The Debate over Psychological Debriefing for PTSD

2005 ◽  
Author(s):  
Injae Choe
Keyword(s):  
Psychological Debriefing

Individual Approaches to Prevention and Early Intervention

2012 ◽  
pp. 362-380
Author(s):  
Teresa M. Au ◽  
Caroline Silva ◽  
Eileen M. Delaney ◽  
Brett T. Litz
Keyword(s):  
Early Intervention ◽  
Small Group ◽  
Stress Disorder ◽  
Preventive Intervention ◽  
Behavioral Therapy ◽  
Empirical Support ◽  
Future Research ◽  
Preventive Interventions ◽  
Psychological Debriefing ◽  
Traumatic Exposure

This chapter provides an overview of individual and small group-based approaches for prevention and early intervention of posttraumatic stress disorder (PTSD). Using the Institute of Medicine's (IOM) classification system for preventive interventions of mental disorders (universal, selective, and indicated), we describe individual and small group early interventions and review the effectiveness of these strategies. Specifically, psychological debriefing, psychological first aid, and psychoeducation have been used as selective interventions targeting individuals exposed to trauma with varying degrees of success. However, there is strong empirical support for using cognitive behavioral therapy as an indicated preventive intervention to help symptomatic individuals in the weeks or months following traumatic exposure. A review of the literature also suggests that future research should explore different modes of delivery and devote more attention to determining the best time to intervene after traumatic exposure.

Preventing psychological trauma in soldiers: The role of operational stress training and psychological debriefing

2000 ◽  
Vol 73 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Martin Deahl ◽  
Michael Srinivasan ◽  
Norman Jones ◽  
Janice Thomas ◽  
Carl Neblett ◽  
...  
Keyword(s):  
Psychological Trauma ◽  
Operational Stress ◽  
Psychological Debriefing ◽  
Stress Training

Psychological Debriefing

2018 ◽  
pp. 343-352
Author(s):  
Beverley Raphael ◽  
Robert J. Ursano
Keyword(s):  
Psychological Debriefing

Screening and Psychological Debriefing of Adolescent Survivors of Life-Threatening Events

1993 ◽  
Vol 163 (5) ◽  
pp. 660-665 ◽  
Author(s):  
Paul Stallard ◽  
Fergus Law
Keyword(s):  
Cruise Ship ◽  
Group Of Seven ◽  
Perceived Need ◽  
Psychological Debriefing ◽  
Screening Battery ◽  
Life Threatening ◽  
Young Survivors ◽  
To Receive

There is a perceived need for schools and casualty departments to receive appropriate information and guidelines in order to minimise the effect of PTSD. A recommended screening battery for PTSD was administered at the start of a two-session debriefing group and again three months later to a group of seven young survivors of a minibus accident. No studies using this screen other than those of shipping disasters have been reported to date. Screen scores were compared with those of survivors of the cruise ship Jupiter. No significant differences were found between minibus survivors when assessed at six months (before intervention), and Jupiter survivors, who when assessed at five months had already undergone debriefing. Post-debriefing assessment of minibus survivors demonstrated significant reductions on all measures.

Psychological Debriefing: Controversy and Challenge

2000 ◽  
Vol 34 (6) ◽  
pp. 929-939 ◽  
Author(s):  
Martin Deahl
Keyword(s):  
Randomised Controlled Trials ◽  
Psychiatric Morbidity ◽  
Historical Background ◽  
Controlled Trials ◽  
Negative Results ◽  
Psychological Debriefing ◽  
The Social ◽  
Randomised Controlled ◽  
Near Future

Objective: The efficacy of psychological debriefing following potentially traumatising events has become extremely controversial. This review aims to identify the issues underlying this controversy and their theoretical, social and political ramifications which are important in other areas of psychiatry and the social sciences. Method: The historical background to the debriefing debate and the (largely negative) results of recent randomised controlled trials (RCTs) are reviewed. Results: Despite the negative results of recent RCTs, psychological debriefing remains the most widely used structured intervention following potentially traumatising events, designed to reduce the incidence of long-term psychiatric morbidity. The clinical relevance these trials and their applicability in vivo is questioned. There are implicit difficulties in conducting rigorous randomised controlled trials of group debriefing, and such trials may be unachievable. Conclusions: Demonstrating the efficacy of debriefing or other preventive interventions presents major challenges to investigators and it is unlikely the controversy will be resolved in the near future.

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