European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S659
EV969
Psychopathology and spiritual
experiences: Criteria for differential
assessment
I. Bone-Pina
Universidad Pontificia Comillas, Psychology, Madrid, Spain
Introduction There is a plurality of differing opinions defining
borders between mental disorders and spiritual experiences. This
research proposes criteria for clarifying those boundaries.
Objectives Summarize practical criteria for clinicians to assess
psychopathological symptoms with spiritual content and to attain
a differential diagnosis from healthy spiritual experiences.
Aims Merge different approaches from psychopathology, psy-
chology of religion and religious studies to attain practical criteria.
Methods Literature reviewusing a phenomenological and critical
approach.
Results 1. Severe psychiatric symptoms with religious content:
(1) are usually in the context of personal impoverishment; (2)
appear odd in cultural environments and within a person’s biog-
raphy; (3) do not enhance action or, in the phenomenological
tradition, (4) these symptoms come fromaweakening of the “inten-
tional arc”. 2. A guiding map is suggested to evaluate spiritual
expressions and their relationships with mild or moderate men-
tal disorders and with mental health and personal growth. This
map is developed by combining different traditions from the psy-
chology of religion. 3. Psychiatric and psychological judgment of
religious/spiritual experiences should be self-limited. There is a
judgment about its content and about its validity or truth, which is
only possible within the different spiritual traditions.
Conclusions Psychopathology establishes principles to discrimi-
nate some psychotic symptoms fromhealthy spiritual experiences.
Psychology of religion offers some general rules to guide the psy-
chological evaluation of spiritual beliefs and their influence on
mental well-being and personal growth. This review opens fields
for future research in relating psychopathology and the study of
religious experience.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV970
“. . .I just wanted to report me, I went
into the subway without paying 9
times. . .”
M. Canseco Navarro ∗, M.M. Machado Vera , A. Pe˜na Serrano ,
S. Alonso Guitiérrez , F. Molina López , H.S. Juan Miguel ,
M. Canccino Botello
Consorcio Hospital General Universitario, Conselleria de Sanitat,
Valencia, Spain
∗ Corresponding author.
A clinical case is presented. The reason for admissionwas for behav-
ioral disturbances and agitation piscomotriz episode in the street:
she had gone to a library to “denounce” the police for entering the
subway without paying several times. The patient was very dis-
traught because she was heavily guarded (someone had tapped
her phone, entered her house, changed objects place, she was
chased down the street. . .). In the psychopathological examination
revealed the sphere of language, her speech was fluid, with pres-
sured speech, full of details, with loss of thread and highlighted the
presence of neologisms and grammatical errors (changes of subject
and predicate. . .) and changes some letters by others in the same
word. She often used sayings incorrectly and, when you are explor-
ing about this fact, objectively presenting alteration in abstract
thinking. In addition, it presents self-references on television. The
diagnostic impression was chronic psychotic process of years of
evolution. In this case, it was decided to administer intramuscular
antipsychotic treatment because she was not aware of the disease
but presenting good tolerability profile because, otherwise, leave
the track and also a good social functioning was sought. Currently,
she continues in mental health, she has not reported new crisis
and a progressive scan objective improvement in the organization
of thought and speech, leaving the psychotic symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV971
Emotion dysregulation: A review of
the concept and implications for
clinical practice
A. D’Agostino ∗, S. Covanti , M. Rossi Monti , V. Starcevic
1 University of Urbino, Department of Human Sciences, Urbino, Italy
2 University of Sydney, Discipline of Psychiatry–Sydney Medical
School, Sydney, Australia
∗ Corresponding author.
Introduction Over the past decade, emotion dysregulation has
become a very popular term in the psychiatric and clinical psy-
chology literature and it has been described as a key component
in a range of mental disorders. For this reason, it has been recently
called the “hallmark of psychopathology” (Beauchaine et al., 2007).
However, many issues make this concept controversial.
Objectives To explore emotion dysregulation, focusing on prob-
lems related to its definition, meanings and role inmany psychiatric
disorders.
Aims To clarify the psychopathological core of emotion dysreg-
ulation and to discuss potential implications for clinical practice.
Methods A literature review was carried out by examining arti-
cles published in English between January 2003 and June 2015. A
search of the databases PubMed, PsycINFO, Science Direct, Medline,
EMBASE and Google Scholar was performed to identify the relevant
papers.
Results Although, there is no agreement about the definition of
emotion dysregulation, the following five overlapping, not mutu-
ally exclusive dimensions were identified: decreased emotional
awareness, inadequate emotional reactivity, intense experience
and expression of emotions, emotional rigidity and cognitive
reappraisal difficulty. These dimensions characterise a number of
psychiatric disorders in different proportions, with borderline per-
sonality disorder and eating disorders seemingly more affected
than other conditions.
Conclusions This review highlights a discrepancy between the
widespread clinical use of emotion dysregulation and inadequate
conceptual status of this construct. Better understanding of the
various dimensions of emotion dysregulation has implications for
treatment. Future research needs to address emotion dysregulation
in all its multifaceted complexity.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV972
Ice bucket at first. . .and then? –
Psychopathology in amyotrophic
lateral sclerosis patients and their
caregivers, a review
A.R. Figueiredo ∗, V. Espírito Santo , R. Almendra , A. Costa
1 Centro Hospitalar Trás-os-Montes e Alto Douro, Psychiatry and
Mental Health Department, Vila Real, Portugal
2 Centro Hospitalar Trás-os-Montes e Alto Douro, Neurology
Department, Vila Real, Portugal
∗ Corresponding author.