Experiences and impact of moral injury in prisons

Moral injury is the persistent mental or emotional distress resulting from events that challenge one’s moral beliefs. It is characterised by intense shame, guilt, worthlessness, disgust or anger and can contribute towards the development of serious mental disorders. The nature of working in prisons...

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Main Authors: Victoria Williamson, Dominic Murphy, Danielle Lamb, Radha Kothari, Derek Tracy, Neil Greenberg
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/20008066.2024.2445899
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author Victoria Williamson
Dominic Murphy
Danielle Lamb
Radha Kothari
Derek Tracy
Neil Greenberg
author_facet Victoria Williamson
Dominic Murphy
Danielle Lamb
Radha Kothari
Derek Tracy
Neil Greenberg
author_sort Victoria Williamson
collection DOAJ
description Moral injury is the persistent mental or emotional distress resulting from events that challenge one’s moral beliefs. It is characterised by intense shame, guilt, worthlessness, disgust or anger and can contribute towards the development of serious mental disorders. The nature of working in prisons means that staff often face physically and psychologically challenging scenarios, and prison staff report high rates of mental ill-health and suicidal thoughts. Equally, detainees may be especially vulnerable to moral injury-related mental health difficulties having engaged in illicit actions and been found guilty by a jury of their peers as well as, in high profile cases, the court of public opinion. Despite this, there is an evidence gap about the extent of moral injury in both prison staff and detainee populations, and about how prison staff/detainees can be better supported. How struggling with moral injury may be linked to reoffending amongst detainees and burnout or resignations in prisons staff is currently unknown. In resource strapped prison settings, emerging treatments for moral injury-related mental health difficulties are unlikely to be appropriate or feasible. In this article, we highlight the contexts in which moral injury may arise; the unique challenges to treatment and support for moral injury in prison settings; and offer targeted recommendations for future research and clinical practice.
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spelling doaj-art-02db360f9b8d412983084736863152662025-01-13T09:19:56ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662025-12-0116110.1080/20008066.2024.2445899Experiences and impact of moral injury in prisonsVictoria Williamson0Dominic Murphy1Danielle Lamb2Radha Kothari3Derek Tracy4Neil Greenberg5Institute of Psychology, Psychiatry and Neuroscience, King’s College London, London, UKInstitute of Psychology, Psychiatry and Neuroscience, King’s College London, London, UKNIHR ARC North Thames, Department of Applied Health Research, UCL, London, UKKing’s College Hospital, NHS Trust, London, UKInstitute of Psychology, Psychiatry and Neuroscience, King’s College London, London, UKInstitute of Psychology, Psychiatry and Neuroscience, King’s College London, London, UKMoral injury is the persistent mental or emotional distress resulting from events that challenge one’s moral beliefs. It is characterised by intense shame, guilt, worthlessness, disgust or anger and can contribute towards the development of serious mental disorders. The nature of working in prisons means that staff often face physically and psychologically challenging scenarios, and prison staff report high rates of mental ill-health and suicidal thoughts. Equally, detainees may be especially vulnerable to moral injury-related mental health difficulties having engaged in illicit actions and been found guilty by a jury of their peers as well as, in high profile cases, the court of public opinion. Despite this, there is an evidence gap about the extent of moral injury in both prison staff and detainee populations, and about how prison staff/detainees can be better supported. How struggling with moral injury may be linked to reoffending amongst detainees and burnout or resignations in prisons staff is currently unknown. In resource strapped prison settings, emerging treatments for moral injury-related mental health difficulties are unlikely to be appropriate or feasible. In this article, we highlight the contexts in which moral injury may arise; the unique challenges to treatment and support for moral injury in prison settings; and offer targeted recommendations for future research and clinical practice.https://www.tandfonline.com/doi/10.1080/20008066.2024.2445899Moral injurytraumaprisondetaineetreatmentDaño moral
spellingShingle Victoria Williamson
Dominic Murphy
Danielle Lamb
Radha Kothari
Derek Tracy
Neil Greenberg
Experiences and impact of moral injury in prisons
European Journal of Psychotraumatology
Moral injury
trauma
prison
detainee
treatment
Daño moral
title Experiences and impact of moral injury in prisons
title_full Experiences and impact of moral injury in prisons
title_fullStr Experiences and impact of moral injury in prisons
title_full_unstemmed Experiences and impact of moral injury in prisons
title_short Experiences and impact of moral injury in prisons
title_sort experiences and impact of moral injury in prisons
topic Moral injury
trauma
prison
detainee
treatment
Daño moral
url https://www.tandfonline.com/doi/10.1080/20008066.2024.2445899
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AT radhakothari experiencesandimpactofmoralinjuryinprisons
AT derektracy experiencesandimpactofmoralinjuryinprisons
AT neilgreenberg experiencesandimpactofmoralinjuryinprisons