Introducing the first self-help workbook for moral injury, featuring a powerful approach grounded in acceptance and commitment therapy (ACT) to help you heal in the midst of moral pain and connect with a deeper sense of meaning and purpose. If you’ve experienced, witnessed, or failed to prevent an act that violates your own deeply held values—such as harming someone in an automobile accident, or failing to save someone from a dangerous situation—you may suffer from moral injury, an enduring psychological and spiritual pain that is often accompanied by post-traumatic stress disorder (PTSD), depression, substance abuse, and other mental health conditions. In order to begin healing, you need to (re)connect with your values and what really matters to you as a human being. Written by a renowned team of PTSD and trauma professionals, this workbook can help. The Moral Injury Workbook is the first workbook of its kind to offer a powerful step-by-step program to help you move beyond moral pain. With this guide, you’ll learn to work through difficult thoughts, emotions, and spiritual troubles; (re)connect with your deeply held sense of self, values, or spiritual beliefs; and gain the psychological flexibility you need to begin healing and live a full and meaningful life. Links to downloadable worksheets for veterans and clinicians are also included. Whether you’ve experienced moral injury yourself, work in the field of mental health, or are a pastoral advisor seeking new ways to help facilitate moral healing, this workbook is an effective and much-needed resource.

Moral injury has developed in earnest since 2009 within psychology and military studies, especially through work with veterans of the U.S. military’s wars in Afghanistan and Iraq. A major part of this work is the attempt to identify means of healing, recovery, and repair for those morally injured by their experiences in combat (or similar situations). What this volume does is to provide insight into the identification of moral injury, the development of the notion, attempts to work with those affected, emerging ideas about moral injury, portraits of moral injury in the past and present, and, especially, what creative engagement with moral injury might look like from a variety of perspectives. As such, it will be an important resource for Christian ministers, chaplains, health care workers, and other providers and caregivers who serve afflicted communities.

"This edited volume summarizes promising, evidence-based strategies clinicians can implement in their work with morally injured persons. Many service members transitioning to civilian life struggle with mental health issues. For some, these mental health issues revolve around moral injury-acts or experiences that contradict the individual's fundamental beliefs about the world, or how it ought to be. The book's expert contributors are researchers and clinicians who are leading efforts to define and assess moral injury, identify its potential mechanisms and outcomes, and develop and disseminate treatments to promote recovery and healing from morally injurious events. Through the use of case examples, authors discuss promising theoretical models for conceptualizing moral injury, prominent conceptual and clinical concerns for addressing such injuries in clinical practice, and existing and novel intervention approaches"--

All royalties from the sale of this book are being donated to Warfighter Advance, http://www.warfighteradvance.org Moral Injury has been called the “signature wound” of today’s wars. It is also as old as the human record of war, as evidenced in the ancient war epics of Greece, India, and the Middle East. But what exactly is Moral Injury? What are its causes and consequences? What can we do to prevent or limit its occurrence among those we send to war? And, above all, what can we do to help heal afflicted warriors? This landmark volume provides an invaluable resource for those looking for answers to these questions. Gathered here are some of the most far-ranging, authoritative, and accessible writings to date on the topic of Moral Injury. Contributors come from the fields of psychology, theology, philosophy, psychiatry, law, journalism, neuropsychiatry, classics, poetry, and, of course, the profession of arms. Their voices find common cause in informing the growing, international conversation on war and war’s deepest and most enduring invisible wound. Few may want to have this myth-challenging, truth-telling conversation, but it is one we must have if we truly wish to help those we send to fight our wars.

Created to counteract the spiritual imbalance that MI can cause, the Moral Injury Reconciliation (MIR) methodology is a 9-week, 3-phased spiritual care treatment, for Veteran and family transformation. This book presents this methodology as a trans-diagnostic approach for practitioners working with clients with MI, PTSD, grief and military sexual trauma. Using the language of reconciliation and spiritual transformation in the context of working therapeutically with Veterans, the author shows how chaplains and others involved in spiritual care can work on the assessment and therapy of those who have experienced MI during their combat experience. It reconciles past trauma, creates a focused 'here-and-now' present and anticipates a hopeful future through spiritual awareness, communication skills and altruism.

This book focuses on the internal conflict, i.e., moral injury, of occupational stress injuries. Written in a readable style, it offers the First Responder a quick reference and a starting point, to coping with the moral injury they may acquire as a result of their continued exposure to traumatic events. The book introduces and briefly explain PTSD and Moral Injury. Followed by basic information on human make up, trauma-focused psychotherapies, antidepressants, and peer support.

