140 AbstractEN:	 A review of the most important psychotherapies (psychodynamic, cognitive, family and group therapies) for schizophrenic patients is presented.  
141 AbstractEN:	 Different factors are involved in the process of decision making at the psychiatric emergency ward. These may be either clinical or related to the therapist and/or the environment.  
142 AbstractEN:	 Reviews about stigma and discrimination in mental illness today, and tries to propose a general model for the development of interventions against that.  
143 AbstractEN:	 The psychoanalytic treatment ofl hysteria and the birth of children psychology through biography of the Russian psychiatrist Sabina Spielrein.  
144 AbstractEN:	 Present situation of the epistemological support of the psychotherapies in the socalled posmodernity and its ethical, political implications is considered.  
145 AbstractEN:	 The identification of the ideal type of the psychology student was the main outcome of this survey. Beside these prevailing representations, additional professional profiles and related life styles and ways of thinking were also identified.  
146 AbstractEN:	 The last advances in the normal human experience requires about the operation sophisticated cerebral mechanism of social cognition.  
147 AbstractEN:	 Transsexualism needs a multidisciplinary approach. The aim of this article is to offer an exposition from different perspectives.  
148 AbstractEN:	 Starting with a clinical reflection on the limit disorders, a guidance headlight is introduced in order to clear up, in itself, the neurosis and the psychosis.  
149 AbstractEN:	 We conclude that the PAS was built through fallacies. The PAS could be used as a threat for dissuade to women from left her couple when there is gender violence.  
150 AbstractEN:	 We describe different Psychological functions of ruminative obsessions, risk factors and a treatment approach based on the Integrative Psychotherapy model.  
151 AbstractEN:	 The evaluation of the capacity constitutes a challenge for the model of clinical relation based on the idea of informed consent.  
152 AbstractEN:	 Female nature is briefly explored through Sándor Márai's literary work.  
153 AbstractEN:	 Some widespread uses and abuses of diagnosis and classification are singled out. Discretion and study are suggested when it comes to postulating the existence of new clinic structures in addition to neurosis and psychosis.  
154 AbstractEN:	 The psychosocial rehabilitation in early phases of psychosis or after a first episodeof psychosis has generated a lot of investigation and the implement of programs and organization of specific services.  
155 AbstractEN:	 We show a description of intervention achieved by the FISLEM and displaysome data of the sample, objectives, methodology and study development.  
156 AbstractEN:	 Studies regarding disorders of borderline point out that neurosis and psychosis only cover a small field within psychopathology.  
157 AbstractEN:	 Prodromic symptoms, the duration of the prodromic phase and the risk factors in the childhood and adolescence of the psychotic disorders and, especially, of the "postpuberal psychotic disorder" or schizophrenia.  
158 AbstractEN:	 Our group treatment experience with individuals involved in mobbing, developed in the Mental Health Services of the 10h Area (Madrid). It is showed the work with five consecutive groups attended during the period between 2003 and 2006.  
159 AbstractEN:	 The starting process and development of a group therapy in an acute-care unit is described.  
160 AbstractEN:	 This paper analyses the life and the work of Marguerite A. Séchehaye, a pioneer in the study of schizophrenia from a psychoanalytic perspective.  
161 AbstractEN:	 The real love is the neurotic experience nearest to the psychosis.  
162 AbstractEN:	 A presentation of two case studies involving adolescent girls, who instictively bring their notes to the therapy sessions, and it has been demonstrated that this kind of material may be used during the process of psichotherapy.  
163 AbstractEN:	 The functioning of the residential program from Severe mental illness, based on the study of its efficiency and economic cost.  
164 AbstractEN:	 We show a group treatment program of fibromyalgia done in a mental health facility.  
165 AbstractEN:	 The deep anomalies which the current psychiatric nosography is facing and the proliferation of alternative and revolutionary proposals including the dimensional diagnosis, can be understood through a kuhnian analysis.  
166 AbstractEN:	 Retrospective study of the cases attended by the psychiatric emergency service in a general hospital during 6 years. Psychotic patients represent the main group, and there is an increase in patients with personality disorders. The main consultation topics were self/ hetero agressiveness, specially autolesive women and males showing agressive behaviour.  
167 AbstractEN:	 Three teenager offenders profiles are established according to the relationship between feelings of anger, psychopathology and substance abuse.  
168 AbstractEN:	 We report a descriptive study of the children and adolescents attended for the first time at the Mental Health Services of Aranjuez (Area 11, Community of Madrid) during the year 2004. A total of 314 new patients were reviewed. The aim of this study is double: on one hand, to describe the socio-demographic characteristics of these new patients and, on the other, to study the distribution of the diagnostic categories with respect to sex and age variables. In order to collect the data, we used the computerised program of the Mental Health Services of the Community of Madrid (Accumulated Registry of Cases).  
169 AbstractEN:	 Introduction: Coordination problems between primary care and mental health levels suggest the need to explore new ways to improve communication between both levels.  Procedures: A psychiatrist and a clinical psychologist in Alcalá de Henares, Madrid, moved to a primary care centre (experimental centre) once a week in order to assess patients referred by the general practitioners there and share afterwards their views with them. After 15 months working this way, general practitioners were given a survey about their satisfaction with their relation to mental health. Their answers were compared with those of the staff from another centre (control centre).  Outcome: the staff in the experimental centre valued more positively than the staff in the control centre the following aspects: quality of information received from mental health, amount of contacts with mental health, availability of mental health staff, specific formation on mental health and coordination with mental health staff.  Discussion: This experience shows how it is possible to develop an alternative way of coordination between mental health and primary care with which general practitioners feel highly satisfied. Methodological issues as well as possible ways for future works are discussed.  
