European Psychiatry - Volume 33 - March 2016

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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.
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.
EV882
Personality disorders and suicide
attempts
O.W. Muquebil Ali Al Shaban Rodriguez ∗ . López Fernández
C. Huergo Lora cio León . Hernández González
A. Alonso Huerta Gómez Simón bad Acevedo
L. Rubio Rodríguez García Álvarez onzález Suárez
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.
EV883
A new look at personality disorders
treatments
S. Neves ∗, J. Tudela
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.