The Role of Moral Emotions in Military Trauma: Implications for the Study and Treatment of Moral Injury

@article{Farnsworth2014TheRO,
  title={The Role of Moral Emotions in Military Trauma: Implications for the Study and Treatment of Moral Injury},
  author={Jacob K Farnsworth and Kent D. Drescher and Jason A. Nieuwsma and Robyn D. Walser and Joseph M. Currier},
  journal={Review of General Psychology},
  year={2014},
  volume={18},
  pages={249 - 262}
}
Moral injury, a term coined to represent the potential negative outcomes following transgression of deeply held moral values and beliefs, has recently gained increased recognition as a major concern among military service members exposed to trauma. However, working definitions of moral injury have not yet fully clarified the mechanisms whereby violations of conscience result in these outcomes or their co-occurrence with posttraumatic stress disorder (PTSD). In this paper, advances from the… 
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References

SHOWING 1-10 OF 141 REFERENCES
Moral Injury: A Mechanism for War-Related Psychological Trauma in Military Family Members
  • W. Nash, B. Litz
  • Psychology
    Clinical child and family psychology review
  • 2013
TLDR
A possible mechanism for deployment-related psychological trauma in military spouses and children based on the concept of moral injury is proposed, a model that has been developed to better understand how service members and veterans may develop PTSD and other serious mental and behavioral problems in the wake of war-zone events.
Psychometric evaluation of the Moral Injury Events Scale.
TLDR
The overall Moral Injury Events Scale and its two subscales had favorable internal validity, and comparisons between the 1-week and 3-month data suggested good temporal stability.
Moral injury and moral repair in war veterans: a preliminary model and intervention strategy.
The role of shame and self-critical thinking in the development and maintenance of current threat in post-traumatic stress disorder.
TLDR
It is suggested therapy for shame-based PTSD needs to incorporate strategies to help individuals develop inner caring, compassion and self-reassurance as it attacks an individual's psychological integrity.
Moral emotions and moral behavior.
TLDR
This chapter reviews current theory and research on moral emotions and focuses on a triad of negatively valenced "self-conscious" emotions-shame, guilt, and embarrassment.
The role of shame and guilt in traumatic events: a clinical model of shame-based and guilt-based PTSD.
TLDR
These models highlight the importance of assessing meaning in the context of pre-existing schemas and address two pathways to the development of shame and/or guilt: schema congruence and schema incongruence.
PTSD as Meaning Violation: Testing a Cognitive Worldview Perspective.
TLDR
These findings support the cognitive worldview perspective, highlighting the importance of the meaning individuals assign to traumatic events, particularly the role of meaning violation.
Initial psychometric evaluation of the Moral Injury Questionnaire--Military version.
TLDR
Preliminary evidence of the validity - including factorial, concurrent, and incremental - and clinical utility of the MIQ-M for further applications in clinical and research contexts is provided.
...
...