Warning: The letters contain graphic descriptions of death and carnage and may be triggering for some people. If you find yourself triggered or upset by the content of these letters you are encouraged to reach out for support to the National Suicide Prevention Lifeline, Press 1 for Veterans.What is Moral Injury? We have finally come to understand that individuals who have been exposed to trauma often exhibit symptoms beyond anxiety and hyperarousal. At its core, Post Traumatic Stress (PTS) is more than anxiety and hyperarousal. We have repeatedly observed that deeper core issues exist and are typically the most distressing to traumatized individuals. These are unresolved loss, guilt and shame now termed Moral Injury (Shay 1994, Litz, et al. 2009).The information contained in this book is the culmination of 20 years of treating traumatized veterans and first responders. Unlike many psychotherapeutic approaches which were conceptualized by researchers or theorists, this program is an integration of what veterans have taught us about the emotional wounds they carry and how best to treat these injuries. Our clients have taught us that leaving the deeper core issues of Moral Injury (unresolved loss, guilt and shame) untreated leaves them with lasting emotional wounds which interfere with all aspects of their lives and put them at risk for suicide. In this book, we will share our understanding of how Moral Injury develops, how to identify Moral Injury, why many current trauma treatments fall short in addressing Moral Injury and describe our approach to healing these wounds. We will share some stories of the injuries, the redemption, and the transformation of relationships when these issues are resolved. These shifts reflect a fundamental change in how our service members and first responders are able to carry their traumatic experiences signaling the resolution of moral injury.ALL OF THE PROCEEDS FROM THIS BOOK WILL GO DIRECTLY TO THE CENTER FOR POST TRAUMATIC GROWTH A NON-PROFIT ORGANIZATION WHICH TREATS VETERANS, FIRST RESPONDERS, AND THEIR FAMILIES FROM MORAL INJURY AND POST TRAUMATIC STRESS. 501(c)3 EIN# 462962589. THANK YOU FOR SUPPORTING OUR HEROES!

The first book to explore the idea and effect of moral injury on veterans, their families, and their communities Although veterans make up only 7 percent of the U.S. population, they account for an alarming 20 percent of all suicides. And though treatment of post-traumatic stress disorder has undoubtedly alleviated suffering and allowed many service members returning from combat to transition to civilian life, the suicide rate for veterans under thirty has been increasing. Research by Veterans Administration health professionals and veterans’ own experiences now suggest an ancient but unaddressed wound of war may be a factor: moral injury. This deep-seated sense of transgression includes feelings of shame, grief, meaninglessness, and remorse from having violated core moral beliefs. Rita Nakashima Brock and Gabriella Lettini, who both grew up in families deeply affected by war, have been working closely with vets on what moral injury looks like, how vets cope with it, and what can be done to heal the damage inflicted on soldiers’ consciences. 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 experiences of moral injury from war and how they have learned to live with it. Brock and Lettini also explore its effect on families and communities, and the community processes that have gradually helped soldiers with their moral injuries. Soul Repair will help veterans, their families, members of their communities, and clergy understand the impact of war on the consciences of healthy people, support the recovery of moral conscience in society, and restore veterans to civilian life. When a society sends people off to war, it must accept responsibility for returning them home to peace.

This book turns to virtue language as an important resource for understanding moral injury, a form of subjectivity where one feels they can no longer strive to be good as a result of wartime experience. Drawing specifically on Iris Murdoch’s moral philosophy, and examining the experiences of civilians during the Bosnian War (1992-5), Joseph Wiinikka-Lydon argues that current research into war and current understandings of subjectivity need new ways to articulate the moral dimension of being a subject if we are to understand how violence affects one’s moral being and development. He develops an understanding of the human person as a tensile moral subject, one that forefronts the moral challenges and vulnerability inherent in lives affected by war. With these resources, Wiinikka-Lydon argues for a moral vocabulary and images of the human as a moral being that can better articulate the experience of violence and moral injury.

This collection of essays from ex-soldiers, military historians, chaplains and psychologists examines the unseen wounds sustained by Australians deployed to armed conflict, peacekeeping missions, humanitarian assistance and disaster relief. While many psychical injuries heal, there is growing awareness that unseen wounds affecting the mind and the spirit are often the deepest and the most lasting. This book, the first Australian examination of moral injury, shows there are no easy answers and no simple solutions. It suggests where existing approaches are misguided, and how a multi-disciplinary approach is needed to gain a better sense of moral injury.