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Journal of Religion and Health

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22.09.2021 | Original Paper

Moral Injury, Australian Veterans and the Role of Chaplains: An Exploratory Qualitative Study

verfasst von: Timothy J. Hodgson, Lindsay B. Carey, Harold G. Koenig

Erschienen in: Journal of Religion and Health | Ausgabe 5/2021

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Abstract

Military personnel deployed to war zones or assigned to other morally challenging military duties are likely to be exposed to potentially morally injurious events (PMIE) that may inflict a moral injury (MI). This qualitative study formed ‘Phase 1’ of a larger study into PMIEs experienced by Australian veterans and the potential pastoral/spiritual care role of chaplains. Two seminars were conducted that involved 10 veterans being interviewed and audio recorded about their deployment experiences to evaluate whether there was any evidence among Australian veterans of a PMIE. Narrative data analysis indicated that all participants had been exposed to, or were involved in, a PMIE of one kind or another. Seven key themes were identified from the analyzed qualitative data: (i) immoral acts, (ii) death and injury, (iii) betrayal, (iv) ethical dilemmas, (v) disproportionate violence, (vi) retribution and (vii) religious/spiritual issues. Given this preliminary PMIE evidence identified, there is a need for further research, as well as the development of a suitable moral injury assessment scale appropriate for Australian veterans. Furthermore, given the ethical, moral, and spiritual issues involved, the implementation of a rehabilitation program suitable for Australian veterans which can be provided by chaplains is also suggested—namely ‘Pastoral Narrative Disclosure.’ It is argued that moral injury needs to be recognized, not just as an issue affecting individual personnel and their families, but is also a community health, organizational and government responsibility.

‘Moral Injury, Australian Veterans and the Role of Chaplains’: This qualitative phase was part of a larger study which was awarded the ‘Weary Dunlop Award 2019’ by the Australasian Military Medicine Association, (AMMA), National Conference, Adelaide, South Australia, 2019 (Hodgson & Carey, 2019).

Definition of Moral Injury: The definition of moral injury used in this paper (Carey & Hodgson, 2017), is currently the accepted definition within the Australian Defence Force Glossary.

Syndrome: The term syndrome derives from the Greek term: σύνδρομον— meaning ‘concurrence’ and refers to factors/or issues which are correlated/occur alongside each other concurrently. With regard to moral injury the authors believe that moral injury is a ‘syndrome’ as it involves biological, psychological, social and spiritual/ existential dynamics that may collectively lead to a moral ‘injury’.

PTSD: Post-Traumatic Stress Disorder. The focus of this article is not upon distinguishing the difference between PTSD and MI/PMIE. Readers are encouraged to consider other sources clarifying the differences and similarities (e.g., Koenig & Al Zaben, 2021; Carey & Hodgson, 2018, p.3).

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Titel: Moral Injury, Australian Veterans and the Role of Chaplains: An Exploratory Qualitative Study
verfasst von: Timothy J. Hodgson
Lindsay B. Carey
Harold G. Koenig
Publikationsdatum: 22.09.2021
Verlag: Springer US
Erschienen in: Journal of Religion and Health / Ausgabe 5/2021
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-021-01417-0

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Moral Injury, Australian Veterans and the Role of Chaplains: An Exploratory Qualitative Study

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Live-Webinar "Urologie und Sexualmedizin in der Praxis"

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