National Center for PTSD, VA Boston Healthcare System, United States.
Clin Psychol Rev. 2009 Dec;29(8):695-706. doi: 10.1016/j.cpr.2009.07.003. Epub 2009 Jul 29.
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.
纵观历史,战士们一直面临着道德和伦理方面的挑战,而现代非传统和游击战争则放大了这些挑战。可能会造成道德伤害的事件,如实施、未能预防或目睹违反深刻的道德信仰和期望的行为,可能会在长期内对情感、心理、行为、精神和社会方面造成伤害(我们称之为道德伤害)。尽管已经有一些关于战区不必要的暴力行为后果的研究,但战争中道德伤害经历的持久影响仍然主要未得到解决。为了激发对道德伤害的批判性审查,我们回顾了现有文献,定义了术语,并提供了一个工作概念框架和一组干预策略,旨在修复道德伤害。