European Psychiatry - Volume 33 - March 2016

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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.
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].
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:
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
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.