scholarly journals “I knew it was wrong the moment I got the order”: A narrative thematic analysis of moral injury in combat veterans.

2019 ◽  
Vol 11 (4) ◽  
pp. 396-405 ◽  
Author(s):  
Philip Held ◽  
Brian J. Klassen ◽  
Joanne M. Hall ◽  
Tanya R. Friese ◽  
Marcel M. Bertsch-Gout ◽  
...  
Keyword(s):  
Thematic Analysis ◽  
Combat Veterans ◽  
Moral Injury ◽  
The Moment

Mental health and moral injury among nurses: practical self-compassionate care to alleviate the psychological impact of COVID-19

2021 ◽  
Vol 10 (1) ◽  
pp. 24-27
Author(s):  
Kimberley Cairns
Keyword(s):  
Mental Health ◽  
Psychological Impact ◽  
Medical Personnel ◽  
Moral Injury ◽  
Mental Wellbeing ◽  
Compassionate Care ◽  
The Moment

COVID-19 and mental health are both topics on everyone′s radar at the moment—but what about the mental wellbeing of those on the frontline? Kimberley Cairns explores and details the ways in which the mental health of medical personnel can be maintained and improved

scholarly journals “… the thought that I could flip and die today made me feel anxious”: A study of the experienced emotions of novice white-water kayakers

2022 ◽  
Vol 6 (1) ◽  
pp. 51-75
Author(s):  
Sabina Krogh Schmidt ◽  
Matt Barker ◽  
Jennifer Byrne
Keyword(s):  
New Zealand ◽  
Thematic Analysis ◽  
Emotional Responses ◽  
Emotional Experiences ◽  
Male And Female ◽  
Stressful Environment ◽  
Significant Difference ◽  
White Water ◽  
The Moment

Learning to white-water kayak often takes place in a stressful environment. This challenges participants’ experiences of the activity, causes emotional responses, and can affect their learning. The purpose of this study is to explore participants’ experienced emotions during an educational white-water kayaking programme. Fifty-eight outdoor students from New Zealand participated. The participants responded to a bespoke questionnaire exploring fleeting somatic arousal and emotion on five different occasions during a kayaking day. Participants’ emotions changed during the activity. Excitement was significantly higher than anxiety across the day. Anxiety was highest before starting the activity. No significant difference was found between the male and female participants’ emotions. A thematic analysis resulted in five themes describing the participants’ emotional experiences. Findings are discussed and related to theory and previous research. These findings present new insights regarding in-the-moment emotional perspectives during a white-water kayaking course for novices.

scholarly journals To Understand and Support Contemporary Veterans Utilizing Biblical Combat Veteran Types

2018 ◽  
Vol 72 (4) ◽  
pp. 232-240 ◽  
Author(s):  
Jan Grimell
Keyword(s):  
Pastoral Care ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Combat Veterans ◽  
Stress Disorder ◽  
Real Life ◽  
Moral Injury ◽  
Post Traumatic Stress ◽  
Combat Veteran ◽  
Post Traumatic

This article continues to build on the biblical combat veteran types (BCVTs) which were recently presented as a tool to describe and understand biblical combat veterans through the lenses of post-traumatic stress disorder and moral injury. The purpose of this article is to connect the BCVTs with real-life cases so as to show the potential usefulness of the biblical types. This article further develops a model for pastoral care which integrates this tool.

War and the Soul

The Good Kill ◽  
2021 ◽  
pp. 15-39
Author(s):  
Marc LiVecche
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Combat Veterans ◽  
Stress Disorder ◽  
Clinical History ◽  
Clinical Work ◽  
Moral Injury

Chapter 1 explores in greater detail both the medical and phenomenological foundations of moral injury and its consequences upon the morally injured. It examines the clinical history that led to the recognition of the need for a diagnosis different than, though related to, posttraumatic stress disorder, and it zeroes in on moral injury’s relationship to killing in combat. It goes on to demonstrate the ubiquity of the belief, even among warfighters, that killing is morally evil—even if it is also morally necessary in war. Through again referencing clinical work, and introducing some of the key clinicians focusing on the moral injury construct, the paradoxical relationship between killing and moral injury is then linked to the suicide crisis afflicting combat veterans.

