helping soldiers cope with moral injury

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Stories for Change: Moral Injury, Soldiers and The CommunityDesigning For Slow ChangeHuman-Computer Interaction Design: Indiana University

December 5, 2011

By Candace Buggs, Jeff Wain, Ed Rice and Anna Saraceno

MORAL INJURY

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MORAL INJURY“perpetrating, failing to prevent, or bearing

witness to acts that transgress deeply held

moral beliefs and expectations may be

[damaging] in the long-term, emotionally,

psychologically, behaviorally, spiritually, and

socially.”Brett T. Litz et al. (2009). Moral injury and moral repair in war veterans: A

preliminary model and intervention strategy. Clinical Psychology Review.

29(8), 695-706. ISSN 0272-7358.

MORAL INJURY“perpetrating, failing to prevent, or bearing

witness to acts that transgress deeply held

moral beliefs and expectations may be

[damaging] in the long-term, emotionally,

psychologically, behaviorally, spiritually, and

socially.”Brett T. Litz et al. (2009). Moral injury and moral repair in war veterans: A

preliminary model and intervention strategy. Clinical Psychology Review.

29(8), 695-706. ISSN 0272-7358.

MORAL INJURY

http://www.flickr.com/photos/soldiersmediacenter/524844652/

MORAL INJURY

http://www.flickr.com/photos/soldiersmediacenter/524844652/

MORAL INJURY“transparently we are dealing with an injury, not

an illness, malady, disease, sickness, or disorder.”

Shay, J. (2011). Casualties. Daedalus Quarterly. 140(3), 179-188. doi:10.1162/DAED_a_00107

MORAL INJURY“transparently we are dealing with an injury, not

an illness, malady, disease, sickness, or disorder.”

“It is entirely honorable to be injured…”

Shay, J. (2011). Casualties. Daedalus Quarterly. 140(3), 179-188. doi:10.1162/DAED_a_00107

MORAL INJURY“transparently we are dealing with an injury, not

an illness, malady, disease, sickness, or disorder.”

“It is entirely honorable to be injured…”

”To fall ill…is unlucky.”

Shay, J. (2011). Casualties. Daedalus Quarterly. 140(3), 179-188. doi:10.1162/DAED_a_00107

MORAL INJURY

INJURY

VS.

ILLNESS

MORAL INJURY

INJURY

VS.

ILLNESS

HONORABLE

VS.

UNLUCKY

MORAL INJURY

INJURY

VS.

ILLNESS

HONORABLE

VS.

UNLUCKY

RESPECT

VS.

DOUBT

IDENTITY

http://nemesis-19.deviantart.com/art/Soldier-Desert-106282809

IDENTITY

ACCIDENTSGUILT FROM

Soldiers’ Moral Wounds. April 11, 2010. The Chronicle of Higher Education. Retrieved from http://chronicle.com/article/Soldiers-Moral-Wounds/64987/ on 12/03/2011

The Guilt They Carry: Wounds of Iraq and Afghanistan. Dissent. 57(2), 80-84). DOI: 10.1353/dss.0.0137, (2011)

http://opinionator.blogs.nytimes.com/2011/07/03/war-and-the-moral-logic-of-survivor-guilt/

IDENTITY

ACCIDENTS

COLLATERAL DAMAGEGUILT FROM

Soldiers’ Moral Wounds. April 11, 2010. The Chronicle of Higher Education. Retrieved from http://chronicle.com/article/Soldiers-Moral-Wounds/64987/ on 12/03/2011

The Guilt They Carry: Wounds of Iraq and Afghanistan. Dissent. 57(2), 80-84). DOI: 10.1353/dss.0.0137, (2011)

http://opinionator.blogs.nytimes.com/2011/07/03/war-and-the-moral-logic-of-survivor-guilt/

IDENTITY

ACCIDENTS

COLLATERAL DAMAGE

“LUCK”GUILT FROM

Soldiers’ Moral Wounds. April 11, 2010. The Chronicle of Higher Education. Retrieved from http://chronicle.com/article/Soldiers-Moral-Wounds/64987/ on 12/03/2011

The Guilt They Carry: Wounds of Iraq and Afghanistan. Dissent. 57(2), 80-84). DOI: 10.1353/dss.0.0137, (2011)

http://opinionator.blogs.nytimes.com/2011/07/03/war-and-the-moral-logic-of-survivor-guilt/

IDENTITY

“the awful weight of self-indictment and

the need to make moral repair in order to

be allowed back into the community in

which he feels he has somehow jeopardized

his standing.”

