Obama wins historic US election

Democratic Senator Barack Obama has been elected the first black president of the United States.

“It’s been a long time coming, but tonight… change has come to America,” the president-elect told a jubilant crowd at a park in Chicago.

His rival John McCain accepted defeat, saying “I deeply admire and commend” Mr Obama. He called on his supporters to lend the next president their goodwill.

The BBC’s Justin Webb said the result would have a profound impact on the US.

“On every level America will be changed by this result… [it] will never be the same,” he said.

Mr Obama appeared with his family, and his running mate Joe Biden, before a crowd of tens of thousands in Grant Park, Chicago.

“If there is anyone out there who still doubts that America is a place where all things are possible, who still wonders if the dream of our founders is alive in our time, who still questions the power of our democracy, tonight is your answer,” he said.

He said he had received an “extraordinarily gracious” call from Mr McCain.

He praised the former Vietnam prisoner of war as a “brave and selfless leader”.

“He has endured sacrifices for America that most of us cannot begin to imagine,” the victor said.

He had warm words for his family, announcing to his daughters: “Sasha and Malia, I love you both more than you can imagine, and you have earned the new puppy that’s coming with us to the White House.”

Congratulations… You are about to go on one of the great journeys of life President George W Bush

But he added: “Even as we celebrate tonight, we know the challenges that tomorrow will bring are the greatest of our lifetime – two wars, a planet in peril, the worst financial crisis in a century.

“The road ahead will be long. Our climb will be steep… But America – I have never been more hopeful than I am tonight that we will get there.”

From red to blue

Mr Obama captured the key battleground states of Pennsylvania and Ohio, before breaking through the winning threshold of 270 electoral college votes at 0400 GMT, when projections showed he had also taken California and a slew of other states.

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Then came the news that he had also seized Florida, Virginia and Colorado – all of which voted Republican in 2004 – turning swathes of the map from red to blue.

Several other key swing states are hanging in the balance.

In Indiana and North Carolina, with most of the vote counted, there was less than 0.5% between the two candidates.

However, the popular vote remains close. At 0600 GMT it stood at 51.3% for the Democratic Senator from Illinois, against 47.4% for Arizona Senator McCain.

The main developments include:

• Mr Obama is projected to have seized Ohio, New Mexico, Iowa, Virginia, Florida, Colorado and Nevada – all Republican wins in 2004.
• He is also projected to have won: Vermont, New Hampshire, Pennsylvania, Illinois, Delaware, Massachusetts, District of Columbia, Maryland, Connecticut, Maine, New Jersey, Michigan, Minnesota, Wisconsin, New York, Rhode Island, California, Hawaii, Washington, Oregon.
• Mr McCain is projected to have won: Kentucky, South Carolina, Oklahoma, Tennessee, Arkansas, Alabama, Kansas, North Dakota, Wyoming, Georgia, Louisiana, West Virginia, Texas, Mississippi, Utah, Arizona, Idaho, South Dakota.
• Turnout was reported to be extremely high – in some places “unprecedented”.
• The Democrats made gains in the Senate race, seizing seats from the Republicans in Virginia, North Carolina, New Hampshire, New Mexico and Colorado. They also increased their majority of the House of Representatives.
• Exit polls suggest the economy was the major deciding factor for six out of 10 voters.
• Nine out of 10 said the candidates’ race was not important to their vote, the Associated Press reported. Almost as many said age did not matter.

LOSSES AND GAINS Key states Projected gains for Obama in former Republican states of Ohio, New Mexico, Iowa, Virginia, Florida, Colorado, Nevada Senate seats Virginia: Democrat Mark Warner replaces retiring Republican John Warner New Hampshire: Democrat Jeanne Shaheen unseats Republican John Sununu North Carolina: Democrat Kay Hagan replaces Republican Elizabeth Dole New Mexico: Democrat Tom Udall replaces retiring Republican Pete Domenici

Several states reported very high turnout. It was predicted 130 million Americans, or more, would vote – more than for any election since 1960.

Many people said they felt they had voted in a historic election – and for many African-Americans the moment was especially poignant.

John Lewis, an activist in the civil rights era who was left beaten on an Alabama bridge 40 years ago, told Atlanta’s Ebenezer Baptist Church: “This is a great night. It is an unbelievable night. It is a night of thanksgiving.”

Besides winning the presidency, the Democrats tightened their grip on Congress.

The entire US House of Representatives and a third of US Senate seats were up for grabs.

