European Psychiatry - Volume 41 - April 2017

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S578 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0533
A literary exploration of British
cultural attitudes to psychiatry during
the late 1800s and their development
over the following century
A. Pittock
NHS Lothian, Child and Adolescent Mental Health, Edinburgh, United
Kingdom
Introduction British psychiatry was in its embryonic stage in the
late nineteenth century. Early psychiatrists employed radical treat-
ments with little success and not much is documented about public
attitudes. Using fictional depictions of madness and physicians
allows us to explore cultural attitudes to psychiatry at the time.
Objectives First, to analyze the portrayal of madness and physi-
cians in the island of Dr. Moreau and Dr. Jekyll and Mr. Hyde;
second, to use this to provide insight into the public opinion of psy-
chiatry and third, to evaluate the development of attitudes using
twentieth century media.
Aim To provide an insight into the social perspective of mental
illness in the late nineteenth century and consider its evolution over
the last one hundred years.
Methods Two famous, well-received novels of the timewere cho-
sen for analysis. Historical knowledge of the period was sought
using JSTOR, NHS Scotland’s The Knowledge Network and Google
Scholar. Novels and media depictions were analysed in relation to
the scientific understanding at the time.
Results The novels show two ways of control: surgical (Moreau)
and chemical (Jekyll). Both are unsuccessful, as were physician’s
attempts in reality. The narrators’ concerns mirror the cultural anx-
iety at the time surrounding containment and treatment of mental
illness. Media portrayal of cruel, unsuccessful treatment continues
throughout the twentieth century.
Conclusions Nineteenth century cultural attitudes to mental ill-
ness show a distinct anxiety and concern with barbaric treatments
and their inefficacy. Despite psychiatric progress, the media have
continued to portray mental illness and its treatment in a negative
light, suggesting continued levels of societal concern.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0534
Demographic characteristics of the
cohort of patients, receiving
out-patient psychiatric help in
regional medical consultative and
diagnostic center of sub-arctic
territory
K. Shapovalov ∗ hapovalova
1 State Education Agency of Additional Professional Education of
Republic of Komi “Komi Republican Institute for Development of
Education”, Chair of Economics, Management and Law in Education,
Syktyvkar, Komi Republic, Russia
2 State Autonomous Health Agency of the Republic of Komi
“Consultative and Diagnostic Center of the Republic of Komi”,
Consultative and diagnostic department, Syktyvkar, Komi Republic,
Russia
∗ Corresponding author.
The analysis of mental health 5356 patients referred to the out-
patient reception of a psychiatrist in the structure of the regional
consultative diagnostic center. The structure of the patient, the
psychiatrist received increased by 14.0% the proportion of initial
applications (59.6%). The number of men has decreased in abso-
lute terms, 1.84 times, and the relative by 10.4%, which led to the
formation of a clear trend dominance of the female population of
the territory. Men are turning mainly in the active working age
18–44 years (54.2%), whilewomen are turningmainly aged50 years
and older (59.3%). This is explained by the peculiarities of the phys-
iological, mental and emotional state at a certain age period of
the female orgasm, as well as the prevailing female population
of the region (5.6%) over the masculine. Statistically significant
difference on the prevalence of urban agriculture is not set. Reduc-
tion adopted children under the age of 17 years from 62% to 16%
is a result of filling in the municipalities vacancies child psychi-
atrists and can be evaluated as a positive result of the dynamic
development of mental health services. At present, it formed
the objective necessity of the development of community mental
health as a result of growth in the number of mental illnesses. But
this comes at the expense of lighter forms (outpatient options).
Most exacerbations do not require compulsory hospitalization,
as a rule.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0535
Structure of psychic sphere pathology
of patients of the regional medical
consultative and diagnostic center of
sub-arctic territory
K. Shapovalov ∗, L. Shapovalova
1 State Education Agency of Additional Professional Education of
Republic of Komi “Komi Republican Institute for Development of
Education”, Chair of Economics, Management and Law in Education,
Syktyvkar, Komi Republic, Russia
2 State Autonomous Health Agency of the Republic of Komi
“Consultative and Diagnostic Center of the Republic of Komi”,
Consultative and diagnostic department, Syktyvka, Komi Republic,
Russia
∗ Corresponding author.
In the structure of pathology 5356 psychiatric patients according
to nosology forms, the first place ranking diagnosed by a psychi-
atrist of the regional advisory diagnostic center occupy organic,
including symptomatic, mental disorders (F00–F09) to 48.2%. The
second place ranking occupied by neurotic, stress-related and
somatoform disorders (F40–F49) to 37.8%. This pathology includes
various phobic, anxiety, depressive, hypochondria, obsessive-
compulsive, dissociative (conversion), somatoform disorders, as
well as response to heavy stress and adjustment disorders. The
combination of anxiety and depression observed took place in
70.0% of patients. The majority of patients with anxiety disor-
ders only part of the symptoms is found, however, and they are
extremely painful. These people are in most cases not immedi-
ately come to the attention of psychiatrists, moving from a general
practitioner to a neurologist, cardiologist and doctors of other
medical specialists. They have initially diagnoses as vegetative-
vascular dystonia, and then diencephalic crises, etc. The third rank
place took patients with mental retardation - the proportion of
an average of 1.3%. Mental disorder primarily characterized by
impaired ability, manifested in the ripening period, provides a
common level of intelligence: cognitive, speech, motor and social
abilities. For the most part the clinical manifestations of these
patients there are two groups of disorders: (1) Disorders of cog-
nitive functions (memory, intelligence, learning, attention); (2)
perception of disorder, the content of the thoughts, emotions and
behavior.