European Psychiatry - Volume 33 - March 2016

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S636 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
EV897
On becoming ill: An exploration of the
concept of “transition” to a mental
disorder
B. Moura
Lisboa, Portugal
Introduction As a general problem in nosology, the moment
when one becomes ill may be hard to define. In Psychiatry, the
boundaries of disease may be more difficult to establish. In the last
decade, we’ve been observing a growing interest in early diagno-
sis in this field, and the concept of “transition” to a mental illness
became an important topic of discussion with implications in clin-
ical practice.
Objective To review different author’s models of evolution of
symptoms and transition to mental illness and discuss their advan-
tages and limitations in the actual context of Psychiatry research
and clinical practice.
Aim To increase understanding on the different paradigms of
becoming ill and their relevance to present and future psychiatric
practice.
Methods Non-systematic review of literature devoted to the
creation of models that describe the establishment of a mental
disorder.
Results One of the first accounts of becoming mentally ill was
developed by K. Jaspers within a phenomenological life-history
analysis. Nonetheless, a cross-sectional approach to diagnosis has
dominated Psychiatry for most of the time. With the advent of
early intervention studies, longitudinal models of disease have
been emphasized. The concept of a transition to disease was then
operationalized but also highly criticized. Recently, McGorry pro-
posed a staging model for psychiatric disorders in continuum with
the non-clinical population. Finally, a dynamic systems approach
to diagnosis in Psychiatry will be discussed.
Conclusion Driven by research in early phases of mental illnesses,
current models of disease propose a longitudinal approach that
emphasizes the complex and non-linear course of symptom clus-
ters.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV898
Justice in psychotherapy
J. Vyskocilova (Mgr. et Mgr.) , J. Prasko ∗,
M. Slepecky (Dr, PhD) , R. Hruby (Dr, PhD) ,
K. Latalova (prof, Dr) , M. Holubova (Mgr.) ,
M. Marackova (Mgr.)
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 social science and health care, Constantine the
Philosopher university, department of psychology sciences, Nitra,
Slovakia
4 Psychiatric outpatient department, psychiatric outpatient
department, Martin, Slovakia
5 Faculty of medicine and dentistry, university Palacky Olomouc,
universtiy hospital Olomouc, department of psychiatry, Olomouc,
Czech Republic
6 Hospital Liberec, faculty of medicine and dentistry, university
Palacky Olomouc, department of psychiatry, Liberec, Czech Republic
7 Faculty of medicine and dentistry, university Palacky Olomouc,
department of psychiatry, Olomouc, Czech Republic
∗ Corresponding author.
Introduction Justice is one of the fundamental concepts of right
ordering of human relationships. Justice is a regulative idea for
the arrangement of society preceding the law and already seen in
animals; the sense of justice is observed as early as in young chil-
dren. The ability to altruistic behavior, sense of fairness, reciprocity
and mutual help are probably genetically determined as a dispo-
sition, which may further develop or be deformed by education.
Although justice issues are common in psychotherapy, they may
not be reflected and processed in the course of therapy.
Method Reviewof psychotherapeutic text and reflection of expe-
riences of the authors.
Results In psychotherapy, justice issues appear directly in what
the client says (mostly about injustice), but more frequently, the
issues are implicitly contained in complaints and stories against
a background of conflicts and problems. They may be related to
the client’s story, his or her problems with other people, and the
therapeutic process itself, including client’s selection of therapy,
therapeutic relationship, and therapeutic change strategies. Prob-
lems with justice between the therapist and the client may be
revealed by honest therapist self-reflection or high-quality super-
vision.
Conclusions Although justice issues are common in psychother-
apy, they may not be reflected and processed in therapy. By
increasing receptiveness to the issue of justice, the therapist may
improve the therapeutic process.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV899
Phenomenology of ADHD
C. Sanahuja ∗, A. Suarez , C. Fernandez
1 Hospital universitaria de Fuenlabrada, Mental health, Fuenlabrada,
Spain
2 Instituto Psiquiátrico José Germain, Mental health, Leganés, Spain
∗ Corresponding author.
Introduction Phenomenology is a term borrowed from philoso-
phy which refers to the study of the structures of experience and
consciousness. Founded as a school by Edmund Husserl in the early
20th century, it was later expanded and modified by many others,
includingMartinHeidegger, to include the analysis of existence and
hermeneutics.
Objectives and aims To explain the clinic phenomenology of
ADHD based on the historical bibliography regarding this term,
making references to the heterogeneity of its phenomenological
presentation depending on social context, age and gender.
Methods To go over the historical considerations of phenomenol-
ogy and its evolution, as well as its clinical applications, in order to
use this knowledge in a clinical context based on the observation
of different cases in clinical practice.
Results We try to apply the phenomenological method as first
inaugurated by Karl Jaspers’ General Psychopathology (1913) to
analyse the different clinical phenomena that can be observed in
patients diagnosed with ADHD.
Conclusions We think that watching the psychiatric conditions,
in this case ADHD, through the phenomenological lens can lead to
a better understanding of the heterogeneity of their appearance in
the clinical practice.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.