Democrats won several Senate seats from the Republicans, but seemed unlikely to to gain the nine extra they wanted to reach the 60-seat “super-majority”, that could prevent Republicans blocking legislation.

Texas begins mass post-Ike rescue

Texas has begun what is being described as the biggest search and rescue effort in its history following Hurricane Ike.

At least 2,000 people have been rescued but many thousands more are believed to have ignored the mandatory order to evacuate before Saturday’s storm.

The death toll rose to 30 as Ike swept on from Texas into the mid-US, with heavy rain causing flooding.

Millions of people are without power and Houston is under a week-long curfew as work continues to restore services.

While many schools remained shut, there were signs of a return to normality on Monday, as the city’s two airports resumed limited services and some shops and restaurants opened for business.

Five people died in Galveston Bay, an island city south-east of Houston which bore the brunt of the storm as Ike swept ashore on Saturday, bringing 13ft (4m) waves and 110mph (175km/h) winds.

‘Stay away’

Rescuers feared the toll could rise as they searched areas awash with sewage for those who did not leave before the hurricane hit.

As many as 140,000 people – some 10,000 in Galveston alone – failed to heed the order to evacuate.

Across Texas, 50 helicopters, 1,500 federal, state and local search teams were looking for stranded survivors, and a US navy ship carrying engineers was heading to Galveston to help with rebuilding operations.

We’ll work as hard and fast as we can to help you get your lives back up to normal US President George W Bush

Nearly 40,000 evacuees were being housed in 250 shelters across Texas – some with little money and no idea how long they would have to stay.

Galveston Mayor Lyda Ann Thomas urged residents to stay away until it was safe to return to their homes.

“There’s nothing to come here for,” she said. “Please leave.”

Warning that residents of Texas and Louisiana were in for “tough times”, David Paulison, administrator of the Federal Emergency Management Agency (Fema), said some people would “be out of their homes for not only weeks, but months”.

Fema has said it will deliver 7.5m meals as well as 5m gallons (20m litres) of water over the next few days.

President George W Bush, who is due to survey the damage on Tuesday, told those affected by the storm: “We’ll work as hard and fast as we can to help you get your lives back up to normal”.

Although Ike weakened to a tropical depression as it headed beyond Texas, the storm’s US death-toll rose to 30 as torrential rain caused severe flooding and power outages in parts of Louisiana, Kansas, Missouri and Illinois.

Ike killed more than 80 people when it tore through the Caribbean late last week.

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Bush warns on hurricane recovery

US President George W Bush has warned Texas will take a long time to recover from Hurricane Ike, as a huge search and relief operation gathers pace.

Mr Bush will travel to the state on Tuesday to inspect the relief effort.

Rescuers are trying to get to thousands of people who ignored orders to flee the storm, which cut power to millions and mauled America’s oil hub.

“This is a tough storm and it’s one that is going to require time for people to recover,” Mr Bush said.

Ike has been blamed for four deaths so far, two in Texas and two in Louisiana.

What’s really frustrating is that we can’t get to them Tommie Mafrei Galveston police chief

Rescuers are using boats, lorries and helicopters to tackle roads waist-deep in water and blocked by felled trees.The storm made landfall in Galveston early on Saturday with 110mph (175km/h) winds.

It cut a 500-mile (800-km) swathe of destruction across a span of the Gulf of Mexico coast before weakening to a tropical depression on Sunday morning over Arkansas.

Ike severely hit oil and gas production in the region and wreaked at least $8bn (£4.5bn) in onshore damage.

Texas senator Kay Bailey Hutchison warned that oil refineries disabled by the hurricane could remain idled for a further eight or nine days – and that Americans should brace for possible fuel shortages.

Some coastal residents waded through chest-deep water with their belongings and children in their arms to get to safety on Saturday, but thousands of others ignored evacuation orders.

Mr Bush said the federal government would be delivering 1.5m liters of water and 1m meals daily for the displaced.

Distress calls

Police, paramedics, rescue dogs and structural engineers fanned out at daybreak on Sunday across the coastal city of Galveston, which took the brunt of the storm, hampered by floodwater’s and widespread wreckage.

Galveston police officer Tommie Mafrei said: “What’s really frustrating is that we can’t get to [the stranded]… They are naive about it, thinking it’s not going to be that bad.”

State Governor Rick Perry’s office said 940 people had been rescued by nightfall on Saturday, but that thousands had made distress calls the night before.

Hurricane Ike caused widespread destruction in Galveston, Texas

Officials said another 600 people were rescued in neighboring Louisiana, where flooding ruined tens of thousands of homes and left nearly 200,000 householders without electricity.

