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Mental health care providers “often address moral injury when treating a psychiatric disorder,” the statement said, and chaplains are available as well. Crabaugh would not say why Pentagon policymakers refused to discuss moral injury. Litz accepts the military’s reluctance to recognize moral injury.
Moral injury is a relatively new concept that seems to describe what many feel: a sense that their fundamental understanding of right and wrong has been violated, and the grief, numbness or guilt that often ensues. Here, you will meet combat veterans struggling with the moral and ethical ambiguities of war.
A moral injury is an injury to an individual's moral conscience and values resulting from an act of perceived moral transgression on the part of themselves or others. [1] It produces profound feelings of guilt or shame , [ 1 ] moral disorientation, and societal alienation. [ 2 ]
But in war, asking troops to meet the ideals and values they carry into battle – always be honorable, always be courageous, always treat civilians with respect, never harm a non-combatant – may itself cause moral injury when these ideals collide with the reality of combat. Accomplishing the mission may mean placing innocent civilians at risk.
Moral injury is a distinct syndrome from (but often co-morbid with) PTSD and is one of the primary themes for the veterans described in his books, often leading to personality changes and obstructing successful treatment. [20] [21] Shay writes that his "current most precise (and narrow) definition of moral injury has three parts.
Moral injury is a form of trauma that refers to the impact of perpetrating, witnessing, or being a victim of an act that goes against the subject's worldview or set of personal values. Moral injury can be suffered by anyone, [ 34 ] but is often associated with, and subsequently studied in populations of, soldiers or people who have participated ...
Firing back at the Taliban may have been a justifiable military necessity. But the moral burden, the image of those bloody innocents, the guilt, the shame – the inescapable truth of what he had done – that’s what he evidently took away from Afghanistan. The way Debbie described Joseph, the moral pain would have been acute. “He loved people.
However, the systemic issues facing physicians often cause deep distress because the patients are suffering despite the physician's best efforts. This concept of moral injury in healthcare [48] is the expansion of the discussion around compassion fatigue and burnout.