Moral Injury and Definitional Clarity: Betrayal, Spirituality and the Role of Chaplains

@article{Hodgson2017MoralIA,
  title={Moral Injury and Definitional Clarity: Betrayal, Spirituality and the Role of Chaplains},
  author={Tim Hodgson and Lindsay B. Carey},
  journal={Journal of Religion and Health},
  year={2017},
  volume={56},
  pages={1212-1228}
}
This article explores the developing definition of moral injury within the current key literature. Building on the previous literature regarding ‘Moral Injury, Spiritual Care and the role of Chaplains’ (Carey et al. in JORH 55(4):1218–1245, 2016b. doi:10.1007/s10943-016-0231-x), this article notes the complexity that has developed due to definitional variations regarding moral injury—particularly with respect to the concepts of ‘betrayal’ and ‘spirituality’. Given the increasing recognition of… 
View on Springer
ncbi.nlm.nih.gov
57 Citations
Highly Influential Citations
5
Background Citations
23
Methods Citations
1
Results Citations
1

57 Citations

Citation Type

Citation Type

Moral Wounds and Moral Repair: The Dilemmas of Spirituality and Culturally Sensitive Practice
As our understanding of trauma is expanding, greater consideration is being given to factors such as moral injury and spirituality. Moral injury appears to be especially pertinent in the case of…
Moral injury, coherence, and spiritual repair
ABSTRACT In the PTSD literature, moral injury represents dissonance between a person’s beliefs about how they and the world should function, and the trauma event(s) they experienced. Given the…
“Staring into the abyss”: veterans’ accounts of moral injuries and spiritual challenges
ABSTRACT The concept moral injury is receiving increased attention, especially as it pertains to military trauma. In war, service members may both observe and directly experience horrific events that…
Chaplaincy, Spiritual Care and Moral Injury: Considerations Regarding Screening and Treatment
TLDR
A new technique is proposed, “Pastoral Narrative Disclosure” (PND), as a guide for chaplains and others trained in spiritual care to assist those suffering from moral injury.
Moral Injury and the Absurd: The suffering of moral paradox
TLDR
Research is recommended to clearly delineate MP as a causative factor leading to more intractable cases of MI in the definitional literature, beyond the recognized impact of perpetration and betrayal-based conditions.
Moral Injury and Biblical Studies: An Early Sampling of Research and Emerging Trends
Moral injury emerged within clinical psychology and related fields to refer to a non-physical wound (psychological and emotional pain and its effects) that results from the violation (by oneself or…
Contextual dimensions of moral injury: An interdisciplinary review
The concept of moral injury, referring to the psychological impact of having one’s moral expectations and beliefs violated, is gaining a firm place in research on military trauma. Yet, although moral…
Military Moral Injury: An Evidence-Based and Intercultural Approach to Spiritual Care
How can spiritual care help veterans struggling with military moral injury? An evidence-based, intercultural approach to spiritual care is proposed. Evidence-based care uses research on military…
Military moral injury: A concept analysis.
TLDR
A renewed definition of moral injury in relation to the experience of veterans is provided - 'moral trauma' and defined as: 'the existential, psychological, emotional and or spiritual trauma arising from a conflict, violation or betrayal'.
A Preliminary Study Examining the Prevalence and Perceived Intensity of Morally Injurious Events in a Veterans Affairs Chaplaincy Spiritual Injury Support Group
TLDR
Results suggest a high prevalence of potentially morally injurious events (PMIEs) among participants and higher in perceived intensity compared to other military and veteran samples, drawing attention to the engagement of chaplains in supporting veterans affected by PMIEs.
...
...

References

SHOWING 1-10 OF 94 REFERENCES
Moral Injury, Spiritual Care and the Role of Chaplains: An Exploratory Scoping Review of Literature and Resources
TLDR
A scoping review of literature and other resources was implemented utilising Arksey and O’Malley’s scoping method to focus upon moral injury, spirituality (including religion) and chaplaincy.
Moral Injury and Psycho-Spiritual Development: Considering the Developmental Context
Research on military mental health has recently begun to explore the construct of “moral injury,” the mental health sequelae of real or perceived violations of deeply held values or beliefs. Moral…
The Trauma of Moral Injury: Beyond the Battlefield
This article explores moral injury, a concept from military mental health professionals, which refers to the emotional effects on soldiers of actions taken as part of their military obligations that…
A biopsychosocial-spiritual model for the care of patients at the end of life.
  • D. Sulmasy
  • Medicine, Philosophy
    The Gerontologist
  • 2002
TLDR
A model for research and practice is presented that expands on the biopsychosocial model to include the spiritual concerns of patients and an agenda for research in the spiritual aspects of illness and care at the end of life is proposed.
Combat Trauma and Moral Fragmentation: A Theological Account of Moral Injury
Moral injury, the experience of having acted (or consented to others acting) incommensurably with one’s most deeply held moral conceptions, is increasingly recognized by the mental health disciplines…
Moral Injury: Unseen Wounds in an Age of Barbarism
This very substantial and well-structured anthology, by former Anglican Bishop Tom Frame (Australia), is a collection of essays from Australian military historians, ex-soldiers, ethicists,…
Rationale for Spiritually Oriented Cognitive Processing Therapy for Moral Injury in Active Duty Military and Veterans With Posttraumatic Stress Disorder
Abstract Wartime experiences have long been known to cause ethical conflict, guilt, self-condemnation, difficulty forgiving, loss of trust, lack of meaning and purpose, and spiritual struggles.…
Possibilities within Acceptance and Commitment Therapy for Approaching Moral Injury
Moral injury and acceptance and commitment therapy (ACT) are both topics that have only quite recently been introduced into the mental health literature. Although inquiries into these two domains…
A Review of Research on Moral Injury in Combat Veterans
The moral injury construct has been proposed to describe the suffering some veterans experience when they engage in acts during combat that violate their beliefs about their own goodness or the…
End-of-life spiritual care at a VA medical center: Chaplains' perspectives
TLDR
The process and content of spiritual care provided in a VA Medical Center from chaplains' perspectives would allow identification of strengths of current spiritual care practices and areas for care improvement, and ultimately could improve the well-being of patients at the end of life.
...
...