Cargando…

The shaping of moral injury among UK military veterans of the wars in Afghanistan and Iraq

OBJECTIVE: Research on ‘moral injury’—the psychological wound experienced by military personnel and other ‘functionaries’ whose moral values are violated—has proliferated in recent years. Many psychological researchers, including those in the UK, have subscribed to an increasingly individualised ope...

Descripción completa

Detalles Bibliográficos
Autores principales: Hollis, Jake, Hanna, Paul, Perman, Gemma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10100459/
https://www.ncbi.nlm.nih.gov/pubmed/36333240
http://dx.doi.org/10.1111/papt.12434
_version_ 1785025282645688320
author Hollis, Jake
Hanna, Paul
Perman, Gemma
author_facet Hollis, Jake
Hanna, Paul
Perman, Gemma
author_sort Hollis, Jake
collection PubMed
description OBJECTIVE: Research on ‘moral injury’—the psychological wound experienced by military personnel and other ‘functionaries’ whose moral values are violated—has proliferated in recent years. Many psychological researchers, including those in the UK, have subscribed to an increasingly individualised operationalisation of moral injury, with medicalised criteria that closely mirrors PTSD. This trend carries assumptions that have not been comprehensively verified by empirical research. This study aims to explore UK military veterans' experiences of, and challenges to, their moral values in relation to their deployment experiences, without prematurely foreclosing exploration of wider systemic influences. METHOD: Twelve UK military veterans who served in Afghanistan and/or Iraq were interviewed, and the data were analysed thematically and reflexively. RESULTS: Three inter‐related themes were generated: (1) ‘you've been undermined’, (2) ‘how am I involved in this?’ and (3) ‘civilianised’. CONCLUSIONS: The analysis suggests that several assumptions privileged in moral injury research may be empirically contradicted, at least in relation to the experiences of UK military veterans. These assumptions include that moral injury is exclusively driven by individual, episodic acts of commission and omission, invariably leads to guilt and necessarily bifurcates into variants of either perpetration or betrayal. Instead, participants understood the moral violations they experienced as socially contingent. Rather than ‘treating’ moral injury as a disorder of thinking and feeling located within an individual, the socially contextualised understanding of moral injury indicated by this study's findings may prompt the development of psychological and social interventions that understand moral injury as the fallout of what occurs between people and within systems.
format Online
Article
Text
id pubmed-10100459
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-101004592023-04-14 The shaping of moral injury among UK military veterans of the wars in Afghanistan and Iraq Hollis, Jake Hanna, Paul Perman, Gemma Psychol Psychother Research Articles OBJECTIVE: Research on ‘moral injury’—the psychological wound experienced by military personnel and other ‘functionaries’ whose moral values are violated—has proliferated in recent years. Many psychological researchers, including those in the UK, have subscribed to an increasingly individualised operationalisation of moral injury, with medicalised criteria that closely mirrors PTSD. This trend carries assumptions that have not been comprehensively verified by empirical research. This study aims to explore UK military veterans' experiences of, and challenges to, their moral values in relation to their deployment experiences, without prematurely foreclosing exploration of wider systemic influences. METHOD: Twelve UK military veterans who served in Afghanistan and/or Iraq were interviewed, and the data were analysed thematically and reflexively. RESULTS: Three inter‐related themes were generated: (1) ‘you've been undermined’, (2) ‘how am I involved in this?’ and (3) ‘civilianised’. CONCLUSIONS: The analysis suggests that several assumptions privileged in moral injury research may be empirically contradicted, at least in relation to the experiences of UK military veterans. These assumptions include that moral injury is exclusively driven by individual, episodic acts of commission and omission, invariably leads to guilt and necessarily bifurcates into variants of either perpetration or betrayal. Instead, participants understood the moral violations they experienced as socially contingent. Rather than ‘treating’ moral injury as a disorder of thinking and feeling located within an individual, the socially contextualised understanding of moral injury indicated by this study's findings may prompt the development of psychological and social interventions that understand moral injury as the fallout of what occurs between people and within systems. John Wiley and Sons Inc. 2022-11-04 2023-03 /pmc/articles/PMC10100459/ /pubmed/36333240 http://dx.doi.org/10.1111/papt.12434 Text en © 2022 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of The British Psychological Society. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Research Articles
Hollis, Jake
Hanna, Paul
Perman, Gemma
The shaping of moral injury among UK military veterans of the wars in Afghanistan and Iraq
title The shaping of moral injury among UK military veterans of the wars in Afghanistan and Iraq
title_full The shaping of moral injury among UK military veterans of the wars in Afghanistan and Iraq
title_fullStr The shaping of moral injury among UK military veterans of the wars in Afghanistan and Iraq
title_full_unstemmed The shaping of moral injury among UK military veterans of the wars in Afghanistan and Iraq
title_short The shaping of moral injury among UK military veterans of the wars in Afghanistan and Iraq
title_sort shaping of moral injury among uk military veterans of the wars in afghanistan and iraq
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10100459/
https://www.ncbi.nlm.nih.gov/pubmed/36333240
http://dx.doi.org/10.1111/papt.12434
work_keys_str_mv AT hollisjake theshapingofmoralinjuryamongukmilitaryveteransofthewarsinafghanistanandiraq
AT hannapaul theshapingofmoralinjuryamongukmilitaryveteransofthewarsinafghanistanandiraq
AT permangemma theshapingofmoralinjuryamongukmilitaryveteransofthewarsinafghanistanandiraq
AT hollisjake shapingofmoralinjuryamongukmilitaryveteransofthewarsinafghanistanandiraq
AT hannapaul shapingofmoralinjuryamongukmilitaryveteransofthewarsinafghanistanandiraq
AT permangemma shapingofmoralinjuryamongukmilitaryveteransofthewarsinafghanistanandiraq