American Journal of Orthopsychiatry最新文献_第2页

The long-term effects of warfare trauma on older adult veterans' posttraumatic stress: The role of trauma reminders and meaning in life. 战争创伤对老年退伍军人创伤后应激的长期影响：创伤提醒的作用和生活意义。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-09-28 DOI: 10.1037/ort0000970

Michal Levinsky, Amit Shrira, Yuval Palgi, Lee Greenblatt-Kimron

{"title":"The long-term effects of warfare trauma on older adult veterans' posttraumatic stress: The role of trauma reminders and meaning in life.","authors":"Michal Levinsky, Amit Shrira, Yuval Palgi, Lee Greenblatt-Kimron","doi":"10.1037/ort0000970","DOIUrl":"10.1037/ort0000970","url":null,"abstract":"This study examines the long-term effects of warfare trauma on posttraumatic stress disorder (PTSD) symptoms in older veterans, focusing on trauma reminders, combat exposure, and meaning in life as a potential moderating factor. The sample included 399 male veterans of the 1973 Yom Kippur War in Israel, assessed at three time points: about 6 months before the 50th anniversary of the war, providing a baseline; 2 weeks before the anniversary, capturing emotional responses related to the symbolic reminder; and 2 months following the outbreak of the Israel-Hamas War in 2023, assessing the acute impact of renewed real-time threat. The study examined how these trauma reminders were associated over time with PTSD symptoms, particularly reexperiencing, avoidance, and a sustained sense of threat. Participants were grouped as combatants and noncombatants with or without life-threatening exposure. Meaning in life was measured using an averaged score reflecting four core dimensions: values, purpose, goals, and reconciliation with the past. Results show that a real-time trauma reminder elicited stronger PTSD symptoms than symbolic reminders, particularly among veterans exposed to life-threatening conditions. Moreover, meaning in life significantly moderated PTSD symptoms, with higher meaning associated with lower levels of symptoms, especially during a real-time reminder among combatants. Findings underscore the lasting impact of combat trauma and the protective role of meaning in life amid renewed trauma reminders. The findings provide a foundation for future interventions aimed at fostering meaning as a buffer against PTSD symptoms in aging combat veterans and highlight the potential value of long-term mental health services, including meaning-centered and community-based support tailored to this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"An urge to take action": Motivational pathways of crisis-activated social entrepreneurs. “采取行动的冲动”：危机激活型社会企业家的激励途径。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-09-28 DOI: 10.1037/ort0000968

Noga Pitowsky-Nave, Hillel Schmid, Nir Yemini

{"title":"\"An urge to take action\": Motivational pathways of crisis-activated social entrepreneurs.","authors":"Noga Pitowsky-Nave, Hillel Schmid, Nir Yemini","doi":"10.1037/ort0000968","DOIUrl":"https://doi.org/10.1037/ort0000968","url":null,"abstract":"This study examines the motivations underlying the rapid emergence of social entrepreneurship in Israel following the October 7, 2023, Hamas attack and the ensuing war. While formal emergency services and volunteer organizations played important roles, many immediate responses were led by civilians who independently created new ventures to address urgent unmet needs. The study explored how these grassroots actors led community-based initiatives amid national trauma and institutional gaps. Drawing on interviews with social entrepreneurs, reflexive thematic analysis identified a dynamic interplay between contextual pressures and internal value-based and emotional drivers. Extrinsic pressures, including humanitarian urgency and failures in state response, pushed civilians into action. Intrinsic motives, including prosocial motivation, emotional proximity, meaning-making, and self-restoration, sustained engagement. For many, helping also served as a form of coping, transforming trauma into agency and grief into purpose. These findings indicate that civic leadership emerged out of the convergence of external urgency and internal purpose to drive entrepreneurial action. We conceptualize these actions as crisis-activated social entrepreneurship-a form of civic leadership that emerges from acute necessity rather than long-term planning. This type of social entrepreneurship not only contributed to the collective but also served as a mechanism of personal resilience and psychological recovery. Policy implications highlight the need to better integrate grassroots initiatives into formal crisis-response systems through coordination, targeted support, and institutional recognition. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accent-based discrimination in the Venezuelans resettled in Colombia. 重新安置在哥伦比亚的委内瑞拉人受到基于口音的歧视。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-09-28 DOI: 10.1037/ort0000953

