Department of Psychiatry.
College of Nursing, University of Tennessee.
Psychol Trauma. 2019 May;11(4):396-405. doi: 10.1037/tra0000364. Epub 2018 May 3.
Moral injury is a nascent construct intended to capture reactions to events that violate deeply held beliefs and moral values. Although a model of moral injury has been proposed, many of the theoretical propositions of this model have yet to be systematically studied.
We conducted semistructured interviews with eight veterans who reported experiencing morally injurious events during war zone deployments.
Using narrative thematic analysis, five main themes and associated subthemes emerged from the data. The main themes capture the timing of the event, contextual factors that affected the decision-making process during the morally injurious event, reactions to the moral injurious event, search for purpose and meaning, and opening up.
The findings from the present study supported an existing model of moral injury, while extending it in several important ways. Preliminary clinical recommendations and directions for future research are discussed based on the study findings. These include directly exploring the context surrounding the morally injurious event, examining the veterans' moral appraisals, and helping them assume appropriate responsibility for their actions to reduce excessive self-blame. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
道德伤害是一个新兴的概念，旨在捕捉违反深刻信仰和道德价值观的事件所引起的反应。虽然已经提出了道德伤害模型，但该模型的许多理论命题尚未得到系统研究。
我们对 8 名在战区部署期间报告经历过道德伤害事件的退伍军人进行了半结构化访谈。
使用叙事主题分析，从数据中出现了五个主要主题和相关的子主题。这些主题捕捉了事件的时间、影响道德伤害事件决策过程的情境因素、对道德伤害事件的反应、寻找目的和意义以及敞开心扉。
本研究的结果支持了现有的道德伤害模型，同时在几个重要方面对其进行了扩展。根据研究结果，讨论了初步的临床建议和未来研究方向。这些建议包括直接探讨道德伤害事件周围的情境，检查退伍军人的道德评估，并帮助他们对自己的行为承担适当的责任，以减少过度自责。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
