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Define Moral Injury
Identify what causes moral injury
Explore the effects of moral Injury
Explore current approaches to treating moral injury
Moral injury is defined as the profound psychological distress which results from actions, or the lack of them, which violate one’s moral or ethical code
Morally injurious events can include acts of perpetration, acts of omission or experiences of betrayal from leaders or trusted others.
Moral injury is not a mental illness, although experiences of potentially morally injurious events can lead to negative thoughts about oneself or others as well as deep feelings of shame, guilt or disgust which can lead to the development of mental health problems.
Drescher et al. (2011) define moral injury as “disruption in an individual’s confidence and expectations about one’s own or others’ motivation or capacity to behave in a just and ethical manner”
Litz et al. (2009) further describe moral injury as “the inability to contextualize or justify personal actions or the actions of others and the unsuccessful accommodation of these . . . experiences into pre-existing moral schemas”
Shay (2014) emphasizes leadership failure and a “betrayal of what’s right, by a person who holds legitimate authority in a high stakes situation.”
Silver (2011) speaks of, “a deep soul wound that pierces a person’s identity, sense of morality, and relationship to society”
Studies have shown moral injury among law enforcement officers and civilians experiencing community violence. Moral injury among health care workers (or even legal guardians) may occur if they have to make difficult decisions related to life and death or resource allocation
During pandemics, some health care workers may feel like they must choose between caring for infectious patients and keeping their families safe
When they are present for end of life scenarios that are counter to their beliefs about how people should die, such as patients dying without loved ones present, continuing to live despite horrific pain, having to withdraw life support
Morally injurious experiences, and the resulting guilt, shame or anger, may contribute to stress reactions such as
Changes in sleep
Significant and persistent negative changes in behavior or habits
Difficulty concentrating, increase in mistakes
Isolation
Compulsive / addictive behaviors behavior (e.g., overworking, overeating, drinking)
A weakened sense of empathy or compassion
If the morally injurious situation was also a traumatic event it can lead to symptoms of PTSD

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CHAPTERS:
00:00 Moral Injuries and PTSD
00:15 Objectives
00:26 What is moral injury 1
01:06 What is moral injury 2
12:31 What is moral injury 3
17:05 Consequences
20:40 AllCEUs
21:35 Moral injury and PTSD
21:50 Risk Factors for Moral Injuries
26:25 Addressing Moral Injury 1
28:22 Addressing Moral Injury 2
31:33 Moral Resilience
34:42 Summary