More than three million people had no power in Texas at the height of the storm, and the authorities said it could be weeks before supplies were fully restored.

Ike sent fuel prices higher at the pumps and, analysts say, has triggered the biggest disruption to US energy supplies in at least three years.

Production was shut down at 14 oil refineries and 28 natural gas processing plants in the storm’s path.

The hurricane also battered Houston, the fourth-largest city in the US and the nation’s oil hub. Police there had used bullhorns to order people back into their homes.

The BBC’s Rajesh Mirchandani weathered the storm in Houston and described how ferocious winds ripped the glass from many of the city’s skyscrapers.

But officials were encouraged by the fact flooding brought by the storm surge turned out to be much less serious than forecast.

Among those killed by Ike were a woman in Pinehurst, Texas, and a teenage boy in Louisiana’s Bayou Dularge, AP news agency reported.

Last week, Ike caused devastation in Cuba and Haiti, where hundreds of people have died in several tropical storms over the last month.

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‘Catastrophic’ storm hits Texas

Hurricane Ike has made landfall on the Gulf coast of Texas, where it is expected to cause “potentially catastrophic” flooding and damage.

It hit land at Galveston at 0710 GMT, with winds of up to 110 mph (175km/h).

Much of the city, which in 1900 was the scene of the country’s deadliest hurricane, was already under water after a 12ft (3.7m) storm surge.

The eye of the storm, which has since weakened to a Category One, is turning away from Houston, towards Arkansas.

Outside walls and ceilings have collapsed, the glass atrium in the lobby [of our hotel] shattered

Mandatory evacuation orders affected more than one million people, but there are fears for up to 90,000 people across Texas who officials say decided to brave out the storm.

In Galveston, an estimated 23,000 residents stayed behind.

President George W Bush, who earlier declared a federal emergency in Texas, said the federal and state authorities would conduct the recovery effort together, bringing in generators and ensuring water and ice supplies.

US Homeland Security Secretary Michael Chertoff is due to arrive in Texas on Saturday, weather conditions permitting, he added, speaking at the White House.

The US Environmental Protection Agency has waived federal clean air regulations for petrol sold in states affected by the storm, in an effort to reduce fuel disruption.

Ike has halted more than a fifth of US oil production, forcing 17 refineries in the Gulf of Mexico to shut down as a precaution.

Rain and debris

Jessica Willey, a journalist based in Galveston which lies on a small island off the coast of Texas, told it was the worst storm she had ever seen:

See the likely path of Hurricane Ike through the US

“The rain is coming sideways. Debris is flying through the air. Things are getting ripped off buildings every second, and flying through the air.

All emergency workers have been pulled off the streets until daybreak when a curfew will be lifted.

“We hope we will find the people who are left here alive and well,” said Galveston mayor Lynda Ann Thomas.

There is widespread flooding, and a hospital there is under at least 9.8ft (3 meters of water). The city has lost power and a number of houses are reported to be on fire.

Residents of low-lying homes were warned they faced “certain death” if they stayed.

Haitian appeal

At 1300 GMT, Hurricane Ike was about 20 miles (30km) south-southeast of Huntsville, Texas, with top sustained winds of nearly 90mph (145km/h).

It was due to pass through eastern Texas during the day, reaching western Arkansas on Saturday night, according to US National Hurricane Center.

US officials have warned as many as 100,000 homes in Texas could be affected by flooding.

Nearly 4.5 million people in the Houston-Galveston area are without electricity, a spokesman for power company CenterPoint Energy said.

Ferocious winds and rain have been lashing at his hotel for 10 hours.

“We are largely trapped here,” he said. “The power went out five hours ago, the lowest floor is submerged. Outside walls and ceilings have collapsed, the glass atrium in the lobby shattered.

“With the threat of rising seas, hotel guests have been ushered into the concrete stairwell, the sturdiest part of the building, and urged to climb to higher floors.”

The massive system is causing flooding along the Louisiana coast, still recovering from Hurricane Gustav earlier this month.

1900 GALVESTON HURRICANE Thought to be worst natural disaster in US history 8,000 people killed 130mph (209km/h) winds and 15ft (4.6m) waves swept homes away

Authorities are trying to avoid a repeat of 2005, when some 110 people died in Houston during a chaotic evacuation in the face of Hurricane Rita.

Mr Chertoff said Ike was a “potentially catastrophic hurricane”.

Earlier, it caused devastation in Cuba and Haiti, where hundreds of people have died in several tropical storms over the last month.

