European Psychiatry - Volume 41 - April 2017

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S774 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S772–S846
Conclusions Third wave cognitive behavioural therapy is an
emerging approach born from the need to improve and comple-
ment first and second waves. Although very promising, it is still a
recent approach and data to support its superiority over the con-
ventional therapies is missing.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1132
Should I save my marriage?:
Addressing couple relationships by
means of art therapy intervention
G. Citak Tunc ∗, N. Eren
1 Uludag University, School of Health, Psychiatric Nursing
Department, Bursa, Turkey
2 Istanbul Faculty of Medicine, Department of Psychiatry, Social
Psychiatry Service Director of Art Psychotherapy and Rehabilitation
Program, Istanbul, Turkey
∗ Corresponding author.
Objective This study investigates the case of a female patient,
who was experiencing marital problems and had separated from
her spouse, with whom an art (drawing) therapy process was car-
ried out.
Aim It was aimed to address the relationship of the couple by
supporting the ego and increasing self-awareness skills by means
of art materials (drawings) in the process of the situational crisis.
Method Case study.
Result With this case study, it was aimed to make emphasis
on the impact of drawing sessions as a means of using art in
therapeutic relationships for self-awareness and opportunity for
development in a situational crisis during marriage.
Conclusion During the process of individual art therapy, nine ses-
sions and eight drawing tasks were conducted. The case patient,
OS, had been separated from her spouse for 2 months. In the first
session, a personal history was taken, the scores of the state-trait
anxiety scale was evaluated and a therapy plan was jointly devel-
oped. Each actionwas carried out by providing specific instructions.
Each session was evaluated within the same week in a supervision
meeting with an expert experienced in art therapy and the next
session was planned. OS, who developed self-awareness as a result
of the sessions, evaluated his/her expectations and boundaries in
his/her relationship and discovered the connections with her own
nuclear family. In a session with OS one year later, she gave the
information that she had started to share a house with her spouse.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1133
Doctor-patient relationship: The
impact of mindfulness on empathy
S. Darbeda ∗, M. Etchevers
1 CESP Inserm, U-1018 Addictive Science, Villejuif, France
2 University Pierre and Marie Curie, ED 158, Paris, France
3 University Pierre and Marie Curie, Faculty of Medicine, Paris, France
∗ Corresponding author.
Introduction The doctor-patient relationship has an increasingly
important place in medical studies. Empathy is one of the qual-
ity criteria of the relationship. The development of mindfulness in
medical schools is booming.
Objectives To investigate the relation between empathy and
mindfulness among residents and doctors.
Methods Doctors and residents were asked to complete a demo-
graphic questionnaire – questions on their personal development
practices – and two scales. The Mindful Awareness Warning Scale
(MAAS) is a unidimensional scale measuring attention and mind-
fulness and Jefferson Physician Empathy Scale (JSPE) is a scale
measuring the clinical empathy across 3 dimensions: “perspec-
tive taking”, “compassionate care” and “in the patient’s shoes”.
Multivariate linear regressions were performed to analyse the cor-
relation between each score of JSPE and explanatory variables.
Results One hundred ninety-three questionnaires were ana-
lyzed: 87%were general practitioners, the average age was 34 years
old (SD 11) and 69% were women. Regarding personal develop-
ment practices, 18% practised mindfulness meditation regularly or
occasionally (23% for yoga and 31% for relaxation). No correlation
between the scores of JSPE and the MAAS score was found. How-
ever, doctors who practiced mindfulness had a highest score of
“compassionate care” (95% CI [1.26; 4.91], P = 0.0012).
Conclusions The mindfulness would be an effective tool for the
development of the welfare of the doctors, and improving the qual-
ity of empathy and therapeutic efficacy. To support these data, it
would be interesting to conduct an interventional study by offering
French doctors and interns the possibility of following courses of
mindfulness.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1134
The effect of art group psychotherapy
with photograph in chronic
psychiatric disorders: A pilot study
O. Celik Aypak ∗, N. Eren , U. Cıkrıkcılı , D. Buyukgok ,
S. Ucar Isaret
Istanbul University Medicine Faculty, Psychiatry Department,
Istanbul, Turkey
∗ Corresponding author.
Photograph was used as a therapeutic tool for the first time in 1856
by Dr. Hugh Diamond. Photos are considered to be representations
of a person’s reality. The possibility of producing visual images
when a client has verbal expression difficulties, photography pro-
vides a more structured way of expressing ideas and emotions
and to be a means of projective-symbolic communication. Photo
therapywith chronic psychotic patientsmay contribute to develop-
ment of perception of reality, part-whole relationship, integration,
distinction of external-internal world, symbolization capacity and
improve ego functions The aim of this study was to determine
the effect of phototherapy on symptomatology, functionality, emo-
tional regulation, cognitive skills and coping skills in patients with
chronic psychiatric disorders. In accordance with this aim, the
study was carried out with 14 outpatients diagnosed as chronic
schizophrenic or psychotic disorder. Seven patients received rou-
tine medical care plus 28-week psychotherapy with photograph
and 7 patients received only routine medical care. Patients were
assessed in pre and post-treatment with Beck Depression Inven-
tory, Beck Anxiety Inventory, Difficulties in Emotion Regulation
Scale, Global Assessment of Functioning, Ways of Coping Inven-
tory and Neuropsychological Test Battery. Wilcoxon Signed Ranks
Test used for statistical analysis. The therapy method resulted in
statistically significant reductions in the level of depression and
general symptom levels and statistically significant improvement
in cognitive abilities and functionality (P < .05). There was also sta-
tistically significant improvement in positive reappraisal subscale
of copingways. These findingsmay indicate that photo-oriented art
group therapy might show positive effects on the course of chronic
psychotic disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.