IACAPAP 2012–20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196 S191 Mo-P-1238 Role confusion in parent–child relationships: Assessing mother’s internal models and their implications for interaction with the child L. Vulliez-Coady a,* , I. Obsuth b , K. Lyons-Ruth b a CHU de Besan¸ con, Besan¸ con, France b Psychiatry, University of harvard, Cambridge, USA * Corresponding author. The representational world of the mother has long been at the center of clini- cal discussions regarding the quality of parenting. However, assessing mother’ s representation of role confusion in her relation with the child has not yet been investigated. As part of a larger study we developed and validated the Maternal Role Confusion Scale (MRS) to assess role confusion in the way a parent talks about her relationship with the child on the Experience of Care- giving Interview (ECI, George and Solomon, 1996). Fifty-one mothers of children studied longitudinally since infancy were administered the Experiences of Caregiving Interview when the child was age 19. The ECI, a semi structu- red interview is very clinically relevant and parts of the interview can easily be adapted for use in clinical settings. Our focus here is to familiarize clini- cians with how to listen for indicators of role confusion in talking with parents about their relationship with the child. Two different proﬁles of role confu- sion are described, as well as evidence validating these maternal responses as predictors of role-confused distortions in observed interactions with the child. http://dx.doi.org/10.1016/j.neurenf.2012.04.350 Mo-P-1239 Family dysfunction in youth with behavioral disorders M. Burgic Radmanovic a,* , S. Burgic b a Banja Luka, Bosnia and Herzegovina b Medical Faculty, Banja Luka, Bosnia and Herzegovina * Corresponding author. Objective.– The children and youth mental health is a dynamic and develo- ping process that is result of their interactions with family, school, community and surrounding. The goal is to show the inﬂuence of family dysfunction on behavior disorders among children and youth, especially the presence of negligence and abuse of children. The aim of this research is to show the pre- sence of comorbid diseases and inﬂuence of low socioeconomic family status as well. Method.– The research is retrospective study taken by 64 patients (36 girls and 28 boys), age between 7 and 18, at Department of child and adolescent psychiatry in Banja Luka. We analysed sociodemographic status, comorbid diseases, the presence of negligence and abuse among youth and behavior disorders. Our own questionnaire, made for this research, socio-psychiatric and clinical records and case history are used in this study. The results are analysed by graphics and tables. Results.– There is signiﬁcant higher number of boys, age under 14 years old, statistic lower socioeconomic status, the presence of family violence, school dif- ﬁculties, quitting the school. There is signiﬁcant number of girls with comorbid disease. Conclusion.– Family can inﬂuence on appearance of mental disorders in their children through family dysfunction, frequent conﬂicts, negligence and family violence, the presence of severe diseases, low socioeconomic status, psycho- traumatic events and stressful situations. http://dx.doi.org/10.1016/j.neurenf.2012.04.351 Mo-P-1240 Stages of the family life cycle and Laius complex I. Dobryakov , E. Malashonkova * Saint-Petersburg, Russian Federation * Corresponding author. The Laius complex is a term coined by J.M. Ross in 1982 to denote the competitive hostile relationship between father and son. Obviously, Oedipal relationships, manifestations of the Laius complex are observed in all fami- lies. However, some of these families can achieve harmony and constructive functioning, in others there are deep conﬂicts, broken relationships forming different mental disorders. Our observations show that these features are clo- sely connected to the intentions of conception and at which stage of the family life cycle conception happens (Dobryakov, 2003). Analysis of the marital rela- tionship led to identiﬁcation of the following stages: pre-marital relations, confrontation, compromise, mature spousal holon, existential crisis, “renais- sance”. The law of alternation of stages seen in most families; but, however, the time frames vary. It is related to personal characteristics of family members and the inﬂuence of environmental factors. Stages unfavorable for the concep- tion are: pre-marital relations, confrontation, and existential crisis. Traumatic conception usually happens in these stages (Emerson, 2005). Also close rela- tionships between mothers and sons provoke jealousy of their husbands, lead to an ironic, disdainful attitude to the child, sharply deteriorating relations between spouses. Understanding these laws and mechanisms enhances the effectiveness of psychotherapy. http://dx.doi.org/10.1016/j.neurenf.2012.04.352 Mo-P-1241 The experiences of mothers of children with autism F. Raﬁi a,* , N. Shafaroodi b , P. Chitgarzadeh b , S. Raﬁee b a Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, 9733171, Iran b Mental Occupational Therapy, Tehran University of Medical Sciences, 9733171, Iran Keywords: Autism; Mother; Experience; Phenomenology; Qualitative research * Corresponding author. Background and aim.– Children with autism are in their mothers’ keeping for years as far as their families run out of steam. Mothers of these children as their main caregivers, experience an inexhaustible battle during their life. The aim of this study was to explore and describe the lived experience of mothers of children with autism. Material and methods.– A qualitative phenomenological approach was used to conduct the study. Ten mothers of children with autism were recruited by pur- poseful sampling. Data was generated by semi-structured, in-depth interviews and analyzed using Van Manen’s approach. Findings.– The lived experiences of mothers were emerged as ﬁve themes including, perceiving the child as abnormal, encountering the diagnosis and treatment, feeling continued pressure, managing the disease, and understan- ding/comparing. Conclusion.– To be the mother of a child with autism was to assume a heavy care giving burden in life. Our participants experienced very stressful events and had a short time for themselves. With the knowledge of these mothers’ experiences, nurses and other health care professionals will ﬁnd opportunities to provide the mothers with appropriate counselling. http://dx.doi.org/10.1016/j.neurenf.2012.04.353 Mo-P-1242 Mother-child relationship through prison bars V.S. Stancheva-Popkostadinova a,* , V.G. Pavlova a , S.S. Chincheva b , N.A. Virmozelova a a Medical-social Sciences, South-West University, Blagoevgrad, Bulgaria b Medical-social Sciences, South-West University Neoﬁt Rilski, Blagoevgrad, Bulgaria * Corresponding author. The number of imprisoned mothers increased progressively in the last 10 years. This requires more research on the parental role of imprisoned mothers and a development of interventions for improving communication between impriso- ned mothers and their children. The aim of this paper is to study imprisoned mother-child interactions and to provide directions for improvement of their relationships. Subjects of the study were sixty-six imprisoned mothers and their children from Sliven prison (Bulgaria). The information about the contact between mothers and children was collected through structured interviews, dis- cussions, and observations of interactions between mothers and children during prison visitations. Based on the results of the study, three types of relationships