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Incorporating Psychological Debriefing Techniques within a Brief Group Psychotherapy Programme for the Treatment of Post-Traumatic Stress Disorder

Published online by Cambridge University Press:  02 January 2018

Walter Busuttil*
Affiliation:
Psychiatric Centre, Princess Alexandra Hospital
Gordon J. Turnbull
Affiliation:
Psychiatric Centre, Princess Alexandra Hospital
Leigh A. Neal
Affiliation:
Psychiatric Centre, Princess Alexandra Hospital
John Rollins
Affiliation:
Psychiatric Centre, Princess Alexandra Hospital
Adrian G. West
Affiliation:
Psychiatric Centre, Princess Alexandra Hospital
Nick Blanch
Affiliation:
Psychiatric Centre, Princess Alexandra Hospital
Ronald Herepath
Affiliation:
Psychiatric Centre, Princess Alexandra Hospital
*
W. Busuttil, Psychiatric Centre, Princess Alexandra Hospital, Royal Air Force Wroughton, Wiltshire SN4 0QJ

Abstract

Background

The Royal Air Force Wroughton Post-Traumatic Stress Disorder (PTSD) Rehabilitation Programme is described. It comprised a 12-day structured in-patient ‘course’ of group psychotherapy and day-case group follow-up sessions over a one-year period. Psychological debriefing was the main therapeutic technique employed.

Method

This is a ‘before and after’ open outcome study. A comprehensive assessment protocol confirmed the presence and severity of PTSD and measured co-morbid psychopathological status, occupational and social function longitudinally.

Results

A highly significant global response to treatment is demonstrated in the 34 subjects included in the study, with 85.3% not fulfilling the DSM–III–R criteria for PTSD at one year after treatment.

Conclusions

Further controlled studies assessing the value of psychological debriefing techniques in the treatment of established PTSD are required.

Type
Papers
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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Footnotes

The opinions expressed in this paper are those of the authors alone and should not be taken to reflect those of Her Majesty's Government, the Ministry of Defence or the Royal Air Force.

References

Alexander, D. A. & Wells, A. (1991) Reactions of police officers to body handling after a major disaster. A before and after comparison. British Journal of Psychiatry, 159, 547555.CrossRefGoogle Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Atriss, K. (1963) Human behaviour under stress from combat and social psychiatry. Military Medicine, 128, 10111019.Google Scholar
Beck, A. T., Rush, A., Shaw, B. F., et al (1979) Cognitive Therapy of Depression. New York: Guilford.Google Scholar
Blake, D. D., Weathers, F. W., Nagy, L. M., et al (1990) A clinician rating scale for assessing current and lifetime PTSD: the CAPS-1. Behaviour Therapist, 13, 187188.Google Scholar
Derogatis, L. R., Lipman, R. S. & Covi, L. (1973) SCL-90: an outpatient psychiatric rating scale – preliminary report. Psychopharmacology Bulletin, 9, 1328.Google Scholar
Dyregov, A. (1989) Caring for helpers in disaster situations: psychological debriefing. Disaster Management, 2, 2530.Google Scholar
Horowitz, M. J. (1979) Psychological response to serious life events. In Human Stress and Cognition (eds Hamilton, V. & Warburton, D. M.), pp 235263. New York: Wiley.Google Scholar
Horowitz, M. J., Wilner, N. & Alvarez, W. (1979) Impact of event scale: a measure of subjective stress. Psychosomatic Medicine, 41, 209218.Google Scholar
Keane, T. M., Malloy, P. F. & Fairbank, J. A. (1984) Empirical development of an MMPI subscale for the assessment of combat related post traumatic stress disorder. Journal of Consulting and Clinical Psychology, 52, 881891.Google Scholar
McFall, M. E., Smith, D. E., Roszell, D. K., et al (1990) Convergent validity of measures of PTSD in Vietnam combat veterans. American Journal of Psychiatry, 147, 645648.Google Scholar
McFarlane, A. C. (1989) The treatment of post traumatic stress disorder. British Journal of Psychiatry, 62, 8190.Google Scholar
McNemar, Q. (1969) Psychological Statistics (4th edn) New York: Wiley.Google Scholar
Mitchell, J. T. (1983) When disaster strikes. The critical incident stress debriefing process. Journal of Emergency Medical Services, 8, 3639.Google Scholar
Neal, L. A., Busuttil, W., Rollins, J., et al (1994a) Convergent validity of measures of post-traumatic stress disorder in a mixed military and civilian population. Journal of Traumatic Stress, 7, 447455.Google Scholar
Neal, L. A., Busuttil, W., Herepath, R., et al (1994b) Development and validation of the computerized clinician administered posttraumatic stress disorder scale-1-revised. Psychological Medicine, 24, 701706.Google Scholar
Scaturo, D. J. & Hardoby, W. J. (1988) Psychotherapy with traumatised Vietnam combatants: an overview of individual, group, and family treatment modalities. Military Medicine, 153, 262269.Google Scholar
Shalev, A. Y. (1993) Debriefing following traumatic exposure. In Individual and Community Responses to Trauma and Disaster: the Structure of Human Chaos (eds Ursano, R. J., McCaughey, B. G. & Fullerton, C. S.), pp. 201219. Cambridge: Cambridge University Press.Google Scholar
Watson, C. G. (1990) Psychometric post traumatic stress disorder measuring techniques: a review. Psychological Assessment, 2, 460469.CrossRefGoogle Scholar
Wolfe, J. & Keane, T. M. (1993) New perspectives in the assessment and diagnosis of combat-related post-traumatic stress disorder. In International Handbook of Traumatic Stress Syndromes (eds Wilson, J. P. & Raphael, B.), pp 165177. New York: Plenum.Google Scholar
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