Moral Injury and Music Therapy: Music as a vehicle for access

2018 ◽  
Vol 10 (3) ◽  
pp. 146 ◽  
Author(s):  
Torrey Gimpel

Moral Injury as a construct continues to be explored and refined as researchers develop models of treatment and clearer definitions for diagnosis. The complexity of moral injury mirrors the complexity of the combat experience- distinctive situations where required actions (e.g., killing) within war may lead to transgressions of deeply held moral or ethical principles within the individual. These transgressive acts may lead to inner conflicts that are outside the typical purview of traditional PTSD treatment. Music therapy offers unique vehicle for access to the inner conflict of MI and combat-related traumatic experiences while promoting expression, present-moment support, and creating opportunities for new perspectives through the malleable medium of music.Keywords: Moral Injury (MI); Military; Music Therapy; PTSD, Transgressive events

2010 ◽  
Vol 27 (3) ◽  
pp. 24-52
Author(s):  
Hamid Mavani

The adoption of the Mu`tazili school of “rationalist” theology and the institution of ijtihad enabled Shi`i legal theory to exhibit vibrancy and made it adaptable to changing contingencies and circumstances. But because Shi`i jurists did not face the challenge of governing a state, their juridical focus and orientation remained fixated on resolving issues confronting the laity or their followers (muqallid) at a personal level and did not provide an ethical framework for the ijtihad process. The establishment of a Shi`i state in Iran in 1979, which forced them to tackle social, political, economic, educational, and cultural issues, demanded a change in orientation – away from the individual and toward society as the unit of analysis vis-à-vis ijtihad. They marshaled various methods, legal devices, and strategies to address contemporary social issues in order to provide pragmatic guidance to the citizens that would be in conformity with the moral and ethical principles laid out in the revelatory sources. This paper examines the writings of Ayatullahs Muhammad Baqir al-Sadr, Muhammad Mahdi Shamsuddin, Sayyid Muhammad Husayn Fadlullah, and Ruhullah Musavi al-Khomeini and studies this phenomenon of change from individual-oriented ijtihad to society-oriented ijtihad.


2021 ◽  
Vol 8 (1) ◽  
pp. 01-08
Author(s):  
Mawardi Djamaluddin ◽  
Suryani Hi Umar

Natural disasters that occur over a long period of time and the level of damage that occurs often affect the psychological condition of the individual causing individuals to experience traumatic experiences that are hard to forget. Traumatic experiences experienced as a result of natural disasters also influence one's view of the natural disaster itself. Some people may have rational views while others have irrational views. This irrational view often makes individuals feel even more traumatized by the bad experiences they have experienced. Therefore, this study aims to examine the effectiveness of rational emotive behaviour counselling in reducing irrational beliefs experienced by people experiencing natural disasters. The research method used was quantitative with an experimental design. The research subjects were earthquake victims in Tomara Village, South Halmahera Regency who had irrational beliefs in the high category based on the results of filling in data from the irrational belief scale. The results showed that rational emotive behaviour therapy counselling was effective in reducing irrational beliefs experienced by people experiencing natural disasters.


Author(s):  
Elisa Pfeiffer

Abstract Background Exposure to traumatic experiences is a fundamental part of evidence-based trauma-focused cognitive behavioral treatment (CBT) but in group settings it is discussed controversially among researchers and practitioners. This study aims to examine the individual participants’ stress level during group sessions with exposure and disclosure of traumatic events. Method N = 47 traumatized youth (Mage = 17.00, 94% male) participated in a group intervention comprising six 90-min group sessions (exposure in sessions 2–5). It is based on trauma-focused CBT principles. The individual stress level was assessed by the participants and group facilitators at the beginning, during, and at the end of every session. Results During the sessions including exposure, the stress level of the participants was higher than during sessions without exposure (Z = − 3.79; p ≤ .001). During the exposure sessions, the participants showed significant changes in stress level (d = 0.34–0.87) following an inverse U-shaped trend. Conclusion The results show that exposure is feasible within the scope of a trauma-focused group intervention for youth. The further dissemination of trauma-focused group treatments is an important component in the mental health care of children and youth who are traumatized.


Author(s):  
N. Dakal ◽  
O. Cherevichko ◽  
K. Smirnov

The purpose of psychological protection is to maintain the integrity of the "self-concept" of the individual by protecting his consciousness from negative traumatic experiences, fear of failure, anxiety or uncertainty in their actions. The authors who studied this phenomenon in sports note that the psychological protection of the athlete - is a system of mechanisms and methods of mental self-regulation of consciousness and behavior of the individual in extreme mental conditions. Psychological defense mechanisms are manifested in students as a regulatory system that is activated in a situation of internal or external conflict. Based on it, students often show such a defense mechanism as substitution, regression, and compensation. Considering the manifestation of protective mechanisms in boys and girls, we obtained the following indicators: reactive formations (73% in girls and 51% in boys) and projection (73% in girls and 54% in boys) (p <0.05); in boys prevails: suppression (65% in boys and 45% in girls) and intellectualization (69% in boys and 56.1% in girls) (p <0.05). We found differences in the choice of the dominant mechanism of psychological protection by swimming students. The leading mechanism in the studied contingent is substitution, and the least preferred is suppression. The study identified the manifestation of the main mechanisms of psychological protection in students who swim and analyzed certain types of protection with a description of the specific features of the system of protective mechanisms and the level of their impact depending on gender differences.


