Moral Injury: Understanding the causes, processes, and consequences in the UK Ambulance Service

精神伤害：了解英国救护车服务的原因、过程和后果

• 批准号: 2700476
• 金额: --
• 依托单位: University of Liverpool
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2700476
• 关键词: Moral; Injury; Understanding; causes; processes

Moral injury (MI) is psychological distress that arises from "perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations"1. MIs have been associated with stressful occupational events including loss of life to vulnerable people, and a lack of social support following exposure to an event2. MI is distinct from, albeit related to, PTSD, where PTSD is a clinical condition experienced by those who have been harmed by others, whereas MI is the psychological reaction to being involved in the perpetration of moral and traumatic transgressions linked to shame1. MIs have almost exclusively been studied in US military samples, where they have been linked to PTSD, depression, and suicidality3.Through partnership with North West Ambulance Service (NWAS), the PhD candidate will develop a theoretical framework of MI. The student will build on the conceptual framework of military MI developed by Litz1. Although this framework outlines potential causes and consequences of MI, it does not explain the psychological process of MI and how it manifests over time due to the limited, and largely quantitative, research conducted within the military domain. We have added colour codes to the framework to help structure understanding of MI. The student will use this framework as an initial guide to develop their research, whilst seeking to adapt and extend these conceptual ideas by drawing on rich qualitative data to produce a more robust theoretical framework of MI, beyond the military domain.

道德伤害 (MI) 是由于“实施、未能预防、目睹或了解违反根深蒂固的道德信念和期望的行为”而产生的心理困扰1。心肌梗死与压力性职业事件有关，包括弱势人群的生命损失，以及暴露于事件后缺乏社会支持2。尽管与 PTSD 有关，但 MI 与 PTSD 不同，PTSD 是受到他人伤害的人所经历的一种临床状况，而 MI 是因参与与羞耻相关的道德和创伤性违规行为而产生的心理反应。 MI 几乎专门在美国军事样本中进行了研究，它们与创伤后应激障碍、抑郁症和自杀倾向有关3。通过与西北救护车服务中心 (NWAS) 的合作，博士候选人将开发 MI 的理论框架。学生将以 Litz1 开发的军事 MI 概念框架为基础。尽管该框架概述了 MI 的潜在原因和后果，但由于军事领域内进行的研究有限且大部分是定量的，它并没有解释 MI 的心理过程以及它如何随着时间的推移而表现出来。我们在框架中添加了颜色代码，以帮助理解 MI 的结构。学生将使用该框架作为开展研究的初步指南，同时寻求通过利用丰富的定性数据来适应和扩展这些概念思想，以产生军事领域之外的更强大的军事情报理论框架。