A Service Member's experience of Acceptance and Commitment Therapy for Moral Injury (ACT-MI) via telehealth: “Learning to accept my pain and injury by reconnecting with my values and starting to live a meaningful life”

Meat in a Seat: A Grounded Theory Study Exploring Moral Injury in Canadian Public Safety Communicators, Firefighters, and Paramedics

“…In addition to organizational changes, PSP may benefit from learning specific skills to navigate exposure to PMIEs and mitigate moral suffering. In parallel with the existing research, participants indicated that they were able to ease their moral suffering by: increasing their emotional intelligence; engaging in mental health education; acknowledging their grief [55]; re-finding meaning and purpose [56]; engaging in compassion and forgiveness practices [57,58]; identifying personal values [59,60]; and seeking social support [61]. The importance of these integrative practices may be that participants did not seek to "solve" or mitigate the external moral stressors or suffering, but to build an internal capacity and competence to accept, manage, and rectify moral suffering.…”

Veterans’ perspectives on discussing moral injury in the context of evidence‐based psychotherapies for PTSD and other VA treatment

“…While results from this study may not be generalizable to other Veterans with moral injury who have completed an EBP for PTSD, these findings support the discussion of moral injury in the context of VA care and that some Veterans still experience difficulties with moral injury following EBPs for PTSD. The results of this study suggest the importance of developing inventions that explicitly target moral injury among warzone Veterans (Borges, ; Farnsworth et al, ; Gray et al, ; Maguen et al, ; Norman, Wilkins, Myers, & Allard, ).…”

“…The results of this study suggest the importance of developing inventions that explicitly target moral injury among warzone Veterans (Borges, 2019;Farnsworth et al, 2017;Gray et al, 2012;Maguen et al, 2017;Norman, Wilkins, Myers, & Allard, 2014).…”

“…Eighteen Veterans responded to our mailings, 15 of these Veterans were screened, and 14 were enrolled in the study (see Table for demographic information). In the VA Health Care System from which Veterans were recruited, Acceptance and Commitment Therapy for Moral Injury (ACT‐MI) is currently the only moral injury intervention that is offered (Borges, ; Farnsworth et al, ). One Veteran who participated in the study completed ACT‐MI following his participation in an EBP for PTSD.…”

“…When moral pain is suppressed, avoided, and responded to inflexibly in an array of different contexts, social, psychological, and spiritual suffering results. This suffering can be conceptualized as moral injury (Borges, 2019;Farnsworth, Borges, & Walser, 2019;Farnsworth et al, 2017). As evidence of the potential impact of moral injury on functioning, exposure to MIEs has been associated with relationship distress, spiritual disengagement, and workplace difficulties (Currier, Holland, & Mallot, 2014;Fontana & Rosenheck, 2004;Purcell, Koenig, Bosch, & Maguen, 2016).…”