Juliana Mejía-Trujillo, Orlando Scoppetta, Alejandra Villamil-Sánchez, Christopher P Salas-Wright, María Fernanda García, Seth J Schwartz, María Juliana Rubiano-Quintero, Mildred Maldonado-Molina, Melissa M Bates, Ivonne Calderón, Augusto Pérez-Gómez

{"title":"Accent-based discrimination in the Venezuelans resettled in Colombia.","authors":"Juliana Mejía-Trujillo, Orlando Scoppetta, Alejandra Villamil-Sánchez, Christopher P Salas-Wright, María Fernanda García, Seth J Schwartz, María Juliana Rubiano-Quintero, Mildred Maldonado-Molina, Melissa M Bates, Ivonne Calderón, Augusto Pérez-Gómez","doi":"10.1037/ort0000953","DOIUrl":"10.1037/ort0000953","url":null,"abstract":"Little is known about accent-based discrimination among countries that share the same language. The present study was designed to identify the sociodemographic characteristics related to the perception of accent-based discrimination among Venezuelan migrants in Colombia and how negative context of reception, pressure to acculturate, crisis migration, depressive symptoms, and anxiety are related to this kind of discrimination. The study employed a convergent parallel mixed methods design. With information from 999 Venezuelans (430 adolescents and 569 adults), we conducted a logistic regression analysis. Additionally, 64 qualitative interviews were carried out. Results indicate that negative context of reception, pressure to acculturate, crisis migration, and depressive symptoms are related to heightened perceptions of accent-based discrimination. Qualitative results suggest that Venezuelans in Colombia have learned to cope with changes, establish friendships, and develop a new life. They have also learned to navigate the pain of rejection and to take pride in their origins, as well as in the country and city that have offered them new opportunities. The present results indicate that accent-based discrimination is a phenomenon of utmost importance for Venezuelans who migrate to Colombia. Qualitative information suggests that the perception of discrimination diminishes through the adaptation processes among both Venezuelan migrants and Colombian host nationals. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13622981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and correlates of substance use among biracial and monoracial adolescents. 双种族和单种族青少年中药物使用的患病率及其相关因素。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-09-10 DOI: 10.1037/ort0000885

Jennifer M Traver, Trenette C Goings, Daniel J Bauer, Ai Bo

{"title":"Prevalence and correlates of substance use among biracial and monoracial adolescents.","authors":"Jennifer M Traver, Trenette C Goings, Daniel J Bauer, Ai Bo","doi":"10.1037/ort0000885","DOIUrl":"10.1037/ort0000885","url":null,"abstract":"Decades of research demonstrated that biracial adolescents report high levels of substance use and misuse. However, relatively little is known about whether predictors of substance use differentially impact biracial youth compared to their monoracial peers. To examine the interactions between common substance use predictors (i.e., peer substance use, family structure) and racialized identity, we integrated data from the National Study of Adolescent to Adult Health and Monitoring the Future. The final analytic sample included 47,491 participants. Of these, 51.3% were female and all racialized subgroups had over 250 participants. We used chi-square tests to evaluate differential prevalence rates between biracial and monoracial subgroups and logistic regressions to examine the main effects and interactions of predictors of substance use. The results partially support our hypothesis that biracial youth report a prevalence of substance use intermediate to that of their corresponding monoracial groups, but this varied by substance and racialized group. Additionally, we found that having a mother and father in the household and peer substance use were significant predictors of substance use across all racialized groups. Peer substance use had a stronger effect for some racialized groups (e.g., White, Indigenous White) compared to others (e.g., Black, Asian). Our findings demonstrated the importance of analyzing biracial subgroups as distinct groups due to their heterogeneity in substance use prevalence rates and predictors of substance use. Tailored prevention efforts (either peer- or family-focused) may be needed to address the unique influences on substance use for different biracial subgroups and types of substances. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Aprendí un mundo diferente": Understanding the help-seeking trajectories and psychological well-being of Spanish-speaking Latine parents of children with autism. “Aprendí un mundo不同点”：了解自闭症儿童的西班牙裔拉丁裔父母的求助轨迹和心理健康。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-09-03 DOI: 10.1037/ort0000960

