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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1658

EV674

Freedom as theme in psychotherapy

and cognitive behavioral therapy

J. Vyskocilova

1 , J. P

rasko

2 ,

, D r.

M. Slepecky (PhD)

3 ,

Dr. R. Hruby (PhD)

4 , Dr

. A. Grambal (PhD)

5 , M.

Holubova

6 ,

M. Marackova

7

, Dr. D. Jelenova

5

, Dr. A. Cinculova

5

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1659

EV675

Values and values work in cognitive

behavioral therapy

J. Vyskocilova

1

, J. Prasko

2 ,

, M. Ociskova

2

, Z. Sedlackova

3

,

M. Marackova

4

, M. Holubova

5

, R. Hruby

6

, M. Slepecky

7

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1660

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.