ABSTRACT

This study explored the experiences of clinicians in providing treatment in cases of military-related moral injury (MI). Qualitative interviews were carried out with 15 clinicians. Clinicians found patients experienced particular maladaptive appraisals following MI, which were considered different from the responses experienced after threat-based trauma. To address MI-related distress, clinicians utilized a range of treatment approaches. Several difficulties in providing care to patients following MI were described, including the impact of providing treatment on the clinicians own mental health. This study provides detailed insight into the approaches currently used to identify and treat UK Veterans with MI-related psychological problems. These findings highlight the need to evaluate the effectiveness of the treatments currently provided for MI-related psychological problems and suggest developing best practice guidance may improve clinician confidence in delivering care to those adversely impacted by MI.

 抽象的

本研究探讨了临床医生在军事相关道德伤害 (MI) 案件中提供治疗的经验。对 15 名临床医生进行了定性访谈。临床医生发现，患者在心肌梗死后经历了特殊的适应不良评估，这被认为与基于威胁的创伤后经历的反应不同。为了解决与心肌梗死相关的困扰，临床医生采用了一系列治疗方法。描述了为心肌梗死患者提供护理的一些困难，包括提供治疗对临床医生自身心理健康的影响。这项研究提供了对目前用于识别和治疗患有心肌梗死相关心理问题的英国退伍军人的方法的详细见解。这些发现强调需要评估目前针对心肌梗死相关心理问题提供的治疗方法的有效性，并表明制定最佳实践指南可以提高临床医生为受心肌梗死影响的患者提供护理的信心。