Moral Distress And Injury In Human Services

Author : Frederic G. Reamer
Publisher : Unknown
Page : 128 pages
File Size : 53,6 Mb
Release : 2020
Category : Human services
ISBN : 0871015617

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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"--

Author : Cynda Hylton Rushton
Publisher : Oxford University Press
Page : 304 pages
File Size : 48,8 Mb
Release : 2018-10-02
Category : Medical
ISBN : 9780190619299

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Moral Resilience by Cynda Hylton Rushton Pdf

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.

Author : Joseph M. Currier,Kent D. Drescher,Jason A Nieuwsma
Publisher : American Psychological Association (APA)
Page : 258 pages
File Size : 45,5 Mb
Release : 2020-08-25
Category : Psychology
ISBN : 1433832690

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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.

Author : Renos K. Papadopoulos
Publisher : Routledge
Page : 227 pages
File Size : 50,7 Mb
Release : 2020-03-24
Category : Psychology
ISBN : 9781351862462

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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.

Author : Brett T. Litz,Leslie Lebowitz,Matt J. Gray,William P. Nash
Publisher : Guilford Publications
Page : 225 pages
File Size : 46,6 Mb
Release : 2015-11-10
Category : Psychology
ISBN : 9781462523306

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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.

Author : Patricia A. Resick,Monica Schnicke
Publisher : SAGE
Page : 196 pages
File Size : 45,6 Mb
Release : 1993-06-02
Category : Psychology
ISBN : 0803949022

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Cognitive Processing Therapy for Rape Victims by Patricia A. Resick,Monica Schnicke Pdf

Sexual assault is a traumatic event from which many survivors never fully recover. They may develop a range of disorders, including post-traumatic stress disorder, depression, poor self-esteem, interpersonal difficulties and sexual dysfunction. This volume provides insight into the effects of rape and explores a treatment approach that assists in the healing process.

Author : Frederic G. Reamer
Publisher : Columbia University Press
Page : 507 pages
File Size : 45,5 Mb
Release : 2024-05-28
Category : Social Science
ISBN : 9780231560337

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Social Work Values and Ethics by Frederic G. Reamer Pdf

For decades, teachers and practitioners have turned to Frederic G. Reamer’s Social Work Values and Ethics as the leading introduction to ethical decision making, dilemmas, and professional conduct in practice. A case-driven, concise, and comprehensive textbook for undergraduate and graduate social work programs, this book surveys the most critical issues for social work practitioners. This sixth edition incorporates significant updates to the National Association of Social Workers Code of Ethics and discussion of challenging issues related to cultural competency, antiracism, moral injury, human rights, environmental justice, ethical humility, non-Western perspectives on ethics, and practitioner self-care. Reamer also focuses on how social workers should navigate the digital world through discussion of the ethical issues that arise from practitioner use of online services and social networking sites to deliver services, communicate with clients, and provide information to the public, and he examines the standards that protect confidential information transmitted electronically. He highlights potential conflicts between professional ethics and legal guidelines and expands discussions of informed consent, confidentiality and privileged communication, boundaries and dual relationships, documentation, conflicts of interest, and risk management. Conceptually rich and attuned to the complexities of ethical decision making, Social Work Values and Ethics is unique in striking the right balance among history, theory, and practical application.

Author : Rita Nakashima Brock,Gabriella Lettini
Publisher : Beacon Press
Page : 114 pages
File Size : 41,5 Mb
Release : 2012-11-06
Category : Psychology
ISBN : 9780807029084

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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.

Author : Connie M. Ulrich,Christine Grady
Publisher : Springer
Page : 171 pages
File Size : 52,9 Mb
Release : 2018-01-31
Category : Medical
ISBN : 9783319646268

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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.

Author : Wyatt R. Evans,Robyn D. Walser,Kent D. Drescher,Jacob K. Farnsworth
Publisher : New Harbinger Publications
Page : 332 pages
File Size : 49,7 Mb
Release : 2020-06-01
Category : Self-Help
ISBN : 9781684034796

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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.

Author : Merlinda Weinberg
Publisher : Routledge
Page : 180 pages
File Size : 43,8 Mb
Release : 2016-03-17
Category : Social Science
ISBN : 9781317084228

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Paradoxes in Social Work Practice by Merlinda Weinberg Pdf

In the helping professions, codes of ethics and decision-making models have been the primary vehicles for determining what constitutes ethical practice. These strategies are insufficient since they assume that shared meanings exist and that the contradictory universal principles of codes can be reconciled. Also, these tools do not emphasize the significance of context for ethical practice. This book takes a new critical theoretical approach, which involves exploring how social workers construct what is ’ethical’ in their work, especially when they are positioned at the intersection of multiple paradoxes, including that of two opposing responsibilities in society: namely, to care for others but also to prevent others from harm. The book is built on narratives from actual front-line workers and therefore is more applicable and grounded for practitioners and students, offering many suggestions for sound practice. It illustrates that an understanding of ethics differs from worker to worker and is heavily influenced by context, workers’ values, and what they take up as the primary discourses that frame their perceptions of the profession. While recognizing the oppressive potential of social work, the book is rooted in a perspective that ethical practice can contribute to a more socially just society.

