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The prevalence of mental health disorders has significantly increased in recent years, posing substantial challenges to healthcare systems worldwide, particularly primary care (PC) settings. This study examines trends in mental health diagnoses in PC settings in Catalonia from 2010 to 2019 and identifies associated sociodemographic, clinical characteristics, psychopharmacological treatments, and resource utilization patterns.
Methods
Data from 947,698 individuals without prior severe mental illness, derived from the Data Analytics Program for Health Research and Innovation (PADRIS), were analyzed for this study. Sociodemographic data, diagnoses, and resource utilization were extracted from electronic health records. Descriptive statistics, chi-square tests, Mann–Whitney tests, and a multivariate binary logistic regression were employed to analyze the data.
Results
Over the study period, 172,112 individuals (18.2%) received at least one mental health diagnosis in PC, with unspecified anxiety disorder (40.5%), insomnia (15.7%) and unspecified depressive disorder (10.2%) being the most prevalent. The prevalence of these diagnoses increased steadily until 2015 and stabilized thereafter. Significant associations were found between mental health diagnoses, female sex, lower socioeconomic status, higher BMI, and smoking status in a multivariate binary logistic regression.
Conclusions
This study highlights a growing burden of stress-related mental health diagnoses in PC in Catalonia, driven by demographic and socioeconomic factors. These findings may be indicative of broader trends across Europe and globally. Addressing this rising prevalence requires innovative approaches and collaborative strategies that extend beyond traditional healthcare resources. Engaging stakeholders is essential for implementing effective, sustainable solutions that promote mental health in Catalonia and potentially inform similar initiatives worldwide.
Chapter 8 analyses the use of AI and ADM tools in welfare and surveillance through the lens of critical race studies. Aitor Jiménez and Ainhoa Nadia Douhaibi point to the necessity of building a non-Anglocentric theoretical framework from which to study a new global phenomenon: the digital welfare and surveillance state. Accordingly, the authors frame its rise within the wider context of the Southern European iteration of racial neoliberalism, what they coin as the Islamophobic Consensus. As the chapter demonstrates, the digital welfare and surveillance state does not rely on the same technologies, focus on the same subjects, and pursues the same objectives in every context. On the contrary, it draws on contextual genealogies of domination, specific socioeconomic structures, and distinctive forms of distributing power. The authors provide an empirical analysis on the ways the Islamophobic Consensus is being operationalised in Catalonia and expose the overlapped racism mechanisms governing the lives of racialized black and brown young adults. The chapter demonstrates how ADM technologies designed to govern “deviated”, “risky”, and “dangerous” Muslim youth “radicals” connect with colonial punitive governmental strategies.
The chapter is structured in two parts. The first part analyses the surveillance-governmental automated apparatus deployed over Islamic communities in Catalunya. The second part frames the ideological, epistemological, and historical fundamentals of the Southern European way to racial neoliberalism, here labelled as the Islamophobic Consensus. Drawing on surveillance and critical race studies, the authors synthesise the defining features that distinguish this model of domination from other iterations of neoliberal racism.
The COVID-19 pandemic was a critical event that has challenged regionalist-secessionist parties to maintain their dominance at the regional level, because it has questioned the attractiveness of the idea of independence for the electorate. Nevertheless, the results of the regional elections 2021 in Catalonia and Scotland brought about the success of regionalist parties with secessionist demands. This study analyzes regionalist parties’ strategies in the 2021 regional elections in Catalonia and Scotland, advancing our understanding of their strategic choices to get/remain in office. This study employed the Regional Manifesto project methodological approach to perform a manual content analysis of party positioning and selective emphasis. Additionally, it advances the distinction between blurring and subsuming strategies through a frame analysis of electoral campaigns. The results suggest that regionalist parties mainly use subsuming and two-dimensional strategies to gain electoral success and that the exact strategic choices depend on the structure of the competition. The research confirms the framing of territorial demands primarily in socioeconomic rather than political terms, as proposed by the FraTerr Project. However, regionalist parties have avoided radicalizing their social demands owing to the influence of the COVID-19 pandemic.
