What is the key difference in the objectives of defusing versus a Critical Incident Stress Debriefing (CISD)?
The key difference in the objectives of defusing versus a Critical Incident Stress Debriefing (CISD) lies in their *timing*, *scope*, and *depthof intervention. Defusing is a brief, immediate intervention typically conducted within hours of a critical incident. Its primary objectives are to mitigate acute stress reactions, provide early support, normalize initial responses, and provide psychoeducation about stress management. It aims to reduce the intensity of immediate distress and prepare individuals for potential future interventions. It’s like a 'first aid' for the mind. In contrast, a CISD is a more structured and in-depth group intervention usually conducted 24-72 hours after the incident (but this timeframe is flexible based on the needs of the group). Its objectives are to facilitate emotional processing, promote adaptive coping mechanisms, reduce long-term psychological sequelae, and restore group cohesion. A CISD involves a more detailed exploration of the event, including the facts, thoughts, reactions, and symptoms experienced by participants. While defusing aims to stabilize and inform, CISD aims to facilitate a deeper level of processing and promote long-term recovery.