Veterans' Perspectives on the Psychosocial Impact of Killing in War

被引:49
|
作者
Purcell, Natalie [1 ,3 ]
Koenig, Christopher J. [3 ]
Bosch, Jeane
Maguen, Shira [2 ,4 ]
机构
[1] Univ Calif San Francisco, Dept Social & Behav Sci, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Sch Med, San Francisco, CA 94143 USA
[3] San Francisco Vet Affairs Hlth Care Syst, San Francisco, CA USA
[4] San Francisco Vet Affairs Hlth Care Syst, Operat Enduring Freedom Operat Iraqi Freedom Inte, San Francisco, CA USA
来源
COUNSELING PSYCHOLOGIST | 2016年 / 44卷 / 07期
关键词
veteran; killing; moral injury; mental health; posttraumatic stress disorder; POSTTRAUMATIC-STRESS-DISORDER; MENTAL-HEALTH SYMPTOMS; COUNSELING PSYCHOLOGY; COMBAT; PTSD; VIOLENCE; RISK; CARE; SUPPORT; SUICIDE;
D O I
10.1177/0011000016666156
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Based on focus group and individual interviews with 26 combat veterans, this qualitative thematic analysis examines the psychosocial and interpersonal consequences of killing in war. It describes the consequences that veterans identify as most relevant in their lives, including postwar changes in emotions, cognitions, relationships, and identity. Furthermore, it illustrates the linked psychological and social dimensions of those consequencesnamely, how the impact of killing in war is rooted in the unique perspectives, actions, and experiences of individual veterans, as well as the social worlds they confront upon returning from war. We found that, for many veterans, killing provokes a moral conflict with a lasting impact on their sense of self, spirituality, and relationships with others. In working with combat veterans, mental health professionals should be sensitive to the complexities of discussing killing and attuned to the psychosocial challenges veterans may face after taking a life in war.
引用
收藏
页码:1062 / 1099
页数:38
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