Addressing Moral Injury in Clinical Practice

Addressing Moral Injury in Clinical Practice
Author: Joseph M. Currier
Publisher: American Psychological Association (APA)
Total Pages: 258
Release: 2020-08-25
Genre: Psychology
ISBN: 9781433832697

This book helps clinicians conceptualize moral injury and select evidence-based approaches to incorporate in their therapeutic work with trauma survivors, particularly military service members and veterans.

Moral Injury and Beyond

Moral Injury and Beyond
Author: Renos K. Papadopoulos
Publisher: Routledge
Total Pages: 236
Release: 2020-03-24
Genre: Psychology
ISBN: 1351862464

Moral Injury and Beyond: Understanding Human Anguish and Healing Traumatic Wounds uniquely brings together a prominent collection of international contributors from the fields of psychiatry, psychology, philosophy, theology, military chaplaincy and acute crisis care to address the phenomenon of moral injury. Introduced in the 1990s to refer to a type of psychological trauma, experienced especially by soldiers who felt that their actions transgressed the expected moral norms, this innovative volume provides a timely update that progresses and redefines the field of moral injury. The ten ground-breaking essays expand our understanding of moral injury beyond its original military context, arguing that it can fruitfully be applied to and address predicaments most persons face in their daily lives. Approaching moral injury from different perspectives, the contributors focus on the experiences of combat veterans and other survivors of violent forms of adversity. The chapters address thought-provoking questions and topics, such as how survivors can regain their hope and faith, and how they can, in time, explore ways that will lead them to grow through their suffering. Exploring moral injury with a particular emphasis on spirituality, the early Church Fathers form the framework within which several chapters examine moral injury, articulating a new perspective on this important subject. The insights advanced are not limited to theoretical innovations but also include practical methods of dealing with the effects of moral injury. This pioneering collection will be essential resource for mental health practitioners and trainees working with people suffering from severe trauma. Due to its interdisciplinary nature, it will be useful not only to those academics and professionals engaged with moral injury but will be a source of inspiration for any perceptive student of the complexities and dilemmas of modern life, especially as it interfaces with issues of mental health and spirituality. It will also be invaluable to academics and students of Jungian psychology, theology, philosophy and history interested in war, migration and the impact of extreme forms of adversity.

Adaptive Disclosure

Adaptive Disclosure
Author: Brett T. Litz
Publisher: Guilford Publications
Total Pages: 225
Release: 2017-09-26
Genre: Psychology
ISBN: 1462533833

A complete guide to an innovative, research-based brief treatment specifically developed for service members and veterans, this book combines clinical wisdom and in-depth knowledge of military culture. Adaptive disclosure is designed to help those struggling in the aftermath of traumatic war-zone experiences, including life threat, traumatic loss, and moral injury, the violation of closely held beliefs or codes. Detailed guidelines are provided for assessing clients and delivering individualized interventions that integrate emotion-focused experiential strategies with elements of cognitive-behavioral therapy (CBT). Reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.

Moral Injury and Soldiers in Conflict

Moral Injury and Soldiers in Conflict
Author: Tine Molendijk
Publisher: Routledge
Total Pages: 182
Release: 2021-03-16
Genre: History
ISBN: 1000365077

This book advances an interdisciplinary understanding of moral injury by analyzing the stories of military veterans of combat and peace missions. In the past decade, the concept of moral injury has emerged to address the potential moral impact of deployment. This book contributes to an interdisciplinary conceptualization of moral injury while, at the same time, critically evaluating the concept’s premises and implications. It paints an urgent and compassionate picture of the moral impact of soldiers’ deployment experience and the role of political practices and public perceptions in moral injury. It does so by drawing on the experiences of close to a hundred Dutch veterans deployed to Bosnia (Srebrenica) and Afghanistan, and analyzing their stories from the perspectives of psychology, philosophy, theology and social sciences. Ultimately, this book advances the understanding of moral, political and societal dimensions of moral injury and contributes to practical efforts aimed at its prevention. This book will be of much interest to students of ethics and war, cultural anthropology, conflict studies and international relations.