Silver, D. Beyond PTSD: Soldiers Have Injured Souls. 09/01/2011. Miller-McCune. Retrieved from http://www.miller-mccune.com/culture/beyond-ptsd-soldiers-have-injured-souls-34293/ on 11/15/2011.

COMMUNITY

“the awful weight of self-indictment and

the need to make moral repair in order to

be allowed back into the community in

which he feels he has somehow jeopardized

his standing.”

Silver, D. Beyond PTSD: Soldiers Have Injured Souls. 09/01/2011. Miller-McCune. Retrieved from http://www.miller-mccune.com/culture/beyond-ptsd-soldiers-have-injured-souls-34293/ on 11/15/2011.

COMMUNITY

CAN’T SEE THE WOUND

COMMUNITY

CAN’T SEE THE WOUND

DOESN’T UNDERSTAND

COMMUNITY

CAN’T SEE THE WOUND

DOESN’T UNDERSTAND

ISN’T PREPARED

COMMUNITY

WITNESSED STORIES

Silver, D. Beyond PTSD: Soldiers Have Injured Souls. 09/01/2011. Miller-McCune. Retrieved from http://www.miller-mccune.com/culture/beyond-ptsd-soldiers-have-injured-souls-34293/ on 11/15/2011.

COMMUNITY

WITNESSED STORIES

FELT EMOTIONS

Silver, D. Beyond PTSD: Soldiers Have Injured Souls. 09/01/2011. Miller-McCune. Retrieved from http://www.miller-mccune.com/culture/beyond-ptsd-soldiers-have-injured-souls-34293/ on 11/15/2011.

COMMUNITY

WITNESSED STORIES

FELT EMOTIONS

CARRIED BURDENS

Silver, D. Beyond PTSD: Soldiers Have Injured Souls. 09/01/2011. Miller-McCune. Retrieved from http://www.miller-mccune.com/culture/beyond-ptsd-soldiers-have-injured-souls-34293/ on 11/15/2011.

COMMUNITY

WITNESSED STORIES

FELT EMOTIONS

CARRIED BURDENS

TRANSFERRED RESPONSIBILITY

Silver, D. Beyond PTSD: Soldiers Have Injured Souls. 09/01/2011. Miller-McCune. Retrieved from http://www.miller-mccune.com/culture/beyond-ptsd-soldiers-have-injured-souls-34293/ on 11/15/2011.

TELLING STORIES

ACKNOWLEDGING INJURY

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TELLING STORIES

TEACHINGTHE COMMUNITY

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TELLING STORIES

MAKING PROGRESS

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EFFECTS

INCREASED AWARENESS

EFFECTS

INCREASED AWARENESS

DECREASED LONG-TERM ISSUES

EFFECTS

INCREASED AWARENESS

DECREASED LONG-TERM ISSUES

MORE SOLDIERS GETTING HELP

MEASURING SUCCESS

DECREASED SUICIDE RATE

MEASURING SUCCESS

DECREASED SUICIDE RATE

MORE STORIES SHARED

MEASURING SUCCESS

DECREASED SUICIDE RATE

MORE STORIES SHARED

MORE STORIES READ

STRATEGY

INTEGRATION INTO

DECOMPRESSION

STRATEGY

INTEGRATION INTO

DECOMPRESSION

ACCESS POINT VIA IAVA

STRATEGY

INTEGRATION INTO

DECOMPRESSION

ACCESS POINT VIA IAVA

AWARENESS CAMPAIGN

STRATEGY

INTEGRATION INTO

DECOMPRESSION

ACCESS POINT VIA IAVA

AWARENESS CAMPAIGN

AGGREGATION FOR APA/VA STUDIES

STRATEGY

INTEGRATION INTO

DECOMPRESSION

ACCESS POINT VIA IAVA

AWARENESS CAMPAIGN

AGGREGATION FOR APA/VA STUDIES

MILITARY CONTRACTORS

THANK YOUhttp://www.flickr.com/photos/soldiersmediacenter/3037879519/ on 12/4/2011