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

S43

(HD). While a field trial was conducted to investigate the reliability

and validity of the criteria for HD, the condition was not included in

DSM-5, with this decision in part relating to insufficient data on the

proposed condition. Currently, CSB is being considered as a diag-

nostic entity in the category of impulse-control disorders for ICD-

11. In this presentation, we will present data relating to HD/CSB. In

particular, we will discuss current issues relating to diagnosis and

classification, as well as data regarding the assessment and clini-

cal correlates of sexually relevant constructs (e.g., pornography use

and craving). Data relating HD/CSB behaviors to sexual risk-taking,

sexually transmitted diseases and mental health problems (includ-

ing suicidality) will be presented. A strategy for addressing HD/CSB

in clinical settings will be proposed and discussed.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.894

S79

Pharmacological treatment of sex

offenders

F. Thibaut

University Hospital Cochin, University Sorbonne Paris Cité, Inserm U

894, Psychiatry and addictive disorders, Paris, France

Most people recognize that incarceration alone will not solve sex-

ual violence. Indeed, treating the offenders is critical in an approach

to preventing sexual violence and reducing victimization. In most

cases, a diagnosis of paraphilia is associated with sexual violence.

This review is intended to present and summarize the first recently

published international guidelines about pharmacological treat-

ment of paraphilias. Pharmacological interventions should be part

of a more comprehensive treatment plan including psychotherapy

and, in most cases, behavior therapy. Antiandrogens, and mostly

GnRH analogues, significantly reduce the intensity and frequency

of deviant sexual arousal and behavior. GnRH analogue treatment

constitutes the most promising treatment for sex offenders at high

risk of sexual violence, such as pedophiles or serial rapists, however

informed consent is necessary. SSRIs remain an interesting option

in adolescents, in patients with depressive or OCD disorders, or in

mild paraphilias such as exhibitionism.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

Further reading

Thibaut F, de la Barra F, Gordon H, Cosyns P, Bradford JMW, and

the WFSBP Task Force on Sexual Disorders. World Federation of

Societies of Biological Psychiatry: guidelines for the biological treat-

ment of paraphilias. World J Biol Psychiatry 2010;11:604–55.

Thibaut F, Bradford JMW, Briken P, de la Barra F, Hässler F, Cosyns P,

et al. World Federation of Societies of Biological Psychiatry (WFSBP)

guidelines for the treatment of adolescent sexual offenders with

paraphilic disorders. World J Biol Psychiatry 2015 [in press].

http://dx.doi.org/10.1016/j.eurpsy.2016.01.895

Racism and discrimination in mental health care

of immigrants

S80

The impact of racism and

discrimination on mental health of

refugees and asylum seekers

M. Kastrup (Speciallæge i psykiatri)

Copenhagen, Denmark

With the strong focus on terrorism in recent years, there is an

increasing concern that the fundamental rights of refugees and

asylum seekers may be violated in the interest to combat acts of

terrorism. It may also lead to increasing racism and discrimination

towards these populations.

Racism and discrimination encompass the negative stereotypes

and prejudicial beliefs that people may hold, as well as inequitable

practices that may result hereof.

Knowledge about the mental health consequences of racism and

discrimination is of clear clinical relevance for psychiatrists world-

wide, as a significant proportion of psychiatric patients will have

a background as refugees and asylum seekers. Many of them have

experiences of war, strife, persecution and torture that further ads

to their mental distress.

The paper will outline the psychiatric symptomatology related to

racism as well as ethical dilemmas and educational needs for the

psychiatric profession.

Further the role of national psychiatric associations in combating

racism and discrimination by e.g. defining best practices and revis-

ing medical training curricula will be outlined.

URL:

http://www.mariannekastrup.dk/

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.896

S81

Room for hope: How to deal with

growing racism and discrimination?

L. Küey

Istanbul Bilgi University, Psychology Department, Istanbul, Turkey

Discrimination could be defined as the attitudes and behavior

based on the group differences. Any group acknowledged and pro-

claimed as ‘the other’ by prevailing zeitgeist and dominant social

powers, and further dehumanized may become the subject of

discrimination. Moreover, internalized discrimination perpetuates

this process. In a spectrum from dislike and micro-aggression to

overt violence towards ‘the other’, it exists almost in all societies

in varying degrees and forms; all forms involving some practices of

exclusion and rejection. Hence, almost all the same human phys-

ical and psychosocial characteristics that constitute the bases for

in-group identities and reference systems could also become the

foundations of discrimination towards the humans identified as

out-groups. Added to this, othering, arising from imagined and gen-

eralized differences and used to distinguish groups of people as

separate from the norm reinforces and maintains discrimination.

Accordingly, discrimination built on race, color, sex, gender, gender

identity, nationality and ethnicity, religious beliefs, age, physi-

cal and mental disabilities, employment, caste and language have

been the focus of a vast variety of anti-discriminatory and inclu-

sive efforts. National acts and international legislative measures

and conventions, political and public movements and campaigns,

human rights movements, education programs, NGO activities are

some examples of such anti-discriminatory and inclusive efforts. All

these efforts have significant economic, political and psychosocial

components.

Albeit the widespread exercise of discrimination, peoples of the

world also have a long history of searching, aiming and practicing

more inclusive ways of solving conflicts of interests between in-

groups and out-groups. This presentation will mainly focus on the

psychosocial aspects of the anti-discriminative efforts and search a

room for hope and its realistic bases for a more non-violent, egali-

tarian and peaceful human existence.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.897