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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: 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.
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.
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 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 (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
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 is defined as the sort of harm that results when someone has perpetrated, failed to prevent, or witnessed acts that transgress deeply held moral beliefs. Social workers and other human services professionals are well versed in the ravages, symptoms, and treatment of the complicated forms of posttraumatic stress that accompany moral injury, and the issue has been gaining attention. The purpose of this book is to provide in-depth discussion of the concepts of moral injury, moral distress, and moral demoralization; common causes; the ways in which moral injury, moral distress, and moral demoralization are manifested; the causes of moral injury, moral distress, and moral demoralization; secondary trauma, including the ways in which moral injury, moral distress, and moral demoralization affect practitioners; ethical/moral dilemmas; prevention strategies; the role of advocacy and moral courage; and practitioner self-care and resilience. The book includes extensive case examples (clinical, administration, policy practice, advocacy) drawn from the author's experience in and consultation with practitioners employed in public welfare offices, mental health agencies (residential and nonresidential), child and family services programs (residential and nonresidential), substance use programs (residential and nonresidential), housing and homelessness programs, prisons, schools, hospitals, military settings, private/independent practice, immigration and refugee resettlement programs, nursing homes, HIV/AIDS programs, disabilities services programs, hospice programs, and parole/probation offices, among others"--
This book focuses on the internal conflict, i.e., moral injury, of occupational stress injuries. Written in a readable style, it offers the First Responder a quick reference and a starting point, to coping with the moral injury they may acquire as a result of their continued exposure to traumatic events. The book introduces and briefly explain PTSD and Moral Injury. Followed by basic information on human make up, trauma-focused psychotherapies, antidepressants, and peer support.
Moral injury has developed in earnest since 2009 within psychology and military studies, especially through work with veterans of the U.S. military’s wars in Afghanistan and Iraq. A major part of this work is the attempt to identify means of healing, recovery, and repair for those morally injured by their experiences in combat (or similar situations). What this volume does is to provide insight into the identification of moral injury, the development of the notion, attempts to work with those affected, emerging ideas about moral injury, portraits of moral injury in the past and present, and, especially, what creative engagement with moral injury might look like from a variety of perspectives. As such, it will be an important resource for Christian ministers, chaplains, health care workers, and other providers and caregivers who serve afflicted communities.