170 AbstractEN:	 We performed a prospective research with the aim to assess the depression in acute stroke, and we identified resemblances between poststroke depression and the grief.  
171 AbstractEN:	 Currently, most extended and accepted psychiatric model is the so-called biological psychiatry, being Evidence-Based Medicine one of its most favourite tools. Without leaving aside criticism made to the model and those tool's flaws, we have wanted to set out if biological psychiatry itself and its supporters do really accept conclusions drafted by EBM, discussing some work's results, which we have considered interesting. We finish up with some personal opinions about the matter of, if it is not EBM, what or who is supplying power to the practice of biological psychiatry as it is carried out in our environment.  
172 AbstractEN:	 The Involuntary Outpatient Treatment make us to go beyond legal issues.  It give us the opportunity to dicuss psychiatric treatment under ethics terms.  
173 AbstractEN:	 Philosophical, theoretical and methodological foundations of the "third force" of Psychology are analyzed, from their origins to current theories of anxiety, viewed from an existential point of view.  
174 AbstractEN:	 From studies of a line of research on bereavement, made comments on his involvement in the evolution of different stages in the biographical and psychopathology.  
175 AbstractEN:	 The stigma (shameful mark or signal) attached to the diagnostic label or stay in psychiatric institutions holds serious consequences for the subjects, mostly social exclusion and restriction or denial of citizenship. We focus on the advanced character of the legislation in Spain and its de-stigmatizing and inclusive potentialities, as well as the persistence of significant barriers to its full implementation, in the form of resistances of those affected and their families, professionals and institutions related to mental illness.  
176 AbstractEN:	 Presents arguments for the debate about the assisted reproductive techniques that allow babies genetic "design" for treatment of brothers or sisters with incurable diseases and their impact on society and individuals.  
177 AbstractEN:	 This article contributes to the extra-academic reception of Michel Foucault's thought, referring to the psychiatric fight. The first antiinstitutional and antipsychiatric texts have been looked through, those which were read in Spain and were closely related to a part of Foucault's work, the interest and influence risen by Histoire de la folie among Spanish progressive psychiatrists have been particulary analysed.  
178 AbstractEN:	 The aim of this research is the analysis of the impact of the stressful life experiences lived through the teenager clinic cases in the Parla mental health services (Area 10, Madrid). Scanning which personality variables carry out gap responses due to stressful vital events, it allow us to understand better the reasons how teenager can hold up the life adversities, which deficits are associated to who have failed, and which measures have to be set up to reach effective intervention.  
179 AbstractEN:	 Levels of hostility and impulsivity in a sample of patients with Borderline Personality Disorder treated with DBT in a group setting.  Description and follow up.  
180 AbstractEN:	 We present a dementia case, diagnosed as Alzheimer type. Nevertheless, the final diagnosis of Whipple's disease was delayed.  
181 AbstractEN:	 In this case delusionary process reminds of our pacient's paranoid movie script writing.  
182 AbstractEN:	 The paper reviews all the assessment instruments available in Spanish in six areas: general psychosocial rehabilitation, needs, disability, quality of life, psychopathology and family burden.  
183 AbstractEN:	 This paper analyses the life and the work of J. N. Rosen, a controversial pioneer in the approach of psychosis from a psychoanalytic perspective.  
184 AbstractEN:	 The text gives an approximation to the gender contemporary theories from the analysis of transexuality and intersexuality. Gives a review as the current concepts from the biomedical perspective as the answer that is done from the field of the social sciences.  
185 AbstractEN:	 The aim of this study was know the effects of the cognitive subprograms of the IPT in patients with psychotic disorders. The experimental research measured the changes in the cognitive basic processes and, in turn, in symptomatology, social skills and problems resolution.  The participants were 32 patients in ambulatory treatment diagnosed of schizophrenia and schizoaffective disorder, divided in two conditions: experimental and control. The participants of the experimental group participated at IPT's program for six months, with the frequency of two weekly meetings. The group control did not receive any therapeutic program of rehabilitation.  The analysis of the measures pre-postest of the experimental group showed a statistically significant improvement in the cognitive symptomatology (M=4, 05 vs M=3, 60), affective (M = 4, 35 vs. = 4, 00) and denial (M=5, 00 vs M =.4, 75). As well as, in the cognitive performance (M =12 vs. M=13, 95), mainly in selective attention and auditory report. Finally, we found an improvement in the satisfaction with the life (M=55, 60 vs. M = 53, 67). The participants of the control group did not experience significant changes in any of the measured variables.  The results demonstrate the efficiency of the implementation of a program of integrated psychological treatment to the cognitive rehabilitation of the psychotic patients. The limitations and the implications are discussed for future applications of the IPT in this population.  
186 AbstractEN:	 The experience of the EMILIA project is explained and a global vision is offered so as to gain a better understanding about the "Expert by Experience" and user involvement in mental health, the implications for professionals, users and the health system.  
187 AbstractEN:	 The symptom acquires sense in the subject's biography, and it's made illness in the collective imaginary. From the symptoms that drew a clinical without anatomical representation, studying by Charcot in Salpêtrière, to fibromyalgia there is a long course of collective narratives. Each historical moment staged its representations, the mental illnesses, how to understand the family, the sexuality or the religious beliefs. Individuals tend to express discontent through meaningful ways to their own culture. There is no semiology of the mental illness building with non-behavioural signs, meaningless. We must escape from the trap of the DSM to work towards achieving a psychopathology to understand mental illness, allowing a clinical of subject in its diversity.  
188 AbstractEN:	 Time experience in normal and pathological psychology is described, and some contributions about the sense of time in addictive disorders and neurosis (obsessions and phobias).  
