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Shame, betrayal, guilt, anger. As social animals, humans are wired to have moral emotions that bind us to our groups. When we experience a transgression against our moral values, we might experience Moral Injury. Moral injury is a normal human response to a violation of our strongly held moral beliefs, and it can have a deep impact on people’s lives, making it difficult to move forward. In this episode, Debbie interviews two psychologists who are researching moral injury with veterans, Dr. Lauren Borges, and Dr. Jacob Farnsworth, about this cutting-edge and important topic in psychology. In this episode you’ll learn: What moral injury is, and types of situations in which people might experience morally injurious events.How moral injury can impact people’s lives.Why we have moral emotions like guilt and shame.How PTSD and moral injury are related, and how they are different.How Acceptance and Commitment Therapy might be a helpful approach for working with people who are struggling with moral injury. Resources: A seminal paper by Litz on Moral Injury: Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology ReviewLauren’s case study: A Service Member's experience of Acceptance and Commitment Therapy for Moral Injury (ACT-MI) via telehealth: Learning to accept my pain and injury by reconnecting with my values and starting to live a meaningful life. ) Journal of Contextual Behavioral Science.Papers by Dr. Borges, Dr. Farnsworth, and their research team: Temporal Associations Between Moral Injury and Posttraumatic Stress Disorder Symptom Clusters in Military Veterans. Journal of Traumatic Stress.Is and Ought: Descriptive and Prescriptive Cognitions in Military‐Related Moral Injury. Journal of Traumatic Stress.A functional approach to understanding and treating military-related moral injury. Journal of Contextual Behavioral SciencePhysicians aren’t ‘burning out.’ They’re suffering from moral injury Stat Sebastian Junger’s documentary films on Moral Injury in war: RestrepoKorengal Dr. Lauren M. Borges is a clinical research psychologist at the Rocky Mountain Mental Illness Research, Education, and Clinical Center (MIRECC) for suicide prevention. She holds an academic appointment of assistant professor in the Department of Psychiatry at the University of Colorado School of Medicine. Dr. Borges’ primary line of research concerns the use of contextual behavioral interventions to help Veterans approach emotions like guilt and shame more flexibly. She is a principal investigator on a federally funded study focused on investigating the acceptability and feasibility of Acceptance and Commitment Therapy for Moral Injury (ACT-MI). She is also interested in using skills from Dialectical Behavior Therapy (e.g., the chain analysis skill) to help Veterans identify and intervene on their suicidal behavior. Beyond her focus on interventional research, Dr. Borges is developing and validating novel approaches to measuring facets of responding to guilt and shame. Dr. Jacob Farnsworth is currently a staff psychologist at the VA Eastern Colorado Health Care System. Jacob's primary research interest is in the area of military-related moral injury. His most recent efforts have focused on the further development of the construct’s definition, assessment approaches and comparing existing and novel intervention approaches for moral injury. He is a co-author of the Expressions of Moral Injury Scale-Military Version. Learn more about your ad choices. Visit megaphone.fm/adchoices
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Living a values-based life is different from a goal-oriented one. A values-based life encompasses more than trying to “feel good” or get to a final destination. When you direct your life toward what really matters to you, you will feel an increased sense of meaning and vitality, whatever situation you find yourself in. Values-based living has greater depth and staying power than goals and resolutions. Join Debbie and Dr. Jenna LeJeune, author of Values in Therapy: A Clinician’s Guide to Helping Clients Explore Values, Increase Psychological Flexibility, and Live a More Meaningful Life, for an encouraging discussion about what “living well” really means and how to increase values-based living in yourself and in your clients. Listen and Learn: What do “values” really mean, and how are they different in Acceptance and Commitment Therapy? How to disentangle values from morals and goals Tips for how to explore what “living well” means to you Why pain deserves appreciation What to do when you feel like your values conflict with each other About Dr. Jenna LeJeune Dr. Jenna LeJeune is a clinical psychologist, author, and co-founder and president of Portland Psychotherapy, an evidenced-based psychotherapy clinic in Portland, Oregon. Dr. LeJeune specializes in using Acceptance and Commitment Therapy (ACT) to help individuals reorient toward what matters to build a more meaningful and well-lived life. She is a peer-reviewed trainer in Acceptance and Commitment Therapy and serves as a mental health expert co-host of the podcast Beyond Well with Sheila Hamilton. A Clinician’s Guide to Helping Clients Explore Values, Increase Psychological Flexibility, and Live a More Meaningful Lifeis Dr. LeJeune’s first book. Resources Values in Therapy: A Clinician’s Guide to Helping Clients Explore Values, Increase Psychological Flexibility, and Live a More Meaningful Life by Jenna LeJeune and Jason LouomaThe Other Side of Happiness: Embracing a More Fearless Approach to Living by Brock Bastian PhDPortland Psychotherapy Clinic Sponsor: Praxis Continuing Education ACT BootCamp® with Steven C. Hayes, Ph.D., Robyn Walser, Ph.D., and Kelly Wilson, Ph.D., cofounders of ACT Portland, OR | February 20–23, 2020; up to 32 CE/CME credits available Sign up with a friend to save 20% off the professional registration price! Meet Our New Co-Host, Dr. Jill Stoddard! In this episode, we also make an exciting announcement about a new Co-Host joining us in January 2020. Listen to learn more about her and her upcoming book you can pre-order! Be Mighty: A Women’s Guide to Liberation from Anxiety, Worry, and Stree Using Mindfulness and Acceptance _________________________ Thank you for joining us on this episode of Psychologists Off The Clock. We appreciate your feedback. Please take a moment to leave a quick rating and review of the show on Apple Podcasts. It helps us spread the word to more folks like you! Subscribe for free where you listen to podcasts! Apple Podcasts, Google Podcasts, Spotify, Stitcher, Deezer, iHeartRadio Learn more about your ad choices. Visit megaphone.fm/adchoices
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