Individual and Social Dimensions of Moral Stress
- Authors: Sychev A.A.1,2
-
Affiliations:
- National Research Mordovia State University
- Tyumen Industrial University
- Issue: Vol 34, No 4 (2023)
- Pages: 170-180
- Section: Symbols. Values. Ideals.
- URL: https://kazanmedjournal.ru/0236-2007/article/view/670687
- DOI: https://doi.org/10.31857/S023620070027359-1
- ID: 670687
Cite item
Abstract
The article is devoted to moral stress, which is understood as a combination of emotional reactions challenging the integrity of a system of moral norms and values, as well as a result of such an impact. Individual dimensions of moral stress are shown on the example of the analysis of the concepts of moral distress and moral injury. Using the concept of "moral resilience" as an example, approaches to overcoming moral stress are analyzed, which involve rationalizing the causes and consequences of traumatic events and changing the subject's attitude to stress factors. It is shown that these approaches manifest the therapeutic turn in culture. There is an increase in the influence of stress factors on modern life. If in the past the manifestations of moral stress were personalized and extreme, in modern times they acquire a habitual character and a collective dimension. The reason for this is the growing gap between the value system, which advocates individual well-being, and the system, aimed at the effective regulation of the social whole. The widening of this gap is associated, on the one hand, with the expansion of the space of individual freedom, on the other hand, with the extraordinary conditions of the fight against terrorism, the pandemic, etc., regulating of which requires the restriction of personal rights. The author proposes several strategies of overcoming moral stress. Defense strategies are labeled as moralization and intellectualization. The third strategy, which involves the support of individual well-being, is realized in the form of the so called "new ethics". It is concluded that to overcome moral stress, it is necessary to initiate not only internal, but also structural changes. To do this, it is necessary to go beyond the psychological interpretation of individual moral stress to broad interdisciplinary generalizations on its social causes and collective manifestations.
About the authors
Andrey A. Sychev
National Research Mordovia State University; Tyumen Industrial University68, Bolshevistskaya Str., Saransk, Republic of Mordovia, 430005, Russian Federation; 38, Volodarsky Str., Tyumen 625000, Russian Federation
References
- Апресян Р.Г. К базовому определению морали // Философский журнал. 2014. №1 (12). С. 78–91.
- Бадью А. Этика: Очерк о сознании Зла. СПб.: Machina, 2006.
- Гегель Г.В.Ф. Эстетика. В 4 т. Т. 4. М.: Искусство, 1978.
- Кадыров Р.В., Дмитриева О.Б. Моральная травма: современные подходы к определению понятия, этиологии, диагностике и психотерапии // Вестник КемГУ. 2021. №2 (86). С. 438–446.
- Мак-Вильямс Н. Психоаналитическая диагностика: Понимание структуры личности в клиническом процессе. М.: Класс, 2001.
- Макинтайр А. После добродетели: Исследования теории морали. М.: Академический Проект, 2000.
- Маркузе Г. Эрос и цивилизация. Киев: ИСА, 1995.
- Ноздрачев Д. И., Замятин К. А., Мирошниченко М. Д. Моральный дистресс в паллиативной помощи детям: классические проблемы и вызовы пандемии COVID-19 // Человек. 2022. T. 33. № 3. C. 138–158.
- Сериков А.Е. Стресс и этика самообладания // Mixtura verborum: философский ежегодник. Самара: СГА, 2015. С. 20–39.
- Смолева Е.О. Социальный стресс и стратегии его преодоления: анализ концепций и моделей // Социальное пространство. 2020. Т. 6. № 3. С. 1–13.
- Штомпка П. Социальное изменение как травма (статья первая) // Социс. 2001. № 1. С. 6–16.
- Bartone P. Resilience under military operational stress: can leaders influence hardiness? Military Psychology. 2006. Vol. 18. P. 131–148.
- Carlson J., Haffenden R., Bassett G. Resilience: Theory and Application. Argonne: Argonne National Library, 2012.
- Frezza E. E. The moral distress syndrome affecting physicians: how current healthcare is putting doctors and patients at risk. New York: Routledge, 2021.
- Griffin B. J., Purcell.N., Burkman K. Moral Injury: An Integrative Review. Journal of Traumatic Stress. 2019. Vol. 32. Issue 3. P. 350–362.
- Jameton A. Nursing Practice: The Ethical Issues. Englewood Cliffs: Prentice-Hall, 1984.
- Jones-Bonofiglio K. Health Care Ethics through the Lens of Moral Distress. London: Springer, 2020.
- Litz B. T., Stein N., Delaney E. Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review. 2009. Vol. 29. P. 695–706.
- Moral distress and moral injury – recognising and tackling it for UK doctors. London: BMA, 2021.
- O’Brien T. The Things They Carried. New York: Viking Penguin, 1990.
- Rushton C. H. Moral Resilience: A Capacity for Navigating Moral Distress in Critical Care. AACN Advanced Critical Care. 2016. Vol. 27. N 1. P. 111–119.
- Shay J. Achilles in Vietnam. New York: Atheneum, 1994.
- Shay J. Moral injury. Psychoanalytic Psychology. 2014. Vol. 31(2). P. 182–191.
- Webster G., Baylis F. E. Moral residue. Margin of error: The ethics of mistakes in the practice of medicine. Hagerstown: University Publishing Group, 2000. P. 217–230.
Supplementary files