189 AbstractEN:	 The text suggests that what is today understood as the therapeutic community had its origin in Germany, more specifically in Tegel, Berlin.  
190 AbstractEN:	 Objectives: To contribute to the discussion about aetiology and risk factors of psychosis comparing the prevalence in general population and in "age of risk population" for schizophrenias and other psychoses on two neighbourhoods of Barcelona (Spain).  Method: We base our reflections in a transversal study about the results of an informatized case register of all the patients' with detected psychopathology in this geodemographic and assistencially differentiated area: 5 Basic Areas of Health (103.615 inhabitants).  Results: The total "psychopathological patients" detected were 21.536.  From them, 838 completed the restrictive criteria to be diagnosed as "schizophrenics " (476) or "affected by other psychoses" (362). Among the neighborhood charged with psychosocial risk factors and the other 4 adjacent basic areas of health, assisted for the same team, so much clinical as investigator, the incidence and the prevalence of the schizophrenia and other psychoses is twice as much, almost in each group diagnosis.  Conclusion: It seems necessary to keep in mind the great weight of the social and psychosocial factors to explain those differences of incidence and prevalence of the schizophrenia and the psychoses in different populations.  
191 AbstractEN:	 Introduction: The mainresults from the study "Mental Health in the population: images and realities" in the general population from the city of Seville are described. The present study is a replication of a previous one, performed in the last years in a number of French speaking countries by the WHO Collaborating Centre in Lille (France).  Methods: Cross-sectional descriptive study of 920 people aged more than 18 years , with two main instruments: a standardized diagnostic interview (MINI) and a socio-anthropological questionnaire.  Results and conclusions: We found a 19,4 % global prevalence of mental health problems in of the adult population, with the expected distributions of the different kinds of problems and sociodemographical variables. Social attitudes found were similar to those reflected in other studies on this topic, scoping from some archaic components derived from traditional images of "madness" to more modern notions such as "mental illness" and "depression". We conclude that this methodology may be a useful alternative to obtain local information that could permit to fight stigma and discrimination in mental health.  
192 AbstractEN:	 Introduction: Males with depressive disorders have a higher incidence of suicide, drugs and alcohol use, a higher level of general anger and they often refuse to professional treatment as well. They are included in worse prognosis population. That is the reason why fast detection and treatment is the main priority.  Method: This study describes an intervention protocol developed through three phases: 1) comprehensive psychopathological and functional evaluation, 2) combination of different types of psychological treatment (group and individual) as well as pharmacological treatment.  This intervention protocol is based on a communitarian vision of Mental Health. That includes an active participation of patients, their families and professionals due to an effective treatment two years long. 3) monitoring one year long to prevent relapses.  Results: data found and clinical global impression show a relevant decreased of depressive symptoms and improve on functional capabilities.  Conclusion: our intervention protocol allows us organize psychotherapeutic treatment in order to reach a higher efficiency.  
193 AbstractEN:	 In general Personality Disorders (PD) and Borderline Personality (BP) especially, don't have an easy boarding since: personality disorders are not considered a mental illness as such; a psychopharmacologic and psychotherapeutic ("integral boarding") treatment is needed, frequently in chronic form;and by the other side, is demostrated a lack of resources and studies at long-term. Also, there are difficulties in clinical practice for the managing patients with BP, especially for their own characteristics (impulsiveness, instability, ...) that, in many occasions, provoke countertransfer phenomena's difficult to control for the professional. This article tries to be a review of the BP and its integral treatment in the different levels welfare but centred on day hospitals. Generally, is in these devices where the most serious cases are treated and where the specific programs are well-established (but for the BP especially yes for the PD in general).  Finally to mention that in ambulatory level, in Mental Health Centers, specific groups for PD are realized as a part of its integral treatment in this level.  
194 AbstractEN:	 The aim of this paper is to reflect on the performance of a protected apartment, based on the analysis of an intervention in which expressed emotion situations were detected.  
195 AbstractEN:	 This article, based on the inquisitorial documents of Archivo Histórico Nacional analyses the inquisitors' and their assistants' madness point of view and, in some cases, how they used it to silence certain attitudes in the XVI and XVII centuries. In the first part of the article, madness manifestations and treatments are studied in the inquisitorial field. Mad defendant cases are analysed, essentially those ones, inquisitors did not consider to be politically dangerous because the defendants were not susceptible of spreading their ideas or making rivals. Besides, regarding mad defendants' admission, the strained relationship between the Toledo inquisitors and the chapter, on which this town's mental hospital (Hospital del Nuncio) depended, is also mentioned.  
196 AbstractEN:	 The psychological analysis and psychotherapeutic intervention for a patient with jealousy behavior are presented. The treatment applied follows a radical behaviourism approach, where the focus is put on the key components derived from the functional analysis performed and the particular Acceptance and Commitment Therapy strategies used.  
