European Psychiatry - Volume 33 - March 2016

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S498 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
in Centro Hospitalar Psiquiátrico de Lisboa, understanding themost
frequent pathologies and nationalities. Themethods used consisted
in analyzing the refugee population that attended a psychothera-
peutic group and consultation in the Transcultural clinic of Centro
Hospitalar Psiquiátrico de Lisboa during the past year. Analyzing
the population, 66 refugees were in contact with the transcultural
clinic, 44 of which were men, being the other 22 women, repre-
senting a total of 23 countries. The more frequent nationality was
Iranian (20) and the most frequent diagnosis was “adjustment dis-
order and anxiety” (38). We can reach the conclusion that more
refugee men contact with our psychiatric hospital than women,
accounting for 66, 6% of the total; 30, 3% of the refugees were from
Iran, followed by Pakistan with 10, 6%. The fact that the most fre-
quent diagnosis is adjustment disorder and anxiety, accounting for
57, 6% of the sample, seems to point out the extreme stress refugees
undergo.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV467
The sense of community in times of
secularization and modernism
D. Rosa
Universidade de Coimbra, Master’s Roads to Democracyies, Coimbra,
Portugal
Based on theoretical studies we approach the secularization pro-
cess and the introduction of the Modern ideas effects over the
community sense. The object’s removal from the religious institu-
tions’ domain or its signification from the sacred and the exaltation
of the rational and the urbanization unveil how both phenomena
affect social relations regarding its interference over social sym-
bols, meanings and, therefore, over the identity that underlies the
community sense. What is shown are the deep social transforma-
tions that inflict over the still recent structures of urbanization, not
enough assimilated or well understood in concerning of the forces
that act over the relationships and daily life of whom integrates
them. Religion is conceived as a human projection and, therefore,
as a result of a necessary unconscious signification process that
occurs through a mechanism of self-defense for inner conflict, with
the intention of externalize it. Thereby, the Modern ideas can’t pro-
vide a tolerable interpretation of reality to fulfill the emotional void
resulted from secularization. In this context, the solidarity, respon-
sible for the community identity, decline while happened the
decrease of common representations. Nonetheless, the necessity of
signification doesn’t decrease. Thus, against modernist predictions,
community’s members tend to redirect its projections, qualifying
new symbols. What is noticed is that no process can remove rep-
resentation’s meaning without offer a substitute or witness the
redirection of it to other object. Nonetheless, it is possible to pro-
vide tools that will help community to detach of projections when
the necessity of them be surpassed conceiving the reality.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV468
Dreaming the memories of our
parents: Understanding neurobiology
of transgenerational trauma and the
capacities for its healing
I. Rozentsvit
Object Relations Institute for Psychotherapy and Psychoanalysis,
Parent-Child Development Program, Fresh Meadows, USA
Selma Freiberg once said that “trauma demands repetition”. What
if actual trauma did not happen in real life of one particular per-
son, but he/she feels that it was real, as it is repeated every night
– in every dream? Do children and grandchildren of survivors of
holocaust and of the pogroms dream the memories of their parents
and grandparents? Does their imagination “make them up” or do
they have a transgenerational connection to the traumatic past of
their parents and grandparents, even if they were protected from
knowing and hearing the horrors of what actually happened to their
loved ones sometime one or two generations apart? Are these peo-
ple born with some specific biological markers (e.g., lower cortisol
levels)? Can fear be passed along fromparents to children by smell?
All these questions can be answered positively (see work of Jacek
Debiec, Dias and Ressler, andmany others), and can be explained on
the level of neurobiology and epigenetics (thanks to contributions
of Moshe Szyf and Michael Meaney from McGill University, and
others). This presentationwill offer some neuro-psychoeducational
reflections on the topic of transgenerational trauma, its epigenetic
transmission and its neuro-psycho-biological constructs, as well as
a very personal touch, a personal story of growing up in a very nur-
turing and cultured, but very small family, and not knowing of the
circumstances of “why small?”
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV469
Mental health treatment and media
preferences for persons of Latino
Heritage
T. Sorrell
University of Colorado-Denver, College of Nursing, Aurora, USA
Studies show the benefits of culturally sensitive methods of care
and treatment forminorities needingmental health services. Deter-
mining culturally based methods of care to align with patient
values and preferences has remained a focal point in mental health
services provision; although few studies have focused on the men-
tal health treatment preferences for persons of Latino heritage.
Treatment preferences could reflect personal characteristics, accul-
turation perspectives about mental health issues and illness and
treatment experience, along with media influences in English and
Spanish. Achieving patient-centered care in mental health ser-
vices begins with understanding patient values and preferences
and adapting services to meet needs, as well as aligning services
with values and preferences. Twenty-one participants were inter-
viewed individually and their responses analyzed using Atlas-ti
qualitative analysis software. The participants reported twenty-
five mental health treatment preferences, which will be reviewed
and discussed based on participant demographics. Media prefer-
ences andmedia influences onmental health informationwere also
assessed and will be discussed as to the cultural relevance of find-
ings. Mental health services for persons of Latino heritage should
include varying holistic and traditional mental health treatment
practices to increase Latino utilization, participation, and satisfac-
tion inmental health treatment services. Media provision of mental
health information for Latinos should recognize the need for utiliza-
tion of variedmediamodes, including in-person andmobile service
utilization, and for the presentation of mental heath information by
multi-lingual, engaging methods for dissemination of information
and for overall improvement in mental health service utilization.
Disclosure of interest The author has not supplied his declaration
of competing interest.