The Haitian Prime Minister, Michele Pierre-Louis, believes one million people may be homeless, and has called for international help.

The UN says more than $100m (£55.8m) is needed.

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Sarah Palin: 10 things we’ve learnt

It has been a week since Alaska Governor Sarah Palin was catapulted from relative obscurity to center stage as US Republican John McCain’s choice for running mate. Here are 10 things we now know about her.

Images of Sarah Palin, past and present

1. Her five children are named Track, Bristol, Willow, Piper and, last but not least, Trig Paxson Van Palin. According to the Washington Post newspaper, Track was named after the course of the sockeye salmon the family fishes off the town of Dillingham, while her eldest daughter’s name comes from Bristol Bay, an area known for its salmon fisheries. The name Willow relates to the state bird, the willow ptarmigan, and a nearby town, the paper says, while daughter Piper shares her name with the family’s small plane. Trig is the Norse word for “brave victory”, the Post adds.

2. Her rimless glasses are now a style phenomenon. The titanium Kawasaki 704 frames – designed in Japan, where they sell for $300 – are apparently flying off the shelves. Her upswept hair-do is also reportedly spawning imitators. LA Times fashion writer Booth Moore writes: “The untidiness of her updo has a can-do spirit that says, ‘I have more important things to do than worry about my hair, so I just twirled it into this clip so I could get to the real business of governing and shooting caribou and having babies and taking them to hockey practice.'”

3. John McCain picked someone who not only appeals to “Wal-Mart Moms” but is one herself, shopping for the family in a local branch. Not only that, writes New York Times columnist William Kristol, but “he picked someone who, in 1999 as Wasilla mayor, presided over a wedding of two Wal-Mart associates at the local Wal-Mart”.

4. Mrs Palin enjoys moose-hunting and salmon-fishing – and has said her favorite dish is moose stew. Former Republican senator and one-time presidential hopeful Fred Thompson described her as “the only nominee in the history of either party who knows how to properly field-dress a moose”. Cindy McCain, in her speech to the party’s national convention, said her husband John had “picked a reform-minded, hockey-mommin’, basketball-shooting, moose-hunting, salmon-fishing, pistol-packing mother-of-five for vice-president”.

5. A month before her fifth child, Trig, was due, Mrs Palin’s waters broke while she was in Texas to address a conference. She delivered her speech nonetheless and embarked on the long flight back to Alaska – changing planes in Seattle – before traveling an hour by road to hospital to give birth. She says she was not in “active labor” and her doctor said it was fine. Alaska Airlines allows women to travel in the late stages of pregnancy. Husband Todd – a commercial fisherman – is quoted by the s Anchorage Daily Newas saying: “You can’t have a fish picker from Texas.” Three days later, Mrs Palin was back at work.

6. As governor of Alaska, Mrs Palin ditched plans for a “bridge to nowhere” – a federally-funded project to link a handful of Alaskans to an airport at a cost of hundreds of millions of dollars. In her speech to the Republican National Convention, she said she had told the US Congress “thanks, but no thanks”. But US media say she appeared to support the project while running for governor in 2006, though she said the proposed design was too “grandiose”. And when she announced the cancellation of the bridge a year ago – after it gained notoriety as an example of wasteful spending – she hardly seemed to be turning down federal funds out of thrift. She explained the decision by saying, “It’s clear that Congress has little interest in spending any more money on a bridge between Ketchikan and Gravina Island.” The federal funding was diverted to other projects in Alaska.

Mrs Palin enjoys hunting, shooting and fishing for salmon

7. In a line that has gone down well at the Republican National Convention and on the campaign trail, she boasts of putting the previous governor’s “luxury jet” on eBay as a measure to cut wasteful spending. That is true. But what she has not always explained to her audience is that the plane failed to sell on the internet auction site and so aides had to broker a deal with a buyer.

8. She was baptised a Catholic as an infant but attended a Pentecostal church in Wasilla – her hometown since her parents moved to Alaska from Idaho when she was three months old – for many years. She now attends Wasilla Bible Church, a non-denominational, evangelical church. The Associated Press reports that the church is promoting a conference that promises to convert gays into heterosexuals through the power of prayer.

9. As hunters sometimes do, Mrs Palin has incurred the wrath of wildlife-lovers. It’s not just that she shoots moose and caribou, she has also backed legislation to encourage the aerial hunting of wolves, as a “predator control” measure. Plus, she has opposed the US government’s listing of a variety of animals as endangered, including the polar bear and the beluga whale. Unlike Mr McCain and to the horror of many environmentalists, she actively supports drilling for oil in the Arctic National Wildlife Refuge.

