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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S663

what is normal and what is pathologic. Pathological jealousy dif-

fers from normal by its intensity and irrationality. Obsessive and

delusional jealousies are different types of pathological jealousy,

difficult to distinguish, which is important, since they have different

treatment. Despite the differences, both result in significant distress

and carry the risk of homicide/suicide, so it’s a matter deserving the

psychiatrists’ attention.

Objective

Explore the psychopathological differences between

obsessive and delusional jealousy and list the characteristics and

difficulties in the approach to pathological jealousy.

Methods

The results were obtained searching literature included

on the PubMed and Google Scholar platforms.

Results

Delusional jealousy is characterized by strong and false

beliefs that the partner is unfaithful. Individuals with obsessive

jealousy suffer from unpleasant and irrational jealous ruminations

that the partner could be unfaithful, accompanied by compulsive

checking of partners’ behavior. This jealousy resembles obsessive-

compulsive phenomenology and should be treated with SSRIs and

cognitive-behavioral therapy. Delusional jealousy is a psychotic

disorder and should be treated with antipsychotics.

Conclusion

The common issue in pathological jealousy is the

problem of adherence to treatment and bad prognosis. In order

to achieve better treatment outcomes, we should follow-up the

patient regularly. One key factor is to explore the psychopathology

and motivate the sufferer for the proper pharmacological and psy-

chotherapeutic interventions, trying to reduce the suffering caused

by ideas of unfaithfulness.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1966

EV982

Differential diagnosis between

schizophrenia and in major

depression: The importance of

abnormal bodily phenomena

M. Mancini

1 ,

, G . S

tanghellini

2

1

University “G. D’Annunzio”, Department of Psychological –

Humanistic and Territorial Sciences, Chieti, Italy

2

University “G. d’ Annunzio”, Department of Psychological –

Humanistic and Territorial Sciences, Chieti, Italy

Corresponding author.

Introduction

Anomalies of bodily experience have for long

been described as relevant features of schizophrenia and major

depression, yet such experiences are usually neglected in clini-

cal examination. Bodily experience is the implicit background of

our experiences against which we develop a coherent sense of

self as a unified, bounded entity, naturally immersed in a social

world of meaningful others. Such tacit experiential background is

often perturbed in schizophrenia and major depression. Empirical

research shows that patients with schizophrenia andmajor depres-

sion frequently present many different kinds of anomalies of bodily

experience in the course of their illness.

Objective

To characterize the abnormal bodily phenomena in

both schizophrenia and major depression.

Aim

To improve differential diagnosis based on the identifica-

tion of typical features of abnormal bodily experiences in persons

affected by schizophrenia and major depression and to provide

supplementary diagnostic criteria.

Method

Analysis of empirical and theoretical research published

in the last 25 years.

Result

Ongoing bodily feelings of disintegration/violation and

nothingness/mechanization (e.g. one’s body experienced as a

object-like mechanism) are the most typical experiences in peo-

ple with schizophrenia whereas major depressives are not able

to detach themselves from the experience of bodily failure or

chrematization (fromchrema = corpse, i.e., feeling like a corpse) and

therefore, feel worthless, guilty, or decaying. They feel chrematized

in their very self.

Conclusion

These experiences might be considered as specific

and they can contribute to differential diagnosis of somatic com-

plaints in schizophrenia and in major depression.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1967

EV983

Psychosis in a blindness patient: A

case report

M. Marinho

, C. Moreira , F. Catarina

Centro Hospitalar Psiquiátrico de Lisboa, Lisbon, Portugal

Corresponding author.

Introduction

Using a clinical case as illustration, the present work

engages the different psychopathologic alterations that blindness

patients could present.

Methods

The presentation and discussion of a clinical case of

psychosis in a blind patient are addressed. The scientific documen-

tation used as support was obtained from PubMed/Medline search

engines using as keywords blindness and psychosis.

Results

A 43-years-old male patient, with a medical history

of arterial hypertension, heroine dependence (presently with

methadone schema) and bilateral blindness caused by a bilateral

retinal detachment 20 years ago, was admitted in the psychiatric

ward. The patient’s historical record includes a previous personal-

ity with paranoid characteristics, as well as a hospitalization due to

persecutory and auto-reference ideas and kinaesthetic hallucina-

tions with 1 month of evolution, coincident with address changes.

Lab tests revealed the following results: haemoglobin 13.8; Leuco-

cytosis 13,400; CRP: 6.2; ALT > AST. Positive results were obtained

in the drug tests for cannabinoids, as well as for the anti-HCV anti-

body (IgG). Finally, the patientwasmedicatedwith an antipsychotic

and humour stabilizer, achieving a significant improvement after

10 days of hospitalization.

Conclusions

Although studies reveal that mental and behavioural

disorders, especially those with symptoms of psychosis andmental

retardation, are common among people with congenital blindness,

more knowledge of the prevalence and aetiology of mental and

behavioural disorders among people suffering from blindness is

needed.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1968

EV984

Cycloid psychosis: A case report

G. Martinez-Ales

, I. Louzao , A. Irimia , M.F. Bravo ,

J. Marin

Hospital Universitario La Paz, Psychiatry, Madrid, Spain

Corresponding author.

Introduction

Episodes of time-limited acute psychosis, with full

recovery in between, are categorized as acute polymorphic psy-

chotic or brief psychotic disorders. Leonhard described the three

forms of cycloid psychosis (CP). Perry considers it a separate entity.

Case report

We report the case of a 54-year-old male, with a 9-

year history of brief psychotic disorders. He was admitted to an

inpatient unit after a 4-day episode of persecutory delusion, leading

to high emotional repercussions and isolation at home. Euthymia

was present. Previous admissions, 9 and 5 years before, presented

similar clinical pictures. Treatmentwith lowdose paliperidone dur-

ing 6-month periods had led to the complete resolution of the

episodes (restitutio ad integrum: no psychotic manifestations and

the ability to run his business). In this episode, 8 days after the

reintroduction of 12mg of paliperidone per day, cessation of the