Moral injury is an emerging construct often related to the aftermath of warzone transgressions that violate deeply held moral values. The post-moral injury fallout includes various longstanding, distressing, and impactful experiences ranging from depression to substance abuse to posttraumatic stress disorder and other problems in life functioning. Developing effective treatments is crucial in assisting those affected by moral injury. This article describes the early development of acceptance and commitment therapy (ACT) for moral injury with two samples of veterans using theoretical and “bottom-up” processes. Revisions were based on an iterative discussion process that included pre- and post-group briefings and recordings of sessions. Descriptive and qualitative data linked to the delivery of the intervention and ACT processes data are also presented.

中文翻译：

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开发针对退伍军人精神伤害的接受和承诺疗法的初步步骤：两项试点研究

道德伤害是一种新兴的概念，通常与战区违反根深蒂固的道德价值观的违规行为的后果有关。道德伤害后的后果包括各种长期存在的、痛苦的和有影响的经历，从抑郁到药物滥用，到创伤后应激障碍和其他生活功能问题。开发有效的治疗方法对于帮助那些受到精神伤害的人至关重要。本文使用理论和“自下而上”的过程，以两个退伍军人样本为对象，介绍了针对道德伤害的接受与承诺疗法 (ACT) 的早期发展。修订是基于迭代讨论过程，包括小组前和小组后的简报和会议录音。还提供了与干预实施和 ACT 流程数据相关的描述性和定性数据。