• Cogn Behav Therap · Jan 2021

    Review

    Cognitive therapy for moral injury in post-traumatic stress disorder.

    • Hannah Murray and Anke Ehlers.
    • Department of Experimental Psychology, University of Oxford, Oxford, UK and Oxford Health NHS Foundation Trust, Oxford, UK.
    • Cogn Behav Therap. 2021 Jan 1; 14: e8.

    AbstractMoral injury is the profound psychological distress that can arise following participating in, or witnessing, events that transgress an individual's morals and include harming, betraying, or failure to help others, or being subjected to such events, e.g. being betrayed by leaders. It has been primarily researched in the military, but it also found in other professionals such as healthcare workers coping with the COVID-19 pandemic and civilians following a wide range of traumas. In this article, we describe how to use cognitive therapy for post-traumatic stress disorder (CT-PTSD) to treat patients presenting with moral injury-related PTSD. We outline the key techniques involved in CT-PTSD and describe their application to treating patients with moral injury-related PTSD. A case study of a healthcare worker is presented to illustrate the treatment interventions.© British Association for Behavioural and Cognitive Psychotherapies 2021.

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