Recent research on the effectiveness of critical incident debriefings in
military units returning from peacekeeping missions found that the
debriefing can potentially do harm, just as any medical procedure can if it
is done incorrectly. Research (and common sense) indicates that there are
several things that we must not do: We must not force individuals to
participate. Experience has shown that they will participate voluntarily if
we explain why this is important. There are two key pieces of information
that needs to be communicated: (1) Stress is a key disabler and destroyer
of warriors and, (2) although some may not need the debriefing, it is a
tool that can help them save their buddies' lives in the years to come. It
is important that soldiers are not required to conduct their debriefings
after returning home. The soldier's departure from the war zone can be
delayed (there are always legitimate reasons for transportation delays), so
that the debriefing can be conducted in-country, as soon after the battle
as possible. It is extremely demoralizing for a soldier to be forced to
stop and debrief when his wife and children are waiting for him right
outside the gate. If at all possible, outsiders should not conduct the
debriefing. Someone they know, trust and respect, someone with the same
background and the same warrior ethos, and someone who has been with them
in the past should do it. The debriefing should not stand alone. It should
be part of a continuum of psychological support, which includes referrals
for counseling, education, and follow up for those who need it. Remember,
no "macho men." A warrior makes use of all available resources to win the
battle, and it just makes sense to use state of the art, medical and
psychiatric assistance if you think you might need it. Try to avoid having
a "sob fest." We understand if our brothers and sisters weep, but the
participants should go into the debriefing knowing that one key objective
is to delink the memory from the physiological arousal. The breathing
exercise should be used to help accomplish this. Today, the military has
standardized critical incident debriefings in the form of comprehensive
after-action reviews (AARs), which are conducted by unit leaders
in-country. The law enforcement community has also learned to follow these
rules by conducting their group debriefings as soon as possible during duty
hours, and by using respected and trained superiors and critical incident
stress management (CISM) teams from within the department. In both the
military and the law enforcement community, it is understood that these
debriefings are vital to develop valuable operational lessons. I am happy
to report that today's warriors are becoming increasingly aware that there
is a moral obligation to participate since the debriefing is also a tool
that can help save their comrades lives in the years to come. Lt. Col.
Dave Grossman, On Combat
http://tipyomi-sender.appspot.com/showtip/Sheepdog%20Tip%20of%20the%20Day/After%20Combat/78