10. She is a self-described “average hockey mom”; a biography published a few months ago was entitled Sarah: How a Hockey Mom Turned Alaska’s Political Establishment on Its Ear. The hockey mom branding could prove useful come November in the swing states of Michigan and Minnesota, where ice hockey is a big game. Her best-known joke so far? “What’s the difference between a hockey mom and a pit bull? Lipstick.”

Evacuations as Ike approaches US

Residents in the US state of Texas have begun to evacuate as Hurricane Ike churns through the Gulf of Mexico.

About one million people have been advised to leave their homes, and the authorities have laid on more than 1,000 buses to facilitate the exodus.

Meteorologists warned Ike could develop into a major hurricane before hitting the Texas coast late on Friday.

Ike has killed more than 70 people in the Caribbean, with Haiti and Cuba particularly badly hit.

The US has pledged $10m (£5.7m) in aid to Haiti, where the UN estimates 800,000 people are in temporary shelters.

And Washington offered $100,000 in initial aid to Cuba, whose government has been subject to a US trade embargo for four decades.

Cuba turned the offer down, asking instead that the US sells it supplies on credit.

Supplies hit

People have been boarding up their property in Galveston, Texas

National Hurricane Center (NHC) projections show Ike reaching the US coast by late on Friday, but say the storm’s path could veer.They say Texas could be lashed with 130mph (208km/h) winds and a 20ft (6m) storm surge above normal tide levels as the storm approaches the coast.

NHC warned that because the storm is so large, weather along the coast is expected to deteriorate long before it hits land.

Tropical storm force winds currently extend up to 275 miles (445KM) from the Ike’s center.

Almost all energy production in the Gulf of Mexico has been shut down as a precaution, but the US department of energy said the storm was expected to miss most of the installations.

At 1500 GMT forecasters said the eye of the storm was about 470 miles (760km) east of Galveston on the Texas coast, moving at about 10mph (17 km/h).

The mayor of Galveston, Lyda Ann Thomas, has issued a mandatory evacuation order for the city and said no shelters will be opened.

“Those who stay here and don’t voluntary evacuate, we are asking to simply stay at home,” she said.

The city is providing 75 buses to transport city resident to the state capital, Austin.

Several other counties along the coast have announced mandatory or voluntary evacuations.

‘Buses, not body bags’

Hurricane Ike’s projected path

The authorities have begun moving weak and chronically-ill hospital patients to San Antonio, about 190 miles from Houston.Texans described businesses being boarded up and residents taking to the roads en masse.

“Probably every mobile home in the state was on the road,” said Margaret Romero, a 67-year-old from Corpus Christi.

“Every house on our street was boarded up,” she told Reuters.

Texas Governor Rick Perry, who organized 1,350 buses to help residents leave, said he believed some were likely to resist evacuation calls but added that he wanted to see “buses, not body bags”.

Earlier, President George W Bush had declared a federal emergency in Texas, allowing funds to be freed to help the state deal with the storm.

Aid appeal

Ike is currently a Category Two storm, with winds of 100mph, but forecasters say it is likely to strengthen on its way through the Gulf of Mexico.

RECENT MAJOR STORMS Hurricane Ike: September Tropical Storm Hanna: September Hurricane Gustav: August, September Tropical Storm Fay: August

In Cuba, the storm killed four people, wrecked tens of thousands of buildings and destroyed crops.The UN estimates the cost of the damage at between $3bn-$4bn.

The island nation was already reeling from the impact of Hurricane Gustav, which destroyed about 100,000 homes when it hit the island at the end of August.

Ike earlier caused 66 deaths in Haiti and reportedly damaged 80% of the homes in the Turks and Caicos Islands.

Haiti, the poorest country in the Western hemisphere, has endured the onslaught of four tropical storms in a three-week period, causing more than 550 deaths.

The UN has appealed for more than $100m in international aid to assist Haiti, where most people already lived on less than a dollar a day.

When sex becomes an addiction

(Expressyoureself) — “Californication” star David Duchovny made headlines for voluntarily entering rehab last week. But it wasn’t for drugs or alcohol. It was for another dependency, one that affects millions of Americans but is seldom discussed: sex addiction.

While sex can be healthy for a relationship, some people develop an addiction to porn, affairs, and other behaviors.

