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  1. Repairing moral injury takes a team: what clinicians can learn from combat veterans.Jonathan M. Cahill, Warren Kinghorn & Lydia Dugdale - 2023 - Journal of Medical Ethics 49 (5):361-366.
    Moral injury results from the violation of deeply held moral commitments leading to emotional and existential distress. The phenomenon was initially described by psychologists and psychiatrists associated with the US Departments of Defense and Veterans Affairs but has since been applied more broadly. Although its application to healthcare preceded COVID-19, healthcare professionals have taken greater interest in moral injury since the pandemic’s advent. They have much to learn from combat veterans, who have substantial experience in identifying and addressing moral injury—particularly (...)
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  • Ruptured selves: moral injury and wounded identity.Jonathan M. Cahill, Ashley J. Moyse & Lydia S. Dugdale - 2023 - Medicine, Health Care and Philosophy 26 (2):225-231.
    Moral injury is the trauma caused by violations of deeply held values and beliefs. This paper draws on relational philosophical anthropologies to develop the connection between moral injury and moral identity and to offer implications for moral repair, focusing particularly on healthcare professionals. We expound on the notion of moral identity as the relational and narrative constitution of the self. Moral identity is formed and forged in the context of communities and narrative and is necessary for providing a moral horizon (...)
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  • Crisis in Psychiatric Diagnosis? Epistemological Humility in the DSM Era.Warren Kinghorn - 2020 - Journal of Medicine and Philosophy 45 (6):581-597.
    The modern editions of the Diagnostic and Statistical Manual of Mental Disorders, beginning with DSM-III in 1980, emerged in response to notable challenges to psychiatry’s practices and ways of knowing in the early 1970s. Because these challenges threatened psychiatry’s scientific self-understanding and moral authority, they exemplify what Alasdair MacIntyre has termed “epistemological crisis.” As a response to crisis, the modern DSM has been a stunning political achievement, providing the central diagnostic constructs around which psychiatric research, practice, and reimbursement has been (...)
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