Moral Injury

Ruthlessly ambitious Olivia, anxious perfectionist Laura, and free-spirited risk-taker Anjali couldn’t be more different. Yet their friendship—which began the first day of medical school—has kept them inseparable these past twenty-five years. As wild all-nighters and exam pressure gave way to the struggles and joys of new motherhood and new jobs, their unbreakable bond helped them support each other through it all.

Offering examples of how to make medicine better for the healers and those they serve, If I Betray These Words profiles clinicians across the country who are tough, resourceful, and resilient, but feel trapped between the patient-first values of their Hippocratic oath and the business imperatives of a broken healthcare system. If I Betray These Words confronts the threat and broken promises of moral injury—what it is; where it comes from; how it manifests; and who’s fighting back against it. We need better healthcare—for patients and for the workforce. It’s time to act.

As a pioneer in the field of inherited family trauma, Mark Wolynn has worked with individuals and groups on a therapeutic level for over 20 years. It Didn't Start with You offers a pragmatic and prescriptive guide to his method, the Core Language Approach. Diagnostic self-inventories provide a way to uncover the fears and anxieties conveyed through everyday words, behaviors, and physical symptoms.

In this strikingly original and groundbreaking audiobook, Dr. Shay examines the psychological devastation of war by comparing the soldiers of Homer’s Iliad with Vietnam veterans suffering from post-traumatic stress disorder. Although the Iliad was written 27 centuries ago, it has much to teach about combat trauma, as do the more recent, compelling voices and experiences of Vietnam vets.

A longtime trauma worker, Laura van Dernoot Lipsky offers a deep and empathetic survey of the often-unrecognized toll on those working to make the world a better place. We may feel tired, cynical, numb, or like we can never do enough. These, and other symptoms, affect us individually and collectively, sapping the energy and effectiveness we so desperately need if we are to benefit humankind, other animals, and the planet itself. Through Trauma Stewardship, we are called to meet these challenges in an intentional way.

Most Americans are now familiar with post-traumatic stress disorder (PTSD) and its prevalence among troops. In this groundbreaking new audiobook, David Wood examines the far more pervasive yet less understood experience of those we send to war: moral injury, the violation of our fundamental values of right and wrong that so often occurs in the impossible moral dilemmas of modern conflict.

Revolutionary War officer Nathan Hale, one of America's first spies, said, "Any kind of service necessary to the public good becomes honorable by being necessary." A statue of Hale stands outside CIA headquarters, and the agency often cites his statement as one of its guiding principles. But who decides what is necessary for the public good, and is it really true that any kind of service is permissible for the public good? These questions are at the heart of James M. Olson's book, Fair Play: The Moral Dilemmas of Spying.

Policing in America is dangerous—especially in recent years. Law enforcement officers need to be constantly vigilant. Danger lurks everywhere. But not all danger is physical or even mental. There’s a spiritual danger. Only now is this danger beginning to be addressed in policing. But who are the experts in this area? Who should take the lead? Physical health professionals tend to the physical. Mental health professionals tend to the mental. Who are the spiritual health professionals? Author Tim Rupp combines his experience and knowledge as a law enforcement officer, pastor, and chaplain...

Laura is a perfectionist and extremely capable air ambulance doctor. As part of the ethics committee at the hospital, she is also the person who chooses whether critical care patients live or die. She's worked hard to get here. And then, one night, life overturns in a moment and the past threatens to shatter everything they hold dear in the present. Can even those we trust with our lives be dangerous in the right circumstances? And is there a limit to what we would do for those we love?

Armies know all about killing. It is what they do, and ours does it more effectively than most. We are painfully coming to realize, however, that we are also especially good at killing our own ''from the inside out,'' silently, invisibly. In every major war since Korea, more of our veterans have taken their lives than have lost them in combat. The latest research, rooted in veteran testimony, reveals that the most severe and intractable PTSD - fraught with shame, despair, and suicide - stems from "moral injury".

After serving in a scout-sniper platoon in Mosul, Tom Voss came home carrying invisible wounds of war - the memory of doing or witnessing things that went against his fundamental beliefs. This was not a physical injury that could heal with medication and time but a "moral injury" - a wound to the soul that eventually urged him toward suicide. Desperate for relief from the pain and guilt, Voss embarked on a 2,700-mile journey across America with a fellow veteran. Listeners walk with these men as they meet other veterans, Native American healers, and spiritual teachers.

Hazard’s a military kid, best known for his prowess at football, and his short fuse. His dad’s been in Afghanistan, third tour. The worry and the pressure over school and his dad are getting to Hazard until one day, the fuse sets off and the repercussions have him benched for six games and assigned to go to therapy. Which is where his dad is as well, at Walter Reed Medical Center, because he’s home now—well, most of him. Hazard’s dad’s now learning to walk with a prosthetic, but that’s not his primary injury.