PDF(Pubmed)
Abstract：
This article is based on an interview study of 24 Swedish veterans who experienced deteriorating mental health and increased suffering without meeting the criteria for a PTSD diagnosis. With no clinical answers as to the cause of their deteriorating mental health, they have been thrown into a veteran\'s health limbo. The analysis was based on an inductive logic. A key finding of the analysis was a kind of deep-seated permanent moral conflict that could be conceptualized as moral injury. Such an injury can give rise to intense guilt, shame, anxiety, anger, dejection, bitterness, identity issues and more. The results section of the article details five different yet for the sample representative cases of moral injury and their implications. The notion of moral injury is linked to Mead\'s division of the self into an I and me, where me is the socially constructed part of the self that is charged with the morality of a group. Thus, a moral me played a key role in the development of moral injury. The conceptual apparatus illustrates a new way of understanding experiences that can create suffering and negatively impact a veteran\'s mental health. Future research is encouraged that examines this topic, national designs for addressing moral injury, screening for moral injury, and methods for healing included.
摘要：
本文基于对24名瑞典退伍军人的访谈研究，这些退伍军人在不符合PTSD诊断标准的情况下经历了心理健康恶化和痛苦增加。没有关于他们心理健康恶化的原因的临床答案，他们被扔进了退伍军人的健康困境。分析基于归纳逻辑。分析的一个关键发现是一种根深蒂固的永久性道德冲突，可以将其概念化为道德伤害。这样的伤害会引起强烈的负罪感，羞耻,焦虑,愤怒,沮丧，苦涩,身份问题和更多。本文的结果部分详细介绍了五种不同的道德伤害样本代表性案例及其含义。道德伤害的概念与米德将自我划分为我和我有关，在这里，我是社会建构的自我的一部分，负责一个群体的道德。因此，道德我在道德伤害的发展中起着关键作用。概念装置说明了一种理解经验的新方法，这种经验可能会造成痛苦并对退伍军人的心理健康产生负面影响。鼓励未来的研究来研究这个话题，解决道德伤害的国家设计，道德伤害筛查，和治疗方法包括。
