European Psychiatry - Volume 41 - April 2017

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S588 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644
in the DSM-V. Non-verbal communications were analyzed through
modalities such as facial expressions, eye contact, and body ges-
tures.
Results Several verbal and nonverbal characteristics have been
identified as common in all the interviewees.
Conclusions In a way to improve the quality and the quan-
tity of the information gathering, it is suggested, especially
with terrorists (but not only), to based the investigative and
forensic interviewing on a personality-focused approach. Further
studies are also needed to evaluate if terrorists have specific
communication skills. Finally, thiswork proves that indirect assess-
ment, such as consulting records, interviewing partners, family
members or friends, is very important in the terrorist forensic
assessment.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0564
Specifics of the implementation of the
security measures of medical nature
in the Republic of Serbia
P. Misic
Specialized Hospital for Psychiatric Disorders “Gornja Toponica”, The
Forensic Psychiatry Male Department, Nis, Serbia
The medical security measures in the Republic of Serbia include:
– mandatory psychiatric treatment and confinement in a medical
institution;
– mandatory psychiatric treatment at liberty;
– mandatory treatment of alcoholics and;
– compulsory Drug Addiction Treatment.
The aim of this presentation is to explain how the medical security
measures are implemented in the Republic of Serbia. The methods
used in this study are analysis and synthesis of the implementa-
tion of security measures in the Republic of Serbia based on many
years of practical work in forensic centre for the implementation of
security measures. By duration of medical security, measures may
be twofold:
– of unlimited duration, when the offender is undergoing medical
treatment and keeping in a medical institution, while there is a
need for treatment, or until there is no threat to the environment
(the length of time is difficult to determine, however, that the most
common word on the permanent indefinite treatment and storage
required special caution and detailed analysis of all the elements
relevant for this decision).
– limited duration, where the duration of treatment is determined
by the court and to no longer than three years as provided in the
current The Criminal Code of the Republic of Serbia.
The basis of every civilized society make the legal and moral norms
governing the relations within the community, and thus regulate
and protect their most essential element – the man – his physical
and psychological integrity.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0565
Incest in the Schizophrenic patient:
Case report
M. Mezghani ∗, F. Fekih-Romdhane , F. El Ghali , M. Zghal , G. Jmii ,
L. Jouini , I. Ghazeli , R. Ridha
Razi Hospital, Forensic psychiatry, Tunis-Mannouba, Tunisia
∗ Corresponding author.
Introduction Incest may be defined as sexual relations between
close blood relatives. Legally, incest and sexual aggression toward
minors are classified as a criminal behaviour. Tunisia is among the
countries from which incest cases are rarely reported.
Objectives and method The aim of this study is to investigate the
relationship between the psychotic structure and incest, and to
describe the individual, clinical, and criminal traits of the inces-
tuous father through clinical observation.
Case report Mr T.G is 46 years old. He is married and has six
daughters. His wife appears to be passive, and largely dependent on
her husband. Mr T.Ghas had incestuous relationships, initially, with
his two eldest daughters. The acts were followed by the mother’s
complicit silence and the non-denunciation of the daughters. Two
years later, he starts an incestuous behaviorwith his third daughter.
Incest took place in the context of delusion. The patient was con-
vinced that he is responsible of his daughters’ sexuality education.
He develops an incoherent theory of purification with a tendency
towards morbid rationalism. It is only after four years of insuffer-
able paternal incestuous relationships that the third daughter filed
a complaint to the police. A psychiatric expertise concluded that
the accused is exempt from criminal responsibility.
Conclusion Incest is a multi-faceted phenomenon, which makes
its approach, comprehension, and treatment quite complex. For a
psychotic patient incest is a means to deny alterity by crushing
other. It also allows him to find, in this complete power, control
over his annihilation anxiety.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0566
Substance use among male forensic
patients
M. Mezghani ∗, F. Fkih-Romdhane , F. Ghali , G. Jmii , M. Zghal ,
L. Jouini , I. Ghazeli , R. Ridha
Razi Hospital, Forensic psychiatry, Mannouba, Tunisia
∗ Corresponding author.
There is a widespread use of substances abuse which might cause
violence, suicide, interpersonal conflicts, lawsuits, psychiatric com-
mitment, and even crimes. Psychiatrists are under increasing
pressure to develop strategies to address the problem of coex-
isting criminal behaviour, addiction, and mental illness. The aim of
this study was to examine the association between demographic
profile, psychiatric symptomatology and substance use in foren-
sic psychiatric inpatients, and to consider the treatment needs and
opportunities for intervention among the same sample.
Methodology A retrospective study was done on patients admit-
ted to the department for Forensic Psychiatry at the Razi Hospital
from 1996 to 2016, initially jailed for detention and drug con-
sumption and judged irresponsible by reason of insanity. Data were
collected by record review.
Results Thirty-two patients were included in the study. Mean age
was 27.81 years. Thirty-six percent of the participants were illit-
erate and 45% were single. More than half of the subjects (54%)
had personal psychiatric history and 27, 27% had family history of
psychiatric problems. About one third (31.81%) of participants had
judicial background: 33% were arrested for public drunkenness,
44% were arrested for violence, and 22% were arrested for theft.
Concerning the diagnosis, 45% were suffering from schizophrenia,
22.77% were diagnosed with personality disorder and 27.27% of
themwould not have any mental trouble. About 50% of the patients
did not follow up with treatment.
Conclusion Addictive disorders are authentic psychopathological
disorders. Effective treatment is hindered by the paucity of research
on clinical application of treatment models for addictive disorders
in this population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.