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Joseph M. Currier,Kent D. Drescher,Jason A Nieuwsma
Author : Joseph M. Currier,Kent D. Drescher,Jason A Nieuwsma Publisher : American Psychological Association (APA) Page : 258 pages File Size : 43,5 Mb Release : 2020-08-25 Category : Psychology ISBN : 1433832690
Addressing Moral Injury in Clinical Practice by Joseph M. Currier,Kent D. Drescher,Jason A Nieuwsma Pdf
This book helps clinicians conceptualize moral injury and select evidence-based approaches to incorporate in their therapeutic work with trauma survivors, particularly military service members and veterans.
Addressing Moral Injury in Clinical Practice by Joseph M. Currier,Kent D. Drescher,Jason A Nieuwsma Pdf
"This edited volume summarizes promising, evidence-based strategies clinicians can implement in their work with morally injured persons. Many service members transitioning to civilian life struggle with mental health issues. For some, these mental health issues revolve around moral injury-acts or experiences that contradict the individual's fundamental beliefs about the world, or how it ought to be. The book's expert contributors are researchers and clinicians who are leading efforts to define and assess moral injury, identify its potential mechanisms and outcomes, and develop and disseminate treatments to promote recovery and healing from morally injurious events. Through the use of case examples, authors discuss promising theoretical models for conceptualizing moral injury, prominent conceptual and clinical concerns for addressing such injuries in clinical practice, and existing and novel intervention approaches"--
Adaptive Disclosure by Brett T. Litz,Leslie Lebowitz,Matt J. Gray,William P. Nash Pdf
A complete guide to an innovative, research-based brief treatment specifically developed for service members and veterans, this book combines clinical wisdom and in-depth knowledge of military culture. Adaptive disclosure is designed to help those struggling in the aftermath of traumatic war-zone experiences, including life threat, traumatic loss, and moral injury, the violation of closely held beliefs or codes. Detailed guidelines are provided for assessing clients and delivering individualized interventions that integrate emotion-focused experiential strategies with elements of cognitive-behavioral therapy (CBT). Reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.
Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Moral Injury and Beyond by Renos K. Papadopoulos Pdf
Moral Injury and Beyond: Understanding Human Anguish and Healing Traumatic Wounds uniquely brings together a prominent collection of international contributors from the fields of psychiatry, psychology, philosophy, theology, military chaplaincy and acute crisis care to address the phenomenon of moral injury. Introduced in the 1990s to refer to a type of psychological trauma, experienced especially by soldiers who felt that their actions transgressed the expected moral norms, this innovative volume provides a timely update that progresses and redefines the field of moral injury. The ten ground-breaking essays expand our understanding of moral injury beyond its original military context, arguing that it can fruitfully be applied to and address predicaments most persons face in their daily lives. Approaching moral injury from different perspectives, the contributors focus on the experiences of combat veterans and other survivors of violent forms of adversity. The chapters address thought-provoking questions and topics, such as how survivors can regain their hope and faith, and how they can, in time, explore ways that will lead them to grow through their suffering. Exploring moral injury with a particular emphasis on spirituality, the early Church Fathers form the framework within which several chapters examine moral injury, articulating a new perspective on this important subject. The insights advanced are not limited to theoretical innovations but also include practical methods of dealing with the effects of moral injury. This pioneering collection will be essential resource for mental health practitioners and trainees working with people suffering from severe trauma. Due to its interdisciplinary nature, it will be useful not only to those academics and professionals engaged with moral injury but will be a source of inspiration for any perceptive student of the complexities and dilemmas of modern life, especially as it interfaces with issues of mental health and spirituality. It will also be invaluable to academics and students of Jungian psychology, theology, philosophy and history interested in war, migration and the impact of extreme forms of adversity.
The Moral Injury Workbook by Wyatt R. Evans,Robyn D. Walser,Kent D. Drescher,Jacob K. Farnsworth Pdf
Introducing the first self-help workbook for moral injury, featuring a powerful approach grounded in acceptance and commitment therapy (ACT) to help you heal in the midst of moral pain and connect with a deeper sense of meaning and purpose. If you’ve experienced, witnessed, or failed to prevent an act that violates your own deeply held values—such as harming someone in an automobile accident, or failing to save someone from a dangerous situation—you may suffer from moral injury, an enduring psychological and spiritual pain that is often accompanied by post-traumatic stress disorder (PTSD), depression, substance abuse, and other mental health conditions. In order to begin healing, you need to (re)connect with your values and what really matters to you as a human being. Written by a renowned team of PTSD and trauma professionals, this workbook can help. The Moral Injury Workbook is the first workbook of its kind to offer a powerful step-by-step program to help you move beyond moral pain. With this guide, you’ll learn to work through difficult thoughts, emotions, and spiritual troubles; (re)connect with your deeply held sense of self, values, or spiritual beliefs; and gain the psychological flexibility you need to begin healing and live a full and meaningful life. Links to downloadable worksheets for veterans and clinicians are also included. Whether you’ve experienced moral injury yourself, work in the field of mental health, or are a pastoral advisor seeking new ways to help facilitate moral healing, this workbook is an effective and much-needed resource.
