About This Live Training
Structural dissociation is widely understood as a developmental adaptation to chronic childhood trauma, often beginning before age five and occurring within attachment relationships where caregivers are both a source of safety and harm. In these environments, children face the paradox of maintaining connection for survival while enduring abuse. Dissociation functions as a protective strategy, leading to the formation of distinct self-states that hold conflicting experiences, emotions, and roles. While this preserves attachment, it often disrupts integrated identity development.
This presentation examines structural dissociation through a clinical lens, integrating phase-oriented trauma treatment, Internal Family Systems (IFS), and the SAFE interweave of EMDR. It explores how internal systems organize around protection, the presence of phobias between parts, and the internal distrust that can complicate treatment. Practical considerations for using EMDR to support skill-building and safely engage internal systems will also be introduced.
Grounded in established standards of care, including ISST-D guidelines, this session outlines a stage-based treatment model emphasizing safety, stabilization, trauma processing, and the development of co-consciousness. Participants will learn key precautions, including pacing, maintaining the window of tolerance, and avoiding premature trauma exposure. The role of a strong therapeutic alliance, clear boundaries, and respectful engagement with all parts of the internal system will be highlighted as essential to effective and ethical care.