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Saturday, November 7
 

1:30pm EST

Psychiatric Discourse, Identity, and the Production of Difference (In-Person Only)
Saturday November 7, 2026 1:30pm - 2:30pm EST
Psychiatric Discourse, Identity, and the Production of Difference
  • 1:30-2pm Psychiatric Discourse and the Boundaries of Belonging - Michelle Goodwin
  • 2-2:30pm From Grief to Possibility: Thinking Queer Theory with Psychosis - Brett Thatcher

Psychiatric Discourse and the Boundaries of Belonging - Michelle Goodwin
This presentation examines how psychiatric discourse influences belonging by shaping how experiences of distress come to be understood as "mental illness." Psychiatric discourse refers to the language and interpretive frameworks of the biomedical paradigm through which experiences of distress are interpreted and responded to. Rather than assuming psychiatric diagnoses provide the primary explanation for distress, they are situated within the broader social, historical, and political contexts from which they emerged. In doing so, psychiatric discourse locates responsibility within individuals while obscuring the social conditions that shape both distress and its interpretation.

Using qualitative research and Critical Discourse Analysis, psychiatric diagnoses are examined as extending beyond clinical description to influence identity. These diagnoses affect how people are understood and responded to, with consequences for identity and experiences of belonging. Drawing on the work of Patricia Hill Collins, Audre Lorde, and Gloria AnzaldĂşa, the analysis situates psychiatric discourse within broader systems of power that construct difference and organize social and symbolic boundaries. Within this framework, psychiatric knowledge is understood as emerging through broader systems of power that privilege particular ways of knowing distress while marginalizing others. White supremacy is examined as one of these structuring forces, influencing how distress is interpreted, judged, and responded to, as well as how individuals labeled as mentally ill are understood by others and understand themselves.

Rather than locating distress within the individual, "mental illness" is reframed as emerging within the tensions of the social world, shaped by relations of power, exclusion, and belonging. This perspective opens space for responses grounded in connection, dignity, and collective

From Grief to Possibility: Thinking Queer Theory with Psychosis - Brett Thatcher
Grounded in Saketopoulou’s (2022, 2023) psychoanalytic reconsideration of our relationship to trauma in theory and practice - what she calls a traumatophilic approach, this presentation offers the provocations of Queer Theory to our thinking about psychosis. By allowing habituated notions to be unsettled by attention to the margins and inviting clinicians to “inhabit unease” (Amin 2017), this paper gestures toward a generative disturbance of the norms that discipline mental health. A selection of voices in Queer Theory (Amin, Halberstam, McRuer, Chambers-Letson, and others) will be utilized to draw attention to the frequently oppressive nature of the normativity used to deny social cohesion for those with psychotic experiences. More than just deconstructing the policing of these neoliberal logics, attention will be paid to the possibility of a more livable world, the world as it could be.
Speakers
avatar for Brett Thatcher, LICSW

Brett Thatcher, LICSW

Clinician, Gould Farm
Brett Thatcher (he/him), LICSW, is a clinician at Gould Farm and a psychotherapist in private practice.  He has Masters degrees in theological studies and social work from Boston College and has completed postgraduate training in intersubjective psychotherapy and mentalization-based... Read More →
avatar for Michelle Goodwin, PhD, LMHC

Michelle Goodwin, PhD, LMHC

licensed mental health counselor, adjunct professor, social researcher, community member
Michelle Goodwin, PhD, LMHC is a licensed mental health counselor with over a decade of experience in community-based settings across Massachusetts. Her work has been shaped by years inside traditional psychiatric systems, where questions of dignity, voice, and belonging became central... Read More →
Saturday November 7, 2026 1:30pm - 2:30pm EST
Breakout Room #2

3:00pm EST

Beyond Pathology: Meaning, Spirituality, Culture, and Connection (In-Person Only)
Saturday November 7, 2026 3:00pm - 4:30pm EST
Beyond Pathology: Meaning, Spirituality, Culture, and Connection (In-Person Only)
  • 3-3:30pm God, Psychosis, and Blackness: Methodological Reflections from a Grounded Theory Study - Candice NunnTelfort, PhD   
  • 3:30-4pm Becoming Creative Architects of the Stories of Our Lives: Making Meaning Through the Symbols in Psychosis Through Honoring the Content of Our Madness - Jennifer Gaita Siciliano, MST
  • 4-4:30pm Psychosis, Relationality, and Reconnection in a Time of Poly-crisis - Michelle Boyle MA, PhDc, Katie Mottram, MSc

God, Psychosis, and Blackness: Methodological Reflections from a Grounded Theory Study - Candice NunnTelfort, PhD    
There has long been an enduring relationship between God and psychosis, from the seminal case of Daniel Paul Schreber to contemporary discussions of religious visions, voices, and spiritual experiences within psychiatric discourse. For the Black participants in my grounded theory study on Blackness and psychosis, this relationship emerged in distinctive ways, as Blackness mediated both their experiences of God and their experiences of psychosis. Participants described divine encounters, spiritual suffering, and theological meaning-making that challenged conventional distinctions between religious experience and psychopathology. This presentation explores the grounded theory methodology used to analyze these narratives and demonstrates how qualitative research can illuminate the intersections of Blackness, psychosis, and religious experience.