Torture and Dignity

Torture and Dignity
Author: J. M. Bernstein
Publisher: University of Chicago Press
Total Pages: 391
Release: 2015-09-14
Genre: Business & Economics
ISBN: 022626632X

Torture and rape are only rarely considered by moral philosophers—because they are so indisputably morally atrocious acts and because their specific mode of suffering cannot be accounted for by reigning moral theories. By making them pivotal to the understanding of morality in general, however, Jay Bernstein’s intention is to throw into question the dominant schools of modern moral philosophy and to attempt to restructure moral experience and understanding on the basis of the formations of suffering they make salient. Morals, Bernstein argues, emerge from the experience of moral injury, from the sufferings of the victims of moral harm. For us moderns, morality at its most urgent and insistent is, finally, a victim morality. This can sound hyperbolic; but since all of us are potential victims, it turns out that this perspective is readily available and intrinsic to ordinary ethical experience. One of Bernstein’s pivotal arguments is that trust is a form of mutual recognition; that trust is the ethical substance of everyday life; and that understood aright trust is structured from the perspective of a potential victim of harm rather than from the perspective of a deliberating agent. This book promises to be a major contribution to moral philosophy.

Trauma Informed Guilt Reduction Therapy

Trauma Informed Guilt Reduction Therapy
Author: Sonya Norman
Publisher: Academic Press
Total Pages: 206
Release: 2019-06-18
Genre: Psychology
ISBN: 0128147814

Trauma Informed Guilt Reduction Therapy (TrIGR) provides mental health professionals with tools for assessing and treating guilt and shame resulting from trauma and moral injury. Guilt and shame are common features in many of the problems trauma survivors experience including posttraumatic stress disorder (PTSD), depression, substance use, and suicidality. This book presents Trauma Informed Guilt Reduction (TrIGR) Therapy, a brief, transdiagnostic psychotherapy designed to reduce guilt and shame. TrIGR offers flexibility in that it can be delivered as an individual or group treatment. Case examples demonstrate how TrIGR can be applied to a range of trauma types including physical assault, sexual abuse, childhood abuse, motor vehicle accidents, and to moral injury from combat and other military-related events. Conceptualization of trauma-related guilt and shame, assessment and treatment, and special applications are covered in-depth. - Summarizes the empirical literature connecting guilt, shame, moral injury, and posttraumatic problems - Guides therapists in assessing posttraumatic guilt, shame, moral injury, and related problems - Provides a detailed look at a brief, transdiagnostic therapy shown to reduce guilt and shame related to trauma - Describes how TrIGR can be delivered as an individual or group intervention - Includes a comprehensive therapist manual and client workbook

Soul Repair

Soul Repair
Author: Rita Nakashima Brock
Publisher: Beacon Press
Total Pages: 114
Release: 2012-11-06
Genre: Psychology
ISBN: 0807029084

The first book to explore the idea and effect of moral injury on veterans, their families, and their communities Although veterans make up only 7 percent of the U.S. population, they account for an alarming 20 percent of all suicides. And though treatment of post-traumatic stress disorder has undoubtedly alleviated suffering and allowed many service members returning from combat to transition to civilian life, the suicide rate for veterans under thirty has been increasing. Research by Veterans Administration health professionals and veterans’ own experiences now suggest an ancient but unaddressed wound of war may be a factor: moral injury. This deep-seated sense of transgression includes feelings of shame, grief, meaninglessness, and remorse from having violated core moral beliefs. Rita Nakashima Brock and Gabriella Lettini, who both grew up in families deeply affected by war, have been working closely with vets on what moral injury looks like, how vets cope with it, and what can be done to heal the damage inflicted on soldiers’ consciences. In Soul Repair, the authors tell the stories of four veterans of wars from Vietnam to our current conflicts in Iraq and Afghanistan—Camillo “Mac” Bica, Herman Keizer Jr., Pamela Lightsey, and Camilo Mejía—who reveal their experiences of moral injury from war and how they have learned to live with it. Brock and Lettini also explore its effect on families and communities, and the community processes that have gradually helped soldiers with their moral injuries. Soul Repair will help veterans, their families, members of their communities, and clergy understand the impact of war on the consciences of healthy people, support the recovery of moral conscience in society, and restore veterans to civilian life. When a society sends people off to war, it must accept responsibility for returning them home to peace.

Moral Injury

Moral Injury
Author: Larry Kent Graham
Publisher: Abingdon Press
Total Pages: 264
Release: 2017-07-18
Genre: Religion
ISBN: 1501800760

