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Exploring Moral Injury and Reintegration Challenges Among Post-9/11 U.S. Veterans: A Qualitative Study
Leah Danson1,2, Katrina Spontak2, Ai-Nghia Do2
1Department of Graduate Clinical Psychology, University of Indianapolis, Indianapolis, Indiana.
Moral injury (MI) significantly impacts military Veterans reintegrating into civilian life, affecting their emotions, trust, and meaning-making. Understanding this dynamic relationship is crucial for effective mental health support.
Area of Science:
- Psychology
- Military Mental Health
- Sociology
Background:
- Military Veterans encounter significant reintegration challenges.
- Identity confusion, social isolation, and moral pain are common.
- These issues can exacerbate trauma exposure, leading to moral injury (MI).
Purpose of the Study:
- To explore the relationship between moral injury and Veteran reintegration.
- To understand how MI and reintegration influence each other.
- To inform mental health practices for Veterans.
Main Methods:
- Exploratory qualitative approach.
- Cognitive interviews with 12 Veterans experiencing MI.
- Utilized two existing measures of moral injury.
Main Results:
- A dynamic relationship exists between MI and Veteran reintegration.
- MI impacts moral emotions, trust, disclosure of PMIEs, and meaning-making.
- MI onset can occur during reintegration as Veterans re-evaluate experiences.
Conclusions:
- Mental health practitioners must assess for MI in reintegrating Veterans.
- Building trust is essential for facilitating disclosure of potentially morally injurious experiences (PMIEs).
- Further research is needed to support Veteran reintegration and address MI.
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