Cargando…

Caught between is and ought: The Moral Dissonance Model

Considerable academic effort has been invested in explaining the causes of, and processes behind moral injury. These efforts are mostly focused on assessment and treatment within a clinical setting. Collective and social factors contributing to moral injury are often overlooked in current literature...

Descripción completa

Detalles Bibliográficos
Autores principales: Te Brake, Hans, Nauta, Bart
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816145/
https://www.ncbi.nlm.nih.gov/pubmed/36620666
http://dx.doi.org/10.3389/fpsyt.2022.906231
_version_ 1784864466146426880
author Te Brake, Hans
Nauta, Bart
author_facet Te Brake, Hans
Nauta, Bart
author_sort Te Brake, Hans
collection PubMed
description Considerable academic effort has been invested in explaining the causes of, and processes behind moral injury. These efforts are mostly focused on assessment and treatment within a clinical setting. Collective and social factors contributing to moral injury are often overlooked in current literature. This perspective article considers the role of contextual factors associated with moral injury and proposes a framework that describes their relation to individual aspects. The resulting Moral Dissonance Model (MDM) draws on existing theories and frameworks. The MDM explains how dissonance can occur when the actual behavior–the response to a morally challenging situation–contradicts with morally desirable behavior. Individual and collective factors, which change over time, contribute to the experience of dissonance. The inability to sufficiently solve dissonance can lead to moral injury, but not as a matter of course. The MDM can help to understand the underlying processes of moral distress. It raises awareness of the influence of public debate and controversy, and the resulting changing societal attitudes over time. Its implications and future use are discussed.
format Online
Article
Text
id pubmed-9816145
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-98161452023-01-07 Caught between is and ought: The Moral Dissonance Model Te Brake, Hans Nauta, Bart Front Psychiatry Psychiatry Considerable academic effort has been invested in explaining the causes of, and processes behind moral injury. These efforts are mostly focused on assessment and treatment within a clinical setting. Collective and social factors contributing to moral injury are often overlooked in current literature. This perspective article considers the role of contextual factors associated with moral injury and proposes a framework that describes their relation to individual aspects. The resulting Moral Dissonance Model (MDM) draws on existing theories and frameworks. The MDM explains how dissonance can occur when the actual behavior–the response to a morally challenging situation–contradicts with morally desirable behavior. Individual and collective factors, which change over time, contribute to the experience of dissonance. The inability to sufficiently solve dissonance can lead to moral injury, but not as a matter of course. The MDM can help to understand the underlying processes of moral distress. It raises awareness of the influence of public debate and controversy, and the resulting changing societal attitudes over time. Its implications and future use are discussed. Frontiers Media S.A. 2022-12-23 /pmc/articles/PMC9816145/ /pubmed/36620666 http://dx.doi.org/10.3389/fpsyt.2022.906231 Text en Copyright © 2022 Te Brake and Nauta. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Te Brake, Hans
Nauta, Bart
Caught between is and ought: The Moral Dissonance Model
title Caught between is and ought: The Moral Dissonance Model
title_full Caught between is and ought: The Moral Dissonance Model
title_fullStr Caught between is and ought: The Moral Dissonance Model
title_full_unstemmed Caught between is and ought: The Moral Dissonance Model
title_short Caught between is and ought: The Moral Dissonance Model
title_sort caught between is and ought: the moral dissonance model
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816145/
https://www.ncbi.nlm.nih.gov/pubmed/36620666
http://dx.doi.org/10.3389/fpsyt.2022.906231
work_keys_str_mv AT tebrakehans caughtbetweenisandoughtthemoraldissonancemodel
AT nautabart caughtbetweenisandoughtthemoraldissonancemodel