Moral injury research at a crossroads: assumptions, limitations, and the promise of relational reorientation - Takeaways - MDSpire

Moral injury research at a crossroads: assumptions, limitations, and the promise of relational reorientation

  • By

  • Christa Acampora

  • Ditte M. Munch-Jurisic

  • Sarah Denne

  • Jacob Smith

  • July 2, 2026

  • 0 min

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  • 1

    The paper critiques the unchanged core conceptual model of moral injury, which defines it as intrapsychic damage to belief structures.

  • 2

    Numerous implicit assumptions about morality burden the standard model of moral injury, hindering research progress.

  • 3

    Adopting a minimalist, social-functionalist conception of morality could alleviate the conceptual burden in moral injury research.

  • 4

    Current treatments for moral injury focus on relational repair, suggesting it may be better understood as relational disruption.

  • 5

    The authors argue for a theoretical intervention to reconsider the prevailing conceptual paradigm in moral injury research.

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