Author : Tom Koch
Publisher : MIT Press
Page : 284 pages
File Size : 52,7 Mb
Release : 2017-12-22
Category : Medical
ISBN : 9780262037211

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Ethics in Everyday Places by Tom Koch Pdf

An exploration of moral stress, distress, and injuries inherent in modern society through the maps that pervade academic and public communications worlds. In Ethics in Everyday Places, ethicist and geographer Tom Koch considers what happens when, as he puts it, “you do everything right but know you've done something wrong." The resulting moral stress and injury, he argues, are pervasive in modern Western society. Koch makes his argument "from the ground up," from the perspective of average persons, and through a revealing series of maps in which issues of ethics and morality are embedded. The book begins with a general grounding in both moral stress and mapping as a means of investigation. The author then examines the ethical dilemmas of mapmakers and others in the popular media and the sciences, including graphic artists, journalists, researchers, and social scientists. Koch expands from the particular to the general, from mapmaker and journalist to the readers of maps and news. He explores the moral stress and injury in educational funding, poverty, and income inequality ("Why aren't we angry that one in eight fellow citizens lives in federally certified poverty?"), transportation modeling (seen in the iconic map of the London transit system and the hidden realities of exclusion), and U.S. graft organ transplantation. This uniquely interdisciplinary work rewrites our understanding of the nature of moral stress, distress and injury, and ethics in modern life. Written accessibly and engagingly, it transforms how we think of ethics—personal and professional—amid the often conflicting moral injunctions across modern society. Copublished with Esri Press

Author : Andrew Jameton
Publisher : Prentice Hall
Page : 356 pages
File Size : 44,7 Mb
Release : 1984
Category : Nursing ethics
ISBN : UOM:39015007146288

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Nursing Practice by Andrew Jameton Pdf

Author : SaraKay Smullens
Publisher : Unknown
Page : 128 pages
File Size : 41,8 Mb
Release : 2021
Category : Burn out (Psychology)
ISBN : 0871015714

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Burnout and Self-care in Social Work by SaraKay Smullens Pdf

"Burnout, one of the primary reasons why committed social workers leave the profession, is a grave and pervasive problem with glaring impact. Those entering social work and all related fields, as well as those already deeply involved, must be educated about its toll and prepared to address and prevent the depletion it causes. This book provides valuable insights for all who carry complex and divergent responsibilities. The author addresses burnout and self-care from the perspective of five arenas: the professional, personal, relational, societal, and physical. She integrates research, case studies, questionnaire responses, and her seasoned experience to identify four major root causes of burnout-compassion fatigue, countertransference, vicarious trauma, and moral distress and injury-and defines creative strategies for individual self-care opportunities. This resourceful guide offers clarification, direction, and opportunity for reflection to help students and professionals in social work, related fields, and beyond find balance in their personal and professional lives as well as ease work-related stress to better serve clients-and, in this way, achieve professional equilibrium, success, and personal fulfillment. This is the second, updated edition of the 2015 original"--

Author : Ayesha Ahmad,James Smith
Publisher : Zed Books Ltd.
Page : 296 pages
File Size : 45,8 Mb
Release : 2018-06-15
Category : Social Science
ISBN : 9781786992703

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Humanitarian Action and Ethics by Ayesha Ahmad,James Smith Pdf

From natural disaster areas to conflict zones, humanitarian workers today find themselves operating in diverse and difficult environments. While humanitarian work has always presented unique ethical challenges, such efforts are now further complicated by the impact of globalization, the escalating refugee crisis, and mounting criticisms of established humanitarian practice. Featuring contributions from humanitarian practitioners, health professionals, and social and political scientists, this book explores the question of ethics in modern humanitarian work, drawing on the lived experience of humanitarian workers themselves. Its essential case studies cover humanitarian work in countries ranging from Haiti and South Sudan to Syria and Iraq, and address issues such as gender based violence, migration, and the growing phenomenon of ‘volunteer tourism’. Together, these contributions offer new perspectives on humanitarian ethics, as well as insight into how such ethical considerations might inform more effective approaches to humanitarian work.