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S276

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.578

Psychotherapy

EW461

Digging out insights and behavioral

correlates of false and true femininity

in borderline personality disorder

patients attending four-step

integrative model group

psychotherapy

M. Abdelhameed

, R. Mahfouz , A. Kamal , M. Taha

Minia university, psychiatry and neurology, Minia, Egypt

Corresponding author.

Introduction

The four-step integrativemodel of psychotherapy is

concerned with individual’s needs, wants, rights and decisions in

that order. It may carry a promise for deep and changing vision for

patients with borderline personality disorder (BPD).

Objectives

The study of the illuminating and changing effect of

dealing with BPD patients in view of their needs, wants, rights and

decisions.

Aims

To evaluate the effect of group work through the hierarchy

of the four-step integrative model with BPD patients and to help

them explore false and true elements of their femininity.

Methods

Forty-three female patients (age range: 19-37) diag-

nosed according to DSM-IV diagnostic criteria for BPD were

enrolled in a dynamic psychotherapy group. Their progress was

evaluated using Borderline evaluation of severity over time (BEST)

and they wrote down detailed comments about their experience

quarterly.

Results

Results of regular attendants for 2 years were included

(35 = 81.4%). The results of BEST showed a significant reduction of

BPD severity at the end of 1 and 2 years. During psychotherapy

sessions and within their quarterly comments, patients expressed

their change in terms of moving from a state of cunning, manipula-

tion, aggression, arrogance, envy and rejection (as stemming from

their false femininity) into wisdom, confrontation, patience, pride,

healthy competition and containment respectively (as stemming

from their true femininity).

Conclusions

Patients with BPDmay gain a better insight and gen-

uine change as they realizewhat is false andwhat is true about their

femininity in the context of attending four-step integrative model

group psychotherapy.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.579

EW462

What makes for good outcomes in

solution-focused brief therapy? A

follow-up study

B. Cortes

1 ,

, A. Ballesteros

2

, J. Collantes

3

, M.L. Aguilar

4

1

Dr. Cortes Clinic, psychiatry and psychotherapy, Salamanca, Spain

2

Estella health centre, psychiatry, Estella, Spain

3

Private practice, psychology, Madrid, Spain

4

Hospital of Salamanca, psychiatry, Salamanca, Spain

Corresponding author.

Introduction

Solution-focused brief therapy (SFBT) is a strength-

based and a social constructivist approach that assumes that

individuals have the ability to develop creative solutions that

enhance their lives to develop a new self, modify worldviews, and

implement behaviour changes.

Objectives

To develop a quantitative research to determine

which clinical variables and process variables are measured using

the technique of judges and determine its statistical associa-

tion with the outcome at termination of therapy and follow-up,

using the videos of SFBT psychotherapy sessions, and a follow-up

call.

Aims

To identify variables associated with outcome at termina-

tion and follow-up and to evaluate the success applying SFBT.

Methods

Sample was composed by 74 cases.

Criteria of inclusion

A telephone number available to make the

follow follow-up call and at least 6 months since termination (6

months to 39 months, mean 15.6 months). Three questionnaire

were used, The First-SessionRatingQuestionnaire, The Last-Session

Ration Questionnaire and The Follow-up Questionnaire.

Results

Goals were reached 88% of the cases, patients said that

complaint was totally resolved were 17% and 26% when the

dropouts were excluded, and that complaint was partially resolved

were 76% and 65% when the dropouts were excluded. Accord-

ing to the judges, the successful at termination was the 86%, and

the successful at follow-up was 67% according to the Follow-Up

Questionnaire. No variables were statistically associated to the suc-

cessful at termination or the follow-up.

Conclusions

SFBT reaches the “minimum efficacy permitted”

according to the general consensus of experts. Clinical of process

variables was not associated to success.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.580

EW463

Cognitive analytic therapy: A

bibliometric review

E. Gimeno

1 ,

, C . C

hiclana

2

1

University CEU San Pablo, department of psychology, Valladolid,

Spain

2

University CEU San Pablo, department of psychology, Madrid, Spain

Corresponding author.

Introduction

Cognitive Analytic Therapy (CAT) has emerged as

an integrative new approach with promising results in the treat-

ment of personality-disordered patients, particularly in borderline

personality disorder. Although this approach has already demon-

strated its effectiveness in adults, increasingly studies try to

validate it in young population, which has meant a turning point in

research.

Aim and objectives

The goal of this study is to know the whole

production about CAT in a double way:

–articles that describes the main theoretical concepts underlying

CAT theory;

–articles with evidence supporting its effectiveness in different

mental disorders.

Methods

Abibliometric reviewof 397 scientific articles extracted

from research databases including Dialnet, EBSCO, PUBMED, Unika

and Scholar Google was conducted.

Results

The results indicate an exponential growth in published

studies on CAT, from first publications in the late 1960s, particu-

larly strong in the last two decades and reaching its peak in 2008.

Total research includes 247 literature reviews, 109 clinical studies,

47 case studies, 17 letters and comments from authors, 4 studies

on diagnostic tests and 1 meta-analysis. Most research has focused

on borderline personality disorder or other personality disorders

(35% and 12% respectively) and eating disorders (11%). Studies have

been conducted with adults (49%) the same as children and adoles-

cents (46%) whereas only the 4% has been developed for elderly

population.