Integrating Intersectionality into Time-Limited Dynamic Psychotherapy

Structurally informed psychodynamic theory case conceptualization: Expanding the conceptualization map.

“…Gaztambide (2019Gaztambide ( , p. 2033) explained that "our patients bring us wounds that serve as windows to our social, economic, and political worlds." As we treat those wounds, we foster therapeutic space that is safe for looking through the windows to the social, economic, and political worlds to raise critical consciousness for how privilege and oppression affect client functioning (Farber & Motley, 2023).…”

“…Attachment represents another dimension of psychodynamic theory where a structural approach necessitates the integration of sociopolitical contexts. Having moved from analysis of dynamic intrapersonal (one person; internal working models) concerns to a dyadic (two persons; client-therapist relationship) focus, a structural psychodynamic approach would extend even further to analyze the ways in which societal inequities and power structures (e.g., racism, sexism, heterosexism) influence maladaptive cyclical patterns, attachment styles, and clients' distress (Farber & Motley, 2023).…”

“…A structural case conceptualization map first centers the client’s positionality in the context of societal systems and the extent to which they have experienced privilege as well as oppression and marginalization. Gaztambide (2019, p. 2033) explained that “our patients bring us wounds that serve as windows to our social, economic, and political worlds.” As we treat those wounds, we foster therapeutic space that is safe for looking through the windows to the social, economic, and political worlds to raise critical consciousness for how privilege and oppression affect client functioning (Farber & Motley, 2023).…”