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Review
. 2024 Mar 1;21(1-3):36-42.
eCollection 2024 Jan-Mar.

Psychotherapy's Role in Evaluating the Invisible Wounds of Moral Injury

Affiliations
Review

Psychotherapy's Role in Evaluating the Invisible Wounds of Moral Injury

Ben Onnink et al. Innov Clin Neurosci. .

Abstract

Moral injury is a relatively new concept with varying definitions that attempts to define a profound and lasting insult to one's conscience caused by perpetration of or directly witnessing harm to another person in a high-pressure situation. This entity is separate from posttraumatic stress disorder (PTSD), but it can coexist with PTSD. This article provides psychotherapeutic examples of the diagnosis of moral injury from a psychodynamic perspective, focusing on morally challenging situations related to warfare and the healthcare system.

Keywords: Moral injury; healthcare workers; military trauma; psychotherapy.

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Conflict of interest statement

DISCLOSURES: The authors have no conflicts of interest relevant to the content of this article.

Figures

FIGURE 1.
FIGURE 1.
Kohlberg’s stages of development (titles adapted from Crain, 1985)

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