Sex addiction, also called compulsive sexual behavior, is like a gambling compulsion or alcoholism: It’s about devoting your free time to a behavior that you cannot stop, even if you damage relationships or prompt other negative consequences. That could mean extensively using pornography, having affairs, sleeping with prostitutes, and masturbating excessively, to the point where such behaviors get out of control.

If you think it’s just about primal desire, think again. For many addicts, sex becomes a way to numb out painful feelings, kill time or stop feeling lonely, says Kelly McDaniel, licensed professional counselor in San Antonio, Texas, and author of “Ready to Heal: Women Facing Love, Sex and Relationship Addiction.”

“Most people I talk to get to the point where they don’t even like sex,” said McDaniel, who has no connection to David Duchovny and did not speculate about his specific situation.

Who are sex addicts?

Sex addiction is estimated to affect 3 to 6 percent of adults in the United States, according to the Mayo Clinic, but the American Psychiatric Association has not classified the condition in its diagnostic handbook. Sexhelp.com, run by psychologist Patrick Carnes, provides an online test to help people determine if they have a problem.

The Internet, providing endless opportunities for porn-watching and cybersex, has fueled a surge in cases of sex addiction, experts say.

“We’re seeing it with epidemic proportions now, particularly with regards to cybersex,” said Mark Schwartz, psychologist and former director of the Masters and Johnson Institute in St. Louis, Missouri. “There isn’t a week that goes by where I don’t get two calls” about sex addiction.

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Therapists have recently seen more women with the condition in connection with Internet porn, which has become a “gender-neutral” addiction, McDaniel said. Before, female sex addicts generally tended to have affairs or become sex workers, she said.

Experts acknowledge that people who have affairs or use pornography are not necessarily sex addicts. Such pastimes form an addiction when they generate negative consequences for a person’s relationships, take over free time and become impossible to quit.

Where does it come from?

About 80 percent of sex addiction cases have sexual abuse or emotional trauma in their backgrounds, said Doug Weiss, therapist and executive director of the Heart to Heart Counseling Center. Schwartz also noted that huge numbers of people coming forward as sex addicts have been abused, assaulted or raped.

“When you have abuse in your background, you’re less likely to trust people, [and] you’re more likely to turn to something like sex addiction as a manifestation,” Schwartz said.

Feelings of neglect as a child — whether from divorced parents or parents who both worked and didn’t spend a lot of time with their kids — may also lead to sex addiction, Schwartz said.

Research into the neuroscience of sex addiction has not been conclusive, the Mayo Clinic said. Naturally occurring chemicals in the brain such as dopamine and serotonin do contribute to sexual functioning, but it’s not clear how they are related to sex addiction. McDaniel said these two chemicals are lower in the brains of children who have suffered abuse, which may explain why some of them use their own bodies — or, in other cases, food — to increase dopamine and serotonin levels.

A lot of teenagers develop their sexuality with pornography, and then find that relational sex isn’t as satisfying, Weiss said. Porn gives them a “very strong chemical hit,” and alters ways of thinking about sex, somewhat like the classic “ring the bell, feed the dog” stimulus-response mechanism. Addicts thus learn to become sexually attached to objects, and have trouble getting the same kind of satisfaction from sex in a relationship, he said.

For many people, especially women, sex addiction occurs in tandem with another problem such as an eating disorder, drug or alcohol addiction, McDaniel said.

How does treatment work?

A good treatment center will review the reasons why the addiction has come about, along with the brain chemistry of it, McDaniel said. A premier rehabilitation facility would have a combination of individual and group therapy, 12-step support, and possibly psychiatric medications such as antidepressant medications if necessary.

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• MayoClinic.com: Compulsive sexual behavior

The 12-step programs, which have components that parallel Alcoholics Anonymous, are the most widely used form of treatment, said Sam Alibrando, therapist and consultant in Pasadena, California. They involve having a sponsor and being available for others in the group at any time. Anecdotally, however, they work less well than AA because sex is harder to give up, said Alibrando, author of “Follow the Yellow Brick Road: How to Change for the Better When Life Gives You Its Worst.”

“Treatment is long-term, and it’s not easy,” McDaniel said. “I really recommend that a woman or a man find someone who’s trained and understands that sex addiction is a brain disease and does not further the shame that comes with this disease.”

Unlike drugs or alcohol, the goal of sex addiction therapy is usually not abstinence, but rather learning to have sex in a relationship, experts say. Similarly, someone who recovers from an overeating disorder does not stop eating entirely but learns how to manage diet. Marriage counseling often becomes part of the treatment, Weiss says.

