Care For The Sorrowing Soul

Moral Injury is now recognized as a growing major problem for military men and women. Operant conditioning can overwhelm moral convictions and yet the question of whether "to shoot or not to shoot" often will never have a settled answer. Certain theories and treatment models about MI have been well developed, but too often overlook root issues of religious faith. The authors propose a new model for understanding moral injury and suggest ways to mitigate its virtually inevitable occurrence in pre-combat training, and ways to resolve MI post-trauma with proven spiritual resources. People outside the military, too, among whom the incidence of MI also is a growing threat, will benefit from this analysis. The stories of the injured--their shaping and their telling--are the key, and there are many illumining stories of moral injury and recovery. Those who suffer MI, their families, and caregivers, including counselors, pastors, and faith communities, will find hope-giving first steps toward the healing of MI in this book.

Moral Injury is now recognized as a growing major problem for military men and women. Operant conditioning can overwhelm moral convictions and yet the question of whether “to shoot or not to shoot” often will never have a settled answer. Certain theories and treatment models about MI have been well developed, but too often overlook root issues of religious faith. The authors propose a new model for understanding moral injury and suggest ways to mitigate its virtually inevitable occurrence in pre-combat training, and ways to resolve MI post-trauma with proven spiritual resources. People outside the military, too, among whom the incidence of MI also is a growing threat, will benefit from this analysis. The stories of the injured—their shaping and their telling—are the key, and there are many illumining stories of moral injury and recovery. Those who suffer MI, their families, and caregivers, including counselors, pastors, and faith communities, will find hope-giving first steps toward the healing of MI in this book.

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.

The purpose of this book is to provide vital information regarding loss and trauma to practicing counselors and therapists. Trauma and loss are pervasive presenting problems, many counselors and therapists possess scant understanding of trauma and loss, and little, if any, attention is paid to trauma or to loss in the graduate training of clinical psychology and counseling psychology students. The book is organized into four sections which cover: an overview of loss and trauma, key conceptual frameworks for understanding loss and trauma, review of several types of events producing trauma and loss, and interventions addressing loss and trauma. A key contribution of the book is the focus on losses caused by death and losses due to other reasons. The contributions to practice include the overview of what is known about trauma and about loss; examination of several frameworks for organizing both understanding of and working with traumatized and bereaved clients; rich descriptive cases of individuals coping with various traumatic events and the losses embedded in the trauma; and presentation of various interventions, including changes that can be made in the graduate education of practitioners.

Josh Morris privileges the voices of veterans to argue that returning soldiers need families, friends, and religious communities to listen to their stories with compassion to avoid amplifying the effects of moral injury. When society greets returning soldiers in ways that reinforce cultural norms that frame military service as heroic, rather than acknowledging its ambiguities and harmful effects, it exacerbates moral injury and keeps veterans from resolving inner conflicts and coping effectively with civilian life. Morris, a military chaplain and veteran who served in Afghanistan, knows these difficulties first hand. Using stories from other veterans, Morris helps us see how cultural assumptions about military service can complicate moral injury and a veteran's return home. Drawing from liberation theologies, ideology critique, and Antonio Gramsci's advocacy for the working class, the book suggests useful perspectives and spiritual care resources for military chaplains, religious leaders, caregivers, and concerned civilians. Morris argues that military chaplains are uniquely positioned to help returning soldiers resist the amplification of existing moral injury. Moving from “thank you for your service” to liberative solidarity can galvanize resistance and make change possible.

The concept of moral injury emerged in the past decade as a way to understand how traumatic levels of moral emotions generate moral anguish experienced by some military service members. Interdisciplinary research on moral injury has included clinical psychologists (Litz et al., 2009; Drescher et al., 2011), theologians (Brock & Lettini, 2012; Graham, 2017), ethicists (Kinghorn, 2012), and philosophers (Sherman, 2015). This project articulates a new key concept—moral orienting systems— a dynamic matrix of meaningful values, beliefs, behaviors, and relationships learned and changed over time and through formative experiences and relationships such as family of origin, religious and other significant communities, mentors, and teachers. Military recruit training reengineers pre-existing moral orienting systems and indoctrinates a military moral orienting system designed to support functioning within the military context and the demands of the high-stress environment of combat, including immediate responses to perceived threat. This military moral orienting system includes new values and beliefs, new behaviors, and new meaningful relationships. Recognizing the profound impact of military recruit training, this project challenges dominant notions of post-deployment reentry and reintegration, and formulates a new paradigm for first, understanding the generative circumstances of ongoing moral stress that include moral emotions like guilt, shame, disgust, and contempt, and, second, for responding to such human suffering through compassionate care and comprehensive restorative support. This project calls for more effective participation of religious communities in the reentry and reintegration process and for a military-wide post-deployment reentry program comparable to the encompassing physio-psycho-spiritual-social transformative intensity experienced in recruit-training boot camp.