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A Decolonial Approach to Case Formulation: Pragmatic Applications for Therapeutic and Political Action - Daniel José Gaztambide, PsyD (Webinar live online)
This presentation will use a decolonial lens to review current thinking in psychoanalytic case formulation that addresses a) intrapsychic functioning (Davanloo’s feeling-anxiety-defense model), b) interpersonal dynamics (Luborsky’s wish-response of other-response of self), c) personality structure (Kernberg’s level of personality organization), and d) structural forces (Raque and Meisels’ structurally informed case formulation). Drawing on an integration of Freudian, relational, and decolonial perspectives, the presentation will explore evidence-informed and theory grounded principles for attending to the intrapsychic, interpersonal, and sociocultural dimensions of clinical experience. Specifically, a decolonial approach to case formulation informs how the clinician draws upon specific tools and interventions to attend to a) intrapsychic functioning (defense work), b) the patient’s contribution to relationships (transference work), c) the therapist’s contribution to the therapeutic relationship (rupture-repair work), and d) how each of these are grounded in wider relational and sociocultural realities (“social” work). Put differently, such an approach to case formulation not only clarifies to what extent clinical phenomena is “due to personal/interpersonal” factors versus “sociocultural” factors (to the extent these can be separated), but also helps clinicians distinguish between experiences of trauma and sociocultural marginalization that require accompaniment, and the defensive, avoidant uses of such experiences which require confrontation. In sum, such an approach supports clinicians in being socioculturally responsive to patients’ needs without losing sight of intrapsychic and interpersonal contributions to their struggles.
Target Audience
______ Introductory ___X___ Intermediate ______ Advanced
Learning Objectives
- Attendees will integrate and apply case formulation models for addressing a) intrapsychic functioning, b) interpersonal functioning, and c) the sociocultural context.
- Attendees will distinguish between unconscious systems for navigating interpersonal relationships and attachment, and unconscious systems for navigating matters of status, identity, and power.
- Attendees will apply distinct interventions for addressing a) sociocultural contributions to the patient’s struggles, b) the therapist’s contributions the patient’s struggles, and c) the patient’s contributions to their struggles.
Daniel José Gaztambide, PsyD, is assistant professor of psychology at Queens College, where he is the director of the Frantz Fanon Lab for Decolonial Psychology, and a faculty member in the Department of Critical Psychology at the CUNY Graduate Center. He is the author of the books A People’s History of Psychoanalysis: From Freud to Liberation Psychology, and the recent Decolonizing Psychoanalytic Technique: Putting Freud on Fanon’s Couch, which received a 2024 Gradiva Award for Best Book. He is in analytic training at the NYU Post-Doctoral Program in Psychotherapy and Psychoanalysis, and is the recipient of multiple fellowships including a Mellon Foundation Fellowship and a Miranda Family Fellowship for his research on colonial mentality and the application of psychoanalytic treatment to diverse populations. His recent paper, “Standing against racial capitalism: Reconsidering psychology’s role in dismantling systemic racism,” was published in a recent special issue in American Psychologist on addressing racism in psychology. This work is an extension of his service as a Taskforce member at the APA’s Taskforce on Strategies for the Elimination of Racism, Discrimination, and Hate, for which he received a presidential citation for his work.
Austen Riggs Center Inc. adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. All those at Austen Riggs Center involved in the planning of this activity, including the presenter(s) listed above, report they have no relevant financial relationships with an ineligible company*.
The views and opinions expressed in this presentation are those of the presenter(s) and do not necessarily represent the official policy or position of the Austen Riggs Center.
* An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Available Credit
- 1.00 AMA PRA Category 1 Credit™
ACCME - As a Jointly Accredited Organization, The Austen Riggs Center, Inc. designates this learning activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 APA
As a Jointly Accredited Organization, The Austen Riggs Center, Inc. designates this learning activity for 1.00 continuing education credit(s) (CE) for psychology. Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
Austen Riggs Center, Inc. is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0115.
- 1.00 ASWB-ACE
As a Jointly Accredited Organization, The Austen Riggs Center, Inc is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organization, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Austen Riggs Center maintains responsibility for this. Social workers completing this Webinar live will receive 1.00 continuing education credit(s).
Austen Riggs Center, Inc is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0843.
- 1.00 Contact Hours/ ParticipationA certificate of attendance for all Learners.