197 AbstractEN:	 Introduction: The 11th of March bomb attack in Madrid suponed a challenge for the madrilenian health sistem, due to the great number of affected and victims. This demand was specifically visible in the Mental Health Services of Alcalá de Henares, that by his geographic situation it had to do in front of great number of affected. The aim of this study is to know 2,5 years after the attacks the factors that the patients consider more have helped for overcoming this traumatic situation (resilience factors).  Material and Method: The sample was conformed for the patients that went to the Mental Health Services with a reason for consultation in relation to the terrorist attack, of legal age with a period of inclusion of 3 months and a half after the attacks. The final sample was conformed by 104 patients which was contacted by phone between the months of February and March of 2007 so tha they responded to 5 questions between it was regarding the resilience factors. The answers were transcribed literally and afterwards was elaborated a series of labels or categories that included all the answers.  Results: 78 of the 104 patients of the sample were contacted of whom 76 acceded to answer. The resilience factor more mentioned was the sociofamiliar factor followed of the treatment factor and thirdly the individual response to the trauma and the own characteristics of the individual, other resilience factors were mentioned to a lesser extend.  Conclusions: Our findings emphasizes the importance of the sociofamiliar factors as the factors of greater utility for the readjustment after a traumatic experience, as the majority of the studies agrees. It is remarkable that the variables associated with the treatment although are the second factor of valued resilience more mentioned only was mentioned by ten patients of the sample, which seems to indicate a greater importance of sociofamiliar support for overcoming a traumatic experience and a smaller utility for the patients of this sample of the sanitary treatment and of other factors of resilience.  
198 AbstractEN:	 The reasons for paying for sex were studied in a sample of 138 Spanish clients by means of a self-administered questionnaire. Factor analysis made it possible to identify six factors as reasons for paying for sexual services. These factors account for 80.4% of variance and have been labeled Company, Need, Fun, Risk, Domination and Speed. Four of them are significant and explain, through a regression analysis, the number of times they pay for sex: these factors are Company Speed, Risk and Domination. Some of the characteristics of the clients are associated with these factors: current age, age at time of first encounter with a prostitute, sexual orientation and relationship history over the last six months. Only one of the sexual practices, insertive anal intercourse, is associated with the motivational factors, specifically with the factors Need, Risk and Domination.  
199 AbstractEN:	 Introduction: Anxiety disorders are one of the more prevalent in general population. This study reports one group experience targeting patients with anxiety disorders, mainly on Generalized Anxiety Disorder.  Method: Group psychotherapy described is developed through 12 biweekly sessions. Treatment focuses on active coping of stress events, encouraging the purchase of new psychological resources and considering the relational aspects involved in the maintenance of the disorder.  Results: Results are promising considering discharge after the intervention and recovery of normal activity. Data support continuing this modality of intervention in our public health system.  
200 AbstractEN:	 It's supported the need to consider the difference between the real, symbolic and imaginary parent that is described by psychoanalisis in the diagnostic evaluation of the "parental competency". The absence of these concepts can imply abrupt and shallow evaluations which are excessively focussed in phenomenological aspects.  
201 AbstractEN:	 By analyzing the literary work of the German writer Unica Zürn, the author seeks to account for the mental causation of her insanity. The three autobiographical texts worked out this analysis are: The trapezium on destination and other stories, The man of jasmine.  Impressions from a mental illness and Dark spring.  
202 AbstractEN:	 This article reflects on the influence of biopsychosocial factors on the psychofarmacology of depressive disorders, with relation to both diagnosis and prescribing habits. Whilst recognising that biological factors predominate in the present day, it highlights the need for an understanding of social and psychological factors in daily prescribing practice.  
203 AbstractEN:	 This article's second part puts forward the fate of those mad defendants inquisitors considered likely to spread their prophecies and slanders. Essentially, the article analyses certain cases where inquisitors used madness as a power means to exclude, isolate and get rid of them, once and for all. Besides, cases where particularly dangerous slanderers were deemed to be possessed by the devil and finally punished are also studied. Despite being considered mad, slanderers' madness was not believed to be a reason to exempt them from their blame.  
204 AbstractEN:	 Diogenes syndrome is a fascinating object of study for clinicians who have been described mainly in elderly and characterized by extreme self-care neglect, accumulation of garbage and useless objects, self-neglect, social isolation and zero marking Insight. So far the research in this area is scarce, even the validity of the diagnosis have been questioned. Between a third and half present suffer from dementia (usually associated with frontal disturbances in frontotemporal dementia) or some type of mental disorder (most commonly schizophrenia, personality disorder, affective disorder or alcoholism) . The following describes a case of a Diogenes syndrome, which is particularly interesting given due to the extreme conditions of self-neglect of this syndrome in a young person who has a cocaine addiction on a character pathology compatible with Joint Disorder Personality.  
205 AbstractEN:	 Background: The aim of the current research has been comparing the effectiveness of a brief psychotherapy with the usual treatment of Common Mental Disorders in Mental Health Centers (MHC) of Asturias. The present article describes the rationale, design and procedures of the study. Initial outcome findings are reported by FernándezMéndez et al (in press).  Subjects and method: Two hundred and sixteen patients over the age of 14 were selected at random among those who consulted for the first time in six MHC and were diagnosed of depressive, anxiety or adjustment disorders. One hundred and forty-one fulfilled the inclusion criteria and agreed to take part in the study; they were assigned at random into two groups: brief integrative-eclectic psychotherapy (n = 76) or usual treatment in the MHC (n = 65). Their results have been compared at 6, 12, 24 and 36 months against diverse indexes of clinical improvement, psycho-social functioning and sanitary indirect indicators. Information has been obtained from the Psychiatric Cases Record, the Clinical History and from the patients. The following instruments have been used: the Clinical Global Impression of Improvement scale, the Sheehan Disability Inventory and a Satisfaction Survey.  
206 AbstractEN:	 Attachment Theory has provided important concepts to explain human relationships; nevertheless, the use of this theory is often very simple and doesn't respect its key concepts. Three theoretical aspects to take into consideration are analyzed: the attachment classification, the transmission of attachment patterns along the generations, and the attachment disorders. Also, three important opened matters about attachment are reviewed: the right definition of the concept, its use in practical settings (assessment and treatment), and the limits of the concept. Finally, attachment is set in a wider context where inter-subjectivity occupies a main place to understand human behavior.  