Maira Anaya-Lopez, Shola Shodiya, Fernanda Castellón, Melissa Damacio, Andrés J Consoli

{"title":"\"Aprendí un mundo diferente\": Understanding the help-seeking trajectories and psychological well-being of Spanish-speaking Latine parents of children with autism.","authors":"Maira Anaya-Lopez, Shola Shodiya, Fernanda Castellón, Melissa Damacio, Andrés J Consoli","doi":"10.1037/ort0000960","DOIUrl":"10.1037/ort0000960","url":null,"abstract":"Spanish-speaking Latine families face significant barriers in accessing autism spectrum disorder assessment and intervention services, experiencing delays in diagnosis and limited access to culturally responsive care. Families of color not only face persistent systemic barriers that affect help-seeking trajectories and parental well-being but also encounter cultural differences that play a role in their experiences. Therefore, this qualitative study aimed to examine the help-seeking trajectories and well-being of Spanish-speaking Latine parents of children with autism, using the psychosociocultural model as a theoretical framework. Eleven Spanish-speaking Latine parents of children with autism participated in semistructured interviews conducted in Spanish. Thematic analysis within a social constructivist paradigm was utilized to analyze help-seeking trajectories and well-being narratives. Findings revealed five major themes and two subthemes that highlighted a nonlinear help-seeking trajectory shaped by cultural beliefs, linguistic barriers, and systemic obstacles. Findings have implications for the need of culturally and linguistically responsive health care services, reduced stigma, and strengthened community support systems to improve outcomes for these families. Future research should aim to explore the intersecting identities of parenting a child with autism and other cultural identities such as Latinidad that shape the narratives of parents of children with autism. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social support, psychological distress, and physiological stress among youth experiencing homelessness. 无家可归青年的社会支持、心理困扰和生理压力。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-09-03 DOI: 10.1037/ort0000969

Margaret M Fitzpatrick, Jodi L Ford, Natasha Slesnick, Xin Feng, Christopher Browning, Ethan Morgan

{"title":"Social support, psychological distress, and physiological stress among youth experiencing homelessness.","authors":"Margaret M Fitzpatrick, Jodi L Ford, Natasha Slesnick, Xin Feng, Christopher Browning, Ethan Morgan","doi":"10.1037/ort0000969","DOIUrl":"https://doi.org/10.1037/ort0000969","url":null,"abstract":"Youth experiencing homelessness (YEH) face disproportionately high levels of adversity compared with housed youth. Social support may protect against subsequent psychological distress and physiological stress, yet limited research has examined this among YEH. This study used baseline data from a randomized controlled rapid-rehousing trial with 240 YEH aged 18-24 years to investigate the associations between familial and friend support and psychological distress and physiological stress in YEH and whether these associations were moderated by family and friend substance use or criminal activity. Participants self-reported perceived support from family and friends. Familial and friend support were categorized as not present in the support network, low support, or high support. Regression models were conducted, adjusting for age, gender, sexuality, and race/ethnicity. Findings showed that youth with no family present (b = 4.85, p = .02) or low familial support (b = 4.83, p = .01) reported significantly higher depressive symptoms than those with high familial support. Similarly, youth with no family in their support network had greater odds of a past-year suicide attempt versus youth with high familial support (OR = 3.16, p = .05). Friend support was not significantly associated with psychological distress or physiological stress. No significant moderation effects were found for network substance use or criminal involvement. Supportive familial relationships are associated with lower levels of depression and suicide risk among YEH. Intervention and policy efforts should assess and enhance existing support networks to reduce the psychological burden of homelessness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parental depression in offspring's internalization of stigma: A family-individual model of self-stigma. 父母抑郁对后代耻辱感内化的影响：自我耻辱感的家庭-个体模型。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-09-03 DOI: 10.1037/ort0000948

