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

P Held, BJ Klassen, JM Hall, TR Friese… - … , Practice, and Policy, 2019 - psycnet.apa.org
P Held, BJ Klassen, JM Hall, TR Friese, MM Bertsch-Gout, AK Zalta, MH Pollack
Psychological Trauma: Theory, Research, Practice, and Policy, 2019psycnet.apa.org
Objective: 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. Method: We conducted semistructured interviews with eight veterans who reported
experiencing morally injurious events during war zone deployments. Results: Using
narrative thematic analysis, five main themes and associated subthemes emerged from the …
Objective
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.
Method
We conducted semistructured interviews with eight veterans who reported experiencing morally injurious events during war zone deployments.
Results
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.
Conclusion
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) 2022 APA, all rights reserved)
American Psychological Association
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