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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1882

EV898

Justice in psychotherapy

J. Vyskocilova (Mgr. et Mgr.)

1

, J. Prasko

2 ,

,

M. Slepecky (Dr, PhD)

3

, R. Hruby (Dr, PhD)

4

,

K. Latalova (prof, Dr)

5

, M. Holubova (Mgr.)

6

,

M. Marackova (Mgr.)

7

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1883

EV899

Phenomenology of ADHD

C. Sanahuja

1 ,

, A. Suarez

2

, C. Fernandez

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1884