European Psychiatry - Volume 33 - March 2016

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S634 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Aims Analysis the occurrence of addictions, autoagressive
behaviours and suicidal attempts in patients with PD.
Methods Retrospective analysis of 123 patients diagnosed with
PD and hospitalized over the years 2012-2015 in the Department of
psychiatry andpsychotherapy, medical university of Silesia, Katow-
ice. Statistic analysis of variables and comparing with previous
studies.
Results Three quaters of hospitalized patients were females.
Average age in analysed population was about 48.5 years old.
The frequency of suicidal attempts history was 38% among these
patients.
Most popular method of suicidal attempts was drugs overuse.
Nineteen percent of PD patients has revealed self-harm behaviours
history.
PD’s population have 46% risk of addictions.
Conclusion Hospitalized patients with personality disorders are
in the group of risk of addictions, self-harming behaviours and sui-
cidal attempts.
Care should be taken with patients revealing any risk of autore-
gressive behaviours and they should be advised accordingly.
Preventive actions should be taken with these patients when any
life-threatening behaviours suspecting.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV891
Family and professional functioning
in patients with personality disorders
A. Zioła ∗, M. Wypiór , A. Sobieraj , K. Krysta
1 Katowice, Poland
2 Medical university of Silesia, department of psychiatry and
psychotherapy, Katowice, Poland
∗ Corresponding author.
Introduction Personality disorders (PD) are weight group of
conditions. As possible causes of PD, literatures indicates being vic-
tim/witness of domestic violent. There is valid suspicion that PDs
may have influence on marital status, education level and profes-
sional activity.
Objective Studying the PD influence on patients quality of life
concerning both personal and professional areas of life.
Aim Analysis of the exposition to the violence in relation to PD
diagnosis. Evaluation of the education level and professional activ-
ity in studied group, furthermore marital status.
Methods Retrospective analysis of 123 patients diagnosed with
PD hospitalized over the years 2012-2015 in the Department of
psychiatry and psychotherapy, medical university of Silesia hos-
pital. Statistic analysis of variables and comparing with previous
researches.
Results Three quarters of hospitalized patients were females.
Average age was about 50 years old.
Proximal martial status: 40% single, 60% formalized relationship
(about 20% were divorced).
Among participants, 50% were employed, and 80% have completed
at least 12 years of education.
About 40% had been victim/witness of domestic violence.
Conclusions The patients with PD had often experienced the
domestic violence in childhood. Higher risk of impaired person-
ality development with patients, who had been violence victim
or witness is possible and they need to be advised accordingly.
Research did not reveal PDs’ influence on the education level. To
define correlation between employment or marital status and PD
further researches are needed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Philosophy and psychiatry
EV892
Vulnerability and psychopathology.
Reviewing a model in theory of
psychiatry
I. Bone-Pina
Universidad Pontificia Comillas, psychology, Madrid, Spain
Introduction The vulnerability model is prevalent in the current
Theory of Psychiatry. Systematic reflection after reviewing the his-
torical proposition of this model can enrich its contents.
Objectives Complete and deepen the meaning of the concept
“vulnerability” in Psychiatry.
Aims Review historical approaches to the concept of vulnera-
bility in Psychopathology. The study starts with Zubin & Spring
and reaches contemporary approaches especially in the writings
of Giovanni Stanghellini.
Seek sources to deepen its meaning looking back to Karl Jaspers and
Ludwig Binswanger’s classical Psychiatry. They offer psychopatho-
logical notions that can be used to enrich a model of vulnerability.
Methods This is research in the context of Theory of Psychiatry,
its method implies a historical literature review and a systematic
philosophical reflection.
Results Vulnerability is still revealed to be the best concept to
organize a model of mental illness. This study proposes to avoid
any simple identification of vulnerability with statistical or genetic
risk. Vulnerability in psychopathology should always be confronted
with the horizon of human subjectivity. To keep in viewthis horizon
– a limit impossible to grasp – is indispensable for clinicians and
researchers if they want to understand patients who suffer mental
illness. This process is helpful to avoid any reductionism about the
image of mental illness and about the human being who suffers
that illness.
Conclusion “Vulnerability” is shown as a concept that needs to be
thought over thoroughly and to be present in psychopathology to
overcome reductionism and to understand the very possibility of
psychiatric illness.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV893
The Bipolar II construct from the
perspective of hacking’s historical
ontology framework
C. Cabrera Abreu
Queen’s university, department of psychiatry, Kingston, Canada
Objective This oral presentation has two objectives: (a) to trace
the originof the contemporary criteria (DSM-III and its iterations) of
the Bipolar II construct; (b) to highlight some conceptual problems
in the context of its checkered contemporary history.
Methods In this oral presentation/paper, some of Ian Hacking’s
ideas andmethods are applied, sui generis, to the Bipolar II disorder
category. In particular, the “Historical ontology” framework, which
has been appliedwith some success in historical studies concerning
“Transient mental illness”.
Results The Bipolar II disorder construct is an intriguing DSM-
IV category/construct that comfortably piggybacks on the category
manic-depressive psychosis. Tracing the recent history of this con-
struct is complex; its birth is associated with the Unipolar/Bipolar
dichotomy suggested more or less simultaneously by Jules Angst
and by Carlo Perlis in 1966 and in two different publications. The
fundamental dichotomy introduced by them, has partially hidden
some of the limitations of the construct Bipolar II. Its recent history