Becoming Creative Architects of the Stories of Our Lives: Making Meaning Through the Symbols in Psychosis Through Honoring the Content of Our Madness - Jennifer Gaita Siciliano, MST
Storytelling is what builds worlds in our minds, so becoming one's own architect in the story of one's own life is essential in making meaning of our psychosis. Treating psychotic experiences as meaningful is threatening to the biomedical model of madness, as the patient never knows what is real. To show the richness of this error in assumed hierarchy, I will share my personal story of my Near-Death-Experience on a flight home from India in 1994, which led to my bipolar sentence of forced drugging and involuntary hospitalizations for the next three decades. Ultimately, the only way to find my way back home to my sanity was through learning to interpret and trust the voices of my guides—a Star-Trekkian angel squad in an alternate universe that got me safely home from India. Today's psychiatric medicine is not in the practice of guiding the spiritual initiate home to healing after shamanic dismemberment, and instead, pathologizes the state of distress while ignoring the content in a wakeful dream state. Oftentimes, a fear of the mad--or psychophobia--prevents deep explorative work in areas of symbolic interpretation. For creatives, this dreamy state is where inspiration sits, and many of us who unexpectedly find ourselves in that ethereal zone collecting our bits and pieces of symbolism in order to tell our stories, get lost along the way. When I entered these states, the symbolic messages were highly personal, and always meaningful, as they contained premonitions of psychic memories of the people of yesterday who walked the same path.Fear on the part of the mental health professional also strongly dictates the course of treatment, often crushing an artist's ability to feel deeply or create because of overmedicalization. In this talk, I aim to share the needs for better social treatments beyond drugs and provide evidence of cultural engagement programs that have shown success in positive outcomes in helping people share their stories through art, theater, and community connection. For me, launching my Not As Crazy As You Think Podcast was instrumental in my final recovery stage, as the podcast shares the message that states of mental distress are not the result of individual pathology but manifest as a sign of guidance to redirect our lives.     

Psychosis, Relationality, and Reconnection in a Time of Poly-crisis - Michelle Boyle MA, PhDc, Katie Mottram, MSc
Dominant mental health frameworks continue to locate experiences labelled as psychosis within the individual, obscuring the relational and social contexts from which they emerge. Building on ISPS traditions that understand psychosis as a response to social alienation, this presentation extends the concept of relationality beyond the human domain to include ecological and more-than-human worlds.In a dialogical format, Michelle Boyle and Katie Mottram weave lived experience voices, real-life scenarios, and interdisciplinary theory to explore how experiences commonly pathologised as psychosis may also be understood as gestures toward re-connection - at the intra, inter and trans-personal level. Many such experiences point not only to disrupted interpersonal bonds, but to altered or intensified forms of relationship with the land, the environment, and the more-than-human world.We place these contemporary experiences alongside broader socio-historical processes, not simply as withdrawal from the self and the social, but as attempts to reconstitute forms of coherence in the wake of our current poly-crises. At the same time, we consider the role of trauma in spiritual emergence and extreme states, asking how deep wounding may become intertwined with experiences of meaning, identity, belonging and vocation. Rather than reducing such experiences to pathology, we explore how they may contain initiations of unrealised capacities and ways of relating that seek healing expression, raising important questions about how individuals and communities might support processes of emergence in ways that foster healing - both for the individual and the collective. Giving consideration to Indigenous and other relational cosmologies, we ask: what might it mean to understand psychosis not only as a response to social disconnection among humans, but as an expression of a deeper rupture in the web of relations? And how might therapeutic, communal, and cultural practices shift if the restoration of connection extended beyond the interpersonal to include the more-than-human world?Attending to these questions may also open toward emerging forms of collective understanding and care in a time of deepening social and ecological strain, where experiences at the margins can illuminate both present fractures and possibilities for renewed relational life.                                          
Speakers
avatar for Candice NunnTelfort, PhD

Candice NunnTelfort, PhD

Assistant Professor of Psychology, Culture, and Spiritual Care, Iliff School of Theology
Candice M. NunnTelfort, Ph.D. (they/them), is Assistant Professor of Psychology, Culture, and Spiritual Care at Iliff School of Theology. Their academic formation spans Garrett-Evangelical Theological Seminary, Vanderbilt Divinity School, and Lincoln University, a Historically Black... Read More →
avatar for Jennifer Gaita Siciliano, MST

Jennifer Gaita Siciliano, MST

Arts Educator, Podcaster, Writer, Artist, Not As Crazy As You Think Podcast
Jennifer Gaita Siciliano is the creator, host, and producer of Not As Crazy As You Think Podcast, fighting for the disenfranchised and often ignored voices of psychiatric survivors. An expert by lived experience offering an alternative view on mental illness, Jennifer challenges today’s... Read More →
avatar for Katie Mottram, MSc

