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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2081

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2082

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

1 ,

, A. Karar

1

, A. Ponseti Gaillochon

1

,

A. Georgin

1

, C. Bungener

2

, G. Dorard

2

, S. Bouyakoub

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2083

EV1099

Significant weight loss related to

Briquet syndrome: A case report

C.A. Welte-Santana

1 ,

, F. Trombini Nunes

2

,

L. Carvalho de Toledo

1

, L. Oliveira

1

1

Hospital Municipal Jurandyr Manfredini, Ambulatório de

Psiquiatria, Rio de Janeiro, Brazil