Soul Repair by Rita Nakashima Brock,Gabriella Lettini Pdf
The first book to explore the idea and effect of moral injury on veterans, their families, and their communities Although veterans make up only 7 percent of the U.S. population, they account for an alarming 20 percent of all suicides. And though treatment of post-traumatic stress disorder has undoubtedly alleviated suffering and allowed many service members returning from combat to transition to civilian life, the suicide rate for veterans under thirty has been increasing. Research by Veterans Administration health professionals and veterans’ own experiences now suggest an ancient but unaddressed wound of war may be a factor: moral injury. This deep-seated sense of transgression includes feelings of shame, grief, meaninglessness, and remorse from having violated core moral beliefs. Rita Nakashima Brock and Gabriella Lettini, who both grew up in families deeply affected by war, have been working closely with vets on what moral injury looks like, how vets cope with it, and what can be done to heal the damage inflicted on soldiers’ consciences. In Soul Repair, the authors tell the stories of four veterans of wars from Vietnam to our current conflicts in Iraq and Afghanistan—Camillo “Mac” Bica, Herman Keizer Jr., Pamela Lightsey, and Camilo Mejía—who reveal their experiences of moral injury from war and how they have learned to live with it. Brock and Lettini also explore its effect on families and communities, and the community processes that have gradually helped soldiers with their moral injuries. Soul Repair will help veterans, their families, members of their communities, and clergy understand the impact of war on the consciences of healthy people, support the recovery of moral conscience in society, and restore veterans to civilian life. When a society sends people off to war, it must accept responsibility for returning them home to peace.
Trauma Informed Guilt Reduction Therapy by Sonya Norman,Carolyn Allard,Kendall Browne,Christy Capone,Brittany Davis,Edward Kubany Pdf
Trauma Informed Guilt Reduction Therapy (TrIGR) provides mental health professionals with tools for assessing and treating guilt and shame resulting from trauma and moral injury. Guilt and shame are common features in many of the problems trauma survivors experience including posttraumatic stress disorder (PTSD), depression, substance use, and suicidality. This book presents Trauma Informed Guilt Reduction (TrIGR) Therapy, a brief, transdiagnostic psychotherapy designed to reduce guilt and shame. TrIGR offers flexibility in that it can be delivered as an individual or group treatment. Case examples demonstrate how TrIGR can be applied to a range of trauma types including physical assault, sexual abuse, childhood abuse, motor vehicle accidents, and to moral injury from combat and other military-related events. Conceptualization of trauma-related guilt and shame, assessment and treatment, and special applications are covered in-depth. Summarizes the empirical literature connecting guilt, shame, moral injury, and posttraumatic problems Guides therapists in assessing posttraumatic guilt, shame, moral injury, and related problems Provides a detailed look at a brief, transdiagnostic therapy shown to reduce guilt and shame related to trauma Describes how TrIGR can be delivered as an individual or group intervention Includes a comprehensive therapist manual and client workbook
Exploring Moral Injury in Sacred Texts by Joseph McDonald Pdf
Moral injury is a profound violation of a human being's core moral identity through experiences of violence or trauma. This is the first book in which scholars from different faith and academic backgrounds consider the concept of moral injury not merely from a pastoral or philosophical point of view but through critical engagement with the sacred texts of Judaism, Christianity, Islam, Buddhism and American Civil Religion. This collection of essays explores the ambiguities of personal culpability among both perpetrators and victims of violence and the suffering involved in accepting personal agency in trauma. Contributors provide fresh and compelling readings of texts from different faith traditions and use their findings to reflect on real-life strategies for recovery from violations of core moral beliefs and their consequences such as shame, depression and addiction. With interpretations of the sacred texts, contributors reflect on the concerns of the morally-injured today and offer particular aspects of healing from their communities as support, making this a groundbreaking contribution to the study of moral injury and trauma.
Cognitive Processing Therapy for PTSD by Patricia A. Resick,Candice M. Monson,Kathleen M. Chard Pdf
The culmination of more than 25 years of clinical work and research, this is the authoritative presentation of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD). Written by the treatment's developers, the book includes session-by-session guidelines for implementation, complete with extensive sample dialogues and 40 reproducible client handouts. It explains the theoretical and empirical underpinnings of CPT and discusses how to adapt the approach for specific populations, such as combat veterans, sexual assault survivors, and culturally diverse clients. The large-size format facilitates photocopying and day-to-day use. Purchasers also get access to a Web page where they can download and print the reproducible materials. CPT is endorsed by the U.S. Departments of Veterans Affairs and Defense, the International Society of Traumatic Stress Studies, and the U.K. National Institute for Health and Care Excellence (NICE) as a best practice for the treatment of PTSD.