207 AbstractEN:	 Different international strategies and actions to tackle stigma are reviewed. From the experience of the Andalusian strategy "1 in 4", which started in 2005, the authors state several aspects which should be taken into account when working to improve the social image of the mental illness that appears in the media.  
208 AbstractEN:	 The aim of the paper is to know the movements of psychiatric patients from the Provincial Hospital of Madrid to different psychiatric and no-psychiatric institutions during the Spanish civil war (1936-1939).  The documental material referred to patients' movements was found in the Regional File of the Community of Madrid (XII-1936 a IX-1938).  First, mental patients must travel long distances to the Mediterranean coast to Psychiatric institutions in Alicante, Murcia or Almeria. They also went to Psychiatric Institute of Alcalá de Henares or to Saelices (Cuenca), along 1937 and 1938. It was also necessary to use, enclosed religious institutions as Almagro's one and a real resort as The Isabela in Guadalajara.  
209 AbstractEN:	 Socio-cultural aspects were decisive in immigrant patient management, evaluation, diagnosis and treatment. We present the case of a Nigerian male who is brought to Valme Hospital Emergency Department for behavioral disorder and self-inflected injury in public spaces.  
210 AbstractEN:	 Background: The aim of the current research has been comparing the effectiveness of a brief psychotherapy with the usual treatment of Common Mental Disorders in Mental Health Centers (MHC) of Asturias. The general background of this study has already been described by Fernández-Méndez et al (2010) and readers are referred to that article for details regarding rationale, design, treatments and procedures of the study.  Subjects and method: Two hundred and sixteen patients over the age of 14 were selected at random among those who consulted for the first time in six MHC and were diagnosed of depressive, anxiety or adjustment disorders. One hundred and forty-one fulfilled the inclusion criteria and agreed to take part in the study; they were assigned at random into two groups: brief integrative-eclectic psychotherapy (n = 76) or usual treatment in the MHC (n = 65). Their results have been compared at 6, 12, 24 and 36 months against diverse indexes of clinical improvement, psycho-social functioning and sanitary indirect indicators. Information has been obtained from the Psychiatric Cases Record, the Clinical History and from the patients. The following instruments have been used: the Clinical Global Impression of Improvement scale, the Sheehan Disability Inventory and a Satisfaction Survey.  Results: Brief psychotherapy was more effective than usual treatment: it resulted in a higher number of discharges and subjects show greater improvements in clinical status and disability, and greater satisfaction. These differences occur both at 6 months to one year and two years of starting treatment. Furthermore, although the average number of sessions is equal in both groups (about six), time-wise the psychological treatment lasted much less.  Conclusions: Psychotherapy has proven a viable and effective treatment for most cases consulted at the MHC.  
211 AbstractEN:	 Along Lacan's work it's usual to find several diagrams that can be understood as an attempt to conceptualize some aspects of the psychoanalytic theory. The latter ones must be clear, at least from the theoretical point of view, to be able to a properly psychoanalytic work. At this time, we are going to centred on one of them: schema L, whose presentation take place at one of Lacan's seminar about the ego position in Freud's theory and which catch the eye of specialist of that time. It's also an original way of expound the performance of the inter- subjective relations in its connections with the language. In the first part of this work we study the components of the "schema L" and two of the main relations among themselves that form the two axis: "imaginary" and "symbolic". Lacan consider these to be in opposition since they interfere with each other so that the unconscious message is broken by the imaginary relation between the ego and its equal "the other".  
212 AbstractEN:	 This work aims to study nourishment habits of adult population who consults in a Mental Health Service, as well as establish relations among food habits and clinical and demographic variables and the satisfaction level to the own nourishing pattern, weight and body image. For it we used a observation design with a sample of 175 patients (being 39,7 % new cases) that consult in the Mental Health Center of Parla between February and June 2009, being 29,1 % males and 70,9 % women. We used a heteroapplied proctocol for data collection.  The grouped distribution of diagnoses was: 25,7 % affective disorders, 18,9 % neurotic disorders, 28,6 % adaptative disorders, 8% personality disorders, 9,1 % psychotic disorders, 4 % eating disorders and 5,7 % remaining other diagnoses. The variety of food turned out to be incomplete (average of plates in the food: 1,83, S.D.: 0,66; average of plates in the dinner: 1,44, S.D.: 0,64). We found a significant and positive correlation (p < 0,01) in the preference of certain food (vegetables, fruit, vegetables, fish, on the one hand; and noodles, meat, cold cuts, for other one). The average CMI was 25,48 (D.T.: 4,93). We found significant differences ((χ2:31,94; p=0,004) as for the satisfaction with the own image depending on the diagnosis, being the eating disorders the most unsatisfied group (71,4% slightly satisfied), followed by personality disorders (64,3 %) and neurotic disorders (42,4 %). We conclude that exist deficiencies in the organization, quantity and quality of the food habits of the patients, so it would be necessary to give more attention for its improvement.  
213 AbstractEN:	 Fetal death in pregnancy, during delivery or in the days after birth is a sensible topic, influenced by several factors. The loss can trigger grief reactions in parents as well as situations difficult to manage by health care workers. This grief, which receives scant consideration, can complicate and give rise to psychiatric disorders. It is necessary to know the significance of perinatal loss from the parents' perspective not to make the mistake of displaying paternalist attitudes or relying on dogmatic guidelines that consider all parents equal in the face of losses to which they attach different meanings.  
214 AbstractEN:	 Traditionally, delusion has been considered a wrong belief. This is due to the fact that the construct of delusion has been based on an error of judgment that influences the inference that an individual with delusion makes about specific facts regarding empirical reality. The present study describes a conceptualization of beliefs from the perspective of theory of knowledge and explores the similarities and differences between these and delusion. The conclusion is that delirium constitutes not a wrong belief but a wrong knowledge.  
