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Devilly GJ, Cotton P. Psychological debriefing and the workplace: Defining a

concept, controversies and guidelines for intervention. Australian

Psychologist. 2003;38:144-150

Abstract

Critical Incident Stress Debriefing (CISD), a specific form of psychological

debriefing, has gained widespread acceptance and implementation in the few

short years since it was first proposed (, 1983). However, there has

been recent doubt cast on this practice and confusion regarding the

terminology used. This article explores the claims frequently made by

proponents regarding its use, counterclaims of ineffectiveness by its

detractors, and general consensus regarding its specific use and the use of

more generic psychological debriefing. We conclude that the recently

introduced Critical Incident Stress Management (CISM) and it's proposed

progenitor, CISD, are currently poorly defined and relatively indistinct in

the treatment -outcome literature and should be treated similarly. Current

expert consensus and meta-analytic reviews suggest that CISD is possibly

noxious, generic psychological debriefing is probably inert and that more

emphasis should be placed on screening for and providing early intervention

to those who go on to develop pathological reactions. A set of generic

guidelines for the minimisation and management of workplace traumatic stress

responses is also proposed.

Entire article available at http://www.bryanbledsoe.com/Devilly.pdf.

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