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

  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},
  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… 
Understanding the Impact and Treatment of Moral Injury Among Military Service Members.
An overview of the key scientific findings regarding moral injury is provided and areas where future research is needed are highlighted, including potential challenges in treating the negative sequelae of moral injury.
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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
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Scientific research about moral injury is reviewed, summarizing lessons from the literature and offering recommendations for future research.
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Assessment of Moral Injury in Veterans and Active Duty Military Personnel With PTSD: A Review
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Previous research in the field of moral injury suggests that one’s actions during combat may lead to negative outcomes if they transgress deeply held moral beliefs; however, measures of these
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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
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.
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.
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.
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.
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.
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.
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.