From Womb to Neighborhood: A Racial Analysis of Social Determinants of Psychosis in the United States

The authors examine U.S.-based evidence that connects characteristics of the social environment with outcomes across the psychosis continuum, from psychotic experiences to schizophrenia. The notion that inequitable social and economic systems of society significantly influence psychosis risk through proxies, such as racial minority and immigrant statuses, has been studied more extensively in European countries. While there are existing international reviews of social determinants of psychosis, none to the authors' knowledge focus on factors in the U.S. context specifically-an omission that leaves domestic treatment development and prevention efforts incomplete and underinformed. In this review, the authors first describe how a legacy of structural racism in the United States has shaped the social gradient, highlighting consequential racial inequities in environmental conditions. The authors offer a hypothesized model linking structural racism with psychosis risk through interwoven intermediary factors based on existing theoretical models and a review of the literature. Neighborhood factors, cumulative trauma and stress, and prenatal and perinatal complications were three key areas selected for review because they reflect social and environmental conditions that may affect psychosis risk through a common pathway shaped by structural racism. The authors describe evidence showing that Black and Latino people in the United States suffer disproportionately from risk factors within these three key areas, in large part as a result of racial discrimination and social disadvantage. This broad focus on individual and community factors is intended to provide a consolidated space to review this growing body of research and to guide continued inquiries into social determinants of psychosis in U.S. contexts

Assessing connective understanding with visual and verbal tasks

.The role of temporal and causal connectives is relevant in reading comprehension. Children with comprehension difficulties have problems in interpreting these connectives (e.g. Amidon, 1976; Feagans, 1980; Pyykk\uf4nen, Niemi and J\ue4rvikivi, 2003; Trosborg, 1982). The Adaptive Learning System (ALS) TERENCE aims to develop children\u2019s comprehension through the use of adaptive visual and verbal games. Within this framework, the purpose of this study was to assess connective comprehension with three visual and verbal tasks. Two hundred and eight English and Italian children participated in this study. The main results show that the use of pictures does not always support comprehension. Moreover, less skilled children perform better at simultaneous connective \u201cwhile\u201d compared to the temporal sequential connectives (before, after) and causal (because) ones