European Psychiatry - Volume 33 - March 2016

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S564 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
achieving therapeutic compliance, and detractors, who think it is
an infringement of the fundamental rights of a person.
Objectives/methodology An evaluation of the knowledge on IOT in
Spain. Analyze the four ethical principles found in this treatment.
Results The protection of the patient is encompassed in the prin-
ciple of beneficence. And how could we combine this with the
principle of autonomy? The answer should be individualized and
based on a determined disorder. Starting with non-maleficence, we
ask if IOT would provoke a rejection so that the patient would dis-
tance himself further from the therapeutic environment. As for the
principle of justice, the high cost by patients that do not comply
with the treatment would be diminished if we are able to have
them follow the treatment with higher effectiveness. This would
allow a greater number of patients to access these resources.
Conclusions The proposal of IOT should be preceded by a delib-
erative process. This process should include a psychiatric diagnosis
that includes not only psychiatric aspects, but psychological, famil-
ial and social as well. This would compel us to create a personalized
design of the therapeutic needs of each patient.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV671
Ethical issues in neuroscience
G. Grbesa ∗, M. Simonovic , M. Zivkovic
University of Nis, Faculty of Medicine, Psychiatry, Nis, Serbia
∗ Corresponding author.
Introduction The authors start from the existing conviction that
all issues concerning people are ethical eventually. We would like
to know if the final goal of each our action is beneficial to people.
Contemporary researches in neuroscience bear certain risks, as the
achievements in this field can change the way people think and
behave.
Method The authors use a retrospective method to present the
researches in neuroscience, especially in the plan of cognitive psy-
chology. In the 1980s, Tonegava investigates the molecular base of
learning, the role of enzymes and genes and opens the possibility
of implanting false memories. Later studies reveal brain connec-
tions, which control positive and negative memories. Optogenesis
changes emotional reactions. Performing genetic manipulation
(Tet1), stressful emotions can be substituted by positive ones. Clin-
ical studies involving schizophrenic patients reveal the possibility
to increase cognitive skills.
Results The number of cognitive studies does notmatch the num-
ber of newly discovered drugs. The results of the studies remain the
property of institutions, which financially support the researches.
The researches set the following questions in front of the
researchers: which level of risk is acceptable?Who bears the risks?
Who decides? Ethical questions set in front of the researchers are:
what are the consequences of the researches?
Conclusions The ordered researches are fragmented and they do
not provide the researchers with the final aims of the researches.
The researchers are deprived of the insight of whether the results
will be applied on the population of diseased or healthy subjects
with specific aims.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV672
The burden of caregivers of patients
with Alzheimer’s disease
G. Jmii , G. Hamdi ∗, L. Robbana , M. Karoui , I. Ben Ghzaiel ,
R. Rafrafi
1 Razi Hospital, G, Mannouba, Tunisia
2 Razi Hospital, 1, Mannouba, Tunisia
∗ Corresponding author.
Introduction The important role of family caregivers, particu-
larly among Alzheimer’s patients is increasingly recognized. The
Alzheimer’s patient assistance relationship is a morally painful
experience, most frequently discussed in terms of “burden” in the
literature. We intended to assess the level of burden among care-
givers of patients with Alzheimer’s disease and to search factors
associated with a high level of burden.
Methodology This is a retrospective descriptive study. Patients
were recruited from neurology department of Razi hospital. The
burden was measured using the Zarit inventory.
Results and discussion Thirty patientswere included, themajority
female. Most caregivers are descendants (60%), then, daughters-in-
law (33.33%), and finally the spouses (23.33%). Eighty percent of
caregivers lived in the same home as patients. The average bur-
den in our sample is 59.9 + 16. We observed that 3.33% have absent
to light burden (score < 21), 10% have a light to moderate bur-
den (between 21 and 40), 36.66% have moderate to severe burden
(between 41 and 60) and 50% have a severe burden (> 60), according
to the classification proposed by Zarit. Sex, kinship and cohabita-
tion with the patient were not associated with a higher burden.
Caregivers who support more severe patients have a higher bur-
den. Thus, behavioral disorders aremore frequent or severe and the
numbers of incapacity to perform activities of daily life are more
important. However, there the gravity of burden is not affected by
age of the assisted person.
Conclusion The study of factors correlatedwith high levels of bur-
den aims at finding ways of intervention. However, the research
needs to be broadened to further analyze the causal links between
these factors.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV673
The Satanist cult of Ted heath: Ethical
implications of authority compromise
R. Kurz
Cubiks, IPT, Guildford, United Kingdom
Introduction Seven UK police forces are currently investigating
the alleged involvement of the late Edward Heath (Prime Minister
1970–1974) in a child abuse ring with Operation Midland investi-
gating specifically the alleged murder of three boys.
Objective The presentation raises international awareness of the
investigation, sheds light on the suspected ‘Satanist’ ideology
behind the cult and explores the implications for professional prac-
tice.
Aims The paper highlights the corrosive impact on society of
powerful pedophile rings that are protected by compromised
authority representatives and professionals.
Method Detailed accounts circulate on the Internet that name
dozens of individuals allegedly active in the cult including high-
ranking politicians, psychiatrists, psychologist, police officers as
well as journalists and academics. Some of the alleged crimes can
be corroborated with news reports or successful court prosecu-
tions while the vast majority appear to be ‘known crimes’ that are
successfully covered up.
Results The widespread organisational structures parallel the
Marc Dutroux case in Belgium. It appears to be the case that
compromised mental health professionals and authority represen-
tatives shield the cult. It becomes an ethical obligation for the silent
majority to speak out against such criminality and demand from
their government effective investigation and prosecution.
Conclusion Whilst an enquiry into historical allegations of insti-
tutional abuse is currently underway in the UK several cases
emerged recently where satanic cults seemingly continue to be