European Psychiatry - Volume 33 - March 2016

578 / 812

S574 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
6 CSM MOlina, CSM MOlina, Murcia, Spain
7 CSM Alberca, Murcia, Spain
8 Hospital General Universitario Santa Lucia, Hospital General
Universitario Santa Lucia, Cartagena, Spain
9 CSM deCartagena, Cartagena, Spain
10 Hospital Universitario Santa Lucia, Hospital Universitario Santa
Lucia, Cartagena, Spain
11 Centro de trabajo: Hospital Universitario Santa Lucia, Centro de
trabajo: Hospital Universitario Santa Lucia, Murcia, Spain
12 Profesión: Médico no psiquiatraCentro de trabajo: Centro de Salud
Cartagena Oeste, Profesión: Médico no psiquiatraCentro de trabajo:
Centro de Salud Cartagena Oeste, Murcia, Spain
13 Hospital Universitaro Santa Lucía, Hospital Universitario Santa
Lucía, Cartagena, Spain
∗ Corresponding author.
Women 49-year-oldwith a history of left mastectomy for breast Ca.
The patient is brought to the emergency by his family for disorderly
conduct compatible with manic phase and psychotic symptoms by
delirious speechmystical-religious content refusal of the patient to
be evaluated by any medical decision and abandoned chemother-
apy. Initial screening is performed from the emergency department
of organic pathology (TAC without findings and normalcy in other
PC). At the beginning of involuntary admission income that is
corroborated by the commission judicial, a request of the family
and given the history of abandonment IC Oncology treatment is
performed as a result of which it is found that the onset of the
psychiatric clinic communicates matches the decision to abandon
treatment; after reassessment of the clinical status of the patient
and recommendation by her oncologist to resume treatment with
RT to court new authorization for further diagnosis and initiation of
treatment after assessment by forensic and judge is granted a week
tests requested. After screening of limbic encephalitis but positive
AC. SD income it is maintained and combined treatment is per-
formed. At discharge, the patient is stable DP vs. psychopathology
with good controls over concomitant breast disease.
Results The need for medical treatment in organic pathology is
justified even against the will of the patient in the context of rep-
resen
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV701
The biopsychosocial paradigm in the
assessment of mental health of older
persons
L. Pishchikova
Moscow, Russia
The vulnerability of patients of late age in psychiatry increases the
professional and ethical requirements to the quality of psychiatric
and forensic psychiatric help. It must account for the clinical and
dynamic features of mental disorders in old age, biopsychosocial
determinants of their formation, be based on a conceptual approach
and a comprehensive understanding of the involution processes. To
identify biopsychosocial determinants of mental disorders in old
age and (or) involving patients to the forensic psychiatric examina-
tion, we examined 235 late age patients in criminal and civil cases.
Revealed: «non-dement» mental disorders – with 45.5%, psychosis
– with 7.7%, dementia – with 46,8%. The results of biopsychosocial
determinants of involution are determined as follows: biological:
sensory and motor deprivation, multicomorbid somatic neuro-
logical pathology, specific syndromes and disorders if late age,
dementia; socio-psychological: termination of labor activity, liv-
ing alone and loneliness, problematic relationship with children
because of housing disputes and alcohol; legal: conclusion and con-
testation of legal civil acts, participation in criminal proceedings
as victims and defendants, legal illiteracy, legal controversy, lack
of legal protection; victimological: physical (assault, abuse), psy-
chological (threats of commitment into social security institutions,
involuntary commitment to a psychiatric hospital and examination
by a psychiatrist, hold in the psychiatric hospital), financial violence
(fraud with housing for older people and deception, manipulation
during conclusion of civil-legal acts), violation of rights of older
person (unlawful deprivation of legal capacity).
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV702
When a man loves a woman: A case of
erotomania in the 21st century
C. Rodrigues∗, M. Andrade , V. Palma , C. Cardoso
Unidade Local de Saúde do Nordeste, Departamento de Psiquiatria e
Saúde Mental, Braganc¸ a, Portugal
∗ Corresponding author.
Introduction Erotomania, or De Clerambault’s Syndrome, was
first described in 1921. However, cases of Insane Love were long
known before. Presently, this condition is classified as a delusional
disorder typically affecting women. However, in forensic samples,
most of these reports relate to men with violent behaviour, associ-
ated to harassing or stalking of a woman.
Objective To present the case of a man, diagnosed with Erotoma-
nia and literature review of similar cases.
Aim To bring awareness to the infrequent diagnosis of this con-
dition in males and the legal implications this condition may have.
Methods Consultation of the patient’s clinical process and pub-
lished articles focusing on Erotomania in men.
Results A 50-year-old man was referred from Court for per-
sistently stalking a woman on the past few years. He revealed
erotomanic and persecutory delusions, believing these accusations
were all part of a scheme to restrain his alleged relationship.
There was a clinical improvement during hospitalization and treat-
ment with antipsychotics. Due to the legal process in court, a
forensic examination was also performed.
Conclusions On the follow-up, the patient remained stabilized.
He would not verbalize any delusional content, and calmly deny
any inadequate behaviour. However, some of his stalking attitude
remains. As many of these patients, we believe his delusion is still
present, although his behaviour is more controlled with treatment.
Recognizing the characteristics and course of this disorder in our
patients, grants a better chance of intervention and attentiveness
towards the legal implications that may arise.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV703
Structure of forensic psychiatric
services in Iran, duties and limitations
S.M. Saberi ∗, A. Ahmadi , G. Mirsepassi (Associate professor)
1 Legal Medicine Research Center, Legal Medicine Organization,
Tehran, Iran
2 Iranian Psychiatric Association, Tehran, Iran
∗ Corresponding author.
Introduction In Iran, unlike most European countries, there is
not any forensic mental hospital specialized for criminal patients.
Therefore, a special department of legal medicine organization is
charged with the duty of clinical evaluations of patients who have
legal problems.
Aim To review the structure and duties of forensic psychiatric
services in Iran.
Method By analyzing activities of 15 forensic psychiatric centers
in the country.