215 AbstractEN:	 This paper presents the study of variables associated to the group treatment (10 sessions of 75 minutes) of 24 adult subjects (23 females and 1 male) divided into four therapy groups during the years 2007-2009 with a diagnosis of complicated grief (DC), evaluated through Prigerson Scale (cutoff> 24) (Prigerson, 1995, Spanish Translation Olmeda and García, 2006), belonging to the Mental Health Team Vallecas Villa (ESM). The patients were sent by their primary care physician to assess and treat symptoms consistent with complicated grief; in other cases the DC was detected in the early evaluation interviews, or along the psychiatric or psychotherapeutic treatment by professionals from ESM.  Once finalized the group treatment (TG) becomes to pass the Scale of Prigerson obtaining results statistically differents in the scores, indicated that complicated grief improvement significantly in the subjects that have received group psycotherapy.  
216 AbstractEN:	 We present a clinical picture of mutism, akinesia and stupor with fever and urinary retention in a 65-year-old woman, as an example of catatonia. The catatonic symptomatology has been established as a syndrome which can have multiple etiologies, both medical and psychiatric. Beside that, pharmacological, toxic and organic precipitant factors have been described. Therefore a multidisciplinary approach is required to make more precise the etiological diagnosis.  Many authors point out that this syndrome is underdiagnosed. During the assessment, diagnosis and treatment of this patient, we found that there is lack of clear and updated diagnostic criteria, as well as evidence-based treatment algorithms. Benzodiazepines and ECT are first line treatments, along with supportive care and prevention of complications. Other non-protocolized strategies have been published as an alternative in refractory cases.  
217 AbstractEN:	 In the second part of this work we try to present the global function of the "schema L" and also to show its application in the psychoanalytical work. In this sense, it's in social relationships where the ego gets the leading role as the subject remains excluded from them, resulting in a lack of communication.  The treatment we provide must scape from those parameters trying the imaginary to facilitate the unconscious subject display going through ego's interferences.  To carry out this procedure properly according to Lacan's teaching lets the "true word" flows between the patient and the analyst as a "subject" to "subject" meeting, contrary to what occurs in social relations in which the connection goes from "ego" to "alter ego".  To get this purpose, the analyst must take the place of a radical "Other" and not the specular "other".  
218 AbstractEN:	 The following article explains a structured group psychological intervention in patients from the Pain Unit of Hospital Universitario de Getafe. The members of the group suffer from different chronic pain pathologies. This program was developed as a collaboration among the Mental Health Service, the Pain Unit and the Rehabilitation Service.  The aim is to teach coping strategies related to feelings and negative thoughts about pain. In addition, the intervention tries to provide an active attitude towards the illness.  
219 AbstractEN:	 In difference to some fundamental categories that run over the history of psychopathology, the incorporation of the anguish to the nosographic frame of the psychiatry will occur in a tardy manner, in spite of its clinic relevance, starting its redefinition, during the second half of the XIX century.  The present work will identify problems related to the semantic and etymological field of the anguish, to examine later on, the theses supported by Kierkegaard regarding the object and the temporality involved in this experience. It will be postulated that these philosophical references will be the keys to the redefinition and the inscription of the problem in the psychopathological field, being able to prove its influence in the emotional delirium, agoraphobia and fear to the spaces categories and the distinction between fear and anguish, as formulated by Karl Jaspers.  
220 AbstractEN:	 Aim: This study has aimed to evaluate the efficacy of group psychotherapy in the evolution of first episode psychosis.  Methods: By means of a naturalistic study, we compared the evolution of 37 first episode psychoses after 6 years. Twelve came to group therapy and the rest received conventional treatment. Evaluation interviews were conducted at admission, one and 6 years. The methods used were PANSS, GAF, Grip on Life and a standardized semi-structured questionnaire.  Results: The results at the end of the study were significantly better for patients who received group therapy for both symptomatic (positive-PANSS, negative-PANSS) and functional outcome (GAF, grip on life).  Conclusion: Psychotherapeutic interventions, including group therapy, favors the recovery of the psychotic patient not only regarding specific symptoms but also in their overall functioning.  
221 AbstractEN:	 This text deals with the difficulty of constructing a psychopathology including subjectivity. It explains the epistemological criteria which have prevailed in the institutionalization of child's psychopathology, and it discusses the problem of a clinical practice which is aimed at the construction of subjectivity and the formation of the self. For this purpose, three key issues of the metaphorisation's process will be analyzed: the experience of knowledge, love and the word.  
222 AbstractEN:	 Introduction. Objective: To study the validity of each of the items DSM-IV for the diagnosis of the Attention Deficit Hyperactivity Disorder (ADHD), and to look for a reduced model of items that allows predicting ADHD.  Subjects and methods: We use the information of an epidemiological study on ADHD with a sample of 1095 children. 6.6 % are ADHD cases.  ADHD cases are defined according to ADHD RS-IV and clinical criteria DSM-IV. Controls are defined by exclusion.  Results: The model of logistic regression that better predicts the inattentive phenotype is composed by the items of the ADHD RS-IV (parents' version) 1, 3, 9, 15 and 17 (Sensitivity: 96.7%, Specificity: 81.5%); the hyperactive / impulsive phenotype by the items 2, 4, 10, 12, 14 and 16 (Sensitivity: 96.6%, Specificity: 81%) and the combined phenotype by the items 9, 10, 12, 14 and 15 (Sensitivity: 100%, Specificity: 82.6%). A reduction of 66 % of the items in the combined phenotype is detected.  Conclusions: It is possible to reduce the list of ADHD symptoms with suitable levels of validity and all the items should not have the same weight at the moment of making diagnostic decisions.  
