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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1655

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1656

EV672

The burden of caregivers of patients

with Alzheimer’s disease

G. Jmii

1

, G. Hamdi

1 ,

, L. Robbana

1

, M. Karoui

1

, I. Ben Ghzaiel

1

,

R. Rafrafi

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1657

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