Building Spiritual Strength: a Spiritually Integrated Approach to Treating Moral Injury.

Q1 Psychology

Current Treatment Options in Psychiatry Pub Date : 2022-01-01 Epub Date: 2022-07-09 DOI:10.1007/s40501-022-00276-0

Stephanie Winkeljohn Black, Kelsey Klinger

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引用次数: 0

Abstract

Purpose of review: This article reviews a spiritually integrated group therapy, Building Spiritual Strength (BSS), designed to treat moral injury and associated syndromes (e.g., PTSD, burnout) with Gestalt and cognitive techniques and psychoeducation about spiritual coping. BSS was designed for active duty and military veterans but has since been adapted and expanded for other groups experiencing moral injury.

Recent findings: Two RCTs have demonstrated BSS led to a decrease in PTSD symptoms in military members. Though BSS did not outperform a person-centered group therapy control in one RCT, the BSS group reported a decrease in spiritual struggle compared to the control. While no studies have yet been published on the expansion of BSS to new populations, emergent qualitative evidence on BSS for volunteers working with refugees indicates effectiveness in increasing positive spiritual coping. This expansion also revealed an opportunity for BSS to increase cultural humility in group members, in addition to reducing moral injury and other symptoms of distress.

Summary: BSS is an effective, spiritually integrated means of reducing distress and improving spiritual coping. There are numerous opportunities for expansion of BSS to new populations and to test a variety of outcomes, including moral injury, spiritual flourishing, and cultural humility.

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建立精神力量:治疗道德伤害的精神整合方法。

综述目的:本文综述了一种精神整合的团体疗法——建立精神力量(BSS)，该疗法旨在用格式塔和认知技术以及精神应对的心理教育来治疗道德损伤和相关综合征(如创伤后应激障碍、倦怠)。BSS是为现役军人和退伍军人设计的，但后来被改编和扩展到其他经历道德伤害的群体。最近的发现:两项随机对照试验表明，BSS导致军人创伤后应激障碍症状的减少。虽然在一项随机对照试验中，BSS组的表现没有超过以人为中心的小组治疗对照组，但与对照组相比，BSS组的精神斗争有所减少。虽然还没有关于将心理支持扩大到新人群的研究报告发表，但对从事难民工作的志愿者进行心理支持的新出现的定性证据表明，这在增加积极的精神应对方面是有效的。除了减少道德伤害和其他痛苦症状外，这种扩展还揭示了BSS增加群体成员文化谦逊的机会。BSS是一种有效的、精神上的综合手段，可以减少痛苦，提高精神应对能力。有许多机会将BSS扩展到新的人群，并测试各种结果，包括道德伤害，精神繁荣和文化谦卑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Treatment Options in Psychiatry Psychology-Clinical Psychology

CiteScore

5.70

自引率

0.00%

发文量

期刊介绍： This journal focuses on the latest advances in the multifaceted treatment of psychiatric disorders. Designed for physicians and other mental health professionals, Current Treatment Options in Psychiatry offers expert reviews on the management of a range of mental health conditions, includingSchizophrenia and other psychotic disordersSubstance use disordersAnxiety, obsessive-compulsive, and related disordersMood disordersEating and other impulse control disordersPersonality disordersArticles cover a range of established and emerging treatment options across the lifespan, and their innovative, hands-on format makes them ideal for informing treatment decisions at the point of care.We accomplish this by appointing leaders in the field to serve as Section Editors in key areas. Section Editors, in turn, select the most pressing topics as well as experts to present the latest research, assess the efficacy of available treatment options, and discuss special considerations.Additionally, an international Editorial Board—representing a range of disciplines within psychiatry and psychology—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.