[Psychiatric reform in Navarre: 20 years on]. / La reforma psiquiátrica en Navarra: 20 años después.

This article provides a brief description and some reflections on the history of what is commonly called the psychiatric "reform" in Navarre. The aim is not to set out numerical data (and much less of an exhaustive character), but rather to emphasise the key events of that reform, and to perhaps offer an interpretation of the spirit that underlay the changes. Without doubt, there will be a degree of subjectivity in the choice of the aspects dealt with here and there are other dynamics and actions that are very influential. The choice has been motivated by consideration of what I have been closest to, what I have been most concerned with, and, of course, what has seemed most relevant. Nor does the cited bibliography attempt to be exhaustive, nor does it contain all the important works, only those that have served to support this text.

[Analysis of comorbidity between alcohol dependence syndrome and pathological gambling in patients receiving treatment in mental health centres]. / Análisis de comorbilidad entre síndrome de dependencia del alcohol y ludopatía en pacientes en tratamiento en centros de salud mental.

BACKGROUND: A study is made of the comorbidity, observed in the clinical practice in public mental health centres, between the disorders caused by the use of alcohol and those caused by gaming. METHODS: A sample of 132 patients who showed a diagnosis of "Alcohol dependence syndrome", receiving treatment in the mental health centres of the Autonomous Community of Navarra was studied. Once the diagnosis of Alcohol Dependence Syndrome was confirmed, the "South Oaks Gambling Screen" was employed in Spanish validated version. RESULTS: 23.5% of the patients studied, with confirmed alcohol dependence, achieved scores within the range indicating "Probable problem player" (5.3%) and "Probable pathological player" (18.2%). The association was confirmed between problems of gambling and civil status. Separated and divorced persons and widows showed more problems with gaming. CONCLUSIONS: Almost a quarter of the patients who showed "Alcohol dependence syndrome" have, or have had problems with gaming. It is important to bear this reality in mind, as well as the possible presence of other associations, when dealing with the problem of alcohol (from prevention, through evaluation and up to treatment).