BackgroundRemission and recovery rates for people with first-episode psychosis (FEP) remain uncertain.AimsTo assess pooled prevalence rates of remission and recovery in FEP and to investigate potential moderators.MethodWe conducted a systematic review and meta-analysis to assess pooled prevalence rates of remission and recovery in FEP in longitudinal studies with more than 1 year of follow-up data, and conducted meta-regression analyses to investigate potential moderators.ResultsSeventy-nine studies were included representing 19072 patients with FEP. The pooled rate of remission among 12301 individuals with FEP was 58% (60 studies, mean follow-up 5.5 years). Higher remission rates were moderated by studies from more recent years. The pooled prevalence of recovery among 9642 individuals with FEP was 38% (35 studies, mean follow-up 7.2 years). Recovery rates were higher in North America than in other regions.ConclusionsRemission and recovery rates in FEP may be more favourable than previously thought. We observed stability of recovery rates after the first 2 years, suggesting that a progressive deteriorating course of illness is not typical. Although remission rates have improved over time recovery rates have not, raising questions about the effectiveness of services in achieving improved recovery.

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Building Transnational Networks tells the story of how a large and diverse group of civil society organizations joined forces to contest free trade negotiations in the Americas. Based on qualitative research and social network analysis carried out in Brazil, Chile, Mexico, Peru, the United States, and Canada, it presents original data on twenty years of collective action within and across national boundaries. The author shows that the most effective transnational actors have strong domestic roots and that "Southern" organizations are key actors in trade protest networks. Such networks remain vulnerable to changes in national political contexts and to tensions stemming from enduring asymmetries among actors. These fi ndings offer new understandings of the challenges of transnational collective action.

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