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Psychological debriefing: controversy and challenge.

M Deahl1

  • 1St Bartholomew's and Royal London School of Medicine and Dentistry, Queen Mary and Westfield College, The University of London, UK. mpdeahl@mds.qmw.ac.uk

The Australian and New Zealand Journal of Psychiatry
|December 29, 2000
PubMed
Summary

Psychological debriefing after trauma remains controversial despite negative trial results. Its clinical relevance and the feasibility of rigorous research are questioned, hindering resolution.

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Area of Science:

  • Psychiatry and Social Sciences
  • Trauma Intervention Research

Background:

  • Psychological debriefing is a widely used intervention post-trauma.
  • Its efficacy in preventing long-term psychiatric morbidity is highly debated.

Purpose of the Study:

  • To explore the controversy surrounding psychological debriefing.
  • To identify theoretical, social, and political issues impacting its use and research.

Main Methods:

  • Review of the historical context of the debriefing debate.
  • Analysis of recent randomized controlled trials (RCTs) and their findings.

Main Results:

  • Recent RCTs largely show negative results for psychological debriefing.
  • The clinical applicability and in vivo relevance of these trials are questioned.

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  • Conducting rigorous RCTs for group debriefing faces significant challenges and may be unachievable.

    • Conclusions:

    • Demonstrating the efficacy of debriefing and other preventive interventions is challenging.
    • The controversy surrounding psychological debriefing is unlikely to be resolved soon.