Hi Jo anne
Excellent summary!
Have a great day.
Kerry
>Dear everyone,
>
>on the subject of peer support team training - l did a literature review
>on the effectiveness of Critical Incident Stress Management / Debriefing
>last year and the outcome was there is very limited agreement on any
>terms / concepts in the field of CISM - so if the group is having
>difficulty coming to a shared definition then it is not alone.
>Some of the problems are: (and the other psychs in this group can have a
>field day disputing this) Debriefings / peer support was developed with
>a specific target audience in mind, that is emergency service personnel.
>The process formalised and built on already existing support structures
>within the group (imagine a bunch of blokes standing around the bar with
>a beer having a yarn about the accident, fire, etc); what is more
>however it "normalised" trauma reactions. CISDebriefing was not
>developed to reduce PTSD; it is not preventative as much as
>facilitative, eg: reduce trauma symptoms, speed a return to a
>comfortable level of functioning.
>A debriefing is only one part of a total management package (hence
>CISmanagement) - of pretraining, intervention, followup.
>The research outcomes are confusing because different populations are
>often compared, eg: emergency service groups with random groups of
>strangers who happened to have experienced the same trauma but were not
>part of a functioning group. Different measures have been used to
>"measure" outcome. Outcome is often defined as PTSD related.
>There is lack of clear definition of the essential factors of a
>debriefing.
>So what has this to do with aviaion / CRM? It does seem clear (at least
>from my reading) that social support and the maintenance of continuity
>of care are essential elements in CISM. I would suggest that both these
>factors may coexist comfortably with CRM if we consider crew to be the
>wider aviation community within a specific airline and not just
>immediate aircraft crew.
>
>I am rambling l think so l will end it here
>
>Jo-Anne Hamilton
>
>
>
>Ashleigh Merritt wrote:
>>
>> Greg Deen wrote:
>> Could someone please explain what this personality disorder discussion has to
>> do with improving the teamwork associated with flying airplanes...
>>
>> Greg,
>> I see you are as belligerant towards researchers as ever ;)
>> It is always the same question for you (and it is a good question) "what is
>> the practical application? Can we use it?"
>>
>> I asked the question because I wanted to know where research was at on the
>> topic. I thought it had application for stress management and team
>> monitoring, and perhaps they had some pointers for us on how to handle
>> acute stress both during and after the event.
>>
>> I also thought the term 'personality disorder' had some pretty nasty lay
>> connotations (as you seem to have picked up on) and I wanted the author of
>> the comment to clarify it for us before we go off on another round of
>> psych-bashing
>>
>> Ash
>> Ashleigh Merritt
>> DŽdale,
>> 4 Place de Londres,
>> BP 10767
>> 95727 Roissy CDG Cedex,
>> FRANCE
>> Work ph: (33) 1 48 64 55 47
>> Work fax: (33) 1 48 62 62 05
>>
>> Home: (33) 1 55 42 97 81 (no answering machine)
>> 5 rue Mignon, Paris 75006, France
>
>