European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S565
protected by the vested interests. Mental health professionals must
stand up for victims and resist ill-conceived authority attempts to
persecute abuse survivors and their supporters.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV674
Freedom as theme in psychotherapy
and cognitive behavioral therapy
J. Vyskocilova rasko ∗ M. Slepecky (PhD)
Dr. R. Hruby (PhD) . A. Grambal (PhD) Holubova
M. Marackova , Dr. D. Jelenova , Dr. A. Cinculova
1 Charles University Prague, Faculty of Humanities, Prague, Czech
Republic
2 University Hospital Olomouc, Department of Psychiatry, Olomouc,
Czech Republic
3 Constantine the Philosopher University in Nitra, Department of
Psychology Sciences, Faculty of Social Science and Health Care, Nitra,
Slovakia
4 Psychiatric Outpatient Department, Psychiatric Outpatient
Department, Martin, Slovakia
5 University Palacky Olomouc, University Hospital Olomouc,
Department of Psychiatry, Olomouc, Czech Republic
6 Hospital Liberec, Czech Republic, Universtiy Palacky Olomouc,
Department of Psychiatry, Liberec, Czech Republic
7 University Palacky Olomouc, Department of Psychiatry, Olomouc,
Czech Republic
∗ Corresponding author.
Background The problems that a client presents with to therapy
may be associated with his possibility of free choice.
Method Review of psychotherapeutic and cognitive behavioral
literature.
Results From a psychological perspective, freedommay be either
inner or outer, depending on the nature of obstacles and barri-
ers that limit freedom. Therapy may be understood as a process
through which the client is guided to actively increase his free-
dom. This refers to freedom from destructive habits, self-limiting
attitudes, compulsive actions, symptoms etc. When creating the
relationship, neither the client nor the therapist is entirely free as
they bring past conscious and unconscious experiences into it. From
the point of view of CBT, freedom is always relative. The idea of
absolute freedom results from cognitive distortions – black and
white thinking. CBT does not consider overall freedom but rela-
tively free decision-making in particular situations that the client
is in. The therapist helps the client to identify his errors in thinking
and to learn a more realistic way to formulate his experiences and
to use the new attitude to decide more freely. The change in atti-
tude is realized through rehearsing freer behavior and experiments
with it in one’s life.
Conclusion Freedom may be either inner or outer, depending on
the nature of obstacles and barriers that limit freedom. Therapy
may be understood as a process through which the client is guided
to actively increase his freedom.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV675
Values and values work in cognitive
behavioral therapy
J. Vyskocilova , J. Prasko ∗, M. Ociskova , Z. Sedlackova ,
M. Marackova , M. Holubova , R. Hruby , M. Slepecky
1 Charles University Prague, Faculty of Humanities, Prague, Czech
Republic
2 University Hospital Olomouc, Faculty of Medicine and Dentistry,
University Palacky Olomouc, Department of Psychiatry, Olomouc,
Czech Republic
3 Faculty of Arts, Palacky University Olomouc, Department of
Psychology, Olomouc, Czech Republic
4 Faculty of Medicine and Dentistry, University Palacky Olomouc,
Department of Psychiatry, Olomouc, Czech Republic
5 Hospital Liberec, University Palacky Olomouc, Faculty of Medicine
and Dentistry, Department of Psychiatry, Liberec, Czech Republic
6 Psychiatric Outpatient Department, Martin, Psychiatric Outpatient
De, Martin, Slovakia
7 Faculty of Social Science and Health Care, Constantine the
Philosopher University, Department of Psychology Sciences, Nitra,
Slovakia
∗ Corresponding author.
Background Values influence our thought patterns, emotions,
wishes, and needs. Although individuals may be fully aware of their
value systems, these often lie more or less outside the area of full
consciousness. At least occasional awareness of one’s priorities and
set of values may be an effective means of self-regulation.
Method Literature review and description of cases.
Results Cognitive behavioral therapy is aimed at dealing with
practical problems and goals in life through changes in cognitive
processes, behavior, and emotional reactions. Changes to some val-
ues naturally accompany changes to these processes. Life values
also underlie motivation to achieve therapeutic changes. For this
reason, clarification of patients’ life values is important to ther-
apists as focusing on values aids in connecting therapeutic goals
with important areas of life. In addition to a better understanding
of patients’ life stories and difficulties that have brought them to a
psychotherapist, the identified value system may become a part
of everyday CBT strategies such as time management, cognitive
restructuring or accommodation of conditional assumptions.
Conclusion Identification and assessment of life values and their
use in the course of therapy is a process that increases patients’
motivation to face unpleasant emotions and make careful steps in
CBT in order to achieve therapeutic goals. Knowing the patient’s
life values may help the therapist set therapeutic goals that are
associated with significant areas of the patient’s life. Together with
other CBT techniques, this value-oriented approach increases the
effectiveness of therapy and durability of its outcomes after its
completion.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV676
Issues regarding compulsory
treatment in compulsory admitted
mentally ill patients
C. Tsopelas
Psychiatric Hospital of Attica, 5th Dept of Acute Admissions, Athens,
Greece
Introduction In psychiatric clinical practice compulsory admis-
sion to hospital is the last option of the overall care provided to
mentally ill patients, justified in terms of civil and human rights
because of issues of protection for patients’ and society members’
life and health. Usually treating psychiatrists believe that issues of
compulsory admission are without doubt associated with the per-
mission, or even obligation, to apply compulsory treatment in a
routine daily base.
Aims In this review, we are exploring issues around the imple-
mentation of compulsory treatment.
Methods Thorough research of the main databases and web
search engines for relevant studies, agencies and organizations,
interested in compulsory treatment issues.