This piece aims to assess the potential contribution and the scope and structure of a Catalan Centre for Business and Human Rights to supervise the fulfilment of the corporate responsibility to respect human rights and to hold businesses operating in Catalonia accountable for human rights abuses within the autonomous community and abroad. It also examines how this proposal fits into the regional and national regulatory landscape for mandatory human rights due diligence.
Chapter 7 investigates the reception of, and approach to, new speakers in Catalonia and Galicia. There is considerable evidence of a buy-in to the need to integrate new speakers and thus not only boost the profile of the respective language but also add to social cohesion in an increasingly multicultural and multilingual context. Particular attention is paid to the role of the Voluntariat per la Llengua programme in Catalonia.This pairs indigenous speakers with Catalan learners, several of whom migrated to Catalonia from Africa and Asia. Not only are the linguistic skills of the migrants improved by the programme but so also is the level of social cohesion and integration into the host community. Neofalantes in Galicia offer a quite distinct version of the new speaker phenomenon involving dual or mixed identities, ideological tension and challenges to official policies as to how best to represent the needs and demands of this small but very active section of society.
La Verge de Montserrat is a statue of the Virgin Mary and her son found in Catalonia in the eleventh century in which both characters are depicted as “Black.” This female figure occupies a particular position in current Catalonia since she is considered the patron saint of the country and constitutes one of the symbolic cornerstones of Catalan nationalism. Through the concept of “iconic path,” this article tracks the formation and evolution of this image in Catalonia from its inception until the present day, bringing special attention to the roles and significances that it has acquired within the context of the current pro-independence movement. We also draw a comparison between the “lives” of this image in Catalonia and its development in other countries, namely Puerto Rico, Equatorial Guinea and Sardinia. In each of these places, the image of the goddess has been reinterpreted according to local viewpoints. Yet these conceptualizations are not fixed or homogeneous, but radically dynamic and problematic. The iconic paths of images diverge and converge across time giving birth to new creative exercises. Through this approach, our aim is to propose a relational and processual model for the study of religious images, and images in general, as historical objects.
This letter studies the impact of past violence and repression on current territorial preferences in a contemporary democracy. Does a violent past lay the grounds for pro-secessionist preferences, or does it lead individuals to cling on to the territorial status quo? We study whether exposure to the events of the Spanish Civil War and its immediate aftermath made people more or less likely to support Catalan secession from Spain. Our analysis employs a dataset that combines a large N of individual-level survey data with historical data about repression and violence in each Catalan municipality. Findings indicate that current preferences for secession tend to diminish among the oldest Catalan generation that was exposed to higher levels of violence in their municipality. Most crucially, we show that exposure to violence created a sense of apathy towards politics among the oldest cohort, which eventually leads to a lower predisposition to support secession, a feeling that was not transmitted to subsequent generations. Our findings qualify some of the existing knowledge on the effects of past political violence on present political attitudes.
This study focuses on Catalan cabinet ministers in democratic Spain with a view to understanding what function they perform in the central government: regional ambassador or state agent? To this end, this analysis draws on a sub-dataset comprised of 22 Catalan cabinet ministers taken from a general pool of 220 cabinet ministers and 371 ministerial appointments from 1977 to 2021. Our findings demonstrate, first, that no Catalan cabinet minister has ever reached the position of Prime Minister and Catalans constitute a kind of ministerial “middle class” occupying intermediate positions in the cabinet. Second, the examination of career paths and publications of Catalan ministers shows that their role varied according to circumstances. Third, in this article we argue that those variations can be best interpreted as a delegation between principal and agent relying on two main variables, namely the type of party they belong to in Catalonia and the parliamentarian majority sustaining the party controlling the Spanish cabinet.
Chapter 7 considers languages that are less translated from and into than other languages. Focusing on institutional translation, it examines the translation regimes of the United Nations, the European Union, selected multilingual states and selected multilingual regions within or without multilingual states, focusing, in the first case, on Spanish with respect to English and French in the UN system; in the second case, on translation in several EU institutions; in the third case, on the asymmetric interpreting regime of the Spanish Senate, in which Spain's minority languages may be translated from but not into, and there is no translation at all between minority languages; and, in the fourth case, on multilingual regions like Catalonia and South Tyrol.
