Suggesting internal family systems-informed eye movement desensitisation and reprocessing as a treatment for personality structural dissociation

Abstract Personality structural dissociation (PSD) describes how traumatisation can structurally alter innate psychobiological system organisation and give rise to dissociative parts of one’s personality. Acute, complex and severe trauma-related psychopathologies are described and, the presentations...

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Main Authors: Gabby A. A. Rothwell-Blake, Dimitri Stavropoulos, Yasuhiro Kotera
Format: Article
Language:English
Published: Springer 2025-03-01
Series:Discover Psychology
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Online Access:https://doi.org/10.1007/s44202-025-00339-2
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author Gabby A. A. Rothwell-Blake
Dimitri Stavropoulos
Yasuhiro Kotera
author_facet Gabby A. A. Rothwell-Blake
Dimitri Stavropoulos
Yasuhiro Kotera
author_sort Gabby A. A. Rothwell-Blake
collection DOAJ
description Abstract Personality structural dissociation (PSD) describes how traumatisation can structurally alter innate psychobiological system organisation and give rise to dissociative parts of one’s personality. Acute, complex and severe trauma-related psychopathologies are described and, the presentations are heterogeneous. Eye movement desensitisation and reprocessing (EMDR) targets traumatic memories through alternating bilateral stimulation and integrates them within adaptive memory networks. Internal family systems (IFS) is a systemic ego-state modality that can promote positive cognitive interweaves and facilitate trauma processing through attunement, visualisation and self-compassion. Integration of IFS with EMDR (IFS-EMDR) may be more suitable for resourced and titrated trauma-processing with complex and severe PSD. This paper seeks to explore the manifestation of innate psychic multiplicity within trauma-related psychopathologies as described by PSD. The effectiveness of IFS-EMDR is also proposed as a potential treatment approach. We outline a theoretical framework for the co-existence of dissociative and IFS parts and describe how prominent symptomatology can be addressed through a phase-oriented protocol, comprising stabilisation, trauma processing and reintegration. Insights offered in this paper can help psychotherapists support individuals living with PSD to navigate paced trauma-processing and subsequent personality integration.
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spelling doaj-art-71c848f5023740fe830bf52f240a3a6e2025-08-20T02:10:10ZengSpringerDiscover Psychology2731-45372025-03-015111610.1007/s44202-025-00339-2Suggesting internal family systems-informed eye movement desensitisation and reprocessing as a treatment for personality structural dissociationGabby A. A. Rothwell-Blake0Dimitri Stavropoulos1Yasuhiro Kotera2School of Psychology and Neuroscience, University of GlasgowCentre for Lifelong Learning, University of StrathclydeFaculty of Medicine and Health Sciences, University of NottinghamAbstract Personality structural dissociation (PSD) describes how traumatisation can structurally alter innate psychobiological system organisation and give rise to dissociative parts of one’s personality. Acute, complex and severe trauma-related psychopathologies are described and, the presentations are heterogeneous. Eye movement desensitisation and reprocessing (EMDR) targets traumatic memories through alternating bilateral stimulation and integrates them within adaptive memory networks. Internal family systems (IFS) is a systemic ego-state modality that can promote positive cognitive interweaves and facilitate trauma processing through attunement, visualisation and self-compassion. Integration of IFS with EMDR (IFS-EMDR) may be more suitable for resourced and titrated trauma-processing with complex and severe PSD. This paper seeks to explore the manifestation of innate psychic multiplicity within trauma-related psychopathologies as described by PSD. The effectiveness of IFS-EMDR is also proposed as a potential treatment approach. We outline a theoretical framework for the co-existence of dissociative and IFS parts and describe how prominent symptomatology can be addressed through a phase-oriented protocol, comprising stabilisation, trauma processing and reintegration. Insights offered in this paper can help psychotherapists support individuals living with PSD to navigate paced trauma-processing and subsequent personality integration.https://doi.org/10.1007/s44202-025-00339-2Psychological traumaTheory of structural dissociation of the personalityEMDRIFSPhase-oriented treatmentTrauma-processing phase
spellingShingle Gabby A. A. Rothwell-Blake
Dimitri Stavropoulos
Yasuhiro Kotera
Suggesting internal family systems-informed eye movement desensitisation and reprocessing as a treatment for personality structural dissociation
Discover Psychology
Psychological trauma
Theory of structural dissociation of the personality
EMDR
IFS
Phase-oriented treatment
Trauma-processing phase
title Suggesting internal family systems-informed eye movement desensitisation and reprocessing as a treatment for personality structural dissociation
title_full Suggesting internal family systems-informed eye movement desensitisation and reprocessing as a treatment for personality structural dissociation
title_fullStr Suggesting internal family systems-informed eye movement desensitisation and reprocessing as a treatment for personality structural dissociation
title_full_unstemmed Suggesting internal family systems-informed eye movement desensitisation and reprocessing as a treatment for personality structural dissociation
title_short Suggesting internal family systems-informed eye movement desensitisation and reprocessing as a treatment for personality structural dissociation
title_sort suggesting internal family systems informed eye movement desensitisation and reprocessing as a treatment for personality structural dissociation
topic Psychological trauma
Theory of structural dissociation of the personality
EMDR
IFS
Phase-oriented treatment
Trauma-processing phase
url https://doi.org/10.1007/s44202-025-00339-2
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