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Sunday November 8, 2026 11:00am - 12:00pm EST

Psychosis as a Social Relation: Phenomenology, Ecology, and the World We Create
  • 11-11:30pm Can We Live Together?: A Phenomenological Perspective on the Sociogenic Roots of Psychosis and the Soteria Model for Community Liberation - Drew Madore, Sebastián Hernández-Del Valle, Yveton Isnor
  • 11:30-12pm An Ecological Approach to Generalized Psychosis: Emancipatory and Reactionary Potentials - Caleb Scott

Can We Live Together?: A Phenomenological Perspective on the Sociogenic Roots of Psychosis and the Soteria Model for Community Liberation - Drew Madore, Sebastián Hernández-Del Valle, Yveton Isnor
To render as alien realities which are distinct from the consensual - to render madness meaningless in what we commonly call "psychosis" - is to render illegible that which can be understood. This panel will discuss a phenomenological understanding of psychosis as a disruption at the level of the self-world relation, with particular attention to the ways in which the social matrix itself can create psychic suffering and become a pathogenic - or, sociogenic - force. We will highlight the ways in which this sociogenic force is enacted both at the level of the social and at the level of the institutional within biomedical/psychiatric systems, particularly within coercive models of treatment that fuel epistemic injustice and ontological harm. We will draw upon this understanding to elucidate the basis for a social “treatment” for psychosis and to provide an overview of the history of such treatments, with particular emphasis on the contemporary example of soteria communities. We will also discuss the empirical basis for soteria as a treatment model that has been found to be more effective than “treatment as usual” within the biomedical/psychiatric system.

An Ecological Approach to Generalized Psychosis: Emancipatory and Reactionary Potentials - Caleb Scott
Drawing on Lacan’s structural account of psychosis, Guattari’s three ecologies, and a critical analysis of social reproduction, this presentation proposes a framework for understanding psychosis not as evidence of an individual brain disease but as a condition traversing the mental, social, and environmental registers simultaneously. Beginning from the structural distinction between the facilitative and symbolic functions, the argument extends this logic across registers — treating capitalism as a determining force that actively fragments autonomous communities and subordinates heterogeneous social drives and symbolic expressions to the single logic of wage labor and financial extraction. This produces at the social level the same rigid objectification and collapse of symbolic anchoring that precipitates breakdown in the subject. Psychosis, on this account, is neither celebrated nor demonized but understood as a structural opening: the dissolution of a foreclosed symbolic order creates conditions for new meaning-making and new political possibilities, even as the same rupture invites paranoid closure and reactionary reconsolidation. Both potentials are visible across registers. The presentation grounds this framework in the concrete situation of New York City’s fragmented, underfunded, and carceral mental health system, issuing a call for a movement organized around care and freedom — one that centers those rendered surplus by the economic order, not as objects to be managed and abandoned under the sign of care, but as subjects whose liberation is the measure of any serious politics. The question animating the conclusion is: what would it mean to work with the
Speakers
avatar for Drew Madore, PsyD

Drew Madore, PsyD

Instructor in Psychology in the Department of Psychiatry, Harvard Medical School
Drew Madore is a queer ex-vangelical who believes the work of therapy is to develop greater degrees of freedom in self- and other-relatedness, and who draws upon psychoanalysis as a theory and praxis with liberatory potential at the individual, group, and social levels. Drew is a... Read More →
avatar for Caleb Scott, PsyD

Caleb Scott, PsyD

Psychologist on Mobile Crisis Team and Adult Outpatient, Woodhull Medical Center
Caleb Scott is a New York City based psychologist with extensive clinical experience working with individuals experiencing psychotic disorders and other severe psychiatric presentations. He works part time on a mobile crisis team responding to psychiatric emergencies across Brooklyn... Read More →
avatar for Sebastián Marcos Hernández-Del Valle, MS

Sebastián Marcos Hernández-Del Valle, MS

Clinical Fellow in Psychology in the Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School; Massachusetts Mental Health Center
Sebastián Marcos Hernández Del Valle, MS is a PhD candidate in Clinical Psychology at Carlos Albizu University in San Juan, Puerto Rico. He is currently completing his internship at Beth Israel Deaconess Medical Center and the Massachusetts Mental Health Center, in addition to serving... Read More →
avatar for Yveton Isnor, PsyD, LMHC

Yveton Isnor, PsyD, LMHC

Instructor in Psychology in the Department of Psychiatry, Harvard Medical School
Yveton Isnor, PsyD, LMHC, attended Nova Southeastern University (NSU), where he earned a master’s degree in mental health counseling in 2015. He worked at the Boca Habilitation Center for the Handicapped (HabCenter) for seven years, where he helped develop the Program for Education... Read More →
Sunday November 8, 2026 11:00am - 12:00pm EST
Breakout Room #3

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