European Psychiatry - Volume 33 - March 2016

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S698 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
history of the individual. Depressed patients with a characteristic
cognitive-affective schema of self-critical perfectionism are prone
to typical dysfunctional transactional cycles or dominant inter-
personal narratives in which rage, distrust and ambivalence are
apparent. In addition to this, in these subtype of depressed patients
is common to find the overuse of attachment deactivating strate-
gies, in response to threats to attachment relationships specially,
and the inhibition of mentalizing as a defensive response to the
feelings of rage, emptiness and sadness that are developmentally
linked to attachment experiences. The implications of these find-
ings for treatment, particularly with regard to the nature of the
therapeutic relationship, are readily important. In this poster we
take several cases in order to detail the main psychodynamics and
the dominant interpersonal narratives of this subtype of depressed
patients and to specify a therapeutic proposal tailored for them.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1093
False memory syndrome: A review
and emerging issues, following a
clinical report
G. Santos ∗, V. Costa
Hospital Magalhães Lemos, Psiquiatria, Porto, Portugal
∗ Corresponding author.
False Memory Syndrome (FMS) is caused by memories of a trau-
matic episode, most commonly childhood sexual abuse, which are
objectively false, but in which the person strongly believes. These
pseudomemories usually arise in the context of adult psychother-
apy and are often quite vivid and emotionally charged. FMS is
rare and sometimes could be confused with psychotic disorder and
malingering. The infrequency with which it is encountered makes
this syndrome a diagnostic challenge. Failure to diagnose can lead
to significant morbidity.
We studied a 26-year-old female with no prior Psychiatric history
who started to recall vivid memories of sexual abuse perpetrated
by her father, following few sessions of clinical hypnosis. She
presented a low mood, disorganized behaviour and aggressivity
towards her father when she was admitted to our ward. After a nor-
mal CT brain scan and lab tests and ameticulous clinical history, the
clinical diagnosis was made. She was successfully managed with
supportive psychotherapy combined with mood stabilizer medica-
tions.
This case illustrates the unknown field between memory and con-
fabulation and the value of a complete history. Physicians should
be alert and keep an open mind about this iatrogenic disorder.
Research is needed on the identification of memory mechanisms,
specific situations and personality factors involved in this syn-
drome.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1094
Entering the therapists’s world:
Experiences of psychotherapists in
India
V. Sharma ∗, R. Gupta
1 New Delhi, India
2 All India Institute of Medical Sciences, Department of Psychiatry,
New Delhi, India
∗ Corresponding author.
Introduction The arena of therapist’s perspectives and expe-
riences has been inadequately represented in psychotherapy
research. Along their professional journey, practitioners often have
a myriad of experiences in the therapeutic process that influence
their therapeutic interactions.
Aim The present study aims to discuss the personal and clinical
experiences of trained psychotherapists that influence their choice
of the profession and psychotherapy practice.
Methods Snowball sampling technique was used to recruit 10
trained psychotherapists for the purpose of the study. Audio-
recorded interviews were held individually with each of the
participant using a semi-structured interview schedule developed
for the study. The interview schedule was reviewed by 2 experts
with more than 10 years of experience in psychotherapy. Qualita-
tive data was subjected to thematic analysis.
Results All psychotherapists identified an integral relationship
between their individual belief systems and psychotherapy prac-
tice. Role of training, influence of mentors, significant experiences
with family members and peers, significant childhood experiences,
client characteristics, therapists’ emotional responses to clients
and the therapist’s own beliefs about mechanisms of change were
important factors in the psychotherapy process and were seen as
significant internal experiences that underlie the psychotherapy
process.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1095
Psychotherapeutic interventions in
Tinnitus
M. Silva ∗, A.R. Figueiredo , A. Fornelos , P. Macedo , S. Nunes
CHTMAD, Psychiatry, Vila Real, Portugal
∗ Corresponding author.
Introduction Tinnitus is defined as the subjective or objective
perception of a hearing sensation in the absence of a correspond-
ing external stimulus. It is a very common medical symptom, and
some studies show that 5 to 15% of adults had tinnitus in life. It is
a condition that could be chronic and for some patients could be
very debilitating. Anxiety and depression are common findings in
patients with tinnitus. Tinnitus can also interfere with sleep and
concentration and affect the quality of life of patients. The hetero-
geneity of the etiology, pathophysiology and clinical features of
tinnitus probably exacerbate the variability of response to treat-
ment of the population and the decision on the best treatment
option could be complex.
Objectives The purpose of this study is try to understand how the
psychotherapeutic interventions may be useful in the treatment of
tinnitus.
Methods Bibliographic research in Pubmed.
Results Currently there are no available effective pharmaco-
logical treatments. In some cases, surgical interventions may be
effective with respect to ear pathology, but not to tinnitus. Most
studies show that psychological interventions are needed to reduce
the distress and the impact caused by tinnitus in patients’ lives
and the cognitive-behavioral therapy is the primary therapeutic
intervention in chronic tinnitus.
Conclusion Although cognitive-behavioral techniques demon-
strated to be effective in the treatment of the distress and impact
caused by tinnitus, little is known about the mechanisms by which
this technique achieves this effect, therefore most authors suggest
that further studies should be conducted in this area.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.