Debriefing debriefed

Escaping from the past of disaster psychology � Mind Hacks

Here's a fascinating article about how trauma counselling by group debriefing gradually recognized as probably doing more harm than good.

Interestingly, it points out that you couldn't even tell that by asking the victims who had received it:

In one study, 80% of patients said the intervention was “useful” despite having more symptoms of mental illness in the long-term compared to disaster victims who had no treatment. In another, more than half said ‘debriefing’ was “definitely useful” despite having twice the rate of postraumatic stress disorder (PTSD) after a year.

Debriefing involves lots of psychological ‘techniques’, so the psychologists felt they were using their best tools, while the lack of outside perspective meant it was easy to mistake instant feedback and regression to the mean for actual benefit.

This sounds a little counter-intuitive, but as the article notes, that the only way to reliably tell its effects is by comparing the future progress of groups who receive it to those who don't.