The goals of recovery vary for different people, says Alibrando. He’s currently treating a couple in which the wife cannot tolerate her husband even looking at other women. On the other end of the spectrum, he has treated couples in which a woman will buy her boyfriend pornography.

“The spectrum is so wide in terms of where people draw the line,” says Alibrando.

Some recovering addicts join support groups requiring that members only have sex with their partners, even prohibiting masturbation.

What’s after recovery?

Weiss considers himself a former sex addict, having recognized his problem in his early 20s. Women weren’t making him happy; he was using pornography and felt “in conflict” about it.

Now, he runs a resource Web site for recovery at sexaddict.com, along with three-day intensive workshops to jump-start recovery for sex addicts.

Weiss said he’s proud of Duchovny for voluntarily seeking help, apparently without prodding from press reports or lawsuits.

“This kind of person who decides to get recovery for themselves without getting exposed” is “likely to get better,” he said. “People who voluntarily get better have a much better chance of staying well.”

Gustav changes Republican plans

Republican presidential candidate John McCain has suspended most events planned for day one of his party’s convention because of Hurricane Gustav.

The convention, due to begin on Monday in Minneapolis, was scaled down as the fierce storm approached New Orleans.

Gustav, now a Category Three storm, is due to make landfall on Monday.

Residents of New Orleans have been told to leave the city. The mayor has imposed an overnight curfew and warned looters they will be sent to jail.

Speaking in Mississippi, Mr McCain said it was important to tone down the traditional pomp and flair of convention week.

Predicted route of Hurricane Gustav (31 August 2008)

“Of course this is a time when we have to do away with most of our party politics,” Mr McCain told reporters.

President George W Bush and VP Dick Cheney have scrapped plans to address the convention on Monday. Mr Bush said he would instead go to Texas to monitor relief efforts.

Mr McCain’s campaign chartered a jet to fly worried delegates back to their home states threatened by the hurricane, which is set to hit the Louisiana coast on Monday.

‘Hope and pray’

After returning from a tour of relief preparations in Mississippi, he said convention delegates needed to “take off our Republican hats, and put on our American hats and we say America, we’re with you”.

The Republicans are keen to avoid the kind of political damage incurred by the Bush administration’s clumsy response to Hurricane Katrina three years ago.

Plainly the backdrop of images of destruction reminding Americans of Katrina will be horrible for the Republicans BBC North America editor Justin Webb

Republicans clearly cannot afford to be seen hosting glamorous political events, while the people of New Orleans are once again fleeing their city, he says.

“I hope and pray we will be able to resume some of our normal operations as quickly as possible,” McCain told reporters via a video link from St Louis.

“I have every expectation that we will not see the mistakes of Katrina repeated,” he added.

Mr McCain’s convention manager Rick Davis said the convention would open for just over two hours on Monday, solely to go through procedures necessary under law to begin the process of nominating a president and vice-president.

The streets of New Orleans were empty as a curfew loomed

The formal business of the convention includes, on Wednesday, the formal nomination of the Arizona senator for president and Alaska Governor Sarah Palin as his running mate.

Mr McCain’s acceptance speech, set for prime time on Thursday evening, is deemed to be among the most important events of the campaign for his chances of winning the White House in November.

Meanwhile, Democratic nominee Barack Obama said he would open up his vast donor list to channel money or volunteers to help recovery efforts, in response to Gustav.

“We can activate an e-mail list of a couple [of] million people who want to give back,” Mr Obama told reporters after attending church in Lima, Ohio.

Exodus

New Orleans residents have been fleeing in their thousands after Mayor Ray Nagin ordered a full evacuation of the city.

FLASHBACK TO KATRINA Katrina struck US Gulf Coast in August 2005 as a category three storm, killing more than 1,800 people New Orleans was 80% flooded after storm surge breached protective levees US Government was blamed for slow, botched response that exacerbated disaster Hundreds of thousands of people were displaced

Roads out of the Louisiana port – much of which lies below sea level and is protected from flooding only by a fragile system of levees – have been crammed with traffic.

Mr Nagin said that the first storm winds could hit New Orleans as early as daybreak on Monday and the hurricane could reach Category Four strength.

America’s homeland security chief, Michael Chertoff, said the main evacuation was going well but he warned that people hoping to ride out the storm would be “exceptionally foolish”.

The evacuation comes almost exactly three years after Hurricane Katrina devastated New Orleans.

In 2005, three-quarters of the city was flooded after a storm surge breached its protective levees. More than 1,800 people died in coastal areas.

