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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364


explained to why they had been admitted involuntarily. Also, there

was a significant difference in AES scores between those who were

and were not given an explanation for admission. In addition, psy-

chiatrists more often reported that the involuntary admission wor-

sened the therapeutic relationship which was significantly associa-

ted with involuntary admission that was not explained to patients.


The results of our study shows that patients admitted

involuntarily often feel disappointed with staff and mental health

system. It could lead to feeling of hopelessness, frustration and low

self-esteem. If explained, some patients who present with risk to

self might accept voluntary admissions, that will improve thera-

peutic alliance with psychiatrists and increase satisfaction from

hospitalization. Result of this study could improve the decision

making process for involuntary admissions.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Genetic counselling in patients with

bipolar disorder–ethical challenges

D. Vasile

, O. Vasiliu

Central university and emergency military hospital “Dr. Carol

Davila”, psychiatry, Bucharest, Romania

Corresponding author.


Genetic counselling in psychiatric patients is almost

always a challenge on multiple levels of communication, because

themental health specialist is situated between the need to validate

the freedom of procreation, and the duty to inform patients about

the risk of transmitting their disease to off-springs. Bipolar disorder

(BPD) is reputed to be one of themost heritable psychiatric disorder,

a factor that complicate even more the ethical situation.


To assess howpsychiatrists and psychologists conduc-

ted genetic counseling for patientswith BPDand the challenges that

mental health professionals consider important when they need to

make this type of counseling.


Standardized interviewing of 15 psychiatrists and psy-

chologists who experienced during their clinical practice aspects of

genetic counseling in patients with BPD.


The most commonly reported problems related to the

genetic counseling in bipolar patients were: lack of reliable data

on family history (53.3%), amplification of patient stigmatiza-

tion (46.6%), controversies in the literature on the assessment of

the disease risk (40%), difficulties in maintaining a nondirective

attitude (33.3%), lack of genetic counseling follow-up (33.3%), dis-

proportionate interest from the partner without mental disorder,

when compared to patients, in terms of aspects of genetic counse-

ling (26.6%), alteration of the therapeutic relationship and patients

interest in treatment (26.6%).


Genetic counseling is a challenge for mental health

professionals, who must cope with the lack of reliable data on the

pathogenesis of BPD, negative reactions fromthe patients’ partners,

patient disinterest or hostility and possible negative effects on the

therapeutic relationship.

Disclosure of interest

The presenting author was speaker for Astra

Zeneca, Bristol Myers Squibb, CSC Pharmaceuticals, Eli Lilly, Janssen

Cilag, Lundbeck, Organon, Pfizer, Servier, SanofiAventis and partici-

pated in clinical research funded by Janssen Cilag, Astra Zeneca, Eli

Lilly, Sanofi Aventis, Schering Plough, Organon, Bioline Rx, Forenap,

Wyeth, Otsuka Pharmaceuticals, Dainippon Sumitomo, Servier.


Psychology feminine holiness

J. Garcia-albea

1 ,

, M. Navas



Instituto de psiquiatría San carlos, psiquiatría, Madrid, Spain


Hospital universitario Infanta leonor, psiquiatría, Madrid, Spain

Corresponding author.

Feminine holiness is a subject as complex as it is interesting–not

least because of the very definition of the term–, in many occasions

extraordinary and many others bitter, which has sparked interest

throughout history, especially after the progress made on moder-



The main objective is less to show whether there is

a psychiatric, infectious, neurological or any other form of patho-

logical disorder linked to the behaviour of female saints, rather

to evaluate all the psychological and social aspects that result in

holiness as a mental state being largely a female attribute.

Material andmethods

For this, we have tested frombirth to death,

in what is possible, the lives of sixty religious women, through bio-

graphies and autobiographies since they were servants, pious or

holy according to ecclesiastical terminology. This set was unavoi-

dable to select twelve cases, which are set out exhaustively in this


Results and discussion

Limiting ourselves to a purely psychiatric

view, we can show the presence of psychopathology associated

with exceptional states of consciousness, as would be ecstatic and

mystical experience itself, present in most cases. We also found

common psychological profiles, out of the sixty biographies and

autobiographies of religious women analyzed: e.g. pain is used as

a means of atonement and a way of removing the guilt of sin. We

rule outmajor psychiatric disorders in the Santaswe have analyzed.

The behaviors they presented, even sometimes excessive, cannot be

included in any of the current major psychiatric disorders.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Mental illness is an inevitable

consequence of the singular diversity

of human beings

M. Schwartz

1 ,

, M. Moskalewicz


, E. Schwartz


, O. Wiggins



Texas A&M Health Science center college of medicine, Round Rock,

Texas, psychiatry and humanities in medicine, West Lake Hills, USA


Texas A&M Health Science center college of medicine, psychiatry,

Round Rock, Texas, USA


George Washington university school of medicine, psychiatry,

Washington DC, USA


University of Louisville, philosophy, Louisville, KY, USA

Corresponding author.

Nowadays, cosmopolitan populations increasingly applaud the

broad physical, ethnic, racial, and cultural diversity of human

beings. So long as we behavewithin sanctioned norms. This presen-

tation will focus upon the above paradox: In contrast to delighting

in physical, ethnic and cultural expressions of human diversity,

present-day cosmopolitan societies increasingly call for conformity

in behavioral and experiential realms. For example, at meetings

such as this, we can freely express and celebrate racial, eth-

nic, and culturally differences, but we must communicate–within

remarkably narrow ranges–cordiality, spontaneity, agreeableness,

respectful disagreement and tact. And if we cannot?? We propose

that the phenomenon of mental illness arises as a consequence of

the phenomenon of human diversity coming up against constraints

and limitations in mental and behavioral realms. This presentation

will focus upon evolutionary, genetic, biological, anthropological,

historical and cultural aspects of the primary role that human diver-

sity plays inmental illness. We will discuss the adaptive origins and

strengths associated with the extraordinary diversity of humans

(and our pets/domestic animals) as well accompanying vulnera-

bilities. For example, diversity of skin pigmentation has enabled

humans to extend across the globe. A consequence however, is

enhanced vulnerability to skin cancer for some with fair skin and