Debriefing individuals affected by violence

For some time there has been a growing concern about violence in the workplace. This concern has tended to focus on employees with jobs which involve them in witnessing and dealing with the effects of disasters or traumas, such as the police, firefighters and ambulance personnel, rather than the actual victims of violent incidents. In the early 1980's, a psychological intervention known as either critical incident or psychological debriefing was introduced by the emergency services as a way of reducing the long term effects of exposure to traumatic events. The techniques involved in debriefing have been described by a number of workers (Dyregrov, 1989; Mitchell & Everly, 1993; Raphael, 1986). In all these models of debriefing, the debrief is undertaken with groups of victims, all of whom have been involved in a single traumatic incident as emergency workers. This paper describes the common features of the debriefing process; explains why debriefing is helpful; differentiates between debriefing and counselling; explores and contrasts three models of debriefing. Finally, it looks at a model of individual debriefing developed within the British Post Ofice to meet the specific needs of employees who have suffered personal attacks or other traumatic incidents.     

Group-based problem-solving therapy in self-poisoning females: A pilot study

Aims: The treatment of suicidal behaviour remains limited in efficacy. This pilot study assessed the effectiveness of a time-limited, group-based problem-solving therapy intervention compared with a treatment as usual control group, in females who self-poison. Method: A total of 18 clients were equally randomised to treatment or control groups. All clients were assessed using standardised questionnaires for depression, hopelessness, suicidal ideation and social problem-solving skills, at pre-treatment, post-treatment and two months follow-up. Results: The treatment group experienced significant reductions in levels of depression, hopelessness, suicidal ideation and improvements in self-assessed social problem-solving skills. Improvements in mental health and aspects of self-assessed problem-solving skills for the treatment group continued to be evident at two months follow-up. The control group did not change significantly over time on mental health measures or social problem solving abilities. Conclusion: Although limited by small sample size, the results suggest that group-based problem-solving therapy is effective in the management of deliberate self-poisoning. This paper is a unique contribution in that it examines the implementation of problem solving therapy with a homogenous population and in a group format. Methodological concerns and directions for future research are discussed.     

The Incidence of Incest Histories Among Clients Receiving Substance Abuse Treatment

Volunteer participants (N = 77) enrolled in eight substance abuse treatment facilities were surveyed in order to examine the prevalence and nature of incest contacts among the group. Results indicated that approximately 49% of the participants had reported histories of incest. Data are presented regarding the age during incest contact; frequency of contacts; and involvement of force, alcohol, and drugs. In addition, comparisons by gender are presented. Implications for substance abuse training and treatment are presented.     

Family Impact of Tourette's Syndrome

Tourette's syndrome (TS) is a neuropsychological disorder characterized by vocal and motor tics. TS is also associated with several behavior disorders such as Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder, conduct disorder, and Obsessive-Compulsive Disorder. We examined the impact of Tourette's syndrome with and without comorbid psychiatric disorders on the family. TS complicated by comorbid disorders had a greater impact on the family than uncomplicated TS. Tourette's symptom severity was significantly correlated with the level of impact on the family and with the number of comorbid disorders. TS is a disorder with effects that extend beyond motor and vocal tics.     

The relationship of temperament to tolerance of cold and heat: Beyond “cold hands — Warm heart”

Thermal regulation and peripheral arousal in episodes of emotion are dependent upon similar autonomic and hormonal processes. Thermal-tolerance measure were developed and validated in order to indirectly assess adrenergic (cold tolerance) and cholinergic (heat tolerance) responsivity. We hypothesized that cold tolerance would correlate with reduced emotionality (largely fear and anxiety) and depression, and with increased stimulus seeking and dispositions toward activity; those hypotheses were confirmed. Tentatively advanced hypotheses that heat tolerance would correlate with reduced depression and related emotional states were not confirmed, but heat tolerance was positively associated with activity and (weakly) with some of the same dimensions of temperament that correlated with cold tolerance. Concepts of synergistic rather than oppositional relationships of adrenergic and cholinergic systems are discussed. The roles of autonomic strength and responsitivity in positive temperament dispositions and in coping with stress and challenge are discussed, and a theoretical system is sketched that is derived from these and related findings.We are grateful to Doris Weimer for assistance in the statistical analyses.     

Reactions to AIDS and other illnesses: reported interactions in the workplace

Previous research on the public's response to AIDS has been concerned with attitudes and knowledge in relation to the disease itself. The present study investigated American students' willingness to interact in the workplace with AIDS patients and compared this with their reactions to cancer and hepatitis patients. The effects of perceived control over the cause of the disease were also examined. Exposure to the diseases was manipulated with written scenarios. Results demonstrated that the type of illness affected a willingness to interact with individuals--AIDS patients were reacted to least positively, followed by hepatitis, and cancer patients. Perceived control over the cause of the disease did not affect reactions.