Measuring moral distress and moral injury : A systematic review and content analysis of existing scales

Background

Moral distress (MD) and moral injury (MI) are related constructs describing the negative consequences of morally challenging stressors. Despite growing support for the clinical relevance of these constructs, ongoing challenges regarding measurement quality risk limiting research and clinical advances. This study summarizes the nature, quality, and utility of existing MD and MI scales, and provides recommendations for future use.

 

Method

Associations between International Trauma Questionnaire complex posttraumatic stress disorder symptom clusters and moral injury in a sample of U.K. treatment-seeking veterans : A network approach

Objective: Complex posttraumatic stress disorder (CPTSD) and moral injury are receiving increasing empirical attention. The network approach offers a novel method to understand the association between such mental health constructs.

 

‘Anyone can make bad use of a good law’ : exploring how constrained choice can result in moral injury

There are times within health and social care settings where professionals ask recipients of services to make complex and life altering choices. How these choices are presented by professionals has a profound impact on the experience of those accessing services. These experiences pattern their subsequent understanding of and response to both services and the professionals working within them.

Unified in remembrance : reflections on collective war commemoration by war-affected immigrants in the Netherlands

Decades after World War II, major commemorations are still organised to collectively remember this war. Aiming for inclusive societies, the perspectives of immigrants with different war experiences are important to be heard in relation to these commemorations.

Did the grandmother’s exposure to environmental stress during pregnancy affect the birth body size of her grandchildren? The Polish evidence

This study aimed to examine whether the exposure of grandmothers (G1s) pregnant with their daughters (G2s) to the harsh conditions of the First World War and the Great Depression influenced the perinatal outcomes of their grandchildren (G3s). We use the data on full-term live births in 1951–1953.

 

Stigma, shame and family secrets as consequences of mental illness in previous generations : A micro-history approach

In this article we evaluate micro-history as a method for investigating the meaning of stigma, shame and family secrets through generations. We present micro-histories of two Australian soldiers who developed mental illness years after serving in World War 1 and were committed to a psychiatric hospital where they died. Data were drawn from publicly available records and interviews with family members.

 

“I’m not a person anymore” : The “survivor syndrome” and William G. Niederland’s perception of the human being.

Psychiatrist, psychoanalyst, and neurologist William Guglielmo Niederland (1904–1993) received widespread acclaim for his research on Holocaust survivors, yet his other psychoanalytic work has yet to achieve comparable recognition. In this article, I will examine the affinities between Niederland’s study of the Holocaust survivors and other major works in his canon to demonstrate the cohesive nature of his worldview, philosophy, and psychoanalytic trajectory while also illuminating Niederland’s portrait of the human being. This work is divided into two sections.

 

Morale and Moral Injury among Russian and Ukrainian Combatants

This chapter explores morale and moral injury in the Russia-Ukraine War, emphasising the role of narratives. Ukrainians have been engaged in a fierce struggle for their very existence, while the morale-boosting narratives among Russian forces have faced serious challenges. Yet, the involvement of NATO countries possibly reinforced an ‘us against the rest’ mentality in Russian troops. Also, on the battlefield, unique dynamics shape morale, with the willingness to sacrifice for comrades being paramount for combat readiness.

 

“A crossroads generation.” : Great-grandchildren of Holocaust survivors' perspectives on the impact of the genocide on family functioning

As a cultural trauma, the Holocaust exerted negative psychological effects on many survivors, with such effects often extending to their families. Research has explored these effects with respect to the survivors' children and grandchildren, but the experiences of the next generation have yet to be canvassed.

 

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