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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S803

Results

The questionnaire items were divided before and after

treatment, into four categories with the following results: pos-

itive (friendly, happy, acceptance, compassion) to himself: 1.86

(0.54)/2.75 (0.78) and to others 3.57 (0.86)/3.89 (0.54); negative

(hate, angry, cruel, bad) to himself: 2.92 (0.54)/2 (0.23); and to

others: 2.28 (0.41)/1.96 (0.36)

Conclusions

In keeping with similar studies, the scale shows

effectiveness of therapy in all sets of items, highlighting the varia-

tion of the aspects related to himself.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2413

EV1429

“Incomprehensibility” as an approach

to the contemporary

understanding-explanation

dichotomy

J. Valdes-Stauber

Zentrum für Psychiatrie Südwürttemberg, Psychosomatic Medicine,

Ravensburg, Germany

Background

Traditionally, “understanding” is related to the com-

prehension of the particular and of individualities as historical

unique; “explanation” is conversely related to the sciences of

general laws, preferential expressed mathematically. Within the

“Methodenstreit”, first method is related to an idiographic sec-

ond to a nomothetic approach. This dichotomy was transferred by

Jaspers into psychiatry.

Objective

How the understanding-explanation dichotomy could

be dialectically kept, but also surmounted in contemporary psy-

chiatry and psychosomatics in the light of a broader concept of

“comprehensibility” as dialectically opposed to “incomprehensibil-

ity”.

Method

Possible steps in development of the understanding-

explanation dichotomy are rebuilt historically from Neo-Kantian

and hermeneutic approaches onwards. Starting from reflections on

analytic action theory as well as from a critique of Descartian dual-

ism of substance and from the assumption of incomprehensibility,

we try to state an integrative conceptual network.

Results

Ways of comprehensibility and incomprehensibility as

well as understanding and not understanding are explored

by crossing epistemological and ontological perspectives. Four

implicit categories of understanding and a dialectically built con-

ceptual network of dimensional dualities are stated.

Discussion

The methods of “understanding” and “explanation”

maintain in contemporary psychiatry a heuristic importance, but

not in a segregativemanner. This epistemological dichotomymight

be integrated in a network of superordinate dualities.

Keywords

Duality; Epistemology; Understanding; Explanation;

Ontology; Incomprehensibility

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2414

EV1430

Suicide attempts associated with

sexual violence: Women – Ecuador

V. Valdez

, C. S

antana , M. Cajas , E. Avila , D. Reyes

Ecuador

Corresponding author.

Objective

Determine the incidence of suicide attempts in women

exposed to sexual violence in Ecuador.

Materials

We applied a transversal descriptive study accom-

plished by the National Institute of Statistics and Census (INEC). The

INEC recruited Ecuadorian women from 15-years-old and ahead,

the surveys were focused on this population. Eighteen thousand

and eight hundred (18,800) rural and urban housings were selected

all over the country, 24 provinces. Date of the survey: Novem-

ber 16–December 15 of 2011. The sample included 737 women

of several marital status (single, married and separated woman)

who reported had been victims of sexual violence.

Results

The average age of the sample was 28-years-old. The

standard deviation was 21 years, ages: 15–25 years old: 14.265

(21.6%), 25–35-years-old: 9.324 (14.1%), 35–45-years-old: 8.132

(12.3%), 45–55-years-old: 6.283 (9.5%), 55–65-years-old: 4.302

(6.5%) and > 65 years old: 23.745 (35.9%). The incidence of women

who had attempted suicide due to sexual violence was 73.95% (545

of 737 women surveyed). According to the marital status, the inci-

dencewas 79.3%on single, 65.5%onmarried and 79.0%on separated

women.

Conclusion

The rate of suicide attempts in Ecuadorian women

undergoing situations of sexual violence is very elevated. The trau-

matic incident in descending order according to the classification

by marital status is: single, separated and married. It was identi-

fied the population of unmarried women in our society to be the

most vulnerable to develop suicidal behaviors (8 out of 10 women).

However, we must keep in mind that these statistics could be even

higher due to the fear and rejection to expose personal traumatic

experiences in conservative societies such as the Ecuadorian. These

results represent a powerful call to the Mental Health Systems.

They must increase protection and follow-up programs on sexually

abused women in Ecuador and other Latin-American countries.

Keywords

Women; Sexual violence; Suicide

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2415

EV1431

The Ciempozuelos Mental House

during the Spanish Civil War

(1936–1939)

P. Vázquez de la Torre Escalera

1 ,

, R . C

andela Ramirez

1 ,

A. Conseglieri Gamez

2

1

Fuenlabrada Hospital, Psychiatry, Madrid, Spain

2

Parla Hospital, Psychiatry, Madrid, Spain

Corresponding author.

Introduction

The Ciempozuelos Mental House was the largest

institution of its kind in the Madrid province. After the outbreak

of the Spanish Civil War, the Ciempozuelos city was under Govern-

ment of the Republic until 6th February 1937, moment fromwhich

the city was occupied by Franco’s troops, including the asylum.

Objectives and aims

This work examines the Ciempozuelos Men-

tal Hospital and its patient population movement during the

Spanish Civil War. The aim of this study is to discuss the impli-

cations that the war situation had on the operation of this Madrid

institution.

Methods

Documents (letters, notifications, etc.) mainly located

at the Regional Archives of the Community of Madrid were anal-

ysed following traditional historiographymethods, as well as social

history of medicine and institutional history methods.

Results

The Ciempozuelos Mental Hospital was located near the

battlefront. Due to this situation, it suffered bombings during vir-

tually the entire duration of the war, causing the death of several

patients and the escape of many others. Similarly, and depending

on the evolution of the war, the Ciempozuelos Mental House had

to switch between sheltering patients evacuated from other areas,

and evacuating some of his own patients to other institutions in

the country when the situation worsened, such as the Valladolid

Mental Hospital or Las Pique˜nas Asylum.

Conclusions

The location of the mental hospital, the economic

strain and the continuous bombing altered the normal operation of

the institution and the assistance provide to its patients.