Harold G. Koenig

Arndt Büssing

Donna Ames

This eBook focuses on a relatively new frontier in psychiatry, the topic of “moral injury” (MI), which is examined here in the setting of post-traumatic stress disorder (PTSD) among Veterans and Active Duty Military. We define MI, describe how to identify it by screening, explain the impact that MI has on mental health outcomes (particularly PTSD and mental health problems often associated with PTSD), and provide information on what clinicians can do about it. While the focus here is on Veterans and Active Duty Military, MI is much more widespread than just among former or current military personnel. Healthcare professionals, first responders, clergy, and many patients seeking mental health care are also likely suffering from MI, which is not recognized or treated because clinicians are not familiar with it. Burnout among health professionals and those engaged in other high-stress occupations may often have MI as an underlying condition that is driving the burnout or related emotional condition. Therefore, psychiatrists and all mental health professionals must know about this syndrome, utilize the tools now available to identify it, and learn about interventions that can be employed to treat it. Success in treating many of the common mental health conditions that appear resistant to treatment may depend on knowing about this new (yet very old) syndrome.

Moral Injury in Veterans and Active Duty Military with PTSD

Harold Koenig

Michelle Pearce

This volume focuses on the role that religion and spirituality can play in recovery from post-traumatic stress disorder (PTSD) and other forms of trauma, including moral injury. Religious texts, from the Bible to Buddhist scriptures, have always contained passages that focus on helping those who have experienced the trauma of war. Many religions have developed psychological, social, behavioral, and spiritual ways of coping and healing that can work in tandem with clinical treatments today in assisting recovery from PTSD and moral injury. In this book the authors review and discuss systematic research into how religion helps people cope with severe trauma, including trauma caused by natural disasters, intentional interpersonal violence, or combat experiences during war. They delve into the impact that spirituality has in both the development of and recovery from PTSD. Beyond reviewing research, they also use case vignettes throughout to illustrate the very human story of recovery from PTSD, and how religious or spiritual beliefs can both help or hinder depending on circumstance. A vital work for any mental health or religious professionals who seek to help people dealing with severe trauma and loss.

Donna Ames

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