalesced too, most recognizable as extreme forms of everyday types: the narcissist, with his fragile, grandiose self-approval; the dependent, with her smothering clinginess; the histrionic, always in the thick of some drama, desperate to be the center of attention.

In the late 1970s, Ted Millon, scientific director of the Institute for Advanced Studies in Personology and Psychopathology, pulled together the bulk of the work on personality disorders, most of it descriptive, and turned it into a set of 10 standardized types for the American Psychiatric Association’s third diagnostic manual. Published in 1980, it is a best seller among mental health workers worldwide.

These diagnostic criteria held up well for years and led to improved treatments for some people, like those with borderline personality disorder. Borderline is characterized by an extreme neediness and urges to harm oneself, often including thoughts of suicide. Many who seek help for depression also turn out to have borderline patterns, making their mood problems resistant to the usual therapies, like antidepressant drugs.

Today there are several approaches that can relieve borderline symptoms and one that, in numerous studies, has reduced hospitalizations and helped aid recovery: dialectical behavior therapy.

This progress notwithstanding, many in the field began to argue that the diagnostic catalog needed a rewrite. For one thing, some of the categories overlapped, and troubled people often got two or more personality diagnoses. “Personality Disorder-Not Otherwise Specified,” a catchall label meaning little more than “this person has problems” became the most common of the diagnoses.

It’s a murky area, and in recent years many therapists didn’t have the time or training to evaluate personality on top of everything else. The assessment interviews can last hours, and treatments for most of the disorders involve longer-term, specialized talk therapy.

Psychiatry was failing the sort of patients that no other field could possibly help, many experts said.

“The diagnoses simply weren’t being used very much, and there was a real need to make the whole system much more accessible,” Dr. Lenzenweger said.

Resisting Simplification 

It was easier said than done.

The most central, memorable, and knowable element of any person — personality — still defies any consensus.

A team of experts appointed by the psychiatric association has worked for more than five years to find some unifying system of diagnosis for personality problems.

The panel proposed a system based in part on a failure to “develop a coherent sense of self or identity.” Not good enough, some psychiatric theorists said.

Later, the experts tied elements of the disorders to distortions in basic traits.

This article has been revised to reflect the following correction:

Correction: November 29, 2012

An earlier version of this article misstated the number of traits included in the proposed criteria for narcissistic personality disorder.   The final proposal relies on two personality traits, not four.

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Clearing the Fog Around Personality Disorders

For years they have lived as orphans and outliers, a colony of misfit characters on their own island: the bizarre one and the needy one, the untrusting and the crooked, the grandiose and the cowardly.

Their customs and rituals are as captivating as any tribe’s, and at least as mystifying. Every mental anthropologist who has visited their world seems to walk away with a different story, a new model to explain those strange behaviors.

This weekend the Board of Trustees of the American Psychiatric Association will vote on whether to adopt a new diagnostic system for some of the most serious, and striking, syndromes in medicine: personality disorders.

Personality disorders occupy a troublesome niche in psychiatry. The 10 recognized syndromes are fairly well represented on the self-help shelves of bookstores and include such well-known types as narcissistic personality disorder, avoidant personality disorder, as well as dependent and histrionic personalities.

But when full-blown, the disorders are difficult to characterize and treat, and doctors seldom do careful evaluations, missing or downplaying behavior patterns that underlie problems like depression and anxiety in millions of people.

The new proposal — part of the psychiatric association’s effort of many years to update its influential diagnostic manual — is intended to clarify these diagnoses and better integrate them into clinical practice, to extend and improve treatment. But the effort has run into so much opposition that it will probably be relegated to the back of the manual, if it’s allowed in at all.

Dr. David J. Kupfer, a professor of psychiatry at the University of Pittsburgh and chairman of the task force updating the manual, would not speculate on which way the vote might go: “All I can say is that personality disorders were one of the first things we tackled, but that doesn’t make it the easiest.”

The entire exercise has forced psychiatrists to confront one of the field’s most elementary, yet still unresolved, questions: What, exactly, is a personality problem?

Habits of Thought

It wasn’t supposed to be this difficult.

Personality problems aren’t exactly new or hidden. They play out in Greek mythology, from Narcissus to the sadistic Ares. They percolate through biblical stories of madmen, compulsives and charismatics. They are writ large across the 20th century, with its rogues’ gallery of vainglorious, murderous dictators.

Yet it turns out that producing precise, lasting definitions of extreme behavior patterns is exhausting work. It took more than a decade of observing patients before the German psychiatrist Emil Kraepelin could draw a clear line between psychotic disorders, like schizophrenia, and mood problems, like depression or bipolar disorder.

Likewise, Freud spent years formulating his theories on the origins of neurotic syndromes. And Freudian analysts were largely the ones who, in the early decades of the last century, described people with the sort of “confounded identities” that are now considered personality disorders.

Their problems were not periodic symptoms, like moodiness or panic attacks, but issues rooted in longstanding habits of thought and feeling — in who they were.

“These therapists saw people coming into treatment who looked well put-together on the surface but on the couch became very disorganized, very impaired,” said Mark F. Lenzenweger, a professor of psychology at the State University of New York at Binghamton. “They had problems that were neither psychotic nor neurotic. They represented something else altogether.”

Several prototypes soon began to emerge. “A pedantic sense of order is typical of the compulsive character,” wrote the Freudian analyst Wilhelm Reich in his 1933 book, “Character Analysis,” a groundbreaking text. “In both big and small things, he lives his life according to a preconceived, irrevocable pattern.”

