The provisional construct “moral injury” has been proposed as a means to recognize the impact of certain stressor events commonly encountered in war, yet excluded from the current definition of posttraumatic stress disorder (PTSD), especially the psychological consequences of moral violations, whether experienced as perpetrator, witness, or victim. Although frequently co-morbid and exhibiting similar symptom syndromes, there is at the present time no clear means by which to conceptualize the relationship moral injury and PTSD. Drawing upon resources from diverse disciplines, including contemporary neuroscience, dynamical systems theory, cognitive psychology, and psychoanalysis, this dissertation addresses this conceptual gap by first proposing a model of psychological health as the integration of information processing in the mind and in the brain—alternatively conceptualized as the integration of “the self”—as well as corresponding general theoretical models of psychological disorder and psychological trauma as the impairment of this integration. On this basis, this dissertation then proposes an integrated theoretical model of both moral injury and PTSD, including the relationships between them and their associated symptom syndromes. The implications of this model for clinical care and further research are also briefly considered.
|Commitee:||Lewis, Christine, Marks-Terlow, Terry|
|School:||Pacifica Graduate Institute|
|School Location:||United States -- California|
|Source:||DAI-B 79/12(E), Dissertation Abstracts International|
|Subjects:||Psychology, Clinical psychology|
|Keywords:||Complex trauma, Information processing, Moral injury, PTSD, The self|
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