VA Boston Healthcare System, Department of Psychological and Brain Sciences Boston University and Department of Psychiatry Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
J Trauma Stress. 2024 Oct;37(5):775-783. doi: 10.1002/jts.23063. Epub 2024 Jun 4.
This is a conceptual overview of a premeeting institute (PMI) I presented at the 39th International Society for Traumatic Stress Studies (ISTSS) annual meeting in November 2023 entitled, "A Functional Approach to Repairing Moral Injury and Traumatic Loss in Context: Evidence, Change Agents, Clinical Strategies, and Lessons Learned." This paper was invited by the co-chairs of the Scientific Program Committee, Isaac Galatzer-Levy and Katharina Schultebraucks. I first describe the aims of the PMI and then summarize the foundational assumptions that led me to expand adaptive disclosure and create adaptive disclosure-enhanced (AD-E). The foundational assumptions are that (a) moral injury is a unique measurable potential clinical problem, (b) moral injury damages the sustaining building blocks to personal and collective humanity, and (c) repairing moral injury requires corrective humanizing and virtuous experiences and connections. I then provide an overview of AD-E and describe two new change agents- loving-kindness meditation and letter writing-that augment the original AD in service of promoting corrective experiences in the social world that are valued, valuing, and promote the experience of belonging.
这是我在 2023 年 11 月第 39 届国际创伤后应激研究学会（ISTSS）年会上介绍的会前研究所（PMI）的概念概述，题为“在背景下修复道德伤害和创伤性损失的功能方法：证据、变革推动者、临床策略和经验教训”。本文是由科学计划委员会联合主席 Isaac Galatzer-Levy 和 Katharina Schultebraucks 邀请撰写的。我首先描述了 PMI 的目的，然后总结了导致我扩展适应性披露并创建适应性披露增强（AD-E）的基本假设。这些基本假设是：(a) 道德伤害是一种独特的可衡量的潜在临床问题；(b) 道德伤害损害了个人和集体人性的支撑性组成部分；(c) 修复道德伤害需要纠正人性化和有道德的经验和联系。然后，我对 AD-E 进行了概述，并描述了两种新的变革推动者——慈悲冥想和写信——它们增强了原始的 AD，以促进在社会环境中体验有价值的、有价值的、并促进归属感的经验。
