European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S721
EV1164
The cremation of care ritual: Burning
of effigies or human sacrifice murder?
The importance of differentiating
complex trauma from schizophrenia
in extreme abuse settings
R. Kurz
Cubiks, IPT, Guildford, United Kingdom
Introduction This session explores Human Sacrifice killings in
extreme abuse cult settings disclosure of which often leads to a
misdiagnosis of ‘Schizophrenia’.
Objectives The purpose of the paper is to raise awareness and
signpost professional development resources regarding extreme
abuse ‘Death Cults’ that operate largely with impunity across the
world.
Aims Case study materials and documentary evidence will be
utilised to illustrate criminal practices and the impact on survivors.
Method Accounts of extreme abuse and ritual violence were
identified in the context of an adult survivor assessment interven-
tion.
Results There are supporters of abuse survivorswho borewitness
to and believe disclosures of extreme abuse and ritual violence, and
‘FalseMemory’ adherents who consider Ritual Abuse an unfounded
‘moral panic’. Survivors provide chilling accounts of ritual killings
in Scott (2001), Becker, Karriker, Overkamp and Rutz (2008) and
Epstein, Schwartz and Schwartz (2011). In the wake of institutional
abuse enquiries and the ‘unbelievable’ child abuse perpetrated by
celebrities like Jimmy Saville and IanWatkins, a ‘new reality’ is set-
ting in that child abuse is pervasive and knows no limits. Reports of
elaborate rituals with ‘mock’ human sacrifices at the highly secre-
tive annual ‘Bohemian Grove’ summer festival point towards a
pervasive interest in the occult in high society.
Conclusion Mental health professionals have a ‘duty of care’
towards their service users. Unless clear and irrefutable counter-
evidence is available it is inappropriate to claim that disclosures of
extreme abuse and/or human sacrifice rituals are ‘delusions’ and
indicative of Schizophrenia.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1165
Autoinmmunity in mental disorders:
An association known pending
development
Y. Lazaro ∗, I. Mesian , A. Perez , R. Baena
1 Hospital Clínico San Carlos, Psychiatry, Madrid, Spain
2 Hospital Universitario Infantil Ni˜no Jesus, Psychiatry, Madrid, Spain
3 Centro de Atención Integral al Drogodependiente Mostoles,
Psychiatry, Madrid, Spain
∗ Corresponding author.
Introduction In the last century, several studies have confirmed
the association between schizophrenia and autoimmunity in the
patients as well as in their family. This fact has important impli-
cations because of the high prevalence of immune disorders in the
population, which has been estimated to be about 20%.
Objectives Analyze a clinical case which suggests autoimmunity
as a potential cause for developing schizophrenia.
Aims To point out the need to conduct further research in the
field of neurobiology of mental diseases to possibly find a new line
of treatment.
Methods A 28-year-old woman with no previous history of men-
tal illness, diagnosed at age eight with celiac disorder. Mother
affected by Grave’s disease. Paternal uncle diagnosed with bipolar
disorder. The first contact with psychiatry took place in 2005 in
the emergency room, being diagnosed with a psychotic episode.
Due to her family history of autoinmunity she had regular follow-
up, which enabled the control of three later newpsychotic episodes
(2008, 2009, 2012) on an outpatient basis. Diagnosedwith paranoid
schizophrenia in 2014, she is currently stable with antipsychotic
drugs.
Results This case illustrates the importance of keeping in mind
autoimmunity history in development and prognosis of mental
disorders.
Conclusions Although symptoms of schizophrenia are well
known, there is still a great deal to be discovered in its enterity.
Progress in the knowledge of pathophysiology may open new lines
of treatment, which can provide a better one and thus, a better
prognosis
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Reference
[1] Upthegrove R, et al. The immune system and schizophrenia: an
update for clinicians. Adv Psychiatr Treat 2014;20:83–91.
EV1166
Paraphrenia: Claiming for its
diagnosis
Y. Lazaro ∗, R. Baena , L. Olivares , A. Perez , I. Mesian
1 Hospital Clínico San Carlos, Psychiatry, Madrid, Spain
2 Centro de Atencion Integral al Drogodependiente Mostoles,
Psychiatry, Madrid, Spain
3 Hospital Universitario Infantil Ni˜no Jesus, Psychiatry, Madrid, Spain
∗ Corresponding author.
Introduction Paraphrenia is currently considered as historical
disorder. Sometimes included as paranoid schizophrenia and in
many other cases as other persistent delusional disorders, its diag-
nosis is out of the current code list, such as ICDor DSM. Nevertheless
it has unique peculiarities, already objectified by Krapelin.
Objectives Claiming the concept of paraphrenia as a clinical entity
with its own phenomenological characteristics included in chronic
psychotic disorders.
Aims To keep in mind classic psychopathology, not included in
current code list, such as ICD and DSM.
Methods A 40-year-oldwomanwith good premorbid adaptation,
no previous history of mental disorder. Her first psychotic symp-
toms appeared at 30, not because drug effect. Father diagnosedwith
paranoid schizophrenia. Among her first internment, her mood
was persistently elevated, expansive and easily irritable. She had
bizarremegalomaniac delusions of grandeur, which combinedwith
erotomanic ideas felt as ego-syntonic, supported by auditive hallu-
cinations. There were no other symptoms found in manic episodes
in previous historical of affective descompensations.
Results Antipsychotics only had effect in mood, which turned
euthymic. Active psychoticism has continually been present for 10
years although different treatment. Nomajor affective descompen-
sations has taken place among this period. Cognitively conserved,
without defectual symptoms, is currently working in supported
employment.
Conclusions Clinical symptoms of paraphrenia lyed between
schizophrenia and persistent delusional disorders. Specifically in
this case we had to do the differential diagnosis with bipolar disor-
der, which was ruled out attending to the longitudinal course.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Further reading
Sarró S. Rev Psiquiatría Fac Med Barna 2005;32(1):24–9.