European Psychiatry - Volume 41 - April 2017

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S716 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S710–S771
borderline personality disorder: Its’
powerful role in the lives and suicides
of people with BPD
V. Porr
TARA for Borderline Personality Disorder TARA4BPD, EXec Director,
NYC, USA
Shame, a central emotion in borderline personality disorder (BPD),
has been overlooked despite its’ relationship to self-injurious
behaviour, chronic suicidality, self-esteem, quality of life, and
angry-hostile feelings. Patients describe shame when explaining
acute feelings of emotional pain. There is a paucity of research
exploring the impact of shame on the person with BPD’s sense
of self and behaviors. BPD symptoms may be the expression of
and defenses against this painful emotion. Shame-proneness is
related to anger arousal and the tendency to externalize attri-
butions for one’s own behavior by blaming others or not taking
responsibility for one’s behavior. The relationship between shame-
proneness and BPD has important implications for treatment.
TARA for BPD, an educational and advocacy organization, devel-
oped a Family Psycho-education program teaching how shame
is often the common denominator of BPD responses, triggering
escalations, emotional shifts, volatile reactions, anger and misper-
ceptions. Shame is the response to perceived negative evaluations
(judgment, criticism, or blame) and general misinterpretation of
social situations. Shame is an impediment to thinking clearly, exag-
gerates ambiguity and overwhelms cognitive ability in themoment.
As shame is often confused with guilt, raising awareness of shame
responses is essential for improving family relationships. Families
can learn to recognize shame responses and implement evidence
based techniques from dialectic behavior therapy (DBT) and men-
talization based therapy (MBT) to decrease its’ impact on their loved
one with BPD. Demonstration of methodology to address shame in
family interactions and data from a TARA Internet survey of The
Experience of Shame will be presented.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0956
Stability of results of treatment and
therapeutic compliance of patients
with organic non-psychotic mental
disorders
V. Rudnitsky ∗, V.B. Nikitina , M.M. Axenov , N.P. Garganeeva ,
E.D. Schastnyy
1 Mental Health Research Institute, Tomsk National Research Medical
Center, Russian Academy of Sciences, Borderline States Department,
Tomsk, Russia
2 Mental Health Research Institute, Tomsk National Research Medical
Center, Russian Academy of Sciences, Laboratory of Clinical
Psychoneuroimmunology and Neurobiology, Tomsk, Russia
3 Federal State Budgetary Educational Institution of High Education
“Siberian State Medical University” of Ministry of Healthcare of
Russian Federation, General Medical Practice and Polyclinic Therapy
Department, Tomsk, Russia
4 Mental Health Research Institute, Tomsk National Research Medical
Center, Russian Academy of Sciences, Affective States Department,
Tomsk, Russia
∗ Corresponding author.
Introduction Non-psychotic mental disorders of organic reg-
ister tend to have protracted progressive course, to respond
poorly to treatment. Traditionally it is explained by features of
cerebral-organic process. However, affective, behavioural and cog-
nitive disturbances can be complicated by medico-social problems
including treatment-related.
Objective To analyse efficiency and stability of results of the ther-
apy of organicmental disorders and propose approaches andmeans
of their improvement.
Methods Clinical-psychopathological, epidemiological, clinical-
dynamic, catamnestic, experimental-psychological, medical statis-
tics.
Results The most frequent causes of decompensations of organic
mental disorders in patients with positive results of the therapy
were analyzed. Sixty-four percent (58 patients) after 6 months
showed partial recurrence of symptoms and after a year the con-
dition practically returned to the initial one. However, only 12.22%
(11 patients) passed recommended course of maintenance therapy
to sufficiently full extent, 23.33% (21 persons) have discontinued
it due to subjective causes during a month after discharge, about
2/3 of patients during the first two months of the therapy. Patients
showed low indicators of therapeutic compliance, low level of ther-
apeutic alliance, little familiarity with the illness and treatment
and unrealistic expectations about prospects of the therapy. During
insignificant difficulties in the therapy, it usually was discontin-
ued and renewed during relapse of symptoms. A medico-social
approachwith support of psychotherapeutic andpsycho-corrective
work and information educational programs were developed.
Conclusion Proposed psychotherapeutic and educational
approach heightens efficiency and stability of treatment and
can serve a basis for further improvement of psychiatric, psy-
chotherapeutic and medico-social assistance for patients with
organic mental disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
e-Poster Viewing: Philosophy and psychiatry
EV0957
Working with anxiety and depression
from a Buddhism framework
A. Allen
The ADHD Clinic, Psychiatry, Toronto, Canada
Buddhism as a spiritual discipline is concerned with freedom from
suffering, conceptualizing suffering as originating in false views
about the nature of self and reality. Buddhist psychology con-
ceptualizes emotions and mental habits as being wholesome or
unwholesome based on the tendency of these habits to promote
or hinder the quest for enlightenment, and contains a rich diver-
sity of methods to transform unwholesome emotional tendencies.
Many of these emotions, such as anger, fear, and despair, are com-
monly dealt with in clinical or therapy settings. Buddhist ideas
about the genesis and cessation of suffering can be used as an over-
arching model to organize a diversity of therapeutic techniques,
bridge different therapy models, and select particular techniques
at particular times in the treatment of emotional disorders. Learn-
ing objectives: after this session, participants will be able to use the
Buddhist Yogacara model of mind and karma as a model of how
negative emotions are transformed. After this session, participants
will be able to describe indirect methods (evoking wholesome
feelings) in order to transform negative emotional tendencies and
how this overlaps with current therapy models such as support-
ive and compassion-focused therapy. After the session, participants
will be able to conceptualize how Buddhist “direct methods” of
mindful awareness and contemplating right view overlaps with
methods used in cognitive behavioural therapy, marital therapy, or
acceptance and commitment therapy. Self-assessment questions:
according to Buddhist psychology, what is the primary cause of neg-