Author(s):  
Alanna Coady ◽  
L. T. C. Lataya Hawkins ◽  
Ruth Chartoff ◽  
Brett Litz ◽  
Sheila Frankfurt
Keyword(s):  

2021 ◽  
pp. 026327642110392
Author(s):  
Kenneth MacLeish

Public and clinical interest in a condition called moral injury – psychological distress resembling posttraumatic stress disorder (PTSD) but said to originate from shame, guilt, or transgression in war experience – explicitly links moral, psychological, and political dimensions of war-making in the context of the US’s post-9/11 wars. This article critically analyzes moral injury’s politics of psychological suffering, which tends to treat morality as a universal and apolitical terrain, by reading it against soldier narratives of combat experience. American soldiers’ accounts of US military violence in Iraq and Afghanistan suggest that embodied, affective, and technical dimensions of military experience constitute their own moral worlds that do not necessarily conform to moral injury’s narratives of individual transgression. These accounts show that the US’s counterinsurgency techniques produce Orientalist framings of threat and violence but also volatile and ambivalent battlefield moralities that critically comment on the ostensibly liberal and humane techniques of US war-making.


2016 ◽  
pp. 2374-2391
Author(s):  
Michelle Renee Blumstein

The following chapter presents a compilation of research about various types of technology that are employed by music therapists to benefit children with developmental delays. Music therapy can be an effective way to meet the goals of the individual. Music can also be a very powerful motivator. Previous musical skill or experience is not required for music therapy to be effective for clients with developmental disabilities or for clients more generally. Many music-based technologies are designed to create a positive, successful, and enjoyable experience for all users. Music therapy can provide a safe and confidence building environment where children are able to feel in control of a situation, possibly for the first time in their lives.


Author(s):  
Voula Tsouna

The Cyrenaic school was a Greek philosophical school which flourished in the fourth and early third centuries bc. It took its name from the native city of its founder, Aristippus of Cyrene, a member of Socrates’ entourage. His most important successors were his grandson, Aristippus the Younger, and Theodorus, Anniceris and Hegesias, the heads of three separate Cyrenaic sects. The basis of Cyrenaic philosophy is physiological and psychological. It focuses on the individual feelings of pleasure and pain which are classed as pathē, experiences produced in a subject by its contact with an object. They are described, respectively, in terms of smooth and rough movements, of the flesh or of the soul. A third category of pathē, described as intermediate between pleasure and pain, is also defined as movements and related to one’s perception of individual properties or qualities. All pathē are short-lived and have no value beyond the actual time of their occurrence. These physiological characteristics are encountered both in the ethics and in the epistemology of the school. Although the Cyrenaics differed in their ethical doctrines, all of them attributed a central role in their systems to the individual bodily pleasure experienced in the present moment, and some of them considered it the moral end: it is pursued for its own sake, whereas happiness, conceived as the particular collection of pleasures that one experiences during a lifetime, is sought for the sake of its component pleasures. The goodness of individual pathē of pleasure is supported by an elaborate epistemological doctrine whose central claims are that we are infallibly and incorrigibly aware of the occurrence and content of our own pathē, but that we cannot apprehend the properties of external objects. A striking feature of this doctrine is the neologisms designating the perception of qualities, such as ‘I am whitened’ and ‘I am affected whitely’. This, and other features of Cyrenaic subjectivism, anticipate some modern philosophical analyses of subjective experience.


2020 ◽  
Vol 14 ◽  
Author(s):  
Kimberly Matheson ◽  
Ajani Asokumar ◽  
Hymie Anisman

The relationship between adverse experiences and the emergence of pathology has often focused on characteristics of the stressor or of the individual (stressor appraisals, coping strategies). These features are thought to influence multiple biological processes that favor the development of mental and physical illnesses. Less often has attention focused on the aftermath of traumatic experiences, and the importance of safety and reassurance that is necessary for longer-term well-being. In some cases (e.g., post-traumatic stress disorder) this may be reflected by a failure of fear extinction, whereas in other instances (e.g., historical trauma), the uncertainty about the future might foster continued anxiety. In essence, the question becomes one of how individuals attain feelings of safety when it is fully understood that the world is not necessarily a safe place, uncertainties abound, and feelings of agency are often illusory. We consider how individuals acquire resilience in the aftermath of traumatic and chronic stressors. In this respect, we review characteristics of stressors that may trigger particular biological and behavioral coping responses, as well as factors that undermine their efficacy. To this end, we explore stressor dynamics and social processes that foster resilience in response to specific traumatic, chronic, and uncontrollable stressor contexts (intimate partner abuse; refugee migration; collective historical trauma). We point to resilience factors that may comprise neurobiological changes, such as those related to various stressor-provoked hormones, neurotrophins, inflammatory immune, microbial, and epigenetic processes. These behavioral and biological stress responses may influence, and be influenced by, feelings of safety that come about through relationships with others, spiritual and place-based connections.


Author(s):  
Ike Valentine Iyioke

This chapter aims to prominently position the African philosophical notion of the self within the clinical trials context (and the larger bioethics project). As opposed to autonomy-based principlism, this other-regarding or communalist perspective is proposed as the preferred alternative model. The intent is to draw further attention to the inadequacy of the principlist approach particularly in multicultural settings. It also engenders a rethink, stimulates interest, and re-assesses the failed assumptions of universal ethical principles. As a novel attempt that runs against much of the prevailing (Euro-American) intellectual mood, this approach strives to introduce the African viewpoint by making explicit the import of the self in a re-contextualized (nay, globalized) arena. Viewed as such, research ethics is guided to go beyond autonomy-based considerations for the individual with absolute right to self-determination; to embrace more holistic-based approach, recognizing that the individual is embedded in his/her family, community, and the environment.


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