Perceptions of Military Experience Among Veterans Reporting Lifetime Warzone Moral Injury

J Nerv Ment Dis. 2023 Oct 1;211(10):796-801. doi: 10.1097/NMD.0000000000001676.

Abstract

Exposures to potentially morally injurious events (PMIEs) and possible moral injury are risk factors for a range of difficulties impacting individual functioning. Although exposure to PMIEs is a somewhat common product of war, qualitative methods to understand Veterans' experiences of moral injury and Veterans Affairs treatment are limited. To better characterize Veterans' experiences, 14 male warzone Veterans who reported moral injury post-warzone deployment and completed posttraumatic stress disorder treatment in the past year were asked to describe their military service as part of a qualitative study. Through thematic analysis, we found two moral injury-consistent themes and four subthemes. The first theme was "military experiences were associated with morally questioning one's self" with subthemes of "moral shift" and "depersonalization." The second theme was "military experiences were associated with morally questioning others" with subthemes of "disillusionment" and "resignation." Based on these findings, we conclude with a discussion of treatment implications for moral injury.

MeSH terms

  • Humans
  • Male
  • Military Personnel*
  • Morals
  • Qualitative Research
  • Stress Disorders, Post-Traumatic* / epidemiology
  • Veterans*