Like psychological trauma, moral injury is a construct that describes extreme and unprecedented life experience including the harmful aftermath of exposure to such events. Events are considered morally injurious if they “transgress deeply held moral beliefs and expectations” (1). Thus, the key precondition for moral injury is an act of transgression, which shatters moral and ethical expectations that are rooted in religious or spiritual beliefs, or culture-based, organizational, and group-based rules about fairness, the value of life, and so forth.
“The context of spirituality is profoundly critical to a trauma victim…a case of right vs. wrong. Combat veterans are often morally injured or compromised while experiencing or engaged in hard combat. The post trauma symptoms of PTSD represent a normal reaction of the mind fighting against the horrors and inhuman circumstances of war…killing and carnage. Trauma victims can choose a path of healing by acknowledging the roots of moral injury with alternative treatment strategies sooner than later…awareness is the first step in healing. Denial of ones spiritual and moral reality as a human being will only keep the emotional pain bottled up inside revealing itself with the painful symptoms of PTSD…for a lifetime if not treated. The higher risk of denial is the adverse affect on the children and families of warriors…secondary and complex PTSD in loved ones living with a trauma victim or the case of intergenerational PTSD. The sad tragedy of the horrors of war on humans is how it damages the moral fabric of society for generations.”