A lifeline for healthcare workers in the midst of moral pain during the COVID-19 crisis On the front line of the COVID-19 response are thousands of healthcare providers working in strained systems with limited resources. Difficult decisions will be part of the experience of working under these circumstances. The moral dilemmas that providers may face in this crisis will undoubtedly lead to moral distress and emotional pain. Providers may have to make decisions about life and death, determining who gets life-saving equipment and attention and who does not. Working long and stressful hours may lead to accidental mistakes, oversights, or inaction. Providers working in overburdened or under-resourced systems may experience a sense of being thwarted in their effort to keep their oath and live their values. For providers who hold values such as service, caring, or protection, these potentially morally injurious events may have lasting consequences. Anger, guilt, and shame may plague those suffering from these seemingly impossible situations. If providers become mired in this moral pain, they may find their personal and professional lives become increasingly burdened by moral injury. The Moral Injury Workbook was developed to facilitate healing for people who have experienced a variety of moral violations and addresses a wide range of moral emotions—from guilt and shame to contempt and anger. It offers a step-by-step program to help readers move beyond their moral pain, reconnect with a fuller sense of self, and re-engage with deeply held values. This workbook is a lifeline for healthcare providers in the midst of moral pain. Oriented toward and guided by values of caring and compassion, the content of this workbook may be meaningfully applied to and engaged in the personal and professional practices of all who read it. The six core processes of acceptance and commitment therapy (ACT) are broadly addressed in the workbook to apply to a range of moral injuries. They may be used in service of the healing needed by those suffering in the presence and aftermath of this pandemic.
With this guide, readers will learn powerful skills for moving beyond moral pain to embrace a values-based life.
She did not attribute what happened to Mr. Burkett's parents or their son to an act of God. She attributed these events to the risks of living in a fragile world where undeserved bad things can happen to genuinely good people.
Treating Guilt and Shame Resulting from Trauma and Moral Injury Sonya Norman, Carolyn Allard, Kendall Browne, Christy Capone, Brittany Davis, Edward Kubany. Davies, M. (2002). Male sexual assault victims: A selective review of the ...
For recent treatments of moral injury aimed at chaplains and Christian ministers, see, e.g., Larry Kent Graham, Moral Injury: Restoring Wounded Souls (Nashville, TN: Abingdon, 2017); Duane Larson and Jeff Zust, Care for the Sorrowing ...
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 ...
Pryer, “Moral Injury and the American Service Member,” 10. 243. Copland, “Staff Perspective.” 244. Copland, “Staff Perspective”; Litz, et al., “Moral Injury and Moral Repair in War Veterans,” 700. 245. Copland, “Staff Perspective” ...
This pioneering collection will be essential resource for mental health practitioners and trainees working with people suffering from severe trauma.
The Somatic Psychology Workbook offers a primer to this life-changing approach as a means for personal growth, designed for beginners or those already using somatic techniques in their current therapeutic process.
Gray, M., Schorr, Y., Nash, W., Lebowitz, L., Lansing, L., Lang, A., et al. (2012). Adaptive disclosure: An open trial of a novel exposure-based intervention for service members with combat-related psychological stress injuries.
Also, just as in the game of chess, these pieces begin to form themselves into teams. These pieces represent your thoughts, feelings, sensations, evaluations, and memories. Some of the thoughts are things we label as positive, ...