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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S631

Romand and establish its differences from mythomania and psy-

chopathy.

Aims

Gaining a better understanding of the mechanisms and

defenses of narcissism that determine certain behaviours and

actions.

Methods

Study of the biography and the psychopathological fea-

tures of Jean-Claud Romand from books and interviews in relation

to the concepts of pathological and malignant narcissism proposed

by Otto Kernberg.

Results

Features such as grandiosity, aggressive behaviors, hos-

tility or paranoid traits can be found in both psychopathy and

malignant narcissism. In Romand’s case, the final diagnosis fits to

malignant narcissism due to the ability to internalize the social

contexts and to maintain constant representative and relational

figures.

Conclusions

It is important not to fall into reductionism habits

and to study deeply each case to a better understanding of all the

factors that contribute to the development of these kinds of per-

sonalities.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

Further reading

Kernberg O. Factors in the psychoanalytic treatment of narcissistic

personalities J Am Psychoanal Assoc 1970;18:51–85.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1865

EV881

Defensive misperception of the

emotional contents of self/other

communication

S. Movahedi

University of Massachusetts, Boston, USA

In this paper, I will be discussing a group of narcissistic patientswho

are not autistic, or psychotic but exhibit some autistic like symp-

toms in that they tend to misinterpret emotional communications

and fail to detect aggression and attack in their own provocative

language and behavior. As a result, they have very few friends, and

often feel disrespected, discarded, and alienated by others. They

easily feel insulted and get involved in interpersonal altercation.

They fail to appreciate humor and show an inability to properly

decode metaphoric language. They fit Piaget’s description of devel-

opmental pathology in a paradoxical way, in that they exhibit an

“absence of both self-perception and objectivity, whereas acquir-

ing possession of the object as such is on a par with the acquisition

of self-perception”. Very similar to cases of autism, these patients

show a relative incapacity to participate in an intersubjective field.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1866

EV882

Personality disorders and suicide

attempts

O.W. Muquebil Ali Al Shaban Rodriguez

1 ,

, J. R

. López Fernández

2 ,

C. Huergo Lora

2 , S. O

cio León

1 , M.J

. Hernández González

1 ,

A. Alonso Huerta

1 , M.

Gómez Simón

3 , I. A

bad Acevedo

4 ,

L. Rubio Rodríguez

5 , G.

García Álvarez

6 , A. G

onzález Suárez

1

1

Centro de Salud Mental de Mieres, Psichiatry, Mieres del Camino,

Spain

2

Hospital Vital Álvarez-Buylla, Psichiatry, Mieres del Camino, Spain

3

Centro de Salud Mental de Mieres, Psycology, Mieres del Camino,

Spain

4

Hospital Universitario Central de Asturias, Psichiatry, Oviedo, Spain

5

Hospital de Jove, Psichiatry, Gijón, Spain

6

Hospital San Agustín, Psichiatry, Avilés, Spain

Corresponding author.

Introduction

The personality disorders are defined according to

the DSM-5 like “an enduringmaladaptive patterns of behavior, cog-

nition and inner experience, exhibited across many contexts and

deviating markedly from those accepted by the individual’s cul-

tures. These patterns develop in adolescence and the beginning

of adulthood, and are associated with significant distress or dis-

ability”. The personality disorders can be a risk factor for different

processes of the psychiatric pathology like suicide. The personality

disorders are classified in 3 groups according to the DSM-5:

– cluster A (strange subjects): paranoid, schizoid and schizotypal;

– cluster B (immature subjects): antisocial, bordeline, histrionic

and narcissistic;

– cluster C (frightened subjects): avoidant, dependent and

obsessive-compulsive.

Aims

To describe the influence of personality disorders in suicide

attempts.

Methodology

Exhibition of clinical cases.

Results

In this case report, we exhibit three clinical cases of sui-

cide attempts which correspond to a type of personality disorder

belonging to each of the three big groups of the DSM-5 classifica-

tion, specifically the paranoid disorder of the cluster A, the disorder

borderline of cluster B and the obsessive compulsive of cluster C.

Conclusions

The personality disorders have a clear relation with

the suicide attempts, increasing this influence in some of them,

especially the borderline personality disorder.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1867

EV883

A new look at personality disorders

treatments

S. Neves

1 ,

, J. Tudela

2

1

Portugal

2

Coimbra, Portugal

Corresponding author.

Introduction

Mental illness develops and is inseparable from

the sociocultural context. The Disturbances may exhibit different

symptoms in different cultures. In personality disorders, there is

a pathological expansion of normal traits that often demonstrate

a sociocultural change. The quality of life of these patients can

improve with certain treatments, which appears to be relevant to

be achieved.

Method

Search on Pubmed and Medline for original research or

review articles published in English or Portuguese in the last 10

years. It used a combination of terms: “personality”, “treatment”,

“personality disorder”, “borderline”, “antissocial”, “pharmacother-

apy”, and other named personality disorders.

Objectives/Aim

Search the evidence base and the new perspec-

tives for the effective treatment of personality disorders.

Results

The same personality traits may be adaptive or non-

adaptive in different contexts. So, without changing these

characteristics, patients can learn to use them more effectively. In

other words, although the therapy did not change the personal-

ity traits, it can be modified in the way they affect the behavioral

expression.

Conclusions

Psychological or psychosocial intervention is rec-

ommended as the primary treatment for borderline personality

disorder and pharmacotherapy is only advised as an adjunctive

treatment. The amount of research about the underlying, abnormal,

psychological or biological processes leading to the manifestation

of a disordered personality is increasing, which could lead to more

effective interventions.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1868