The elevated rate of psychotic symptoms in isolated, inner-city Black populations is well established. This presentation will review the available evidence that this amplification in psychosis-like symptoms is mediated by childhood trauma, disorganized attachment, and social defeat. These three variables combine in early childhood to create a pattern of dissociative coping strategies. Undiagnosed dissociative spectrum illness is mediating the increased rate of psychosis-like symptoms in these disadvantaged, minority communities.
Case material will be used to highlight this phenomenon.
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