Moral injury in post-9/11 combat-experienced military veterans: A qualitative thematic analysis.

IF 1.9 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-08-24 DOI:10.1037/ser0000792
K C Kalmbach, Erin D Basinger, Bryan Bayles, Randee Schmitt, Victoria Nunez, Bret A Moore, Richard G Tedeschi
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Abstract

War zone exposure is associated with enduring negative mental health effects and poorer responses to treatment, in part because this type of trauma can entail crises of conscience or moral injury. Although a great deal of attention has been paid to posttraumatic stress disorder and fear-based physiological aspects of trauma and suffering, comparatively less attention has been given to the morally injurious dimension of trauma. Robust themes of moral injury were identified in interviews with 26 post-9/11 military veterans. Thematic analysis identified 12 themes that were subsumed under four categories reflecting changes, shifts, or ruptures in worldview, meaning making, identity, and relationships. Moral injury is a unique and challenging clinical construct with impacts on the individual as well as at every level of the social ecological system. Recommendations are offered for addressing moral injury in a military population; implications for community public health are noted. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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9/11 事件后经历过战斗的退伍军人的精神伤害:定性专题分析。
战区创伤与持久的负面心理健康影响和较差的治疗反应有关,部分原因是这类创伤可 能导致良心危机或道德伤害。尽管人们对创伤后应激障碍以及创伤和痛苦的恐惧生理方面给予了大量关注,但对创伤的道德伤害方面的关注相对较少。在对 26 名 9/11 事件后退伍军人的访谈中,我们发现了道德伤害的重要主题。主题分析确定了 12 个主题,这些主题被归纳为四个类别,反映了世界观、意义建构、身份认同和人际关系方面的变化、转变或断裂。道德伤害是一种独特且具有挑战性的临床结构,对个人以及社会生态系统的各个层面都有影响。本文就如何解决军人群体中的道德伤害问题提出了建议,并指出了其对社区公共卫生的影响。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
Psychological Services
Psychological Services PSYCHOLOGY, CLINICAL-
CiteScore
4.20
自引率
13.00%
发文量
216
期刊介绍: Psychological Services publishes high-quality data-based articles on the broad range of psychological services. While the Division"s focus is on psychologists in "public service," usually defined as being employed by a governmental agency, Psychological Services covers the full range of psychological services provided in any service delivery setting. Psychological Services encourages submission of papers that focus on broad issues related to psychotherapy outcomes, evaluations of psychological service programs and systems, and public policy analyses.
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