European Psychiatry - Volume 33 - March 2016

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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.
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.
EW462
What makes for good outcomes in
solution-focused brief therapy? A
follow-up study
B. Cortes ∗, A. Ballesteros , J. Collantes , M.L. Aguilar
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.
EW463
Cognitive analytic therapy: A
bibliometric review
E. Gimeno ∗ hiclana
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.