Between Moral Injury and Moral Agency​: Exploring Treatment for Men with Histories of Military Sexual Trauma

Jonathan Yahalom, Sheila Frankfurt, Alison B. Hamilton
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Abstract

This Research Article deploys the frameworks of moral injury and moral agency to explore the experiences of veteran men who completed group therapy for military sexual trauma (MST). The article analyses ethnographically how veteran men with MST experience psychological growth via a replenishment of their sense of moral agency, thereby blending psychological theory about moral injury with anthropological theory about moral agency. It highlights how broader cultural experience can intersect and contribute to shame around MST, then depicts the ways that veterans recovered from a life characterised by pervasive shame, isolation, and compromised identity—psychological signs of moral injury—and made gains toward a life characterised by greater self-acceptance, an ability to tell one’s own story, and intimacy with others—signs of moral agency. In so doing, the article highlights the social and moral dimensions that can constitute psychological injury, and the way that addressing these dimensions can promote moral agency and thus mental health recovery.
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在道德伤害与道德能动性之间:军人性创伤史的治疗探索
本研究运用道德伤害和道德代理的框架,探讨退伍军人性创伤群体治疗的经验。本文从民族志的角度分析了MST老兵如何通过道德能动性的补充来体验心理成长,从而将道德伤害的心理学理论与道德能动性的人类学理论相结合。它强调了更广泛的文化经验如何在MST周围交叉并促进羞耻,然后描述了退伍军人如何从普遍的羞耻,孤立和妥协的身份(道德伤害的心理标志)的生活中恢复过来,并朝着更大的自我接纳,讲述自己的故事的能力和与他人的亲密关系(道德机构的标志)的生活中取得进展。通过这样做,文章强调了可能构成心理伤害的社会和道德层面,以及解决这些层面的方式可以促进道德代理,从而促进心理健康恢复。
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