Many festivals and celebrations take place worldwide on a regular basis. What is of special interest to us is not only the nature of those diverse festivities but also their origin and evolution. How did those festivals begin? How and why might they have changed over time? Several intriguing festivals in Spain provide fertile material for attempting to answer these questions. Four Spanish festivals stand out for their uniqueness and audacity: the Running of the Bulls in Pamplona, made famous by Ernest Hemingway in his 1926 novel The Sun Also Rises; the tomato-throwing festival (La Tomatina) in Buñol; the construction of Human Towers in Catalonia; and, the Baby Jumping festival in Castrillo de Murcia. To one degree or another, the origins of these unforgettable celebrations involve religion, color, risk, and serendipity.
Catalonia is another major case that appears to connect trade to municipal governance and bottom-up organization, a connection exemplified by its history after the fourteenth century. This chapter shows that these developments are also predicated on a prior period of institutional learning under strong counts, by examining the key variables in this account. It shows how early representative activity did not include towns or relate to taxation. It examines the role of the count in the pacification of the county and in the provision of justice. It then shows how functional fusion occured in the central representative institutions, the Corts, and how territorial anchoring was stronger than in Castile but weaker than in England. Power over the nobility is shown through an analysis of their fiscal obligations. As a result, the municipal structure of Barcelona that has elicited the assessment of a strong constitutional tradition in a bottom-up mode is shown to be preceded by a precocious period of institution-building under strong counts.
One of the largest nationwide bursts of the first COVID-19 outbreak occurred in Spain, where infection expanded in densely populated areas through March 2020. We analyse the cumulative growth curves of reported cases and deaths in all Spain and two highly populated regions, Madrid and Catalonia, identifying changes and sudden shifts in their exponential growth rate through segmented Poisson regressions. We associate these breakpoints with a timeline of key events and containment measures, and data on policy stringency and citizen mobility. Results were largely consistent for infections and deaths in all territories, showing four major shifts involving 19–71% reductions in growth rates originating from infections before 3 March and on 5–8, 10–12 and 14–18 March, but no identifiable effect of the strengthened lockdown of 29–30 March. Changes in stringency and mobility were only associated to the latter two shifts, evidencing an early deceleration in COVID-19 spread associated to personal hygiene and social distancing recommendations, followed by a stronger decrease when lockdown was enforced, leading to the contention of the outbreak by mid-April. This highlights the importance of combining public health communication strategies and hard confinement measures to contain epidemics.
This chapter works out what seems to be a paradox: secession, a process of splitting and division of Member States can lead to strengthening solidarity. The research question is whether a claim of secession contravenes per se the founding European value of solidarity enshrined in Article 2 (TEU). After a brief introduction, the chapter analyses the concept of secession, its meanings, effects and moral implications of a process of withdrawing from a EU Member State. It follows by analysing the concept of solidarity and its EU legal-politico perspectives. It finally concludes by presenting an alternative vision to the dominant presumption that considers that self-determination from a democratic state implies necessarily an egoist economic and political reason.
The tenth chapter explores the practice of self-coronation in the kingdom of Aragon. It centres on Peter the Ceremonious’ self-coronation in Zaragoza (1336), where the king implemented a conscious triple strategy to ensure that his ceremony, performed previously by his father, King Alfonso IV the Benign (1328), would not remain an isolated gesture but would become tradition. First, he constructed an autobiographical historical account that would serve as the primary version of the event. Second, he fixed the rites of self-coronation by writing a new ceremonial. Third, he propagated an iconographic tradition through images of himself in miniatures, seals and coins – and, above all, of his gesture of self-coronation. Historiography, liturgy and iconography are brought into play by the king so as to perpetuate the memory of his self-coronation and thus ensure, through repetition, its transformation from an isolated event into a consolidated practice and part of inherited tradition. The chapter finishes with an analysis of the successive self-coronations performed by Peter’s successors.