If we can share our burdens, we can bear them. If we can bear them, we can change the circumstances that brought them about. In a world where anything goes, people have a hard time deciding what is right and what is wrong. Pastors have a hard time helping people discern right and wrong because the church’s theological language of sin and redemption have so little currency and even less cultural relevancy. How can pastors help people deal with their feelings of guilt, shame, and responsibility when most many people don’t believe in sin and have a limited or “flexible” moral framework? People need help assessing moral alternatives, reconciling what they have done with what they think is right, recovering from burdens of guilt and shame, and imagining moral options to serve the common good. It is the call of pastors, chaplains, and other spiritual caregivers to help people move from moral injury to pardon and, eventually, to sustained recovery and resilience—in essence this book will help pastors reclaim their pastoral tasks of soul care and moral guidance without succumbing to the temptation of moralizing. Using vivid examples, the author will look at how various religious communities seek, promote, and achieve personal wholeness and realize the common good. This understanding will inform pastors, so that they can help their congregants and communities become vital agents in a sea of, often, conflicting moral voices. The book will provide resources for identifying core assets, and how to assess the various codes and moral claims interacting within the kaleidoscopic climate in which we live. Drawing upon neuroscience, narrative spirituality, and collaborative communal engagement, the author gives tools to aid pastors, chaplains, and spiritual caregivers ameliorate the distress caused by dissonance and resulting in moral injury. The book will also provide resources for helping people bear the burdens of moral responsibility and for navigating the sometimes unbearable consequences of particular moral actions. The author concludes with suggestions for helping people suffering from injury to their integrity from misdeeds they endure, either as a result of their own actions or from those actions of others, move toward sustained resilience and more mature moral imagination. "There is no better guide, or collaborative partner, for navigating the moral territory of post-traumatic living than Larry Graham. In Moral Injury: Restoring Wounds Souls, Graham sounds a clarion call for religious leaders to cultivate habits of mind and body to meet the complex situations of our day. Rather than offering a birds-eye-view of the moral terrain, Graham invites readers to feel the earth under their feet and attune themselves to the climate of their moral environments. With his careful definitional work and theological acumen, he revivifies theological ethics for progressive Christians. [And beyond this audience, Graham displays the importance of theology in contemporary discussions of moral injury.]" – Shelly Rambo, Associate Professor of Theology, Boston University School of Theology "Larry Graham has created an extraordinary workbook for moral resiliency and healing. He restores hope for the excruciating pains of a broken conscience. A treasure house of timely and practical applications sure to enrich pastoral conversations!" - Paul W. Dodd, Chaplain (Colonel), U.S. Army (Retired) "This book is a must-read if we care about recovery from moral injury, not just in the wake of immediate trauma, but also in historical legacies that haunt us. Larry Graham illuminates how questions of God can be addressed in that process with grace and compassion, and he shows, via the experiences of people from a variety of cultures and faiths, how moral injury can be healed." - Rev. Rita Nakashima Brock, Ph.D., Senior Vice-President for Moral Injury Programs at Volunteers of America. She is the former Research Professor of Religion and Culture and Director of the Soul Repair Center at Brite Divinity School, Texas Christian University, Fort Worth, TX

Moral Resilience, Second Edition

Moral Resilience, Second Edition
Author: Cynda H. Rushton
Publisher: Oxford University Press
Total Pages: 393
Release: 2024
Genre: Medical
ISBN: 0197667147

"Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, reflecting the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish experienced in response to various forms of moral adversity including moral harms, wrongs or failures, or unrelieved moral stress. Confronting moral adversity challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Recent interest has expanded to include a more corrosive form of moral suffering, moral injury. Moral resilience, the capacity to restore or sustain integrity in response to moral adversity, offers a path designing individual and system solutions to address moral suffering. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Moral resilience has been shown to be a protective resource that reduces the detrimental impact of moral suffering. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum Response, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all"--

Moral Injury among Returning Veterans

Moral Injury among Returning Veterans
Author: Joshua Morris
Publisher: Rowman & Littlefield
Total Pages: 181
Release: 2021-08-23
Genre: Religion
ISBN: 1793642656

Josh Morris privileges the voices of veterans to argue that returning soldiers need families, friends, and religious communities to listen to their stories with compassion to avoid amplifying the effects of moral injury. When society greets returning soldiers in ways that reinforce cultural norms that frame military service as heroic, rather than acknowledging its ambiguities and harmful effects, it exacerbates moral injury and keeps veterans from resolving inner conflicts and coping effectively with civilian life. Morris, a military chaplain and veteran who served in Afghanistan, knows these difficulties first hand. Using stories from other veterans, Morris helps us see how cultural assumptions about military service can complicate moral injury and a veteran's return home. Drawing from liberation theologies, ideology critique, and Antonio Gramsci's advocacy for the working class, the book suggests useful perspectives and spiritual care resources for military chaplains, religious leaders, caregivers, and concerned civilians. Morris argues that military chaplains are uniquely positioned to help returning soldiers resist the amplification of existing moral injury. Moving from “thank you for your service” to liberative solidarity can galvanize resistance and make change possible.