This paper shows how the community of Latin-American and Spanish psychiatry represents a solid platform for the so-called 'continental thought' to meet the analytical Anglo-Saxon thought. It reviews what both Latin America and the Spanish and Portuguese languages represent in the American continent; the relation between Spanish psychiatry and Spanish-speaking psychiatry in America during the twentieth century; the reality of psychiatric research and profession in Latin America; the evolution of Spanish psychiatry in the twentieth century from the post civil war diaspora to the beginning of the twenty-first century, and research on mental health in Spain and the foreseeable future.