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In the healthcare literature, moral injury is the accumulation of negative effects by continued exposure to morally distressing situations. [31] In 2000 the concept of moral distress being generated by systemic issues was called "the ethical canary" [32] to draw attention to the sensation of moral distress signaling a need for systemic change.
Moral reasoning has been the focus of most study of morality dating back to Plato and Aristotle.The emotive side of morality, worked by Adam Smith's The Theory of Moral Sentiments, has been looked upon with disdain, as subservient to the higher, rational, moral reasoning, with scholars like Immanuel Kant, Piaget and Kohlberg touting moral reasoning as the key forefront of morality. [7]
In social cognitive theory of morality, self-regulatory mechanisms embedded in moral standards and self-sanctions translate moral reasoning into actions, and, as a result, moral agency is exerted. Thus, the moral self is situated in a broader, socio-cognitive self-theory consisting of self-organizing, proactive, self-reflective, and self ...
But the boy’s death haunts him, mired in the swamp of moral confusion and contradiction so familiar to returning veterans of the wars in Iraq and Afghanistan. It is what experts are coming to identify as a moral injury: the pain that results from damage to a person’s moral foundation. In contrast to Post-Traumatic Stress Disorder, which ...
Scrupulosity is the pathological guilt and anxiety about moral issues. Although it can affect nonreligious people, it is usually related to religious beliefs. It is personally distressing, dysfunctional, and often accompanied by significant impairment in social functioning.
Moral affect is “emotion related to matters of right and wrong”. Such emotion includes shame, guilt, embarrassment, and pride; shame is correlated with the disapproval by one's peers, guilt is correlated with the disapproval of oneself, embarrassment is feeling disgraced while in the public eye, and pride is a feeling generally brought about by a positive opinion of oneself when admired by ...
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.
Something that may inhibit moral courage however, is the undesirable consequences in their personal, social, and work life. A way of counteracting those adverse consequences and increasing moral courage may be by adding anonymity. [8] In a study on online moral courage, they found that moral courage and anonymity online had a positive correlation.