Nancy Sherman on the Difference Between Moral Injury and PTSD

Nancy Sherman on the Difference Between Moral Injury and PTSD


– The symptoms of moral injury and the symptoms of
posttraumatic stress can overlap, meaning you can feel very alienated. You can have trouble sleeping. You can be angry and rageful, but if you dig, when I talk to soldiers, often they’ll tell me, you know, “What bothers me is not so much “that I’m hyper aroused,
that I’ll jump on a dime, “but it’s that I can’t get over the guilt “of leaving my buddies behind,” and that’s, sure, it makes
you feel anxious and awful in the way being overly fearful
makes you feel that way, but it’s really, it’s something
you can process a little bit about were you really responsible for not bringing your buddy home, even if you’re supposed to be a Marine who leaves no comrades behind? How do you really realize
that in the conditions of war? So the symptoms may overlap a bit, but it’s really based on a
sense of your moral world not quite making sense,
whereas the other was, you really fear for your life.

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