Moral Injury, Moral Identity, and “Dirty Hands” in War Fighting and Police Work

Journal of Medicine and Philosophy 47 (6):723-734 (2022)
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Abstract

In this article, I undertake three main tasks. First, I argue that, contrary to the standard view, moral injury is not a species of PTSD (post-traumatic stress disorder) but rather, on the most coherent conception of moral injury, PTSD is (in effect) a species of moral injury. In doing so, I make use of the notion of caring deeply about something or someone worthy of being cared deeply about. Second, I consider so-called “dirty hands” actions in police work and in war, and distinguish these from the morally legitimate, but harmful, actions of police officers and of war fighters, such as the morally legitimate use of coercive force and lethal force (respectively). While the morally legitimate use of harmful methods is constitutive of these occupational roles, “dirty hands” methods are not. Roughly speaking, a “dirty hands” action is one that is morally wrong and (typically) unlawful but done for the sake of a good outcome. Both categories of action are conducive to moral injury, but “dirty hands” actions much more so, especially given the slippery moral slope from “dirty hands” actions to egregious moral wrongdoing. Third, I offer some recommendations for reducing moral injury among police officers and war fighters.

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Seumas Miller
Delft University of Technology

Citations of this work

50 Years of Dirty Hands: An Overview.Christina Nick & Stephen de Wijze - 2023 - The Journal of Ethics 27 (4):415-439.
Being in Relation, Being through Change.Martin J. Fitzgerald - 2022 - Journal of Medicine and Philosophy 47 (6):681-687.

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References found in this work

Political action: The problem of dirty hands.Michael Walzer - 1973 - Philosophy and Public Affairs 2 (2):160-180.
Theory of Justice.John Rawls - 1972 - Journal of Philosophy 69 (18):556-557.
What's Wrong with Torture?David Sussman - 2004 - Philosophy and Public Affairs 33 (1):1-33.
Mapping Moral Injury: Comparing Discourses of Moral Harm.Joseph Wiinikka-Lydon - 2019 - Journal of Medicine and Philosophy 44 (2):175-191.

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