Katie Mottram, MSc

consultant, Imroc
Katie Mottram has spent over 25 years working in the mental health field. Over time, she became increasingly frustrated about the limits of conventional psychiatric approaches and began exploring the rich intersection of trauma, spirituality, and human transformation. As a founding... Read More →
avatar for Michelle Boyle PhDc

Michelle Boyle PhDc

Managing Editor of the European Journal of Psychoanalysis and Assistant Editor of ReVision: Journal of Consciousness and, California Institute of Integral Studies
Michelle Boyle is a doctoral candidate in East–West Psychology at the California Institute of Integral Studies. Her dissertation explores ancestral healing and intergenerational trauma and draws on fieldwork conducted as a visiting researcher at the University of Torino, Italy... Read More →
Saturday November 7, 2026 3:00pm - 4:30pm EST
Breakout Room #2

5:00pm EST

Beyond the Individual: Systems, Crisis, and the Social Conditions of Distress (In-Person Only)
Saturday November 7, 2026 5:00pm - 6:00pm EST
Beyond the Individual: Systems, Crisis, and the Social Conditions of Distress
  • 5-5:30pm Mental Health Crisis: Whose Crisis Is it, Really? - Zephyr Doles, MA, LMSW
  • 5:30-6pm Disordered Systems, Not Disordered Selves: Isolation and Institutional Power in First-Person Accounts of Psychosis - Ashley Phillips, MA, MT-BC

Mental Health Crisis: Whose Crisis Is it, Really? - Zephyr Doles, MA, LMSW
What is a “mental health crisis”? Is it a problem of the individual, or a larger breach of social norms; an illumination of the failures of a fractured society; a metaphor for the alienation produced by intensifying pressure on the individual within a society that increasingly serves the needs of corporations over people? Mental health crisis response has been a major topic in the intersecting fields of social work, psychology, and community mental health over the past decade, particularly in the wake of the COVID-19 global pandemic and other crises of our time. However, much of the existing literature has focused on comparing the efficacy of various current mental health emergency response models without specific regard to how the crises of the individuals served reflect broader, social and historical crises and institutional failures. In my project, I will critically examine how by focusing interventions entirely on the pathology of the individual, current definitions of “mental health crisis” represent a failure of containment, not just of the individual, but of the broader social, political and historical contexts that contribute to psychological distress. By failing to integrate the social, historical, and political dimensions of psychological experiences that may present as a mental health crisis in an individual, current prevailing concepts of mental health crisis are prone to reproduce the harms of the psychiatric establishment and the provision of services under the neoliberal welfare state, rather than alleviate them. In conclusion, by carefully situating the current “mental health crisis” as it is understood as a defining issue of our time within the backdrop of global polycrisis, my project will introduce new ways of seeing mental health crises not as failures of broken individuals, but as representations of larger social processes that alienate and disconnect vulnerable populations from themselves and from society at large.

Disordered Systems, Not Disordered Selves: Isolation and Institutional Power in First-Person Accounts of Psychosis - Ashley Phillips, MA, MT-BC
Dominant frameworks often conceptualize psychosis as a pathology existing within the individual, minimizing the social dimension and placing responsibility for isolation on individuals experiencing psychosis. Existing research suggests that these individuals experience profound isolation, but these experiences are often reduced to symptoms rather than understood as meaningful responses to fractured social worlds.This presentation explores experiences of isolation in psychosis, with a focus on the ways that social standards and institutional power shape experiences of isolation and belonging. The exploration uses an existential-phenomenological perspective to thematically analyze 17 published first-person accounts of psychosis. The findings of this study suggest that psychosis can be understood as a response to and reflection of disordered systems, not disordered selves. By positioning psychosis within the social and institutional link, this presentation challenges dominant models of psychopathology and explores implications for clinical practice that prioritize subjective meaning, reflexivity, and liberation.
Speakers
avatar for Zephyr Doles, MA, LMSW

Zephyr Doles, MA, LMSW

Social Worker, B-HEARD, NYC Health + Hospitals
Zephyr Ann Doles, MA, LMSW is a clinical social worker, community mental health worker, writer, independent scholar, and interdisciplinary artist. Her work critically examines the intersections of culture, identity, mental health, and social justice, particularly concerning systems... Read More →
avatar for Ashley Phillips, MA, MT-BC

Ashley Phillips, MA, MT-BC

Clinical Psychology Student, William James College
Ashley Phillips, MA, MT-BC is a doctoral student at William James College, currently completing a PsyD in clinical psychology. Her clinical and scholarly work focuses on de-pathologizing psychotic experiences using existential, phenomenological, and liberation perspectives. Ashley... Read More →
Saturday November 7, 2026 5:00pm - 6:00pm EST
Breakout Room #2
 
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ISPS-US Annual Conference 2026
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