Psychologists are finding that moral code violations can leave an enduring mark — and may require new types of therapy.
, watching some people refuse to wear masks to protect those who were more vulnerable, and being too overworked to provide optimal care. One wrote: “My line in the sand was treating patients in wheelchairs outside in the ambulance bay in the cold fall night. I got blankets and food for people outside with IV fluid running. I was ashamed of the care we were providing.”
Still, Nieuwsma, who has largely studied moral injury in a military context, says he and other researchers have been reluctant to apply the term to the civilian population. “We want to preserve the intensity” of the description, he says. But what exactly are the parameters of that injury? So far researchers and clinicians have lacked an objective measure of moral injury. To rectify that, Litz and 10 colleagues, along with a broad consortium of other experts, recently sent questionnaires to hundreds of active-duty service members and military veterans in the United States, Canada, the United Kingdom, Australia and Israel who had suffered potentially morally injurious experiences.
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