Background“Rite of passage” is an etnographic concept developed by VanGennep that defines the vital transition of an individual between two different status. It is divided in three stages: separation, liminal/threshold and aggregation. Turner described the liminal phase, and the terms of “communitas” and “liminoid” (structure of a rite without religious/spiritual elements). One widely-known Rite of Passage is the initiation of the shamans.ObjetivesStudy the elements of a rite of passage present in Psychiatric Trainning.MethodField study (observational, descriptive, non-experimental).Preliminary Sample=10trainees (5man+5women); last year of Psychiatric Trainning.“ad hoc” semi-structured interview (21items subdivided in open questions). 10interviews (average duration=75mins). Permanent register:digital recorder.Summary and analysis of the answers. Review of the literature.ResultsPsychiatric Trainning shared the elements and tri-phasic structure of VanGennep's “rite of passage” conceptTrainees saw themselves as more empathic(7/10) and humanistic(8/10) than other specialties colleagues. Stigma towards mental illness(8/10) and fear of suicide(9/10) were also considered as their distinctives.The collective behaved as a communitas(10/10)No spiritual elements(0/10): liminoid processResemblances of the ancestral shamans' Initiation: Despite bloody practices were over, suffering was also present(7/10), but was seen as necessary(6/10) and well tolerated(7/10).Trainees felt that they grew spiritual and mentally(7/10) during the trainning yearsConclusionsResults suggest that Psychiatric Trainning has stable phenomena that:are compatible with the Rite of Passage schemaAre considered exclusive of Psychiatry by traineesHave not been systematically studied as a whole, which could help to improve the training.

BackgroundMost of the studies about Eating Disorders in adolescents have been typically focused on females, only to conclude that the approach should be similar in males. It has been stimated that 5-10% of patients with Anorexia Nervosa are males. Later age of onset and higher prevalence of premorbid overweight are considered among the main differences with female patients.ObjectivesAnalysis of the anthropometric variables of a sample of males with diagnosis of Restrictive Eating Disorder.MethodsNaturalistic, Descriptive and Retrospective studySample: 22 male adolescentsInclusion criteria: males with Restrictive Eating Disorder diagnosis (according to DSM-IV criteria) admitted to an Eating Disorder ward during 2007 and 2008“ad hoc” questionnaire (15 items)Analysis: PASW statistics 18ResultsAge range: 7-14years (medium age=14,79±2,50years).11 patients (50%) were older than 16 years-oldMedium BMI (Body Mass Index) at the beginning of the admission was 17,79kg/m2.medium weight loss: 13,5±7,02kg/m2 (corresponding to a reduction of 22,24±7,52% of the previous weight)Medium speed of weight loss: 0,92±1,1kg/54BMI at discharge: 18,69 ±3,43 kg/m219/22 patients (86%) had a premorbid history of overweightBinge eating: 8 patients (36,4%)Purgative behaviour: 10 patients (45%)Laxatives use: 4 patients (18%)Intense physical exercise: 21 patients (95,5%)Average duration of current restrictive episode: 13,7 monthsConclusionsIn the studied sample we observed:High prevalence of premobid overweightVery high frequency of compulsive exerciseDrastic weight loss and loss of a very high percentage of the previous weight, in short periods of time, reaching very low BMI.

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