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Debriefing is a process used to assist people in dealing with a distressing or traumatic event. It is a form of crisis intervention and, as such, usually occurs soon after the traumatic event. It commonly involves helping participants to form a clear picture of the event, discussing the dominant thoughts and feelings that they are experiencing, and providing education about coping designed to strengthen their coping. The primary aims of a debriefing are to stabilize the person, lessen any stress signs, and aid recovery. Debriefings may also serve as a platform for identifying and referring those in need of more intensive support to people who can assist them.

The term debriefing has been used to describe a broad range of processes. As a result, there is considerable confusion about what it is and what it is not.

Debriefing practices became popular in the late 1970s after their introduction in the United States into the workplace. This began in the emergency services but quickly spread to other sectors whose workers were exposed to psychological trauma, such as dealing with the death of children, death and serious injury to workers themselves in the course of their job, and responding to major disasters and emergencies in the community. The sectors included the military, hospital staff, airline personnel, corrective services, and the welfare sector. Debriefing is now commonly used not only in the workplace but also with members of the community, especially following disasters. The last two decades have seen controversy and debate about the effectiveness of debriefing, a debate that has been exacerbated by the variety of practices that are labeled as debriefing.

The following sections address the historical developments of debriefing, mechanisms that underlie debriefing, and debate about the efficacy of debriefing.

Historical Developments of Debriefing

Modern-day debriefing practices have their roots in several different fields. Some of the earliest uses of debriefing were described during World War I and II. Here it was found that psychiatrists could better assist soldiers suffering from acute combat stress when they talked to them soon after the soldier had left the battlefield. Psychiatrists moved themselves closer to the front line, thereby gaining quicker access to soldiers. This led soldiers to better recover and to make earlier returns to the battlefield.

In the mid-1950s, in the United States, a body of theory and practice known as crisis intervention was developed. This is immediate psychological assistance offered to people in crisis. It aims to stabilize the person, reduce their distress, and mobilize coping strategies. Many community and outreach programs were developed, including those aimed at youth at risk of suicide, people with acute mental illness, and members of the community exposed to physical abuse. Responses were also mounted for communities following disasters, such as fire, floods, earthquakes, and human-made disasters.

The history of structured group interventions is also relevant. The work of psychoanalyst Sigmund

Freud and his group therapy was seminal. From there a rich field of group work for different kinds of people evolved, such as children, families, and those in the workplace. Models then moved from therapeutic orientations to the promotion of general self-enhancement. As well, self-help groups and peer support groups emerged, shifting the focus from therapists and trained professionals to recognizing the valuable support that people in a common predicament can provide to one another.

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