European Psychiatry - Volume 41 - April 2017

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S330 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364
vitamin D deficiency for others with dark skin. Psychological diver-
sities can be viewed analogously. The thesis that mental illness is an
inevitable consequence of the singular diversity of humanity will
be exemplified by disorders such as ADHD, melancholia, schizo-
phrenia and sociopathy.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0654
Probability analysis of compassion:
Enhancing compassionate care in
psychiatry through mirror neurons
A. Shoka ∗, C. Lazzari
1 University of Essex, school of health and social care, university of
Essex, Colchester, United Kingdom
2 North Essex NHS university foundation trust, general adult
psychiatry, Colchester, United Kingdom
∗ Corresponding author.
Introduction The probability that psychiatric care becomes
compassionate is higher when individual subjects, groups or orga-
nizations utilizemirror neurons to attunewith the emotional world
of their clients.
Objectives To create an algorithm for compassionate care inmen-
tal health by attunement of mirror neurons.
Aims To predict the probability of the occurrence of sympathetic
care in mental health.
Methods Naturalistic observation of health care organizations
identified themajor nodes-agents of the organizational-neural net-
work leading to a compassionate care (events A): individual, group,
organization and society. Negative influences on compassionate
care are (events B) subjective and collective acts.
Results The probability that compassionate care occurs as a result
of a single mediator’s action was only 0.167 (16%). The probabi-
lity that compassion results from training mirror neurons were as
follows:.Multiple event probability formula:
– probability of event A that occurs P(A) = 0.667 (66%) [positive
subject + group + organization + society)];
– probability of event B that occurs P(B) = 0.333 [negative individual
and group];
– probability that both the events occur P(A∩B) = P(A) × P(B) = 0.222
[inhibitory influence];
– probability that either of event occurs P(A∪B) = P(A) + P(B)
− P(A∩B) = 0.778.
Conclusions The probability of organizational compassion (PA) is
high when all the agents interact. As compassion is reinforced by
mirror neurons, a reduction in the number of people involved in
compassionate care also means the final outcome is less likely to
appear.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0655
Exact psychiatry: Six axioms
M.L. Vargas
Complejo Asistencial de Segovia, psychiatry, Segovia, Spain
Psychiatry is a clinical technological practice where the rational
fundaments, methods and knowledge “corpus” have a scientific
nature. The science philosopher Mario Bunge proposes that phi-
losophy, as well as science, may tend to be exact. Philosophy of
science is the rational setting where any scientific discipline can
ascribe sense to its theoretical models and factual sentences. Axio-
matization is themethod to exactify a discipline. By axiomatization,
we can exactify psychiatry as “medicine of the soma”, therefore
avoiding fallacies in the theoretical models we use.
Objective To describe six axioms for the definition of “exact psy-
chiatry” as “medicine of the soma”. Six axioms will be defined and
explained. They are ordered attending to hierarchical and historical
priority:
–axiom of the cultural universal of social cohesion: since the anti-
quity all cultures have cultural universals which promote social
cohesion;
–axiom of healing as a form of “isonomia”: health-related cultural
constructs are relatedwith help receiving due to body vulnerability.
It appears with Hippocratic medicine;
–axiom of nosological realism: diseases really exist. They are
biological regularities that accelerate death. It appears in the
17th century;
–axiom of illness subjectivity: the personal impact of disease is
subjective. There exist diseases in patients. It appears in the 20th
century;
–axiom of the unification of neuroscience: psychiatry and neu-
rology have the same ontological reference, brain diseases. It
consolidates in the 21st century;
–axiom of clinical phenomenology as the epistemological specifi-
city of psychiatry: clinical phenomenology characterizes “soma” as
the referring of psychiatry. The future.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EW0656
Evaluation of a nonsmoking program
in psychiatric clinic
J. Jaber ∗, A. Tomé , F. Castro , A. Hollanda , B. Reys
Clínica Jorge Jaber, Saúde Mental, Rio de Janeiro, Brazil
∗ Corresponding author.
Introduction The work evaluates the nonsmoking program suc-
cessful experience, carried out between the years of 2008 and 2015
in a psychiatric clinic in the city of Rio de Janeiro, Rio de Janeiro,
Brazil.
Objectives The program has as objectives to evaluate the treat-
ment of tobacco dependence in patients with disorders for the use
of substances and other psychiatric disorders and the experience
of transforming the therapeutic space of the clinic in a tobacco-free
environment, considering that the use of tobacco is responsible for a
large number of avoidable deaths and other aggravations to health.
Methods The programachieved the objectives, assessing the pro-
motion of the tobacco abstinence in a large number of patients,
through the utilization of pharmacological treatment, cognitive
behavioral psychotherapy, occupational therapy, art therapy and
moderate physical activity.
Results In a 12-month period, after carrying out the program, 48%
of the assessed patients kept in tobacco abstinence.
Conclusions The study showed the percentage of patients who
were discharged on tobacco abstinence and the percentage of those
who kept abstemious after 12 months, demonstrating that the
nonsmoking program is an efficient tool in the tobacco dependence
treatment and can be used over a psychiatric hospitalization with
promising results.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0657
Akathisia: Prevalence and risk factors
in patients with psychosis and bipolar
disorder
L. Jouini ∗, U. Ouali , S. Ouanes , Z. Rania , R. Jomli , Y. Zgueb ,
F. Nacef
1 Razi hospital, “A” psychiatry department, Tunis, Tunisia