TY - JOUR
T1 - Addressing Religious and Spiritual Diversity in Moral Injury Care
T2 - Five Perspectives
AU - Pyne, Jeffrey M.
AU - Currier, Joseph
AU - Hinkson, Kent D.
AU - Usset, Timothy J.
AU - Abeita, Lynn A.
AU - Dordal, Paul
AU - Kouser, Taimur
AU - Awaad, Rania
AU - Weber, Marcela C.
AU - Griffin, Brandon J.
N1 - Publisher Copyright:
© 2023, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
PY - 2023/12
Y1 - 2023/12
N2 - Purpose of Review: Moral injury is increasingly recognized as a problem across various populations. Moral injury symptoms can occur when an individual’s action, lack of action, or witness of an event violates their moral beliefs, and include dysphoric emotions such as guilt, shame, and disgust; loss of meaning and purpose; withdrawal from valued relationships and groups; and religious/spiritual struggle (e.g., feeling abandoned or punished by the divine, loss of faith in a previously held belief system). Spiritually oriented moral injury interventions are sometimes delivered by mental health clinicians, chaplains, other religious/spiritual leaders, and peers. However, there is a lack of research on moral injury interventions among diverse religious/spiritual populations. Recent Findings: To start bridging this gap, we present anonymized moral injury case studies from the perspectives of five spiritual traditions (listed alphabetically): Agnosticism, Islam, the Church of Jesus Christ of Latter-Day Saints (LDS, also known as Mormonism), Native American spiritual ways, and Roman Catholicism. These case studies describe the morally injurious event(s), ensuing mental health problems and religious/spiritual struggles, how these struggles are understood within the specific religious/spiritual tradition, and interventions and resources used to address moral injury. Summary: We discuss resources for religious/spiritual competency training, religiously/spiritually oriented psychotherapies for moral injury, and approaches to care involving collaboration between mental health and religious/spiritual community resources.
AB - Purpose of Review: Moral injury is increasingly recognized as a problem across various populations. Moral injury symptoms can occur when an individual’s action, lack of action, or witness of an event violates their moral beliefs, and include dysphoric emotions such as guilt, shame, and disgust; loss of meaning and purpose; withdrawal from valued relationships and groups; and religious/spiritual struggle (e.g., feeling abandoned or punished by the divine, loss of faith in a previously held belief system). Spiritually oriented moral injury interventions are sometimes delivered by mental health clinicians, chaplains, other religious/spiritual leaders, and peers. However, there is a lack of research on moral injury interventions among diverse religious/spiritual populations. Recent Findings: To start bridging this gap, we present anonymized moral injury case studies from the perspectives of five spiritual traditions (listed alphabetically): Agnosticism, Islam, the Church of Jesus Christ of Latter-Day Saints (LDS, also known as Mormonism), Native American spiritual ways, and Roman Catholicism. These case studies describe the morally injurious event(s), ensuing mental health problems and religious/spiritual struggles, how these struggles are understood within the specific religious/spiritual tradition, and interventions and resources used to address moral injury. Summary: We discuss resources for religious/spiritual competency training, religiously/spiritually oriented psychotherapies for moral injury, and approaches to care involving collaboration between mental health and religious/spiritual community resources.
KW - Moral injury
KW - Psychology of religion
KW - Religious beliefs
KW - Spirituality
KW - Spiritually integrated care
UR - http://www.scopus.com/inward/record.url?scp=85176429881&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85176429881&partnerID=8YFLogxK
U2 - 10.1007/s40501-023-00308-3
DO - 10.1007/s40501-023-00308-3
M3 - Review article
AN - SCOPUS:85176429881
SN - 2196-3061
VL - 10
SP - 446
EP - 462
JO - Current Treatment Options in Psychiatry
JF - Current Treatment Options in Psychiatry
IS - 4
ER -