Moral injury;
Moral identity;
Narrative;
Moral communities;
Relational anthropology;
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摘要:
Moral injury is the trauma caused by violations of deeply held values and beliefs. This paper draws on relational philosophical anthropologies to develop the connection between moral injury and moral identity and to offer implications for moral repair, focusing particularly on healthcare professionals. We expound on the notion of moral identity as the relational and narrative constitution of the self. Moral identity is formed and forged in the context of communities and narrative and is necessary for providing a moral horizon against which to act. We then explore the relationship between moral injury and damaged moral identities. We describe how moral injury ruptures one’s sense of self leading to moral disorientation. The article concludes with implications for moral repair. Since moral identity is relationally formed, moral repair is not primarily an individual task but requires the involvement of others to heal one’s identity. The repair of moral injury requires the transformation of a moral identity in community.
机构:
Columbia Univ, Vagelos Coll Phys & Surg, Ctr Clin Med Ethics, Dept Med, New York, NY USAColumbia Univ, Vagelos Coll Phys & Surg, Ctr Clin Med Ethics, Dept Med, New York, NY USA
Cahill, Jonathan M.
Moyse, Ashley J.
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Columbia Univ, Vagelos Coll Phys & Surg, Ctr Clin Med Ethics, Dept Med, New York, NY USAColumbia Univ, Vagelos Coll Phys & Surg, Ctr Clin Med Ethics, Dept Med, New York, NY USA
Moyse, Ashley J.
Dugdale, Lydia S.
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Columbia Univ, Vagelos Coll Phys & Surg, Ctr Clin Med Ethics, Dept Med, 622 W 168th St,PH 8E-105, New York, NY 10032 USAColumbia Univ, Vagelos Coll Phys & Surg, Ctr Clin Med Ethics, Dept Med, New York, NY USA
机构:
East China Univ Sci & Technol, Int Sch Social Work, Xuhui Qu, Peoples R ChinaEast China Univ Sci & Technol, Int Sch Social Work, Xuhui Qu, Peoples R China
Nehring, Daniel
Kerrigan, Dylan
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Univ West Indies St Augustine, Dept Behav Sci, Anthropol & Polit Sociol, St Augustine, Trinidad TobagoEast China Univ Sci & Technol, Int Sch Social Work, Xuhui Qu, Peoples R China