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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1954

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1955

EV971

Emotion dysregulation: A review of

the concept and implications for

clinical practice

A. D’Agostino

1 ,

, S. Covanti

1

, M. Rossi Monti

1

, V. Starcevic

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1956

EV972

Ice bucket at first

. . .

and then? –

Psychopathology in amyotrophic

lateral sclerosis patients and their

caregivers, a review

A.R. Figueiredo

1 ,

, V. Espírito Santo

2

, R. Almendra

2

, A. Costa

2

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.