Moral Distress and Injury in Human Services by Frederic G. Reamer Pdf
"Moral injury is defined as the sort of harm that results when someone has perpetrated, failed to prevent, or witnessed acts that transgress deeply held moral beliefs. Social workers and other human services professionals are well versed in the ravages, symptoms, and treatment of the complicated forms of posttraumatic stress that accompany moral injury, and the issue has been gaining attention. The purpose of this book is to provide in-depth discussion of the concepts of moral injury, moral distress, and moral demoralization; common causes; the ways in which moral injury, moral distress, and moral demoralization are manifested; the causes of moral injury, moral distress, and moral demoralization; secondary trauma, including the ways in which moral injury, moral distress, and moral demoralization affect practitioners; ethical/moral dilemmas; prevention strategies; the role of advocacy and moral courage; and practitioner self-care and resilience. The book includes extensive case examples (clinical, administration, policy practice, advocacy) drawn from the author's experience in and consultation with practitioners employed in public welfare offices, mental health agencies (residential and nonresidential), child and family services programs (residential and nonresidential), substance use programs (residential and nonresidential), housing and homelessness programs, prisons, schools, hospitals, military settings, private/independent practice, immigration and refugee resettlement programs, nursing homes, HIV/AIDS programs, disabilities services programs, hospice programs, and parole/probation offices, among others"--
Moral Injury in Veterans and Active Duty Military with PTSD by Harold G. Koenig,Donna Ames,Arndt Büssing Pdf
This eBook focuses on a relatively new frontier in psychiatry, the topic of “moral injury” (MI), which is examined here in the setting of post-traumatic stress disorder (PTSD) among Veterans and Active Duty Military. We define MI, describe how to identify it by screening, explain the impact that MI has on mental health outcomes (particularly PTSD and mental health problems often associated with PTSD), and provide information on what clinicians can do about it. While the focus here is on Veterans and Active Duty Military, MI is much more widespread than just among former or current military personnel. Healthcare professionals, first responders, clergy, and many patients seeking mental health care are also likely suffering from MI, which is not recognized or treated because clinicians are not familiar with it. Burnout among health professionals and those engaged in other high-stress occupations may often have MI as an underlying condition that is driving the burnout or related emotional condition. Therefore, psychiatrists and all mental health professionals must know about this syndrome, utilize the tools now available to identify it, and learn about interventions that can be employed to treat it. Success in treating many of the common mental health conditions that appear resistant to treatment may depend on knowing about this new (yet very old) syndrome.
Mayo Clinic Strategies To Reduce Burnout by Stephen Swensen MD, MMM,Tait Shanafelt MD Pdf
Mayo Clinic Strategies to Reduce Burnout: 12 Actions to Create the Ideal Workplace tells the story of the evolving journey of those in the medical profession. It dwells not on the story of burnout, distress, compassion fatigue, moral injury, and cognitive dissonance but rather on a narrative of hope for professional fulfillment, well-being, joy, and camaraderie. Achieving this aim requires health care professionals and administrative leaders working together to create the ideal workplace-through nurturing positivity and pushing negativity aside. The ultimate aspiration is esprit de corps-the common spirit existing in members of a group that inspires enthusiasm, devotion, loyalty, camaraderie, engagement, and strong regard for the welfare of the team and of common interests and responsibilities. Mayo Clinic Strategies to Reduce Burnout: 12 Actions to Create the Ideal Workplace provides a road map for you to create esprit de corps for your team and organization. The map is paved with information about reliable, patient-centered, and thoughtful systems embedded within psychologically safe and just cultures. The authors drew on their extensive research on the well-being of health care professionals; from their experience in quality, department operations, leadership and organization development, management, safe havens, and care teams; and from their roles as president, chief wellness officer, chief quality officer, chair, principal investigator, senior fellow, and board director.
This book attempts to illuminate the issue of moral injury and identify means of healing, recovery, and repair for those morally injured by their experiences in combat (or similar situations).
Moral Distress in the Health Professions by Connie M. Ulrich,Christine Grady Pdf
This is the first book on the market or within academia dedicated solely to moral distress among health professionals. It aims to bring conceptual clarity about moral distress and distinguish it from related concepts. Explicit attention is given to the voices and experiences of health care professionals from multiple disciplines and many parts of the world. Contributors explain the evolution of the concept of moral distress, sources of moral distress including those that arise at the unit/team and organization/system level, and possible solutions to address moral distress at every level. A liberal use of case studies will make the phenomenon palpable to readers. This volume provides information not only for academia and educational initiatives, but also for practitioners and the research community, and will serve as a professional resource for courses in health professional schools, bioethics, and business, as well as in the hospital wards, intensive care units, long-term care facilities, hospice, and ambulatory practice sites in which moral distress originates.