Moral injury in U.S. combat veterans: Results from the national health and resilience in veterans study

2017 ◽  
Vol 34 (4) ◽  
pp. 340-347 ◽  
Author(s):  
Blair E. Wisco ◽  
Brian P. Marx ◽  
Casey L. May ◽  
Brenda Martini ◽  
John H. Krystal ◽  
...  
Keyword(s):  
National Health ◽  
Combat Veterans ◽  
Moral Injury

Moral Injury and Suicide Ideation Among Israeli Combat Veterans: The Contribution of Self-Forgiveness and Perceived Social Support

2020 ◽  
pp. 088626052092086
Author(s):  
Yossi Levi-Belz ◽  
Neta Dichter ◽  
Gadi Zerach
Keyword(s):  
Social Support ◽  
Combat Veterans ◽  
Suicide Ideation ◽  
Perceived Social Support ◽  
Protective Role ◽  
Moral Injury ◽  
Self Report ◽  
Cross Sectional ◽  
Self Forgiveness ◽  
Cross Sectional Design

Modern warfare within a civilian setting may expose combatants to severe moral challenges. Whereas most of these challenges are handled effectively, some potentially morally injurious events (PMIEs) may have deleterious psychological, spiritual, and interpersonal effects among them, which may increase the risk for suicide ideation and behaviors (SIB). In this study, we aimed to examine the protective role of self-forgiveness and perceived social support on the relationship between exposure to PMIEs and SIB among combat veterans. A sample of 191 Israeli combat veterans completed validated self-report questionnaires in a cross-sectional design study, tapping moral injury, SIB, perceived social support, and self-forgiveness. Veterans with a history of SIB revealed higher levels of exposure to PMIEs and lower levels of self-forgiveness and perceived social support than veterans with no SIB history. Moreover, beyond the contributions of the PMIE dimensions, significant contributions of self-forgiveness and perceived social support to current suicide ideation (SI) were found. Importantly, the moderating model indicated that higher social support moderated the link between PMIEs and current SI. Based on the current findings, it can be suggested that self-forgiveness and perceived social support are important contributors to lower SI levels among veterans with PMIEs. It can be further suggested that interpersonal support may help veterans develop a sense of belongingness and bonding, which is a plausible basis for diminishing the risk of SI following PMIE exposure.

scholarly journals Moral injury and substance use disorders among US combat veterans: results from the 2019–2020 National Health and Resilience in Veterans Study

2021 ◽  
pp. 1-7
Author(s):  
Shira Maguen ◽  
Brandon Nichter ◽  
Sonya B. Norman ◽  
Robert H. Pietrzak
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
National Health ◽  
Combat Veterans ◽  
Population Based ◽  
Moral Injury ◽  
Increased Risk ◽  
Assessment And Treatment ◽  
Multivariable Analyses ◽  
Nationally Representative

Abstract Background Exposure to potentially morally injurious events (PMIEs) is associated with increased risk for substance use disorders (SUDs), although population-based studies remain limited. The goal of this study was to better understand the relationships between PMIE exposure and lifetime and past-year alcohol use disorder (AUD), drug use disorder (DUD), and SUD. Methods Data were analyzed from the 2019–2020 National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of 1321 combat veterans. Multivariable analyses examined associations between three types of PMIE exposure (perpetration, witnessing, and betrayal), and lifetime and past-year AUD, DUD, and SUD, adjusting for sociodemographic variables, combat exposure severity, prior trauma, and lifetime posttraumatic stress disorder and major depressive disorder. Results Perpetration was associated with increased odds of lifetime AUD (OR 1.15; 95% CI 1.01–1.31) and lifetime SUD (OR 1.18; 95% CI 1.03–1.35). Witnessing was associated with greater odds of past-year DUD (OR 1.20; 95% CI 1.04–1.38) and past-year SUD (OR 1.14; 95% CI 1.02–1.28). Betrayal was associated with past-year AUD (OR 1.20; 95% CI 1.03–1.39). A large proportion of the variance in past-year AUD was accounted for by betrayal (38.7%), while witnessing accounted for 25.8% of the variance in past-year DUD. Conclusions Exposure to PMIEs may be a stronger contributor to SUDs among veterans than previously known. These findings highlight the importance of targeted assessment and treatment of moral injury among veterans with SUDs, as well as attending to specific types of morally injurious experiences when conceptualizing and planning care.

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