Gustav has already claimed the lives of more than 80 people in the Caribbean, causing widespread damage in Haiti, the Dominican Republic and Jamaica over the past week.

At least 300,000 people were evacuated in Cuba as the storm brought extensive flooding and some severe damage, but no reports of deaths.

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Have you been affected by Gustav? Are you preparing for its arrival? Send us your comments and experiences

Gustav strengthens off west Cuba

Hurricane Gustav has strengthened into a “major” category three storm as it nears western Cuba, US forecasters say.

Cuban civil defence forces have been put on alert, and a mass evacuation is under way in low-lying coastal areas, where mudslides and floods are feared.

Gustav has already struck the Dominican Republic, Haiti, Jamaica and the Cayman Islands, killing more than 70 people.

It could become a category four storm over the weekend as it passes over warm waters and heads for the US Gulf Coast.

Predicted route of Hurricane Gustav (29 August 2008)

Cuban authorities have evacuated more than 60,000 people from low-lying coastal areas in Pinar del Rio and Isla de la Juventud before Gustav hits, and have mobilised medical and emergency rescue teams to deal with the possible aftermath.

All buses and trains to and from Havana have also been suspended until further notice.

The Caribbean island has one of the most efficient disaster preparedness and evacuation organisations in the region, but that the poor condition of housing in the capital could pose additional risks in a major storm.

The US Federal Emergency Management Agency has said it expects a “huge number” of residents will be told to leave the region over the weekend.

Gustav’s approach came as New Orleans buried some of the last unidentified victims of Hurricane Katrina, which devastated the city in 2005.

Cuba concern

As of 1000 GMT on Saturday, Gustav had become a “major” category three hurricane with wind speeds of up to 185km/h (115mph) as it passed about 220km (135 miles) south-east of Isla de la Juventud and about 410km (255 miles) east-south-east of the western tip of Cuba, the US National Hurricane Center said.

We look ahead to a better day, as we also prepare ourselves for another threat Ray Nagin Mayor of New Orleans

The storm will move away from the Cayman Islands on Saturday morning at about 19km/h (12mph) before passing through western Cuba later in the afternoon and into the Gulf of Mexico on Sunday.

Gustav has already claimed the lives of at least 59 people in Haiti, eight in the Dominican Republic and four in Jamaica, where heavy rains caused flooding and strong winds tore roofs off houses.

There have so far been no reports of any casualties from the Cayman Islands, where storm surge and heavy rains flooded streets overnight.

The government did not impose a curfew, but urged people to remain indoors to avoid interfering with emergency workers.

Gustav’s projected path also takes it over the oil-producing Gulf of Mexico, where workers have been evacuated from several rigs.

Katrina compassion

New Orleans buried the last seven unclaimed bodies of Katrina at a memorial site on Friday as the biggest storm to hit the region since approached.

New Orleans buried the last unclaimed bodies from Katrina on Friday

“We look ahead to a better day, as we also prepare ourselves for another threat,” said Mayor Ray Nagin.

Later, Mr Nagin said an evacuation order was likely, though not before Saturday.

Gustav is forecast to make landfall on the US Gulf Coast anywhere from south Texas to Florida by Tuesday, prompting four states to plan large-scale evacuations.

Emergency officials have warned that a tidal storm surge up to nine metres (30ft) is possible along the coast of the Gulf of Mexico.

US President George W Bush has declared a state of emergency in Louisiana and Texas, allowing the federal government to co-ordinate disaster relief and provide assistance in storm-affected areas.

Gustav is the second major hurricane of the 2008 Atlantic hurricane season.

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Have you been affected by Gustav? Are you preparing for its arrival? Send us your comments and experiences

Guns for Texas school’s teachers

Teachers in one part of the US state of Texas are to be allowed to carry concealed firearms when the new school term opens this month. The school superintendent in Harrold district said the move was intended to protect staff and pupils should there be any gun attacks on its sole campus. Teachers would have to undertake crisis management training first, the superintendent, David Thweatt, said. In recent years the US has seen a number of fatal school shootings. Trustees had approved the policy and parents had not objected, Mr Thweatt said. “When the federal government started making schools gun-free zones, that’s when all of these shootings started,” he wrote on the Fort Worth Star-Telegram’s web site. Mr Thweatt said he believed the school’s proximity to a large, busy motorway could make it a target. “If something were to happen here, I’d much rather be calling a parent to tell them that their child is OK because we were able to protect them,” Mr Thweatt said. Texas outlaws the presence of firearms at schools unless individual institutions allow them.