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Debriefing has emerged as one of the most controversial interventions in clinical psychology and psychiatry. This book, published in 2000, constitutes a presentation and analysis of evidence for the efficacy, and otherwise, of psychological debriefing, in theory and application, and appraises current research findings on the proper use of such interventions. With authoritative editorial guidance, the reader is taken through the controversies surrounding debriefing of various kinds, in various settings, and at various levels of organisational supervision and control. Contributors include many of the leading international authorities in post-traumatic studies, drawing on their first-hand experiences as investigators and also witnesses, of traumatic events and their effects. From major disasters affecting large numbers or even whole communities, to individual experiences of road traffic accidents, assault or childbirth, the range of topics and points of view presented will make this an essential reference and guide for all practitioners - whatever their point of view.
Table des matières
Overview: key issues in the conceptualisation of debriefing; Part I. Key Conceptual Framework of Debriefing: 1. Historical concepts and present patterns: stress management and debriefing; 2. Debriefing: its role in the spectrum of prevention and acute management of psychological trauma; 3. Briefing and debriefing: psychological interventions in acute stressor situations; 4. Traumatic stress and the concept of debriefing: theoretical frameworks and potential effects and other settings; Part II. Debriefing: Models, Research and Practice: 5. Critical incident stress debriefing: evolutions, effects and outcomes; 6. Debriefing with emergency services: critical incident stress management; 7. Debriefing and body recovery: war grave soldiers; 8. Debriefing and body recovery: police in a civilian disaster; 9. Debriefing after massive road trauma: perceptions and outcomes; 10. Debriefing and motor vehicle accidents: interventions and outcomes; 11. Debriefing with service personnel in war and peace roles: experience and outcomes; 12. Debriefing post disaster: follow-up after a major earthquake; 13. Debriefing after disaster; 14. Children and debriefing: theory, interventions and outcomes; 15. Debriefing adolescents after critical life events; Part III. Adaptations of Debriefing Models: 16. Delayed debriefing: after a disaster; 17. Debriefing in different cultural frameworks: experience with indigenous populations; 18. The concept of debriefing and its application to staff dealing with life threatening illnesses such as cancer, AIDS and other conditions; 19. Traumatic childbirth and the role of debriefing; 20. Debriefing staff after assaults by patients; 21. Multiple stressor debriefing as a model for intervention; Part IV. Debriefing Overview and Future Directions: 22. Concerns about debriefing: challenging the mainstream; 23. Is consensus possible about debriefing?; 24. Can debriefing work? critical appraisal of theories of interventions and outcomes with directions for future research; 25. A conceptual framework for mass trauma: implications for adaptation and intervention; Conclusion: debriefing: science, belief and wisdom; Index.
Résumé
Leading international authorities in post-traumatic studies draw on first-hand experiences as investigators and often witnesses of traumatic events and their effects in this balanced critical review of the efficacy, and otherwise, of psychological debriefing. Ranging from major disasters to individual traumatic experiences, this is essential reading for all relevant practitioners.