This chapter examines how different political groups organized the rural sector during the Second Republic. Socialism remained heavily influenced by orthodox Marxism, and their policies centred almost exclusively on improving the living standards of the landless labourers, a group that represented just 5 per cent of Spain’s active population. Both large and small family farmers had to pay higher wagers at a time of weak farm prices and technical difficulties to increasing farm output.The legislation of the first republican-socialist coalition governments of 1931 and 1932 threatened traditional property rights and religious privileges, finally drawing both the Church and rural elites into mass party competitive politics. While a small but influential sector never accepted either the 1931 Constitution or a democratic republic, a new conservative party (CEDA) attracted support from across the country in defence of property rights, the Church, and Spain’s political unity. By 1933, it claimed around 800,000 members. The chapter ends by showing how the significant regional land-tenure regimes helped develop strong regional political movements in Galicia and Catalonia.
Debates on nation, self-determination, and nationalism tend to ignore the gender dimension, women's experiences, and feminist proposals on such issues. In turn, feminist discussions on the intersection of oppressions generally avoid the national identity of stateless nations as a source of oppression. In this article, I relate feminism and nationalism through an intersectional framework in the context of the Catalan pro-independence movement. Since the 1970s, Catalan feminists have been developing theories and practices that relate gender and nationality from an intersectional perspective, which may challenge hegemonic genealogies of intersectionality and general assumptions about the relation between nationalism and gender. Focusing on developments made by feminist activists from past and present times, I argue that women are key agents in national construction and that situated intersectional frameworks may provide new insights into relations among axes of inequalities beyond the Anglocentric perspective.
It is somewhat rare to be able to analyze the membership of an early medieval women's religious community in any detail. Sant Joan de Ripoll, which operated from the late ninth century until 1017 at modern-day Sant Joan de les Abadesses in Catalonia, provides not just this opportunity but the even rarer chance to evaluate the nuns’ command of writing, by means of a single original charter of 949 that several of them signed autograph. This article argues that the signatures of these nuns indicate that they had in fact been taught to write before joining the nunnery. They are thus a source for female lay, rather than religious, literacy in this time and area. Consolidating this, the article provides a prosopography of the known nuns derived from the other charters of the nunnery's part-surviving archive, including tracing some of their careers beyond the 1017 dissolution of the house. This shows that the members of the comital family who had founded the house and provided several of its abbesses were not otherwise frequent among the nuns; rather, the nunnery recruited from the local notables in its neighborhoods, to whose interest in female literacy these signatures therefore testify. Such support could not prevent the closure of the house, however, and the article closes with a reflection on the agency available to the nuns in a political sphere dominated by male, secular interests.
Most of the Catalan vineyards were cultivated by means of sharecropping contracts that granted the sharecropper ownership rights over the land. This paper maintains that the “bundle of rights” view of property is not the most appropriate for analysing situations of this kind. It shows that, from around 1900 onwards, sharecroppers’ rights became insecure, which gave rise to a series of dysfunctions that resulted in the contract no longer being optimal. It concludes that the removal of the inefficiencies arising from shared ownership was a sufficient reason to justify the agrarian reform that the Catalan Parliament sought to introduce in 1934.
Following an ambiguous constitutional compromise for democratization, the territorial decentralization of the Spanish state developed by means of political party competition, exchanges, and bargaining. Hence, the so-called state of autonomies was characterized as “non-institutional federalism” [Colomer, Josep M. 1998. “The Spanish ‘State of Autonomies': Non-institutional Federalism.” West European Politics 21 (4): 40–52]. In the most recent period, competition and instability have intensified. New developments include, on one side, attempts at recentralizating the state and, on the other side, demands and mobilizations for Catexit, that is, the independence of Catalonia from Spain, which resulted in sustained inter-territorial conflict. This article addresses these recent changes with a focus on the relations between the Spanish and the Catalan governments. The political changes were analyzed as a result of opportunities and incentives offered by a loose institutional framework and the subsequent competitive strategies of extreme party leaders.