Nan Du, Yu-Te Huang

{"title":"Parental depression in offspring's internalization of stigma: A family-individual model of self-stigma.","authors":"Nan Du, Yu-Te Huang","doi":"10.1037/ort0000948","DOIUrl":"10.1037/ort0000948","url":null,"abstract":"Children of parents with depression are prone to mental health problems. Self-stigma severely impacts individuals' help-seeking behaviors and mental well-being, but the effects of parental depression on offspring's self-stigma remain unknown. This study proposed and validated a family-individual model to explain how familial and individual factors impact depression self-stigma. A survey of 1,012 Chinese individuals with depression (aged 13-30 years) was conducted from May to October 2023 to collect data. T tests and chi-square tests were used to identify differences between groups with and without parental depression. Structural equation modeling was used to validate and modify the proposed model. The group with parental depression reported significantly poorer family relationships, lower levels of parental care, and higher levels of parental overprotection. This group also reported higher self-stigma, experienced stigma, and introversion, as well as lower self-esteem, resilience, and social functioning. Six serial mediation paths linked parental depression to offspring's self-stigma through familial and individual factors. These factors had significant and positive effects on offspring's self-stigma, with indirect effects β ranging from 0.007 to 0.034. The trimmed model demonstrated a satisfactory model fit: χ²(100) = 371.48, p < .001, comparative fit index = 0.902, Tucker-Lewis index = 0.892, root-mean-square error of approximation = 0.052, standardized root-mean-square residual = 0.045. The findings underscore the complex interplay between family dynamics and individual psychological factors in shaping self-stigma. Negative family interactions (i.e., conflict, reduced parental care, and heightened parental overprotection) exacerbate low self-esteem, poor social functioning, and introversion in offspring with depression, further contributing to their internalization of stigma. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual assault recovery within social contexts: An exploration of undergraduate egocentric social networks. 社会背景下的性侵犯康复：大学生自我中心社会网络的探索。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-09-03 DOI: 10.1037/ort0000956

Allyson M Blackburn, Nathan R Todd, Nicole E Allen

{"title":"Sexual assault recovery within social contexts: An exploration of undergraduate egocentric social networks.","authors":"Allyson M Blackburn, Nathan R Todd, Nicole E Allen","doi":"10.1037/ort0000956","DOIUrl":"https://doi.org/10.1037/ort0000956","url":null,"abstract":"In this study we test how sexual assault survivors on a college campus engage their social networks and how this relational context contributes to psychopathology. We conducted egocentric social network analysis of N = 423 sexual assault survivors and their N = 3,863 network members. We examine how characteristics of the network (e.g., number of other survivors, number of disclosure recipients, presence of unsupportive responders) are associated with posttraumatic stress disorder, depression, and anxiety symptoms. We also examine what network-, survivor-, and network member-level factors are associated with a network member receiving a sexual assault disclosure and the supportiveness of that network member's response. We found that characteristics of the network were associated with increased psychopathology. Participant and network member factors were associated with both the likelihood that a network member received a disclosure and with the perceived supportiveness of the network member. Finally, survivors with minoritized identities were less likely to disclose to or report supportive responses from network members who did not share their identity (i.e., different race, heterosexual). Findings from this study help to further elucidate the social context through which survivors are accessing support and demonstrate an association between network composition and psychopathology. Further, findings from this study have implications for supporter-driven postsexual assault prevention. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Visualizing identity and healing among lesbian, gay, bisexual, transgender, and queer (LGBTQ+)+ Latine people: A photovoice study of resistance in Central Texas. 在女同性恋、男同性恋、双性恋、跨性别者和酷儿(LGBTQ+)+拉丁人中可视化的身份认同和治疗：德克萨斯州中部抵抗的光声研究。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-08-31 DOI: 10.1037/ort0000951

