European Psychiatry - Volume 33 - March 2016

703 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S699
EV1096
Treating trauma with EMDR in adults
with autism spectrum disorders (ASD)
– A literature review
B. Sizoo ∗, E. Lobregt
Dimence, Center for Developmental Disorders, Deventer, Netherlands
∗ Corresponding author.
Introduction Little is known about trauma or treatment of trauma
with Eye Movement Desensitization and Reprocessing (EMDR), in
adults with ASD. Neither is it clear on how ASD influences the
expression of posttraumatic stress.
Objectives (1) To increase knowledge about treatment of trauma,
and trauma related symptoms in adults with ASD. (2) To provide
directionsfor research into the effects of EMDR on the expression
of autistic and trauma related symptoms in adults with ASD.
Methods Review of the literature using Cochrane Collaboration
Centre, Embase, Medline, PsychINFO, PubMed and Web of Science.
Results Clinicians often overlook trauma related symptoms in
people with a severe mental illness like ASD, due to diagnostic
overshadowing (Grubaugh, Cusack and Zinzow, 2008), caused by
the overlap between Post Traumatic Stress Disorder (PTSD) and
ASD. In the case of diagnostic overshadowing, symptoms like avoid-
ance, hyperarousal and reduced ability to mentalize (Plana, Lavoie,
Battaglia and Achim, 2014) are attributed to ASD, while in actual
fact they are manifestations of stress reactions related to per-
ceived traumatic events. However, when symptoms are correctly
attributed to negative experiences, clinicians tend to withhold
treatment because of fear of aggravating symptoms (Frueh, Cusack,
Grubaugh, Sauvageot andWells, 2006). The literature suggests that
trauma in adults with ASD is undertreated.
Conclusion To our knowledge, the effects of EMDR in adults with
ASD have not yet been studied, except at case level. A study proto-
col will be presented to assess the efficacy of EMDR treatment for
trauma related symptoms in adults with ASD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1097
The birth of Athena – Psychodynamic
formulation and case report
M. Skokou ∗, K. Assimakopoulos , P. Gourzis
University Hospital of Patras, Psychiatry, Patras, Greece
∗ Corresponding author.
Introduction Athena possesses a special place among the Greek
Gods, as she was born from her father, according to an extreme
patriarchal model with a marked depreciation of the maternal role.
Zeus had swallowed and absorbed the mother of Athena, Mites,
because of an oracle that if Mites gave birth to a boy, the boy would
take his throne. When the time comes, Zeus commands Hephaes-
tus to cleave his forehead with an axe, and then Athena leaps fully
armed and shouting her cry of war, in front of the astonished Gods.
The next moment she puts her weapons down, as a token of obe-
dience and devotion. The exceptionally close bond between father
and daughter is evident through their uniquely confidential rela-
tionship. The ancient myth is paralleled, from a psychodynamic
aspect, with the case of a narcissistic patient receiving psychody-
namic psychotherapy.
Methods Case report.
Results A case of a woman with narcissistic personality fea-
tures and depressive symptoms is described, presenting with the
complaints of withdrawal, self-depreciation, passivity, and ago-
raphobia. Psychodynamic factors defining her pathology are her
narcissistic and sexualized relationship with her father, whereas
the relationship with her mother has been depreciated. The patient
experiences an intrapsychic conflict of reciprocal idealization,
against her anger and fear for her father, resulting in the symptoms
of agoraphobia and passivity.
Conclusion Like Athena, who puts her weapons down, the patient
resigns fromher will for autonomy andmoves to a passive position,
as a result of her entrapment in her idealized relationship with the
father.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1098
Emotional avoidance process in
patients with schizophrenia and
bipolar disorder. New module:
Emotional body’s sensations and
meta-cognitive work on the
interpretation of delusional thinking
A. Suchocka Capuano ∗, A. Karar , A. Ponseti Gaillochon ,
A. Georgin , C. Bungener , G. Dorard , S. Bouyakoub
1 Centre hospitalier intercommunal de Villeneuve–Saint-Georges,
consultations de psychiatrie, Villeneuve–Saint-Georges, France
2 Université Paris Descrates, institut de psychologie,
Boulogne-Billancourt, France
∗ Corresponding author.
Introduction Psychological processes play a mediating role in
the development of psycho-pathological disorders depending on
the Kinderman’s model. Excessive use of emotional avoidance
becomes, following the model of Barlow and Allen, the booster
of emotional distress at long term. Dysfunctional meta-cognitive
processes in turn influence the inadequate interpretations of life
experiences.
Objective To improve identification, expression and emotional
management in patients with schizophrenia (PWS) and patients
with bipolar disorder (PWBD).
Aims Introduction of exposition for the emotional body’s sensa-
tions. This work on emotional awareness by images and sounds
prepare to role-playing and to exposure in real life.
Methods Groups of psychotherapy for adults PWS and PWBD
was implemented. The techniques used are those of cognitive
behavioral therapy CBT (Beck) and emotional therapies (Bar-
low): columns Beck tailored, role-playing, psycho-emotional and
breathing. Four groups of four patients participated in six therapy
sessions.
Results An increase in emotional flexibility is observed two
weeks after the group work (Wilcoxon P = 0.025). Work on emo-
tional identification facilitates the relaxation of the avoidance
process while promoting social skills. The new format includes nine
sessions three additional sessions on the emotional body sensa-
tions. Meta-cognitive work on the interpretation of the delusional
thinking has been inserted.
Conclusion The experience of this pilot study provides encour-
aging results. The transdiagnostic approach referring to the
alterations of this common psychological process finds use with
PWS and PWBD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1099
Significant weight loss related to
Briquet syndrome: A case report
C.A. Welte-Santana ∗, F. Trombini Nunes ,
L. Carvalho de Toledo , L. Oliveira
1 Hospital Municipal Jurandyr Manfredini, Ambulatório de
Psiquiatria, Rio de Janeiro, Brazil