"Moral distress arises when our sense of right and wrong is deeply violated, leading to suffering that disrupts our trust in the goodness of the world."
"Moral injury, which can develop from persistent moral distress, signifies a rupture in one's relationship with goodness and basic trust in life."
The DSM-5-TR now includes moral distress and moral injury as important areas for clinical attention. These conditions disrupt individuals' perceptions of goodness in themselves and their institutions. Moral distress leads to chronic stress, affecting sleep and social trust. A case example illustrates a woman's profound sense of loss and betrayal, reflecting the emotional turmoil associated with these experiences. Researchers have developed a moral trauma spectrum to better understand these conditions, distinguishing moral injury from PTSD while acknowledging their coexistence.
Read at Psychology Today
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