The Role of Moral Emotions in Military Trauma: Implications for the Study and Treatment of Moral Injury
The Role of Moral Emotions in Military Trauma: Implications for the Study and Treatment of Moral Injury
复制标题
DOI：
10.1037/gpr0000018
复制
发表时间：
2014-12-01
影响因子：
4.2
通讯作者：
Currier, Joseph M.
中科院分区：
文献类型：
--
作者：
Farnsworth, Jacob K.;Drescher, Kent D.;Currier, Joseph M.
道德伤害，一个术语，创造了代表潜在的负面后果后，违背了根深蒂固的道德价值观和信仰，最近越来越多的认识到，作为一个主要的关注军事服务人员暴露于创伤。然而，精神伤害的工作定义尚未完全澄清违反良心导致这些结果或与创伤后应激障碍同时发生的机制。在本文中，从道德心理学领域的进展是用来整合新兴的道德伤害结构的认知，情感和社会层面，同时也指出了新的临床干预的可能性。在审查了军人和退伍军人群体道德伤害的突出性之后，负面道德情绪的存在（例如，内疚，愤怒，厌恶）在创伤和军事相关的PTSD的背景下进行检查。其次，社会功能主义的道德情绪的帐户被用来解释道德伤害的发展，并与创伤后应激障碍的潜在病因，强调恐惧和非恐惧的情绪。最后，积极的道德情绪的临床重要性，现有的和新兴的创伤为重点的干预措施进行了讨论。未来的研究和临床干预的方向确定强调利用社区支持的重要性。
Moral injury, a term coined to represent the potential negative outcomes following transgression of deeply held moral values and beliefs, has recently gained increased recognition as a major concern among military service members exposed to trauma. However, working definitions of moral injury have not yet fully clarified the mechanisms whereby violations of conscience result in these outcomes or their co-occurrence with posttraumatic stress disorder (PTSD). In this paper, advances from the field of moral psychology are used to integrate cognitive, affective, and social dimensions of the emerging moral injury construct, while also pointing to new possibilities for clinical intervention. After reviewing the salience of moral injury for military and veteran populations, the presence of negative moral emotions (e.g., guilt, anger, disgust) are examined within the context of trauma and military-related PTSD. Next, social functionalist accounts of moral emotions are used to explain the development of moral injury and are linked to potential etiologies of PTSD that emphasize both fear and nonfear emotions. Finally, the clinical importance of positive moral emotions for existing and emerging trauma-focused interventions is discussed. Future directions for research and clinical interventions are identified highlighting the importance of utilizing community support.