Psychological debriefing: controversy and challenge.
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 psychi...
| Publicado en: | Australian & New Zealand Journal of Psychiatry Vol. 34; no. 6; pp. 929 - 940 |
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| Autor principal: | |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Dec2000
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107066514&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107066514 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00048674 7ZU jtl: Australian & New Zealand Journal of Psychiatry issn: 00048674 maglogo: Y pubinfo: dt: Dec2000 vid: 34 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 107066514 107066514 2001102915 10.1080/000486700267 NLM11127623 107066514 ppf: 929 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Psychological debriefing: controversy and challenge. aug: au: Deahl M affil: Consultant and Senior Lecturer, Psychological Medicine, St Bartholomew's and Royal London School of Medicine and Dentistry, Queen Mary and Westfield College, the University of London, UK. E-mail: mpdeahl@mds.qmw.ac.uk sug: subj: Crisis Intervention Critical Incident Stress Therapy Stress Disorders, Post-Traumatic Therapy Research ab: 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. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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