European Psychiatry - Volume 33 - March 2016

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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.
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.
EV1430
Suicide attempts associated with
sexual violence: Women – Ecuador
V. Valdez∗ 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.
EV1431
The Ciempozuelos Mental House
during the Spanish Civil War
(1936–1939)
P. Vázquez de la Torre Escalera ∗ andela Ramirez
A. Conseglieri Gamez
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.