Response to treatment varies

doi:10.1136/bmj.311.7003.510

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Ian P Palmer

Lecturer in military psychiatry Royal Army Medical College, London SW1P 4RJ

EDITOR,--Beverley Raphael and colleagues' editorial raises many questions about psychological debriefing and post-traumatic stress reactions.1 A military debriefing is an analysis of the events occurring on a mission and the lessons learnt. The primary aim of psychological debriefing is to provide the person with as much information as possible from all the sources available to enable the cognitive appraisal and emotional processing of a traumatic experience. This may be therapeutic or may not be. Traumatic incidents irrevocably change people as …