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      Delivering treatment to morally injured UK military personnel and Veterans: The clinician experience

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          ABSTRACT

          This study explored the experiences of clinicians in providing treatment in cases of military-related moral injury (MI). Qualitative interviews were carried out with 15 clinicians. Clinicians found patients experienced particular maladaptive appraisals following MI, which were considered different from the responses experienced after threat-based trauma. To address MI-related distress, clinicians utilized a range of treatment approaches. Several difficulties in providing care to patients following MI were described, including the impact of providing treatment on the clinicians own mental health. This study provides detailed insight into the approaches currently used to identify and treat UK Veterans with MI-related psychological problems. These findings highlight the need to evaluate the effectiveness of the treatments currently provided for MI-related psychological problems and suggest developing best practice guidance may improve clinician confidence in delivering care to those adversely impacted by MI.

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          Most cited references28

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          Using thematic analysis in psychology

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            Moral injury and moral repair in war veterans: a preliminary model and intervention strategy.

            Throughout history, warriors have been confronted with moral and ethical challenges and modern unconventional and guerilla wars amplify these challenges. Potentially morally injurious events, such as perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations may be deleterious in the long-term, emotionally, psychologically, behaviorally, spiritually, and socially (what we label as moral injury). Although there has been some research on the consequences of unnecessary acts of violence in war zones, the lasting impact of morally injurious experience in war remains chiefly unaddressed. To stimulate a critical examination of moral injury, we review the available literature, define terms, and offer a working conceptual framework and a set of intervention strategies designed to repair moral injury.
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              Moral Injury: An Integrative Review

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                Author and article information

                Journal
                Mil Psychol
                Mil Psychol
                Military Psychology
                Routledge
                0899-5605
                1532-7876
                29 March 2021
                2021
                29 March 2021
                : 33
                : 2
                : 115-123
                Affiliations
                [a ]King’s Centre for Military Health Research, Institute of Psychology, Psychiatry and Neuroscience, King’s College London; , London, UK
                [b ]Research Department, Combat Stress; , Leatherhead, UK
                [c ]Department of Psychological Medicine, Institute of Psychology, Psychiatry and Neuroscience, King’s College London; , London, UK
                Author notes
                CONTACT Victoria Williamson Victoria.williamson@ 123456kcl.ac.uk Kings Centre for Military Health Research, Institute of Psychology, Psychiatry and Neuroscience, King’s College London; , 10 Cutcombe Road, London SE5 9RJ, UK.
                Author information
                https://orcid.org/0000-0002-3110-9856
                https://orcid.org/0000-0002-9530-2743
                https://orcid.org/0000-0002-7655-7986
                https://orcid.org/0000-0003-4550-2971
                Article
                1897495
                10.1080/08995605.2021.1897495
                10013382
                38536301
                2c0f594b-729d-45b1-9945-f0c49bf9fc43
                © 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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                Page count
                Figures: 0, Tables: 1, References: 28, Pages: 9
                Categories
                Research Article
                Articles

                moral injury,mental health,psychological treatment,clinician,qualitative methods,military

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