European Psychiatry - Volume 41 - April 2017

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S778 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S772–S846
ally achieved by attributing meaning and purpose to suffering and
set-backs. In the paper, I discuss how the therapist could avoid the
trap of being and coercing the patient to be “optimistic, positive,
and strong” when the situation does not necessarily warrant such
an attitude. Philosophy may be of help here. One may apply theod-
icy, that is, the philosophical attempt to explain and justify the evil
existing in God’s world. Another possibility is Ericksonian approach
of utilization, paradoxical intervention, using metaphors and hyp-
notic techniques in order to let the patient come up with his own,
intimate resources facilitating recovery. Logotherapy, which is an
existential approach is recommended, either as such or as a part of
REBT. In short, the difference between an ineffective and an effec-
tive approach is the difference between being optimistic and being
realistic.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1145
Attempting reconciliation with
cross-examination in couple therapy
B. Latecki
Life Empangeni Garden Clinic, Psychiatric Private Practice,
Empangeni, South Africa
Many traps and conflicts can be encountered by the therapist trying
to facilitate communication and to promote agreement between
couples or between an angry teenager and his/her parent. The
cross-examination technique is a useful tool in such situations. It
involves humour but it is also confrontational, it shifts the bur-
den of initiating and continuation of the dialog onto the parties
involved, it teaches responsibility, respect and sensitivity to the
other’s points of view and, after exposing the “sore points”, it leaves
the couple in a position to discuss possible solutions. Elements of
other psychotherapeutic approaches (mirror technique, paradox-
ical intentions, empty chair technique, Ericksonian approach) are
included aswell. Elements of logic aimed at recognizing the fallacies
and assumptions between the couple are also used.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1146
Clinical usefulness of confrontations
in the initial interview
Z. Barac-Otasevic
Clinical Center of Montenegro, Psychiatry clinic, Podgorica,
Montenegro
Principal objective of this work is to illustrate the clinical useful-
ness of confrontations in the initial interview. Balint, Kernberg,
Sullivan, Fromm-Reichmann are the authors, amongmany of them,
who pointed out importance of the initial interview and the con-
sequences of the interview for the future psychotherapeutic work.
Initial interview represents two persons; therapist and person who
needs help who meet for the first time and do not know anything
about each other. Interaction between therapist and the patient
through communication is a major source of information about
potential patient in the initial interview. The nature of disorder,
capacity of motivation for psychotherapy can be evaluated in the
current interaction with the person who needs help. Confrontation
is a routine technique in psychoanalysis and psychotherapy, unilat-
eral and potentially dangerous, especially when working alliance is
not established and that is the case in the initial interview. Purpose
of confrontation in the initial interview is to collect information
about patient, his psychopathology, his structural personality fea-
tures, presence of defensive operations, capacity and motivations
to work and what kind of psychotherapy is best suited for him.
Confrontation can be very harmful so it requires tact, patience and
timing. Incorrect use of confrontations which are poorly conceptu-
alized, premature could stop the flow of the material, make sense
of chaos in the interview, increasing anxiety and risk the possibility
of leaving interview.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1147
Roll of the third wave therapies in the
treatment of schizophrenia
L. Asensio Aguerri ∗, L. Nuevo , B. Mata , E. Segura , E. Lopez ,
F. García
Doctor, Psychiatry, Ciudad Real, Spain
∗ Corresponding author.
Introduction The schizophrenia is a frequentmental disorder. The
symptoms affect the emotions, cognition, perception and other
aspects of the behaviour. In the last years have been developed
different interventions and psychological treatments in order to
improve the personal and social functioning of these patients.
Among the new proposals is the called “third wave”.
Objectives Determine the efficacy of third generation therapies
in the treatment of schizophrenia.
Methods We have performed a systematic review of the exist-
ing bibliography in PubMed/Medline, Cochrane and Dialnet, using
the combination of different keywords “acceptance and commit-
ment therapy, mindfulness, psychosis, schizophrenia, third wave
of therapies, based cognitive therapy”.
Results The based cognitive therapy for the psychosis (CBT) was
designed for the treatment of the residual symptoms of schizophre-
nia, however in the present there are over 30 randomized trial
publications were is evaluated the efficacy of CBT in psychosis, on
positive and negative symptoms, functionality and affectivity. It is
most effective in acute episodes.
Conclusions The treatment with the third generation therapies
reduces the positive symptoms of schizophrenia and improves
depressive and anxiety symptoms. The CBT and the mindfulness
are the most studied. There are scientifically therapeutic options
for the treatment of patients with schizophrenia in combination
with pharmacotherapy.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1148
The introduction of psychotherapy in
psychiatric outpatients in the last four
years in a Greek hospital
G. Lyrakos∗, D. Menti , I. Spyropoulos , V. Spinaris
General Hospital Nikaia “Ag. Panteleimon”, Psychiatric, Nikaia,
Greece
∗ Corresponding author.
Introduction The use of psychotherapy is an important part of
treating psychiatric disorders, in combination with medication
taking. However, despite its importance, psychotherapy is still
underused from individuals with psychiatric problems in Greece.
Objectives To examine the use of psychotherapy, among psychi-
atric outpatients, in the last four years.
Aims To investigate whether there are differences in the use of
psychotherapy, in combination with medications, to treat psychi-
atric disorders, from 2012 to 2015.
Methods In this study participated 5,551 patients, 2,760 males
(49.7%) and 2,791 females (50.3%). The mean age was 45.54. Conve-
nience sampling method was used and participants were recruited