About this course

Learning Objectives

• Define moral injury and its origins.
• Differentiate moral injury from posttraumatic stress disorder.
• Identify symptoms of moral injury.
• Describe the theoretical framework for the development of moral injury.
• Demonstrate an introductory understanding of an evidence-based treatment for moral injury.

Learning Levels

• Beginner
• Intermediate
• Advanced

Target Audience

Course Instructor(s)

• 

  Brooke Bartlett, Ph.D.

  Owner, Center for Trauma, Anxiety, and Stress Inc.

  Brooke Bartlett, Ph.D. is a licensed clinical psychologist and the owner of Center for Trauma, Anxiety, and Stress Inc. (CTAS). In addition to being a trauma specialist, Dr. Bartlett spent the entirety of her 10+ years of doctoral training in the therapy room and out in the field specializing in improving the mental health of first responders, military members, and trauma-exposed civilians. She also has an extensive research history examining traumatic stress and associated correlates with dozens of presentations at national and international conferences, over 20 publications in scientific journals, and a published book chapter. She is immensely passionate about empowering others through strength and resilience, and she has dedicated her professional efforts to doing just that. She opened CTAS with the mission of improving wellness for all by providing a range of culturally competent, effective, and scientifically backed services.

Disclosure

References

• American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth edition, Text Revision. Washington D.C., American Psychiatric Association, 2022.
• Bryan, C. J., Morrow, C. E., Etienne, N., & Ray‐Sannerud, B. (2013). Guilt, shame, and suicidal ideation in a military outpatient clinical sample. Depression and anxiety, 30(1), 55-60.
• Currier, J. M., Holland, J. M., Drescher, K., & Foy, D. (2015). Initial psychometric evaluation of the Moral Injury Questionnaire—Military version. Clinical psychology & psychotherapy, 22(1), 54-63.
• Haller, M., Norman, S. B., Davis, B. C., Capone, C., Browne, K., & Allard, C. B. (2020). A model for treating COVID-19–related guilt, shame, and moral injury. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S174–S176. https://doi.org/10.1037/tra0000742
• Kim, S., Thibodeau, R., & Jorgensen, R. S. (2011). Shame, guilt, and depressive symptoms: a meta-analytic review. Psychological bulletin, 137(1), 68.
• Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans: a preliminary model and intervention strategy. Clinical psychology review, 29(8), 695–706. https://doi.org/10.1016/j.cpr.2009.07.003
• Nash, W. P., Marino Carper, T. L., Mills, M. A., Au, T., Goldsmith, A., & Litz, B. T. (2013). Psychometric evaluation of the moral injury events scale. Military medicine, 178(6), 646-652.
• Norman, S. B., Wilkins, K. C., Myers, U. S., & Allard, C. B. (2014). Trauma informed guilt reduction therapy with combat veterans. Cognitive and behavioral practice, 21(1), 78-88.
• Norman, S. B., Capone, C., Panza, K. E., Haller, M., Davis, B. C., Schnurr, P. P., ... & Angkaw, A. (2022). A clinical trial comparing trauma‐informed guilt reduction therapy (TrIGR), a brief intervention for trauma‐related guilt, to supportive care therapy. Depression and Anxiety, 39(4), 262-273. https://doi.org/10.1002/da.23244.
• Norman, S. (2022). Trauma-informed guilt reduction therapy: overview of the treatment and research. Current treatment options in psychiatry, 9(3), 115-125. https://doi.org/10.1007/s40501-022-00261-7
• Tangney, J. P., Stuewig, J., & Mashek, D. J. (2007). Moral emotions and moral behavior. Annu. Rev. Psychol., 58(1), 345-372. https://doi.org/10.1146/annurev.psych.56.091103.070145