223 AbstractEN:	 In this paper concepts and theories related to gender identity are reviewed. We subsequently discuss different approaches to treatment and conception of what's known as Gender Indentity Disorders. Some experts, professionals and transgender associations agree in considering transsexualism as a mental disorder. Others consider it a Sex Differentiation Disorder, while others demand depathologization of the foretold Gender Identity Disorder.  
224 AbstractEN:	 Although some second generation antipsychotic agents reduce the risk of extra-pyramidal adverse effects against first generation agents, they have been associated to an increased incidence of metabolic syndrome.  This syndrome is characterized by insulin resistance, abdominal obesity, atherogenic dyslipidemia (hypertriglyceridemia, decrease of HDL-cholesterol/ LDL-cholesterol ratio), arterial hypertension and a prothrombotic and proinflammatory state. Metabolic syndrome increases significantly the risk of cardiovascular illness and premature death.  Therefore, a multidisciplinary approach to that syndorme's prevention and treatment could result in a substantially impact upon the general state of patients meetings its criteria. We emphasize current physiopathological findings, increased risk with polytherapy (second generation antipsychotics and both second and first generation combination), current diagnostic criteria and monitoring of patients at risk. Our aim is to contribute to an early detection that possibilities implementation of pharmacological and non pharmacological multidisciplinary interventions.  
225 AbstractEN:	 With this paper we pursue a careful consideration about the role and the influence of the pharmaceutical industry on nowadays psychiatry by reviewing and analyzing four capital aspects: the medical and scientific education we receive and provide, as well as its bias; the contemporary psychiatric nosography and its probable evolution considering the oncoming DSM-V; the effectiveness and side effects of the drugs we prescribe, measured by independent studies not provided by the pharmaceutical companies that sell these drugs; and last but not least, the pharmaceutical expenditure we cause with our prescriptions, trying to elucidate whether this expenditure is justified considering the global economic crisis we are living. Finally, we summarize our review and our professional and personal experience in some conclusions to define the relationship between the pharmaceutical industry and the practice of psychiatry, providing, from our humble point of view, some solutions for what we consider a problematic situation of psychiatry.  
226 AbstractEN:	 Objective: To analyze the differences between socio-demographic variables, inpatients and outpatients of individuals assessed in a community mental health center (CMHC) with or with no diagnosable mental disorders according to ICD-10 (mental disorder or Z code).  Method: Design: comparative description. Scope: urban area. Population: all patients referred to the Salamanca Mental Health Service (n =1187).  Variables: sociodemographics, clinical and health service utilization gathered through clinical interview, GHQ-28, SCL-90-R and an expectations scale.  Results: Among the mental patients there are more singles, a lower level of education, they are diagnosed by female professionals more frequently, and they have priority referals. Moreover they have mental health history more frequently, they arrive at the mental health service with psychopharmacological treatment administered often and after the evaluation they are discharged less frequently than Z code.  Mental disorders are given more weight in all the SCL-90-R indexes studied. Vital occurrences were out of control more often in mental disorders than Z codes at the time of evaluation.  Conclusions: The socio-demographic differences between both populations are finite like in previous studies. In our research both patient groups have fewer clinical visits than in international studies, but more prescribed medication at the time of the evaluation, especially in Z codes. It appears that mental patients lack social skills or the ability to stressful life events and, therefore, are more vulnerable than Z codes.  
227 AbstractEN:	 The aim of this paper is to analyze the contribution of philosopher of science Ian Hacking to the cultural history of psychiatry. Based on ideas proposed by this author, as "transient mental illness" or "making up people", some reflections on the socio-cultural construction of mental illness are offered. The examination and discussion the two case studies proposed by Hacking, dissociative fugue and multiple personality, allow to identify the weaknesses and strengths of his approaches and its applicability to the history and theory of psychopathology.  
228 AbstractEN:	 Depressive disorders constitute a very heterogeneous group of clinical syndromes which includes from depressive syndromes of doubtful clinical significance to very severe and disabled disorders of high risk for life. The depressive episode and major depression categories, according to diagnostic criteria, are also very heterogeneous and vague entities.  The "depression" term, widely used in scientific literature, is excessively ambiguous.  In spite of this clinical heterogeneity, there is a striking uniformity in therapeutic management of depressive syndromes, based excessively in anti-depressant drugs. Development of practice guidelines including not only biological but psychotherapeutic and psychosocial techniques is needed. Pharmacologic treatments should be restricted to more severe depressive episodes.  
229 AbstractEN:	 This article analyzes the way in which academic Psychology conceives its method and object of study in the new plans of degree. The ideological fundamentals of these plans are studied. Their basic lines are: an explanatory non theoretical approach supported by the simplification of the matters of the cause; the exclusion of subjective dimension; the priority of statistical analysis and the omnipresence of the term health. In short, it is paradoxicalally a direction that avoids more and more the field of the psychic. This conception is linked with some features of the prevailing social speech, where the ideal of evaluation and transparency are accompanied by a negation of the individual. Finally the serious clinical consequences of this trend are considered. Some assessments about how it cannot stop being a psychological learning opened to the clinic of the subject are suggested.  
230 AbstractEN:	 Through this article we try to show the validity of psychoanalysis as social criticism, following a route since beginnings to present days.  These pages intend to review the different usages of concepts like superego, libido and sublimation by three important schools of thought linked to psychoanalysis (Freudian, Lacanian and school of Frankfurt) among three historical moments. The relevance today of these concepts is used in order to ask the same big question: Uneasiness in socialized man.  
