METHODS: Theories and findings in cultural neuroscience are summarized to provide a theoretical background for understanding how the environment can impact brain development and organization. The literature on disparities in education, economics, and health disparities between Whites and minoritized groups was reviewed for institutional biases that place minoritized groups at a disadvantage. These topics were selected due to their known impact on brain organization and cognition. This was followed by a similar review for access to competent neuropsychological assessments for minoritized patients.
RESULTS: There is a confluence of institutional discriminatory processes that contribute to disparities in education attainment, economic status, health disparities, and accessibility to culturally informed neuropsychological services. Perceived discrimination has significant health and cognitive ramifications.
CONCLUSIONS: Intersectionality is germane to appreciating brain functioning and providing competent services to minoritized patients. Recommendations were made to incorporate intersectionality in clinical neuropsychology.
方法:总结了文化神经科学的理论和发现,为理解环境如何影响大脑发育和组织提供了理论背景。关于教育差距的文献,经济学,并对白人和少数族裔群体之间的健康差异进行了审查,以了解机构偏见,这些偏见使少数族裔群体处于不利地位。选择这些主题是由于它们对大脑组织和认知的已知影响。随后进行了类似的审查,以获得针对小型患者的合格神经心理学评估。
结果:体制歧视过程的融合导致了受教育程度的差异,经济地位,健康差异,以及获得文化知情神经心理学服务的机会。感知歧视具有重大的健康和认知后果。
结论:交叉性与了解大脑功能和为小型化患者提供称职的服务密切相关。建议将交叉性纳入临床神经心理学。