By Brett T. Litz PhD, Leslie Lebowitz PhD, Matt J. Gray PhD, William P. Nash M.D.
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Extra info for Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury
The approach is designed to facilitate perspective taking and to shift beliefs from blameworthiness (which may be objectively true) to forgiveness and compassion (which are nonetheless possible), and in so doing to facilitate the potential for living a moral and virtuous life going forward. Homework exercises are essential to provide exposure to corrective information to reinforce this sense of goodness and to begin the process of repair by making amends. The following assumptions guide our approach to the treatment of moral injury: (1) Pain means hope.
The process of recovering from psychological trauma of any kind, in any context, often hinges on making new meaning to explain the inexplicable, to incorporate new information into identities and world views (JanoffBulman, 1992). How much more must this be true for psychological injuries that occur as direct consequences of the professional activities of warfighters deployed to war zones? Consider these words by Admiral Mike Mullen, former Chairman of the Joint Chiefs of Staff, speaking about the relationship between civilians and the military at a recent West Point graduation ceremony (Shanker, 2011, p.
The dialogue is used to promote exposure to corrective experiences, such as “hearing” the friend say he or she forgives the service member or veteran or wants them to live a good, full life, and so forth. We believe that having the patient actively consider what the deceased would have wanted for the service member, and how he or she might want his or her memory honored, may be more effective in challenging impacted grief and guilt than would direct therapeutic challenge or Socratic questioning.
Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury by Brett T. Litz PhD, Leslie Lebowitz PhD, Matt J. Gray PhD, William P. Nash M.D.