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Moral injury violates our sense of justice, loyalty, and meaning\u2014and creates a storm in the soul. Those who directly affect others\u2019 lives are most at risk of suffering irreconcilable conflicts between behavior and belief: military, police, medical, educational, and other human service providers. The purported \u201ccost of doing business\u201d also calls us to confront institutional shadow--moral injury does not belong to the individual alone. The integrity of organizational and community values plays an important part in condoning morally distressing situations\u2014and should play a role in healing the injured. Conflicts between actions and values are inevitable in life, and the core of being human is our unique capacity for choice. There is no way to escape shadow, and we are more than our mistakes. They are neither our totality nor our destiny.

Here\u2019s The Dream We Analyze:

\u201cI am standing near a well. I have to go down into it. When I am in the well, I am me, but I am also a slightly younger, stronger man. The cylindrical walls of the well are grim, dark. There is a cylindrical metal structure, and on the outside of this are two dead babies/toddlers and a slightly older one who is not quite dead but needs resuscitating. The water has been polluted as a result of the bodies. I shout, \u201cRocket up.\u201d This is so the babies can be pulled up. I wake up and feel dark. As I think about the dream, it occurs to me that \u201cRocket up\u201d could have been \u201cRock it up.\u201d However, in the dream, although I didn\u2019t see the structure move up, I imagined it going up at great speed.\u201d

REFERENCES:

Jonathan Shay. Achilles in Vietnam: Combat Trauma and the Undoing of Character. https://www.amazon.com/dp/0684813211/ref=cm_sw_em_r_mt_dp_FVEHY95SXRA73DWABH7M

Film: Quo Vadis, Aida? https://www.amazon.com/gp/video/detail/B08YP6238S/ref=atv_dp_share_cu_r

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