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M
oral Injury
Inner Conflict:
Trauma Assessment Project
www.traumaassessment.org
Moral Injury & Veterans
Symposium
The Torture of a bad conscience is the hell
of a living soul………….John Calvin
Moral Injury is not a diagnosis
Moral Injury can occur when someone,
witnesses, perpetrates, fails to prevent
or learns ab...
Moral Injury occurs as a response of deeply felt
Empathy
The injury occurs when an empathetic person
experiences a trauma ...
Witnessing or participation in an act of
serious transgression that leads to
inner conflict can result in the
development ...
Know That Moral Injury Is
NOT a Diagnosis
Moral Injury Is Not A Mental
Health Disorder
The event can however lead to the d...
Symptoms Moral Injury Can Lead To
Psychological Impact
Depression
Anxiety
Dissociation
Hyper-vigilance
Agoraphobia or social withdrawal
Self Medication
Symptoms that May Lead to Suicide
Increased hopelessness
Denial of impact of trauma
Feelings of helplessness
Depression
Is...
Failure to Recognize Moral Injury
Existing PTSD treatment modalities may
fail to address moral injury.
Sense of Betrayal May Lead to
Development of Moral Injury
A moral construct that contains
contributing factors in research...
Goals in Healing Moral Injury
Empathy with oneself
The same strength that results in
moral injury can be used in
building ...
Many of the symptoms from suffering moral
injury
Are also co-morbid with mental health
diagnosis.
Knowing your clients cap...
Explore with your client abilities for
spiritually directed, socially directed
and personally directed interventions
that
...
According to Dr. Bessel Van der Kolk
“The challenge of trauma treatment is not only dealing
with the past...when one does ...
Community Goals
Recognition
&
Support
Without the mental health community support to
recognize and address the symptoms of...
According to the National Center for PTSD
Current Theory about Moral Injury fits well with
factors associated with suicide...
Suffering from PTSD and Moral Injury can result in
the manifestation of many of the same
symptoms
More Research is needed ...
As clinicians committed to working with veterans
We have the opportunity to support their recovery.
Family members and fri...
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Moral Injury_Inner Conflict

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From our Moral Injury and Veterans Symposium in September 2015. Presented by Elizabeth Stinson.

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Moral Injury_Inner Conflict

  1. 1. M oral Injury Inner Conflict: Trauma Assessment Project www.traumaassessment.org
  2. 2. Moral Injury & Veterans Symposium The Torture of a bad conscience is the hell of a living soul………….John Calvin
  3. 3. Moral Injury is not a diagnosis Moral Injury can occur when someone, witnesses, perpetrates, fails to prevent or learns about acts that transgress deeply held moral beliefs and expectations.
  4. 4. Moral Injury occurs as a response of deeply felt Empathy The injury occurs when an empathetic person experiences a trauma and has a deep emotional response to a significant event. Moral Injury is a normal and empathetic response to a very abnormal traumatic event.ssi
  5. 5. Witnessing or participation in an act of serious transgression that leads to inner conflict can result in the development of a number of serious psychological symptoms.
  6. 6. Know That Moral Injury Is NOT a Diagnosis Moral Injury Is Not A Mental Health Disorder The event can however lead to the development Of a number of psychological symptoms
  7. 7. Symptoms Moral Injury Can Lead To Psychological Impact
  8. 8. Depression Anxiety Dissociation Hyper-vigilance Agoraphobia or social withdrawal Self Medication
  9. 9. Symptoms that May Lead to Suicide Increased hopelessness Denial of impact of trauma Feelings of helplessness Depression Isolation/avoidance Lack of support Numbing Intrusive thoughts
  10. 10. Failure to Recognize Moral Injury Existing PTSD treatment modalities may fail to address moral injury.
  11. 11. Sense of Betrayal May Lead to Development of Moral Injury A moral construct that contains contributing factors in research on vulnerability to suicide can include: Betrayal Violence against civilians, Failures in Leadership Adverse outcomes resulting in killing or abuse
  12. 12. Goals in Healing Moral Injury Empathy with oneself The same strength that results in moral injury can be used in building a healing narrative for those who suffer. Forgiveness of self Forgiveness of others Recognition of Somatic Symptoms Increase in self-regulation
  13. 13. Many of the symptoms from suffering moral injury Are also co-morbid with mental health diagnosis. Knowing your clients capacity for empathy is your key to supporting their capacity to heal.
  14. 14. Explore with your client abilities for spiritually directed, socially directed and personally directed interventions that “ help normalize their response to an abnormal event”.
  15. 15. According to Dr. Bessel Van der Kolk “The challenge of trauma treatment is not only dealing with the past...when one does not feel fully here, one goes to the places where they did feel alive ...even if those places are filled with horror and misery.” The challenge in healing is enhancing the day to day experience, Learning to live in the present.
  16. 16. Community Goals Recognition & Support Without the mental health community support to recognize and address the symptoms of inner dissonance, the response that contributes to moral injury cannot be normalized and cognitive disconnect may continue to interrupt client function.
  17. 17. According to the National Center for PTSD Current Theory about Moral Injury fits well with factors associated with suicide such as: Feelings that one does not fit well with other people Feelings that one is a burden on others or society as well as an acquired capability to overcome the fear and pain associated with suicide ...Volume 23
  18. 18. Suffering from PTSD and Moral Injury can result in the manifestation of many of the same symptoms More Research is needed to more clearly define and recognize moral injury, as belief systems vary as do individuals responses to stress. Traumatization can lead to moral injury when there is deep conflict with ones belief system.
  19. 19. As clinicians committed to working with veterans We have the opportunity to support their recovery. Family members and friends may also suffer from secondary moral injury and secondary trauma from the sharing of the veterans story and within their own capacity for empathy The Torture of a bad conscience is the hell of a living soul………….John Calvin

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