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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2149

EV1165

Autoinmmunity in mental disorders:

An association known pending

development

Y. Lazaro

1 ,

, I. Mesian

2

, A. Perez

3

, R. Baena

1

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

[1] .

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2150

EV1166

Paraphrenia: Claiming for its

diagnosis

Y. Lazaro

1 ,

, R. Baena

1

, L. Olivares

1

, A. Perez

2

, I. Mesian

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2151