Abstract：
OBJECTIVE: Intersectionality is the interface between a person\'s identities in relation to social systems and institutional discrimination. The concept has generated much interest in psychology for understanding societal inequities and providing culturally informed services to minoritized patients but has yet to be incorporated in clinical neuropsychology. This omission is unfortunate as it is argued that appreciating the impact of institutional discrimination on minoritized groups can enhance our understanding of brain organization and functioning and bolster access to competent neuropsychological services to minoritized patients. The purpose of this article is to illustrate how intersectionality is germane to the discipline of clinical neuropsychology and to make recommendations for infusing it into the practice.
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.
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.
摘要：
目的：交叉性是一个人的身份与社会制度和制度歧视之间的接口。该概念引起了人们对心理学的极大兴趣，以了解社会不平等现象并为小型化患者提供文化知情服务，但尚未纳入临床神经心理学。这种遗漏是不幸的，因为有人认为，认识到机构歧视对少数群体的影响可以增强我们对大脑组织和功能的理解，并为少数群体患者提供合格的神经心理服务。本文的目的是说明交叉性如何与临床神经心理学学科密切相关，并提出将其注入实践的建议。
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。
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。
