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Moral Injury


Moral Injury

Moral injury, characterized by guilt, shame and self-condemnation, is conceptualized either as an adjunct to post-traumatic stress disorder or as a new syndrome. Studies of symptoms and potentially morally injurious events have produced a possible definition and informed the design of rating scales. The current challenge remains the design of effective interventions. Because moral injury relates to ethical behavior, the meaning attached to events and perceptions of the self, moral philosophy and spirituality could contribute to the design of treatments. – Edgar Jones

No available resources 


Community Hospices- Moral Injury in Vietnam Veterans - This webinar will define the concept of Moral Injury (MI) to healthcare teams and how it affects some Veterans of the Vietnam War. How to identify symptoms of Moral Injury, especially in the last weeks to months of life, will be described.

Moral Injury in Health Care (February 2020)

Moral Injury in Combat: Holistic and Community Healing TEDx Lehigh River (November 2017)

Overcoming Moral Injuries  TEDx Santo Domingo (February 2016)

PTSD 101: Addressing Traumatic Guilt in PTSD Treatment (August 2014)

    This course explains the relationship between trauma and guilt and reviews how to assess traumatic guilt. Treatment considerations for guilt in Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) are included.

The Moral Injury of War TEDx Virginia Tech (December 2013)

Let's Get "REAL": A Collaborative Group Therapy for Moral Injury. Smigelsky MA, Malott J, Parker R, Check C, Rappaport B, Ward S. J Health Care Chaplain. 2022 Feb 3:1-15. doi: 10.1080/08854726.2022.2032978. Epub ahead of print.

Cultivating psychological flexibility to address religious and spiritual suffering in moral injury. Borges LM, Barnes SM, Farnsworth JK, Evans WR, Moon Z, Drescher KD, Walser RD. J Health Care Chaplain. 2022 Feb 2:1-10. doi: 10.1080/08854726.2022.2031467. Epub ahead of print.

Moral Injury and Peri- and Post-Military Suicide Attempts among Post-9/11 Veterans. Maguen S, Griffin BJ, Vogt D, Hoffmire CA, Blosnich JR, Bernhard PA, Akhtar FZ, Cypel YS, Schneiderman AI. Psychol Med. 2022 Jan 17:1-10. doi: 10.1017/S0033291721005274. Epub ahead of print.

Own Soul's Warning: Moral Injury, Suicidal Ideation, and Meaning in Life. Kelley ML, Chae JW, Bravo AJ, Milam AL, Agha E, Gaylord SA, Vinci C, Currier JM. Psychol Trauma. 2021 Aug 5. doi: 10.1037/tra0001047

Moral Injury, Mental Health, and Behavioral Health Outcomes: A Systematic Review of the Literature. Hall NA, Everson AT, Billingsley MR, Miller MB. Clin Psychol Psychother. 2021 Apr 30. doi: 10.1002/cpp.2607

Moral Injury and the Absurd: The suffering of moral paradox. Fleming WH. J Relig Health. 2021 Mar 16. doi: 10.1007/s10943-021-01227-4

Moral injury and suicidal behavior among US combat Veterans: Results from the 2019-2020 National Health and Resilience in Veterans Study. Nichter B, Norman SB, Maguen S, Pietrzak RH. Depress Anxiety. 2021 Mar 5. doi: 10.1002/da.23145

Moral Injury as a Mediator of the Associations Between Sexual Harassment and Mental Health Symptoms and Substance Use Among Women Veterans. Hamrick HC, Ehlke SJ, Davies RL, Higgins JM, Naylor J, Kelley ML. J Interpers Violence. 2021 Jan 12:886260520985485. doi: 10.1177/0886260520985485

A Pilot Study of a Moral Injury Group Intervention Co-Facilitated by a Chaplain and Psychologist. 
Cenkner DP, Yeomans PD, Antal CJ, Scott JC. J Trauma Stress. 2020 Dec 29. doi: 10.1002/jts.22642

Moral injury as a unique predictor of suicidal ideation in a veteran sample with a substance use disorder. Cameron AY, Eaton E, Brake CA, Capone C. Psychol Trauma. 2020 Dec 24. doi: 10.1037/tra0000988

Challenging the Hegemony of the Symptom: Reclaiming Context in PTSD and Moral Injury. Kinghorn W. J Med Philos. 2020 Oct 31:jhaa023. doi: 10.1093/jmp/jhaa023

Moral injury in a context of trauma. Jones E. Br J Psychiatry. 2020 Mar;216(3):127-128. doi: 10.1192/bjp.2020.46

Veterans' perspectives on discussing moral injury in the context of evidence-based psychotherapies for PTSD and other VA treatment. Borges LM, Bahraini NH, Holliman BD, Gissen MR, Lawson WC, Barnes SM. J Clin Psychol. 2020 Mar;76(3):377-391. doi: 10.1002/jclp.22887

Moral decision making, religious strain, and the experience of moral injury.  Lancaster SL, Miller M. Psychol Trauma. 2020 Feb;12(2):156-164. doi: 10.1037/tra0000518

Examining the Overlap Between Moral Injury and PTSD in US Veterans and Active Duty Military. Koenig HG, Youssef NA, Ames D, Teng EJ, Hill TD. J Nerv Ment Dis. 2020 Jan;208(1):7-12. doi: 10.1097/NMD.0000000000001077

Validation of the Expressions of Moral Injury Scale-Military version-Short Form. Currier JM, Isaak SL, McDermott RC.Currier JM, et al. Clin Psychol Psychother. 2020 Jan;27(1):61-68. doi: 10.1002/cpp.2407

It's time to talk about physician burnout and moral injury. Kopacz MS, Ames D, Koenig HG.Kopacz MS, et al. Lancet Psychiatry. 2019 Nov;6(11):e28. doi: 10.1016/S2215-0366(19)30385-2

No available resources

No available resources

Moral Injury in Health Care Workers – Resources provided by the VA National Center for PTSD

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