Introduction to the special issue “Moral injury care: Practices and collaboration”

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Abstract

Since moral injury was introduced in the psychological literature little more than a decade ago, it has received substantial attention from mental health professionals as well as chaplains. This special issue features ways that chaplains are and can be engaged in addressing moral injury within health care contexts, especially the Department of Veterans Affairs. The efforts highlighted in this special issue provide building blocks for advancing moral injury care practices, research agendas, and interdisciplinary collaborations into the future.

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Most cited references 21

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Moral injury and moral repair in war veterans: a preliminary model and intervention strategy.

Brett T Litz, Nathan Stein, Eileen Delaney … (2009)

Throughout history, warriors have been confronted with moral and ethical challenges and modern unconventional and guerilla wars amplify these challenges. Potentially morally injurious events, such as perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations may be deleterious in the long-term, emotionally, psychologically, behaviorally, spiritually, and socially (what we label as moral injury). Although there has been some research on the consequences of unnecessary acts of violence in war zones, the lasting impact of morally injurious experience in war remains chiefly unaddressed. To stimulate a critical examination of moral injury, we review the available literature, define terms, and offer a working conceptual framework and a set of intervention strategies designed to repair moral injury.

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Psychometric evaluation of the Moral Injury Events Scale.

Abigail Goldsmith, Brett T Litz, William Nash … (2013)

Literature describing the phenomenology of the stress of combat suggests that war-zone experiences may lead to adverse psychological outcomes such as post-traumatic stress disorder not only because they expose persons to life threat and loss but also because they may contradict deeply held moral and ethical beliefs and expectations. We sought to develop and validate a measure of potentially morally injurious events as a necessary step toward studying moral injury as a possible adverse consequence of combat. We administered an 11-item, self-report Moral Injury Events Scale to active duty Marines 1 week and 3 months following war-zone deployment. Two items were eliminated because of low item-total correlations. The remaining 9 items were subjected to an exploratory factor analysis, which revealed two latent factors that we labeled perceived transgressions and perceived betrayals; these were confirmed via confirmatory factor analysis on an independent sample. 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. Initial discriminant and concurrent validity were also established. Future research directions were discussed.

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Moral injury.

Jonathan Shay (2014)

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Author and article information

Journal

Title: Journal of Health Care Chaplaincy

Abbreviated Title: Journal of Health Care Chaplaincy

Publisher: Informa UK Limited

ISSN (Print): 0885-4726

ISSN (Electronic): 1528-6916

Publication date Created: April 14 2022

Publication date (Electronic): March 07 2022

Publication date (Print): April 14 2022

Volume: 28

Issue: sup1

Pages: S3-S8

Affiliations

[1 ]Integrative Mental Health, Department of Veterans Affairs, USA

[2 ]Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, USA

[3 ]Vanderbilt Divinity School, USA

[4 ]Haslinger Family Pediatric Palliative Care Center, Rebecca D. Considine Research Institute, Akron Children’s Hospital, USA

Article

DOI: 10.1080/08854726.2022.2047564

PubMed ID: 35254952

SO-VID: 4af45729-9c81-4635-821d-14ad7cfcb2c1

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