Jacob Goffnett, Kelly L Clary, Angela Matijczak, Paola Roldan, Andres Navarro, Marianne Lund

{"title":"Visualizing identity and healing among lesbian, gay, bisexual, transgender, and queer (LGBTQ+)+ Latine people: A photovoice study of resistance in Central Texas.","authors":"Jacob Goffnett, Kelly L Clary, Angela Matijczak, Paola Roldan, Andres Navarro, Marianne Lund","doi":"10.1037/ort0000951","DOIUrl":"10.1037/ort0000951","url":null,"abstract":"Lesbian, gay, bisexual, transgender or queer (LGBTQ+) Latine individuals in Central Texas experience interdependent systems of oppression due to colonization and the recent rise of hostile social policies and attitudes. Despite these challenges, they continue to survive and thrive, though little is known about the population's resistance strategies. Our photovoice study employs a borderlands framework to explore resistance through visual and narrative data from 15 LGBTQ+ Latine adults living in Central Texas. Study procedures were developed in collaboration with a community advisory board of LGBTQ+ and Latine community members. Data were analyzed using reflective thematic analysis. Findings reveal how historical and contemporary forces in Central Texas produce cultural tensions that participants resist through development of a mestiza consciousness, including fostering critical consciousness (the ability to recognize, analyze, and take action against oppression), synthesizing identities, and navigating ambiguities. Positive emotions emerged as essential to resistance and healing, serving as both driver and outcome in a reinforcing cycle. Clinicians, allies, and advocates can support LGBTQ+ Latine individuals by promoting critical consciousness, nurturing compassionate connections in family and community, and advancing social inclusion through state legislation. Future research should extend these findings to other LGBTQ+ Latine communities across Texas and the United States, as the population size and visibility continue to grow. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Witnessing evil: Moral injury and the struggle with revenge among Israeli reserve soldiers. 目睹邪恶：以色列预备役士兵的道德伤害和复仇斗争。

IF 1.9 3区医学

American Journal of Orthopsychiatry Pub Date : 2026-08-27 DOI: 10.1037/ort0000930

Ronit D Leichtentritt, Ron Dar, Limor Zaks Zitronblat, Michal Mahat Shamir

{"title":"Witnessing evil: Moral injury and the struggle with revenge among Israeli reserve soldiers.","authors":"Ronit D Leichtentritt, Ron Dar, Limor Zaks Zitronblat, Michal Mahat Shamir","doi":"10.1037/ort0000930","DOIUrl":"https://doi.org/10.1037/ort0000930","url":null,"abstract":"This study explores the experiences of 20 Israeli reserve soldiers who were assigned to manage the bodies of the victims following Hamas's October 7, 2023, attacks. Although not present during the atrocities, these soldiers became witnesses to their aftermath-encountering mutilated corpses, destroyed homes, and traces of deliberate cruelty. Their testimonies reveal an acute confrontation with human evil. Thematic analysis highlights four interrelated themes: the tension between the urge to know and the need to protect the soul, the recognition of unfathomable cruelty as \"pure evil,\" the destabilization of faith in humanity, and the clash between the desire for revenge and the pull of moral restraint. Central to these accounts is the emergence of moral injury, not only from witnessing atrocity but also from confronting one's own capacity for vengeance. Soldiers often imagined retaliatory acts, only to recoil in fear of \"becoming like them.\" This recognition-that the potential for cruelty exists within oneself-produced profound unease, threatening their moral identity while simultaneously motivating efforts to preserve it. By focusing on this \"second circle\" of exposure, the study expands the discourse on trauma and moral injury beyond direct victims and perpetrators, showing how indirect encounters with evil fracture moral assumptions and perpetuate cycles of harm. These findings underscore the need to recognize and address revenge-related moral injuries as part of the broader psychological and ethical aftermath of mass violence, with implications for psychosocial care, moral resilience, and public responsibility. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0