A Guide to Psychological Debriefing: Managing Emotional Decompression and Post-Traumatic Stress Disorder
'In its essence, this is a practical book that focuses on aiding recovery from trauma over a carefully structured timeframe. Amongst other things, it provides an introduction to the concept of psychological debriefing and some of the effects of trauma, including post-traumatic stress disorder (PTSD). This book will appeal to a broad audience because it is easily accessible, not only to those professionals working with clients suffering from PTSD, but also to health practitioners, psychologists, social workers and counsellors, as well as students.' - Well-Being 'David Kinchin pays special attention to setting up optimal conditions to facilitate emotional decompression. He takes into account that trauma reactions, primarily concerned with survival, are whole-system reactions, affecting both the body and mind. He also reminds us that the initial impact of the trauma is on physical structures in the brain, disrupting memory-processing capacity, which is designed to create space and time to heal. We should all pay a great deal of attention to what he says.' - Professor Gordon Turnbull, Consultant Psychiatrist, University of Chester, Capio Nightingale Hospital, London and Ridgeway Hospital, Swindon, UK Traumatic events strike unexpectedly and turn everyday experiences upside down. Frequently, people suffering such trauma cannot shake the experience and develop Post-Traumatic Stress Disorder (PTSD). Psychological debriefing (PD) is a widely practised process used as an intervention for treating people who have been exposed to trauma. It allows people who have been exposed to trauma to re-examine the traumatic event in a safe and controlled environment, and reduces the risks of developing PTSD. This book is a practical introduction to PTSD and psychological debriefing, and offers an enhanced model of PD which the author terms `Emotional Decompression'. Structured like a deep-sea dive, which has to include carefully planned safety stops on the way back to the surface to avoid getting `the bends', this model provides time frames for how long to spend at various stages of the PD process, and when to stop for discussions and explanations. The focus is on aiding recovery from this `invisible injury' over carefully structured time. The book presents a range of recovery models, from the `simple' models developed by Williams and Horowitz to the more complex `Snakes and Ladders' model developed by the author. Appendices include an essay by one of the world's leading exponents of psychological debriefing, Atle Dyregrov, as well as case studies of debriefs completed by the author, including that of a survivor of the July 7th bombings in London. A Guide to Psychological Debriefing is an essential book for health practitioners, counsellors, psychologists and professionals working with clients suffering from PTSD, as well as students.
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Chapter 2 Introduction to Psychological Debriefing
Chapter 3 Emotional Decompression
Chapter 4 Defusing
Chapter 5 Recovery from PostTraumatic Stress Disorder
Chapter 6 Training for Debriefers
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Aberfan accident American Psychiatric Association anniversaries aware Bisson bombings British British Psychological Society Buffalo Creek Carmarthen Bay cent Chowchilla CISD client Complex PTSD confidentiality control group coping counselling counsellors Critical Incident Stress David Kinchin 2007 debriefer(s Debriefers need debriefing models debriefing process debriefing room arrangement debriefing session defusing diagnosis disaster distress DSM-IV Dyregrov early intervention Ellicott City emergency services experience experienced explore feel flashbacks follow-up Gulf War happened impact Incident Stress Debriefing individual involved ladders model listening skills London Mary Walsh memory Mitchell and Everly models of debriefing normal normalise officers organisation Parkinson 1997 participants peer debriefing person phase police Post-Traumatic Stress Disorder psychiatric psychological debriefing Psychological Trauma Psychotherapy Raphael Rebekah situation snakes and ladders soldiers staff stage Stress Disorder PTSD stressor studies suffering from PTSD suggested supervision survivors symptoms Table Tehrani trauma traumatic event traumatised victims
Page 17 - ... experienced, witnessed, or been confronted with an event or events that involve actual or threatened death or serious injury, or a threat to the physical integrity of self or others (2) the person's response involved intense fear, helplessness, or horror (in children, disorganized or agitated behavior) B.
Page 12 - The person has experienced an event that is outside the range of usual human experience and that would be markedly distressing to almost anyone, eg, serious threat to one's life or physical integrity; serious threat or harm to one's children, spouse, or other close" relatives and friends; sudden destruction of one's home or community; or seeing another person who has recently been, or is being, seriously injured or killed as the result of an accident or physical violence.
Page 17 - Symptoms must cause significant distress or impairment in social, occupational, or other areas of functioning...
Page 18 - ... preferred avoidance of circumstances resembling or associated with the stressor, which was not present before exposure to the stressor. D. Either of the following must be present: (1) inability to recall, either partially or completely, some important aspects of the period of exposure to the stressor; (2) persistent symptoms of increased psychological sensitivity and arousal...
Page 18 - A. The patient must have been exposed to a stressful event or situation (either short- or long-lasting) of exceptionally threatening or catastrophic nature, which would be likely to cause pervasive distress in almost anyone. B. There must be persistent remembering or "reliving...
Page 18 - B. There must be persistent remembering or "reliving" of the stressor in intrusive "flashbacks", vivid memories, or recurring dreams, or in experiencing distress when exposed to circumstances resembling or associated with the stressor. C. The...