European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S329
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.
Discussion 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.
EW0651
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.
Background 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.
Objectives 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.
Methods Standardized interviewing of 15 psychiatrists and psy-
chologists who experienced during their clinical practice aspects of
genetic counseling in patients with BPD.
Results 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%).
Conclusions 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.
EW0652
Psychology feminine holiness
J. Garcia-albea ∗, M. Navas
1 Instituto de psiquiatría San carlos, psiquiatría, Madrid, Spain
2 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-
nity.
Objective 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
study.
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.
EW0653
Mental illness is an inevitable
consequence of the singular diversity
of human beings
M. Schwartz ∗, M. Moskalewicz , E. Schwartz , O. Wiggins
1 Texas A&M Health Science center college of medicine, Round Rock,
Texas, psychiatry and humanities in medicine, West Lake Hills, USA
2 Texas A&M Health Science center college of medicine, psychiatry,
Round Rock, Texas, USA
3 George Washington university school of medicine, psychiatry,
Washington DC, USA
4 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