European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S513
Introduction Review the work of Jorge Amado in the thanatolog-
ical hermeneutics makes it come to be apparent the role of art
in shaping the popular imagination and its educational purpose,
which art cannot do without.
Objective The purpose of this research is to present that, Jorge
Amado using various methods causes a semiotic and polysemic
reading of life and a hermeneutics review of death, making his
literary art an instrument of education for death.
Methods Using the transversal method of bibliography review of
the author’s work.
Results We noted that in the anthropology of Jorge Amado, death
might be the exercise of power, as those legitimated by a theology
casuistry, in “Violent Land”. However, death can be an element of
transformation of the state of life and overcoming the limits of the
roles that society has agreed to be played by its subject, paradigm
of this counterculture is Livia, widow of Guma in “Sea of Death”. In
“The Double Death of Quincas Water-Bray” dead and death inset
in starring roles, provoking a psychological reflection about death
as a complex dimension, able to have their own intentions and
itinerary and, assigning the dead freedom and responsibility for his
death and die, the author will say: “Everyone take care of your own
funeral.”
Conclusion Death has the function of unveiling character and
affections, and balance all forces presents in the society, and the
art is the instrument to that reflection reach the community.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0335
Political and religious violence: What
psychiatry can bring to Middle East?
F.D. Gandus
Former Researcher at La Sorbonne University, Philosophy and
Human Sciences Research, Kyriat Arba, Israel
Middle East is one of themost violent regions of theworld. This phe-
nomenon is most often due to the fact that religious problematic
and political challenges are immediately mixed in places where,
moreover, the states don’t assume their role as expected about
structuring their societies, supporting freedom and respect for the
individual rights and life-projects of their citizens. This complex
configuration makes a lot of populations in Middle East develop
discreet but serious mental problems such as schizophrenia with
paranoia-tendencies or loss of rationality among other possibilities.
The aim of this lecture (if still possible) or poster (if the program
of speeches is already closed) is to demonstrate what psychiatry
(such as elaborated in the west) could bring to Middle East, as well
as the difficulties this discipline will have to face to gain respect
and interest over there. A focus will be made about an example
of “loss of rationality” and how it leads to a projection of vio-
lence against animals and its specific meaning in the context of a
conflict.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0336
Does psychiatry link culture and
symptoms?
L. Garcia Ayala ∗, M. Gomez Revuelta , C. Martin Requena ,
B. Gonzalez Hernandez , M. Laborde Zufiaurre ,
E. Saez de Adana Garcia de Acilu , A. Aranzabal Itoiz ,
O. Porta Olivares , M. Juncal Ruiz , M. Zubia Martin ,
N. Nu˜nez Morales , A.M. Gonzalez-Pinto Arrillaga ,
M.P. López Pe˜na
1 Osakidetza, Psychiatry, Salvatierra-Agurain, Spain
2 Osakidetza, Psychiatry, Vitoria, Spain
3 Marqués de Valdecilla, Psychiatry, Santander, Spain
∗ Corresponding author.
Introduction Transcultural psychiatry is a branch of psychiatry
where cultural context for psychiatric symptoms is studied. It
emerged as a consequence of migration of diverse ethnic groups
and questions whether international diagnosis classifications fit in
different cultures.
Objectives The aim of this review is to make professionals aware
of the importance of cultural context for the way mental disorders
present themselves depending on the patient’s origin.
Materials and methods We report the detailed case of a 23-year-
old Moroccan woman, attended for the first time by the mental
health services when she was 8. Since that moment, she felt herself
possessed by a strange being. Auditory hallucinations appeared. It
was only when her father or her husband were at home that she
felt the “being” was gone. Her husband, as formerly his father, rep-
resented a symbol of protection against that evil being and indeed
against her mental disorder, which was directly related to her cul-
tural beliefs.
Discussion Every country has a different culture and everymigra-
tion brings with it a new environment. The way people adapt to it
may result in mental illness. We want to discuss if symptoms fit
international diagnosis classifications.
Conclusion Psychiatrists should become aware of the limitations
of the international classifications when used on different ethnic
groups. We should have a cultural approach in order to treat the
diverse populations from all around the world.
Keywords Transcultural; Diagnosis.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0337
Quixotic delirium, around the fourth
centenary of the publication of the
second part of Don Quixote de la
Mancha: About a case
G. Hernandez Santillan∗, I. Mirapeix Bedia
Hospital Universitario Príncipe de Asturias, Psychiatry, Alcalá de
Henares, Spain
∗ Corresponding author.
Psychosis, understood as a judgment out of reality, is sometimes
considered as a defensive mechanism in the face of an overflow-
ing situation. However, beyond the pathological, given its fantastic
nature, has also brought its form and content to art in its vari-
ous manifestations. Thus, we bring up a similar case. A 51-year-old
male, who has one brotherwith schizophrenia; in his childhood and
adolescence excelled by an excellent academic performance, even
won a national prize of Economy; and very scarce emotional ties
outside the family environment. At the age of 23, during his stay in a
foreign country after obtaining a scholarship in a world-renowned
company, he presented disorganized behavior and thought, dis-
inhibition, delusions of persecution, prejudice and referentiality;
then, he was repatriated by his family to enter in a psychiatric
center. After, he continued psychiatric monitoring irregularly, with
no disease awareness and little therapeutic adherence. In his last
decompensation, he shown a megalomaniacal delusion, he defined
himself as “a living being, brother of all living beings, who fought
to defend peace, justice and the good of mankind”. The last year, he
had been helping economically the homeless, interceding before
the authorities for strangers and needy people; he restored and
prayed in temples of different religions. Furthermore, with a signif-
icant deterioration in their self-care and family life. In consequence,
he required a third forced psychiatric admission. After two months,
he received discharge for clinical improvement and treatment with