Others coalesced too, most recognizable as extreme forms of everyday types: the narcissist, with his fragile, grandiose self-approval; the dependent, with her smothering clinginess; the histrionic, always in the thick of some drama, desperate to be the center of attention.

In the late 1970s, Ted Millon, scientific director of the Institute for Advanced Studies in Personology and Psychopathology, pulled together the bulk of the work on personality disorders, most of it descriptive, and turned it into a set of 10 standardized types for the American Psychiatric Association’s third diagnostic manual. Published in 1980, it is a best seller among mental health workers worldwide.

These diagnostic criteria held up well for years and led to improved treatments for some people, like those with borderline personality disorder. Borderline is characterized by an extreme neediness and urges to harm oneself, often including thoughts of suicide. Many who seek help for depression also turn out to have borderline patterns, making their mood problems resistant to the usual therapies, like antidepressant drugs.

Today there are several approaches that can relieve borderline symptoms and one that, in numerous studies, has reduced hospitalizations and helped aid recovery: dialectical behavior therapy.

This progress notwithstanding, many in the field began to argue that the diagnostic catalog needed a rewrite. For one thing, some of the categories overlapped, and troubled people often got two or more personality diagnoses. “Personality Disorder-Not Otherwise Specified,” a catchall label meaning little more than “this person has problems” became the most common of the diagnoses.

It’s a murky area, and in recent years many therapists didn’t have the time or training to evaluate personality on top of everything else. The assessment interviews can last hours, and treatments for most of the disorders involve longer-term, specialized talk therapy.

Psychiatry was failing the sort of patients that no other field could possibly help, many experts said.

“The diagnoses simply weren’t being used very much, and there was a real need to make the whole system much more accessible,” Dr. Lenzenweger said.

Resisting Simplification 

It was easier said than done.

The most central, memorable, and knowable element of any person — personality — still defies any consensus.

A team of experts appointed by the psychiatric association has worked for more than five years to find some unifying system of diagnosis for personality problems.

The panel proposed a system based in part on a failure to “develop a coherent sense of self or identity.” Not good enough, some psychiatric theorists said.

Later, the experts tied elements of the disorders to distortions in basic traits.

This article has been revised to reflect the following correction:

Correction: November 29, 2012

An earlier version of this article misstated the number of traits included in the proposed criteria for narcissistic personality disorder.   The final proposal relies on two personality traits, not four.

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U.S. Growth Revised Up, but Year-End Slowdown Is Feared

Even as the government said that the United States economy grew faster than first estimated in the third quarter, economists warned that the rate of expansion could slow sharply before the end of the year as worries mount about the fiscal impasse in Washington.

Nam Y. Huh/Associated Press

An employee on the assembly line this month at Generac Power Systems in Whitewater, Wis., a maker of residential generators.

The Commerce Department said Thursday that gross domestic product expanded at an annual rate of 2.7 percent in the three months ended Sept. 30, well above the 2 percent estimate it initially made in late October. But the revision was driven by increased inventory accumulation and a jump in federal spending — factors unlikely to be repeated in the current fourth quarter, economists said.

What’s more, the revised figures show spending by businesses on equipment and software declined by 2.7 percent in the third quarter, the first decrease since the end of the recession in mid-2009 and a sign of just how cautious many companies have become amid the uncertainty in Washington and slowing growth in Asia and Europe.

“It’s a nice headline number,” said Nigel Gault, chief U.S. economist at IHS Global Insight, of the 2.7 percent rate, “but it exaggerates the underlying momentum in the economy. Sustainable improvements in growth are not driven by inventories.”

The two biggest growth areas in the third quarter — inventory growth and federal spending — “are likely to be minuses in the fourth quarter,” he said. Mr. Gault expects the annual rate to sink to 1 percent this quarter, hurt by a fiscal stalemate in Washington as well as the aftereffects of Hurricane Sandy.

To be sure, there were signs of optimism in Thursday’s data. Residential fixed investment rose 14.2 percent, a sign that the housing recovery is gaining steam. Indeed, a separate report Thursday from the National Association of Realtors showed pending home sales rose to a two-and-a-half-year high.

And not all economists took a pessimistic view. “The economy certainly hasn’t taken off, but it’s nowhere close to a stall,” said David Kelly, chief global strategist for JPMorgan Funds. “The economy is still underperforming its full potential, but once we get past the ‘fiscal cliff’ uncertainty, we could see stronger growth next year.”

The new estimate of growth represents a substantial increase in the level of the second quarter, when the economy grew at a rate of just 1.3 percent. It also marks the fastest rate of expansion since the fourth quarter of 2011, when the economy grew at a 4.1 percent annual pace.

This was the second of the government’s three estimates of quarterly growth. The final figure is scheduled for Dec. 20.

“Over all, it was a disappointing report,” said Michelle Meyer, senior United States economist with Bank of America Merrill Lynch.  The accumulation of inventories went from subtracting 0.1 percentage points from the initial estimate to adding 0.8 percentage points, she said.

    “A lot of that inventory build was unintentional, which suggests a downside risk for the fourth quarter,” she said.  “Businesses had expected stronger sales and consumer spending and were caught off guard."

    Ms. Meyer said she expected the economy to grow by 1 percent in the fourth quarter and 1 percent in the first quarter of 2013, well below the level needed to bring down the unemployment rate, which stood at 7.9 percent in October.

    On Thursday, the government also reported that first-time unemployment claims dropped by 23,000 to 393,000 last week. But Ms. Meyer cautioned that these figures were much more volatile than usual because of the Thanksgiving holiday as well as Hurricane Sandy.

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