Debriefing after psychological trauma

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7003.509a (Published 19 August 1995) Cite this as: BMJ 1995;311:509
  1. Derek Summerfield
  1. Psychiatrist Medical Foundation for the Care of Victims of Torture, London NW5 3EJ

    Inappropriate exporting of Western culture may cause additional harm

    EDITOR,--Trauma is a growth industry in the West and thus fertile terrain for fashion. Beverley Raphael and colleagues note that debriefing after psychological trauma, which they call a social movement, is being widely instituted in advance of objective evidence of efficacy.1 I wish to highlight one aspect with considerable implications: the export of Western psychological practices of this kind to various peoples affected by war worldwide.2

    Rwanda is a good example. The first flows of destitute Tutsi refugees into Tanzania had scarcely …

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