European Psychiatry - Volume 41 - April 2017

20 / 916

S16 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S8–S52
functional recovery. It will then discuss when and how to assess
cognition and present some new feasible screening tools for cog-
nitive dysfunction. Finally, it will highlight some novel candidate
cognition treatments.
Disclosure of interest I have acted as a consultant and received
honoraria from Lundbeck and Allergan.
Symposium: Human based psychiatry: from
theory to practice
S027
Evidence-based medicine - A critical
review
W. Gaebe
Heinrich-Heine-Universität Düsseldorf, Germany
Evidence-based medicine is a method to establish best practice
recommendations based on graded recommendations for diagnos-
tic and therapeutic issues in health care. In mental healthcare,
evidence-based medicine has shown that the therapeutic pro-
cedures are efficient and can help to not only ameliorate the
symptoms of mental disorders, but also to improve the quality of
life of those affected bymental disorders. Evidence-basedmedicine
is not, however, cookbook medicine. While evidence is mostly
generated in larger group trials and should be applicable to the
majority of cases, aspects of the personal situation, social sup-
port systems and legal boundaries all affect mental healthcare and
may modulate the interpretation of the findings of evidence-based
medicine. A human-based psychiatry will therefore need to use
the methods of evidence-based medicine as a basis for diagnos-
tic and therapeutic recommendations, but will also need to extend
into the acknowledgements of personal accounts, traditions and the
cultural framework, in which mental healthcare is provided. This
presentation will highlight some of the issues associated with the
questions of the roles of evidence-basedmedicine inmental health-
care, and in a human-based approach towards mental healthcare.
Disclosure of interest Unterstützung bei Symposien/Symposia
Support.
Janssen-Cilag GmbH, Neuss.
Aristo Pharma GmbH, Berlin.
Lilly Deutschland GmbH, Bad Homburg.
Servier Deutschland GmbH, München.
Fakultätsmitglied/Faculty Member.
Lundbeck International Neuroscience Foundation (LINF), Däne-
mark.
S028
Theoretical background of human
based psychiatry
M. Musalek
Anton Proksch Institute, Gräfin Zichy Straße 4-6, 1230 Vienna, Austria
Every medical intervention is embedded in the prevailing spirit
of its particular time. The world of modern medicine that is still
shaped by positivism is often revered as a world of rational cal-
culation and reason, a world in which mathematical calculation
and so-called objectivity are prized above all else. Indeed, today’s
modern medicine in general and its battlewagon evidence-based
medicine is a world of sober number games, reduction and frag-
mentation, of demystification and de-subjectification. As important
and indispensable the achievements of EbM are, it nevertheless
needs to be expanded by a medicine, which focuses not just on
illness and its treatment but which places the concrete individual
with all his or her sufferings and potentials. Such a human-based
medicine (HbM) is no longer indebted to modern positivism, but
seeks its foundations in the maxims of post-modernism. Mov-
ing away from classical “indication-based medicine” toward a
medicine based on human sufferings and potentials necessarily
requires a fundamental change in diagnostics and treatment.
Disclosure of interest The author has not supplied his declaration
of competing interest.
S029
Human based psychiatry in clinical
practice
L. Küey (Associate Professor of Psychiatry)
World Psychiatric Association
Human based medicine and human based psychiatry are con-
temporary approaches to the theory and practice of medicine
and psychiatry. It is a post-modern way of re-thinking psychiatry
enriched by humanities, especially philosophy. In questioning the
current research and praxis of psychiatry, it shares the statement
by Wittgenstein, “what a curious attitude scientists have : ‘We still
don’t know that; but it is knowable and it is only a matter of time
before we get to know it as if that went without saying. So, here,
our problematic is not only ‘what and how much we do‘ but also
‘how and why we do‘. The clinician‘s main challenge is harmoniz-
ing the current available ‘scientific universal knowledge‘ and the
‘uniqueness’ of that specific person in need of help. In achieving this
task, the importance of the synthesis of the clinician’s perspective
and patient’s perspective will be elaborated using depression as a
case example. It will be stated that an empathetic understanding
of depression, through a subjective, experiential and narrative-
centered approach must become a primary concern by building a
joint, ongoing, re-construction process of clinical assessment, for-
mulation and treatment. There is no meta-theory explaining “the
clinical truth”. From the perspective of a human based psychiatric
practice, in fact, we do not need such a meta-theory, but instead,
we needmulti-level/multi-dimensional approaches, also taking the
narrative into consideration. We suggest the clinicians to be mod-
est, honest and respectful towards “the clinical truth”.
Disclosure of interest The author has not supplied his declaration
of competing interest.
S030
Current hot topics in working with
service users and family carers
towards a human based psychiatry
M. Amering
Department of Psychiatry and Psychothera, Waehringer Guertel
18-20, 1090 Viena, Austria
Context The significant role of family as a resource for mental
health, psychiatric care and recovery and rehabilitation is well doc-
umented. However, despite ongoing family advocacy the situation
in most settings is still characterized by significant unmet needs
and lack of resources and expertise in working with families.
Key messages This presentation will highlight pertinent issues
and present data, concepts and experiences towards an improve-
ment of partnership work with users of services and their families
in a human based context.
Topics will include the needs of specific types of relatives, such
as siblings, children, partners, grandparents, members of the peer
group of friends as well as the need for support for families without
patient consent. Recent developments with regard to individual