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S40

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S18–S55

guaranteed to all people included in the Convention. However,

even in signatory states, violations often occur behind “closed or

open doors” and go unreported and consequently unprevented.

The growing number of people with mental health conditions in

the world has further contributed to a level of attention paid to

quality and human rights conditions in both outpatient and inpa-

tient facilities, which has never been greater. Persons with mental

health conditions need both de jure human rights protection and

de facto human rights practices.

Seven years after the CRPD came into force the care available in

many mental health facilities around Europe is still not only of

poor quality but in many instances hinders recovery. The level of

knowledge and understanding by staff of the rights of people with

mental disabilities is very poor. It is still common for people to

be locked away or to be chained to their beds, unable to move.

Inhuman and degrading treatment is common, and people in facil-

ities are often stripped of their dignity and treated with contempt.

Violations are not restricted to inpatient and residential facilities;

many people seeking care fromoutpatient and community care ser-

vices are disempowered and also experience extensive restrictions

to their basic human rights.

In the wider community, many people with mental disabilities are

still denied many basic rights that most people take for granted.

For example, they are denied opportunities to live where they

choose, marry, have families, attend school and seek employment.

There is a commonly held, yet false, assumption that people with

mental health conditions lack the capacity to assume responsi-

bility, manage their affairs and make decisions about their lives.

These misconceptions contribute to the ongoing marginalization,

disenfranchisement and invisibility of this group of people in their

communities.

One of the underlying reasons it is difficult to move through the

obstacles to fully embrace the CRPD, is that discrimination contin-

ues to affect people with mental health conditions on many levels.

Changing laws is only a partial solution. We have to change the

ways that we relate to each other at every level, and to offer people

information and tools to make the transition to a more equitable

social reality.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.884

S69

Promoting stigma coping and

empowerment: Results from the

multi-center clinical trial STEM

W. Gaebel

Department of Psychiatry and Psychotherapy, Medical Faculty,

Heinrich-Heine-University, Düsseldorf, Germany

Introduction

The stigma of mental illness is still amajor challenge

for psychiatry. For patients, stigma experiences and self-stigma are

associated with reduced quality of life and increased vulnerability

to amore chronicle illness course. Nevertheless, there is a scarcity of

validated therapeutic approaches addressing strategies for coping

with stigma.

Objectives and aims

A manualized psycho-educational group

therapy for stigma coping and empowerment (STEM) should be

tested for efficacy in patients with depression and schizophrenia.

The study was funded by a research grant of the Federal Ministry

of Education and Research.

Methods

A cluster-randomized RCT with two arms including 30

mental health care services (psychiatric inpatient services, day-

units, and outpatient services, as well as inpatient psychiatric

rehabilitation services) was conducted. The intervention consisted

of 8 sessions regular psycho-education group therapy and 3

sessions addressing stigma coping and empowerment. Controls

received 11 sessions regular psycho-education. Primary outcome

variable was quality of life (WHO-QOL). Assessments were con-

ducted directly before and after the intervention, and at 3, 6 and 12

months follow-ups.

Results

A total of 469 patients participated and more than 300

participants (approx. 65%) completed the 12-month follow-up.

First results of the analysis will be presented at the conference.

Conclusions

Since the statistical analysis is currently in progress,

no conclusions concerning the efficacy of the tested therapeutic

approach can be done by now. Nevertheless there is a strong need

for supporting patients in developing positive stigma coping strate-

gies. STEM is the first therapeutic approach to our knowledge tested

for efficacy in a RCT.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.885

Phenomenology of anxiety

S70

Temporality and spatiality of anxious

experience

O. Doerr-Zegers

Center for Studies on Phenomenology and Psychiatry, Diego Portales

University, Santiago, Chile

Since the first descriptions of anxiety, it has been related with tem-

porality and in particular with the dimension of future. Thus, we

already find anxiety defined as a general feeling of threatening

(fromthe future) in theGermanmystic Jakob Boehme (1575–1634).

He also used the image of “the wheel of anxiety”, with which he

refers to its probable origin in a conflict between two forces which

tend to separate themselves and are not able to do it, as a result from

this centrifugal rotationmovement of awheel. This image also has a

temporal character. In Kierkegaard, we read that “anxiety is always

related with the future

. . .

and when we are disturbed by the past

we are basically projecting toward the future

. . .

” In Heidegger’s

masterpiece, “Being and Time”, there is a chapter dedicated to the

temporality of Befindlichkeit, and in particular to anxiety. Fear and

anxiety have their roots, according to Heidegger, in the past, but

their relation with the future makes them different: anxiety arises

fromthe future as possibility, while fear arises fromthe lost present.

In this paper, we try to make a contribution to the phenomenology

of temporality (and of spatiality) of anxiety in relation with the

analysis of a concrete anxiety experience: flight phobia. The analy-

sis allows us to show both the desolation and narrowing of anxiety

space, and with respect to temporality, the disappearance of every

plan (the future), of every history (the past), and the reduction of

the present to a succession of mere punctualities, behind which

there arises, threatening, the nothingness itself.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.886

S71

Being on the edge: The

psychopathology of the accelerated,

agitated and anxious subject

L. Madeira

1 ,

, M.L. Figueira

2

1

Faculdade de Medicina, Universidade de Lisboa, Psychiatry, Lisbon,

Portugal

2

Universidade de Lisboa, Faculdade de Medicina, Lisboa, Portugal

Corresponding author.