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This chapter emphasizes the core conceptual issues that must be clarified in terms of debriefing interventions and how intervention frameworks are often far behind and may bear little relationship to the developing research in the aetiology, phenomenology and course of post-traumatic morbidity. In general, debriefing is based on the hypothesis that the cognitive structure of the event is modified through retelling and by experiencing an emotional release that prevents or reduces the risk of more serious stress reactions. The chapter presents preliminary findings from two disaster studies and discusses the implications for training and further research on the natural debriefing process following trauma and disaster. Who attends a debriefing is important, since attendance is nearly always voluntary. Natural debriefing has potentially both psychological and practical advantages over formal debriefing, including saving on personnel resources.
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