首页> 中文期刊> 《中国医学伦理学》 >道德创伤的发生机制探析

道德创伤的发生机制探析

         

摘要

The occurrence of moral injury begins with combat behaviors which break the ethical rules of fair-ness and justice, good and evil, and the value of life. Those behaviors effect on the moral intuition formed by indi-vidual moral beliefs, cultural traditions, and personality traits, and acts on the moral reasoning of the soldiers, thus this traumatic event is internalized into a moral event. And then the strength of the moral events or its re-experi-ence breaks through the tenacity of moral emotion, therefore the moral subject moves towards moral injury, which is manifested as self-condemnation, withdrawal, self-injury, killing, and other cognitive or emotional symptoms. As self-condemnation intensifies, the victim will fall into an increasingly vicious circle of moral injury. Mean-while, self-forgiveness means a way of restoration and reconciliation, which asks the victim to forgive himself and to adjust moral conflicts in time.%道德创伤的发生始于打破了有关公平正义、善恶判定、生命价值等伦理规则的作战行为.此行为作用于由个体道德信仰、文化传统等共同塑造的道德直觉,并基于此作用于士兵的道德推理,由此创伤事件内化成一种道德事件.进而道德事件或是道德事件所引发的二次体验的强度突破道德情感的道德韧性,由此道德主体走向道德创伤,表现为自我谴责、退缩、自伤、杀人等行为、认知和情感症状;且随着自我谴责的增强,受创者将陷入一个道德创伤愈来愈严重的恶性循环.而自我宽恕意味着一条恢复调和之道,要求受创者自我原谅,及时调和道德冲突.

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