Understanding Moral Injury
Moral injury, also known as a soul wound, is an invisible wound inflicted on your conscience through experiences that challenge your core values. This could include doing or not doing, failing to prevent, being subject to, or witnessing something that goes against your deeply held moral beliefs, spiritual values, or expectations, and violates your sense of right and wrong. It is characterized by deep psychological distress that leaves you feeling emotionally broken. Although not a formal diagnosis, moral injury has recently been acknowledged by the American Psychiatric Association (APA) as a factor relevant to a person’s mental health, even though not labeled as a mental health disorder itself. To recognize its clinical significance, the APA listed it under “other conditions” in a new, expanded diagnostic category entitled “Moral, Religious, or Spiritual Problem” that was added to their latest (September 2005) text revision of the DSM-5-TR, the Diagnostic and Statistical Manual of Mental Disorders, which is the official handbook used by U.S. mental health care providers to classify and diagnose mental health conditions. While initially identified in combat veterans and most commonly associated with members of the military, moral injury has become increasingly recognized. It is seen in healthcare workers, first responders, and others in high-stress roles or faced with making challenging decisions in difficult circumstances. This goes beyond professionals to include civilians as well. Moral Injury Versus Post-Traumatic Stress Disorder Moral injury and Post-Traumatic Stress Disorder (PTSD) both stem from high-stress experiences. They have certain symptoms in common, such as intense emotional distress, nightmares, and withdrawal. They often co-exist, but they are very different types of trauma. PTSD is officially classified as a psychiatric disorder that is caused by fear of death or danger, and is a nervous system survival-based fight or flight reaction. It stems from witnessing or [...]










