Chaplaincy, spiritual care and moral injury: Considerations regarding screening and treatment
Open accessAbstract
Moral injury is a complex trauma related syndrome involving a correlation of biological, psychological, social, and spiritual symptoms that can have substantial impact upon health and well-being. This paper argues for a holistic bio-psycho-social-spiritual approach to moral injury, by including chaplaincy in the screening and treatment of moral injury among actively serving military members and retired veterans. As part of the moral injury treatment process, and in alignment with the World Health Organization's Spiritual Intervention Codings, a new technique is proposed, "Pastoral Narrative Disclosure" (PND), as a guide for chaplains and others trained in spiritual care to assist those suffering from moral injury.
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A substantial body of research supports the involvement of professional health care chaplains in treating moral injury given their training in moral theory, religious traditions, and spiritual practices.
“A substantial body of research supports the involvement of professional health care chaplains in treating moral injury (MI), given their training in moral theory, religious traditions, and spiritual practices (3, 111–113).”
From The therapeutic role of self-transcendence in moral injury recovery: theory, mechanisms, and clinical implications (2026) · cites this paper as [111]
The ‘Moral Injury Treatment and Chaplaincy’ section (page not specified) reviews literature favoring chaplain involvement and reports that many surveyed chaplains felt their training prepared them to support people experiencing moral injury. It describes additional clinical training and religious or theological education, but does not establish training in moral theory specifically. The cited survey findings concern perceived preparedness and suitability, rather than demonstrating that a substantial body of research supports treatment by professional health care chaplains broadly. (LLM, conf=0.82)
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- Authors
- Carey, L. B., & Hodgson, T. J.
- Affiliations
- La Trobe University (AU)
- The University of Queensland (AU)
- Corresponding author
- Carey, Lindsay B.
- Hodgson, Timothy J.
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2018-12-05
- Volume
- 9
- Pages
- 619-619
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC6290645
- OpenAlex
- W2902170026
- Cited by
- 157
- References
- 55
- Citations by year
- 2026: 34 · 2025: 19 · 2024: 11 · 2023: 24 · 2022: 39 · 2021: 20 · 2020: 7 · 2019: 3
- FWCI
- 8.03
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- La Trobe University (cc-by)
- Funders
- University of Notre Dame
- La Trobe University
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Arts and Humanities › Religious studies › Contemporary Christian Leadership and Education
- Keywords
- moral injury, chaplaincy, spiritual care, military personnel, veterans, trauma
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