Wendy Dean is a psychiatrist. Simon G. Talbot is a plastic surgeon. They are the authors of If I Betray These Words: Moral Injury in Medicine and Why It’s So Hard for Clinicians to Put Patients First.
An excerpt from If I Betray These Words: Moral Injury in Medicine and Why It’s So Hard for Clinicians to Put Patients First.
In late March 2021, during a lull between the third and fourth waves of the coronavirus pandemic, I drove to the small town three hours west of the …
The ongoing COVID crisis in the U.S. has highlighted our broken heath care system. And with it, has come an opportunity to begin to fix the system. Some touted mindfulness as a panacea pre-COVID – suggesting that if clinicians reframed the situations around them, they could better cope and continue. This backward argument echoes the idea that clinicians should redouble their resilience rather than address the core drivers of their distress. …
When we began exploring the concept of moral injury to explain the deep distress that U.S. health care professionals feel today, it was something of a thought experiment aimed at erasing the preconceived notions of what was driving the disillusionment of so many of our colleagues in a field they had worked so hard to join.
As physicians, …
Physicians on the front lines of health care today are sometimes described as going to battle. It’s an apt metaphor. Physicians, like combat soldiers, often face a profound and unrecognized threat to their well-being: moral injury.
Moral injury is frequently mischaracterized. In combat veterans it is diagnosed as post-traumatic stress; among physicians it’s portrayed as burnout. But without …
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