Here are ways of understanding it and coping strategies.
As mental health clinicians, we had difficult choices to make when tending to our own safety and self-care versus our patients’ needs. It has been challenging to reflect on one’s perceived or actual omissions and commissions that may have led to moral injury, while simultaneously maintaining self-compassion and not internalizing systemic deficiencies.Acknowledge your feelings of moral distress and injury and share your feelings of pressure, conflict, and sacrifice with trusted colleagues .
Seek out a mentor for guidance in processing these complex challenges including systemic and societal contributing factors. Aspire to maintain integrity by monitoring how your words, actions, and decisions align with your values and the person you want to be. In striving for integrity, ask yourself the following questions: “What do I stand for?” and do “I embrace difficult, or potentially unknowable, questions ?”Experiencing moral distress or injury is not a sign of weakness or a character flaw, but rather is a reflection of one’s humanity and moral. Examining the reasons for our moral distress may provide insight into how we can advocate for our patients and live life with greater integrity, purpose, meaning, and self-compassion.
Clint Hougen, Ph.D., is currently a postdoctoral fellow in the Department of Neurology at the Icahn School of Medicine, Mount Sinai Health System.Carolyn M. Springer, Ph.D., is an Associate Professor in the Gordon F. Derner School of Psychology at Adelphi University and Director of the Center for African, Black, and Caribbean Studies.Bryan, C. J., Morrow, C. E., Etienne, N., & Ray-Sannerud, B. . Guilt, shame, and suicidal ideation in a military outpatient clinical sample.Currier, J. M.
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