Boston VA Research Institute, 150 S. Huntington Ave., Boston, MA, 02130, USA,
Clin Child Fam Psychol Rev. 2013 Dec;16(4):365-75. doi: 10.1007/s10567-013-0146-y.
Recent research has provided compelling evidence of mental health problems in military spouses and children, including post-traumatic stress disorder (PTSD), related to the war-zone deployments, combat exposures, and post-deployment mental health symptoms experienced by military service members in the family. One obstacle to further research and federal programs targeting the psychological health of military family members has been the lack of a clear, compelling, and testable model to explain how war-zone events can result in psychological trauma in military spouses and children. In this article, we propose a possible mechanism for deployment-related psychological trauma in military spouses and children based on the concept of moral injury, a model that has been developed to better understand how service members and veterans may develop PTSD and other serious mental and behavioral problems in the wake of war-zone events that inflict damage to moral belief systems rather by threatening personal life and safety. After describing means of adapting the moral injury model to family systems, we discuss the clinical implications of moral injury, and describe a model for its psychological treatment.
最近的研究提供了令人信服的证据，表明军属和儿童存在心理健康问题，包括创伤后应激障碍（PTSD），这与军人在战区的部署、战斗经历以及军人在家庭中经历的部署后心理健康症状有关。进一步研究和针对军人家庭成员心理健康的联邦计划的一个障碍是，缺乏一个明确、令人信服和可测试的模型来解释战区事件如何导致军属和儿童的心理创伤。在本文中，我们根据道德伤害的概念，提出了一种可能的机制，用于解释与部署相关的军人配偶和儿童的心理创伤，这一概念已经被开发出来，以更好地理解军人和退伍军人在战区事件造成道德信仰体系受损而不是威胁个人生命和安全之后，如何可能患上 PTSD 及其他严重的精神和行为问题。在描述了将道德伤害模型适用于家庭系统的方法之后，我们讨论了道德伤害的临床意义，并描述了其心理治疗模型。
