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The Moral Injury Workbook

The Moral Injury Workbook
Acceptance and Commitment Therapy Skills for Moving Beyond Shame, Anger, and Trauma to Reclaim Your Values

Pages:

200

Series:

Publication date:

Product Code:

44772
Paperback

ISBN: 9781684034772
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About the Book

A lifeline for healthcare workers in the midst of moral pain during the COVID-19 crisis

On the front line of the COVID-19 response are thousands of healthcare providers working in strained systems with limited resources. Difficult decisions will be part of the experience of working under these circumstances. The moral dilemmas that providers may face in this crisis will undoubtedly lead to moral distress and emotional pain.

Providers may have to make decisions about life and death, determining who gets life-saving equipment and attention and who does not. Working long and stressful hours may lead to accidental mistakes, oversights, or inaction. Providers working in overburdened or under-resourced systems may experience a sense of being thwarted in their effort to keep their oath and live their values. For providers who hold values such as service, caring, or protection, these potentially morally injurious events may have lasting consequences. Anger, guilt, and shame may plague those suffering from these seemingly impossible situations. If providers become mired in this moral pain, they may find their personal and professional lives become increasingly burdened by moral injury.

The Moral Injury Workbook was developed to facilitate healing for people who have experienced a variety of moral violations and addresses a wide range of moral emotions—from guilt and shame to contempt and anger. It offers a step-by-step program to help readers move beyond their moral pain, reconnect with a fuller sense of self, and re-engage with deeply held values.

This workbook is a lifeline for healthcare providers in the midst of moral pain. Oriented toward and guided by values of caring and compassion, the content of this workbook may be meaningfully applied to and engaged in the personal and professional practices of all who read it. The six core processes of acceptance and commitment therapy (ACT) are broadly addressed in the workbook to apply to a range of moral injuries. They may be used in service of the healing needed by those suffering in the presence and aftermath of this pandemic.

Contributors

Wyatt R. Evans (Author)
Wyatt R. Evans, PhD, is a board-certified clinical psychologist with the VA North Texas Health Care System, and therapist in private practice in the Dallas-Fort Worth area. His primary areas of expertise are resilience and post-traumatic stress,... Read more

Books by Wyatt R. Evans

Robyn D. Walser (Author)
Robyn D. Walser, PhD, is director of TL Consultation Services, codirector of the Bay Area Trauma Recovery Clinic, staff at the National Center for PTSD, and an associate clinical professor at the University of California, Berkeley. As a licensed... Read more

Books by Robyn D. Walser

Kent D. Drescher (Author)
Kent D. Drescher, PhD, is a clinical psychologist (retired) who provided clinical services, education, and research as a staff member with the National Center for PTSD for more than twenty-seven years. His primary areas of expertise include the... Read more

Books by Kent D. Drescher

Jacob K. Farnsworth, PhD, is a licensed clinical psychologist with the VA Eastern Colorado Health Care System, specializing in trauma and substance use disorders. He is codeveloper of the ACT for moral injury intervention, and his writing and... Read more

Books by Jacob K. Farnsworth

Praise

“You are not alone, and it is possible to reconnect with who and what is most important to you. This is the hope-filled message of The Moral Injury Workbook. Whether you have done or failed to do something, or something has been done to you, if you have experienced a betrayal of moral values you hold dear, this workbook offers evidence-based strategies for how to move forward and reclaim your life. It is an inspiring and essential resource for anyone facing the complex, painful, and often hidden struggles that result from moral injury.”
Jenna LeJeune, PhD, licensed clinical psychologist; president of Portland Psychotherapy Clinic, Research, and Training Center; and coauthor of Values in Therapy

“Providing essential resources for both therapists and clients, this book is a comprehensive and compassionate account of finding a way forward after surviving a range of adverse experiences. Based on science and grounded in the heart, the authors have delivered a text that combines clinical insights, personal stories, and useful exercises for finding meaning in living. This book is essential reading for anyone interested in trauma and moral injury. Both clients and therapists will find support and comfort in these words, which give a sense of purpose to doing the difficult work of addressing moral injury.”
Victoria Follette, PhD, PsyD, program chair, director of clinical training, and professor in the school of psychology at Florida Institute of Technology

“If you find yourself haunted by a past event where you hurt or injured someone, or witnessed this happening to someone else, then I urge you to consider this book. The authors relate powerful stories and tools that can help you move from alienation and disconnection to repair and wholeness. If your moral sense has been disrupted or damaged, this book is a lifeline.”
Jason B. Luoma, PhD, shame and self-compassion researcher, and coauthor of Learning ACT and Values in Therapy

“Grounded in the collective clinical and scientific expertise of the four authors, this important contribution is full of compassionate, wise, and much-needed, practical tools for addressing moral injury with acceptance and commitment therapy (ACT). For persons seeking to heal their lives from the wounds of morally injurious events, they will find a treasure trove of insights and strategies for restoring human connection and meaningful living. For clinicians and trainees who desire to incorporate ACT in their attempts to address moral injury in therapeutic settings, this book is similarly essential reading, and one that will be reviewed again and again.”
Joseph Currier, PhD, associate professor of psychology at the University of South Alabama, and lead editor of Addressing Moral Injury in Clinical Practice

“This useful resource for anyone suffering from or caring for those with moral injury helpfully brings ACT principles to bear in a manner that invites a fresh, honest, and ultimately hopeful exploration of one’s moral identity.”
Jason Nieuwsma, PhD, associate director of the VA Mid-Atlantic MIRECC Mental Health and Chaplaincy program, and associate professor at Duke University Medical Center

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