231 AbstractEN:	 In this work we try to explain different approaches to the case of a patient, whose illness is assumed to be caused by an organic impairment. To that end we use Kurt Schneider's and Karl Jasper's writings as theoretical backgrounds, in an attempt to avoid an approach that only considers causes, favouring, rather, another that accounts for the patient's experience.  
232 AbstractEN:	 Objective: The shift from a model of care to a rehabilitation model in Extended Care Psychiatric Units, which aim to generate profiles of users with severe and enduring mental illness in which takes into account both the degree of clinical involvement and/or psychosocial functioning and the level of institutionalization (measured from the hospital stay), all in order to propose a possible model for the reorganization of users based on these criteria.  Method: On the one hand, it has taken into account the variable years of admission into the institution in order to have a measure of nstitutionalization y a measure that reflects potential difficulties of returning to the community. Moreover, we have used a variable to take into account clinical factors related to psychosocial functioning and that is the Global Assessment Functioning Scale -GAF- (Axis V of DSM-IV-TR). Based on the variables discussed there has realized a cluster analysis using the statistical package SPSS 19.0 Results: Cluster analysis performed shows the existence of four different size groups for all users. These four groups define prototypes profiles of patients admitted to an Extended Care Psychiatric Unit: 1) Institucionalized Dependents, 2) Institucionalized Independents, 3) Non Institucionalized Dependents, and 4) Non Institucionalized Independents.  Conclusions: The interest and usefulness to classify users in different levels according to their psychosocial functioning is reflected in improved opportunities for individual treatment, adapting to the needs of care, assistance and therapy of the users.  
233 AbstractEN:	 Objective: Identify and quantify possible differences in current functioning, social and family characteristics and data development among children and adolescents diagnosed with ASD school age (from 3 to 16 years) Area Centro La Mancha attending special schools (SS) and those attending hospital day (HD).  Material and methods: Observational study, which explores the differences between the two models of care. We selected children diagnosed with ASD between 3 and 16 years living in the area Mancha Centro. Tests assessed intellectual functioning (Weschler, ABC Kauffman), adaptive skills (Vine-land), language skills (Peabody) and performance characteristics (CARS). The assessment of each child was conducted by an independent researcher.  Results: We recruited 40 patients, 31 males and 9 females (ratio 3,4:1) with a mean age of 10.9 years (range 3 to 16 years). 29 cases were treated exclusively in HD and 11 SS centers. Children attended in the HD had a higher frequency of disorders in pregnancy and childbirth and personal and family history morbid. The test results showed a higher level in all areas evaluated in children seen in HD, with statistically significant differences in language development, adaptative behavior and some areas of functioning measured by the CARS.  Conclusions: This preliminary study shows that he model of care received in the Day Hospital is associated with a tendency to develop more favorable in children with SAD.  
234 AbstractEN:	 Existential psychiatry should draw itself away from the philosophy of conscience so as to articulate not only a knowledge-based relationship but also a therapeutic one. Nonetheless, the phenomenological method which was ment to assist it lies in knowledge as understanding and does not give account for knowledge as action of being in relationship. This submission to conscience is uncovered in contemporary Existential Analysis through the psychopathology of a split subject beyond hope of cure. In another reading aware of its methodological limits, phenomenology keeps to the task of clearing a meeting place. Following the directions of the philosophy of existence, founded by S0ren A.  Kierkegaard and culminated in late Heidegger, it offers a possible way to establish a relationship beyond knowledge.  
235 AbstractEN:	 Some contemporary approximations to subjectivity appeal to conceptual connections between neurosciences and psychoanalysis. The present work describes from an epistemological point of view the difficulties those approaches show, arguing that, even if subjectivity can be thought properly from both disciplines, each of them ought to do it separately and needs a particular concept to account for subjectivity. A dialogue between neurosciences and psychoanalysis could ultimately be useful if each perspective is founded in a solid, empirical and epistemologically appropriate methodology.  
236 AbstractEN:	 This paper analyses the thinking of R. D. Laing, one of the fathers of so the so-called anti-psychiatric movement, for whom madness represented a rational reaction against irrationality and the technological debasement of human beings.  
237 AbstractEN:	 We describe a brief psychotherapy experience made on a 48 year old man admitted to the Hospital Units for Acute Mental Health Patients. This psychotherapeutical model is directed to work the patient's emotions, making his feelings the therapeutic focal point. The main objective of this brief psychotherapy was the acquisition of better management of the patient's emotions and feelings. We aim at gaining useful psychotherapeutic tools where time is a major handicap.  
238 AbstractEN:	 We will discuss in the present article a very interesting case. This is a patient of 32 years old with a peculiar premorbid personality, who at least during his two previous psychiatric admissions has developed an intriguing psychopatology and behavior disorder; these aspects, his biography and the way he related with staff members and other patients make us think it can arouse curiosity among readers as well it did among staff members of the Psychiatry Department at Hospital Provincial of Toledo. We thought of 2 possible diagnosis, Dissociative Disorder versus Malingering but we think the second one fits better in a box of Acute Polymorphic Psychotic Disorder without symptoms of Schizophrenia(1).  
239 AbstractEN:	 The aim of this paper is to present an 88 year old man who has suffered in the last three years from three episodes of hyponatremia due to SIADH in relation to use of serotonin reuptake inhibitors (SSRIs), all of three which have required hospitalization. In two of these episodes the patient was receiving concomitant therapy with thiazide diuretics, being the antidepressant drug sertraline the one involved, and in one of the three episodes the patient was treated with citalopram without there being any concomitant diuretic therapy. We review the risk factors for this complication, the literature and provide recommendations for control.  

