ABSTRACT:

This essay explores what to make of the various kinds of moral distress and moral injury increasingly discussed in multiple disciplines and fields of work. It argues for transdisciplinary cooperation and inquiry and proposes a common name “moral suffering” to embrace the diversity of morally fracturing experiences that negatively impact those in health care and other helping professions. The authors offer important insights into the phenomenological relationship between moral conscience and traumatic experience, presenting questions and offering a possible hypothesis for those who want to pursue this discussion further. The essay reviews the diversity of theories regarding moral distress and moral injury advanced by health-care researchers, military clinicians, and educators. It names questions that transdisciplinary engagement can help address, such as what do the disciplines of health humanities, psychology, and education have to teach each other about prevention of moral harm and the healing of invisible wounds?

摘要：

本文探讨了如何应对在多个学科和工作领域中越来越多地讨论的各种道德困境和道德伤害。它主张跨学科合作和探究，并提出一个通用名称“道德苦难”，以接受对医疗保健和其他帮助专业人士产生负面影响的道德分裂经历的多样性。作者对道德良心和创伤经历之间的现象学关系提供了重要的见解，提出了问题，并为那些想要进一步进行讨论的人提供了一个可能的假设。这篇文章回顾了卫生保健研究人员、军事临床医生和教育工作者提出的关于道德困扰和道德伤害的各种理论。它列出了跨学科参与可以帮助解决的问题，