European Psychiatry - Volume 33 - March 2016

701 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S697
1 Hospita Universitario Virgen de la Victoria, Psychiatry, Málaga,
Spain
2 Hospital Universitario Virgen de la Victoria, Psychology, Malaga,
Spain
3 Institute for Maternal and Child Health-IRCCS “Burlo Garofolo”,
Psychiatry, Trieste, Italy
4 The Zucker Hillside Hospital-North Shore-Long Island Jewish Health
System, Psychiatry Research, New York, USA
∗ Corresponding author.
Introduction In the past six decades, extensive research has been
done on family therapy from different areas of knowledge such as
psychology, psychiatry and social work. Leading to development of
different intervention techniques and optimal clinical evaluation
with families.
Aims The systemic perspective focus on the study of the dimen-
sions that contribute to the stability and consistency of the
members of the family system. The family is an interrelated system,
dependent on each other, where there is an influence of the group
over the individual, which is why each of its members plays a piv-
otal role in family therapy. Throughout all these years of evolution
of systemic family therapy, many different concepts and techniques
have been used, including the ones currently used today.
Methods Knowing the evolution of the different techniques
allows us to understand the functioning of families, for example,
their links and the elements that constitute it: their roles, the func-
tions performed by each member in the family, communication,
standards and power relations.
Conclusions The descriptive diagnosis of family ties, help us
implement intervention strategies that could improve clinical care
and diagnostic approach.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1090
Cognitive behavioral approaches to
coping with suffering and hardship
J. Vyskocilova , J. Prasko ∗, M. Ociskova , Z. Sedlackova ,
M. Slepecky , R. Hruby , M. Holubova , M. Marketa
1 Charles University Prague, Faculty of Humanities, Prague, Czech
Republic
2 Faculty of Medicine and Dentistry, University Palacky Olomouc,
University Hospital Olomouc, Department of Psychiatry, Olomouc,
Czech Republic
3 Faculty of Arts, Palacky University Olomouc, Department of
Psychology, Olomouc, Czech Republic
4 Faculty of Social Science and Health Care, Constantine the
Philosopher University, Department of Psychology Sciences, Nitra,
Slovakia
5 Psychiatric Outpatient Department, Martin, Slovakia
6 Hospital Liberec, Faculty of Medicine and Dentistry, University
Palacky Olomouc, Department of Psychiatry, Liberec, Czech Republic
∗ Corresponding author.
Introduction Low level of ability to endure discomfort, hardship
and distress, which are integral parts of adverse life events, may
lead to loss of mental stability and maintenance of psychological
disorder.
Method Review of literature and case descriptions.
Results The patient often tries to cope with their suffering
through avoidance and compensatory behavior which may relieve
his suffering immediately; however, in the long term, it leads to the
deterioration in the quality of his life and the persistence of suf-
fering. Cognitive behavioral approaches focused on increasing the
ability to endure unpleasant and distressful life experiences, allow
the patient to better bear the inevitable losses in life, which he is
exposed to, endure his anxiety, sadness, and the urge to impul-
sive action or escape; so the patient have more possibilities to
act more freely, functionally and purposefully. Modern cognitive
behavioral approaches, such as Dialectic Behavioral Therapy, Mind-
fulness Based Cognitive Therapy, Acceptance and Commitment
Therapy and Compassion Focused Therapy developed and applied
therapeutic methods designed to increase the patient’s resistance
to suffering and his ability to cope it better. These approaches are
applied not only in patients with chronic psychiatric disorders, but
also in patients with chronic physical illnesses and permanent dis-
ability.
Conclusions The modern CBT strategies can help patients to
increase his/her resistance to the distress, discomfort and suffering.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1091
Functional somatic syndromes,
mentalizing impairment and
psychotherapy as the way to soothe
suffering. A group psychotherapy
experience in an outpatient setting
J. Ramos ∗, E. Alonso , N. Tur , P. Sanz-Correcher
1 Unidad de Psicoterapia, Hospital 12 de Octubre, Madrid, Spain
2 Servicio de Psiquiatría, Hospital de Fuenlabrada, Madrid, Spain
3 Servicio de Psiquiatría, Hospital Clínico San Carlos, Madrid, Spain
∗ Corresponding author.
Functional somatic symptoms and syndromes are a major health
issue. They are common, costly, persistent and may be disabling.
From Mentalization Based Treatment perspective, mentalizing
impairments are a key factor in these issues. In that sense, many
times, emotional suffering is rendered into physical pain, and it is
the body that conveys affects and moods while the patients search
frantically for an objective diagnosis and a biological cause for their
symptoms and complaints. Taking this premise as a starting point,
this poster analyses the importance of working on affects, con-
necting to them, naming them, and thinking about them. Linking
symptoms to emotions, to attachment strategies, and interpersonal
issues in order to achieve the recovery of mentalization. Consider-
ing this as themain goal to release the body frompain and suffering,
we specify a proposal of group psychotherapy developed through-
out the last eight years in an outpatient setting.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1092
Definitely, one (therapy) does not fit
all (depressions): Mentalization based
treatment for resentful self-critical
depressive patients who abuse of
attachment deactivating strategies
J. Ramos ∗, E. Alonso , N. Tur , P. Sanz-Correcher
1 Unidad de Psicoterapia, Hospital 12 de Octubre, Madrid, Spain
2 Servicio de Psiquiatría, Hospital de Fuenlabrada, Madrid, Spain
3 Servico de Psiquiatría, Hospital Clínico San Carlos, Madrid, Spain
∗ Corresponding author.
Depression is one of the most prevalent mental disorders and a
notably heterogeneous condition with regard to etiology, symp-
tom expression, course, and treatment response. This is why it is
extremely unlikely that a “one size fits all” approach to the treat-
ment of depressionwill be particularly effective. Quite the contrary,
it is clear that the future of the treatment of depression may lie in a
combined disorder- and person-centred, tailored-made approach,
which takes into account the broader interpersonal context and life