Williamson Victoria, Murphy Dominic, Stevelink Sharon A M, Allen Shannon, Jones Edgar, Greenberg Neil
King's Centre for Military Health Research, Institute of Psychology, Psychiatry and Neuroscience, King's College London, London, UK.
Research Department, Combat Stress, Leatherhead, UK.
Mil Psychol. 2021 Mar 29;33(2):115-123. doi: 10.1080/08995605.2021.1897495. eCollection 2021.
This study explored the experiences of clinicians in providing treatment in cases of military-related moral injury (MI). Qualitative interviews were carried out with 15 clinicians. Clinicians found patients experienced particular maladaptive appraisals following MI, which were considered different from the responses experienced after threat-based trauma. To address MI-related distress, clinicians utilized a range of treatment approaches. Several difficulties in providing care to patients following MI were described, including the impact of providing treatment on the clinicians own mental health. This study provides detailed insight into the approaches currently used to identify and treat UK Veterans with MI-related psychological problems. These findings highlight the need to evaluate the effectiveness of the treatments currently provided for MI-related psychological problems and suggest developing best practice guidance may improve clinician confidence in delivering care to those adversely impacted by MI.
本研究探讨了临床医生在处理与军事相关的道德损伤（MI）病例时的治疗经验。对15名临床医生进行了定性访谈。临床医生发现，患者在经历MI后会出现特殊的适应不良评估，这被认为与基于威胁的创伤后反应不同。为了应对与MI相关的困扰，临床医生采用了一系列治疗方法。描述了在为MI患者提供护理时遇到的几个困难，包括提供治疗对临床医生自身心理健康的影响。本研究详细深入地了解了目前用于识别和治疗患有与MI相关心理问题的英国退伍军人的方法。这些发现凸显了评估当前针对与MI相关心理问题所提供治疗的有效性的必要性，并表明制定最佳实践指南可能会提高临床医生为受MI负面影响者提供护理的信心。
