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Introduction
As a VA Chaplain, I witness the struggle combat-exposed Veterans endure as they try to make sense of the moral complexities of war. I seek to develop approaches that give language and context to moral pain. I also advocate for a definition of moral injury that sees beyond the impact of acts of betrayal/transgression and includes paradoxical circumstances (e.g., "dirty hands") which may disrupt foundational beliefs about moral order and personal agency. For more go to: www.moralinjurywheel.com
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Publications (6)
Drawing upon qualitative and construct validity evidence within MI research and the oral histories of combat-exposed Veterans, this paper explores the role of moral paradox (MP) as a precondition of moral injury (MI). This paper recommends research to clearly delineate MP as a causative factor leading to more intractable cases of MI in the definiti...
Drawing upon moral injury (MI) definitional research and the oral histories of combat-exposed Veterans, this paper explores the role of moral paradox (MP) as a precondition of MI. Research is recommended to clearly delineate MP as a causative factor leading to more intractable cases of MI in the definitional literature, beyond the recognized impact...
An infographic model of moral injury (MI) is introduced in this conceptual paper that distinguishes the development of a worldview discrepancy-induced genus of MI, called complex moral injury (C-MI), from a standard expression of moral injury (S-MI), clearly delineated as perpetration-focused and a violation of moral belief in the contemporary view...
This paper introduces an infographic tool called The Moral Injury Experience Wheel, designed to help users accurately label moral emotions and conceptualize the mechanisms of moral injury (MI). Feeling wheels have been used by therapists and clinical chaplains to increase emotional literacy since the 1980s. The literature on the skill of emotion di...
Moral injury has emerged as an important construct for understanding the distress experienced in the aftermath of a moral violation, initially among combat veterans and increasingly among other populations, such as healthcare workers and first responders. While numerous measures have been validated to assess for exposure to potentially morally inju...
Outcome literature has shown poor treatment engagement in efficacious, evidence-based post-traumatic stress disorder (PTSD) programs among returning veterans with combat-related psychological symptoms and calls for the development of motivational, preparatory exercises that circumvent stigma-related barriers and are delivered before or during the o...