APA
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Kondrath, S. R., Brandt, E. A. B., Campbell, K., Chamberlin, E. S., Dordal, P., East, R., … Usset, T. J. (2024). Moral injury and institutional betrayal among cis women and sexual and gender minorities. Current Treatment Options in Psychiatry, 11, 265–278. https://doi.org/10.1007/s40501-024-00332-x
Chicago/Turabian
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Kondrath, Susannah Robb, Elizabeth A. Bagioni Brandt, Katherine Campbell, Elizabeth S. Chamberlin, Paul Dordal, Rotunda East, Sophia Fantus, et al. “Moral Injury and Institutional Betrayal among Cis Women and Sexual and Gender Minorities.” Current Treatment Options in Psychiatry 11 (2024): 265–278.
MLA
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Kondrath, Susannah Robb, et al. “Moral Injury and Institutional Betrayal among Cis Women and Sexual and Gender Minorities.” Current Treatment Options in Psychiatry, vol. 11, 2024, pp. 265–78, doi:10.1007/s40501-024-00332-x.
BibTeX Click to copy
@article{susannah2024a,
title = {Moral injury and institutional betrayal among cis women and sexual and gender minorities},
year = {2024},
journal = {Current Treatment Options in Psychiatry},
pages = {265-278},
volume = {11},
doi = {10.1007/s40501-024-00332-x},
author = {Kondrath, Susannah Robb and Brandt, Elizabeth A. Bagioni and Campbell, Katherine and Chamberlin, Elizabeth S. and Dordal, Paul and East, Rotunda and Fantus, Sophia and Frankfurt, Sheila B. and Golden, Kristen B. and Griffin, Brandon J. and Harris, J. Irene and Hiltner, Rebecca K. and Holman, Caroline S. and McGuire, Adam P. and Usset, Timothy J.}
}
This review paper addresses the betrayal-based moral injury experiences of cis women and sexual and gender minorities (SGM). Since the experiences of these groups have not received as much attention in the literature as other groups, such as cis men in the military, this paper encourages continued scholarship and partnership with communities of cis women and SGM to better understand and treat their experiences of moral injury and institutional betrayal. This review is designed to capture a) the cultural contexts that place this population at greater risk for betrayal-based moral injury, b) the impact of betrayal-based moral injury (e.g., suicide risk and neurological and biological sequalae), and, finally, c) considerations for assessment and treatment.
While few peer-reviewed published studies have used published measures for moral injury to quantitatively assess moral injury following institutional betrayal and betrayal traumas, background literature demonstrates that SGM and cis women face harassment, bullying, and violence. Sexual and gender-based violence are frequently underreported within cultures that excuse or condone such behaviors. Betrayal by trusted others can lead to changes in thinking, difficulty trusting again, disconnection, chronic pain, and other psychological sequelae (such as anxiety, depression), and suicidal ideation and attempts. Cis women and SGM report greater experiences of institutional betrayal than cis men, putting them at unique risk for associated harmful sequalae (Denneson et al. in J Affect Disord. 360:412-20, 2024). For example, institutional betrayal uniquely predicts psychological distress and suicide risk for cis woman and SGM.
Underrepresentation of cis women and SGM in studies on moral injury limits research generalizability. More inclusive studies are needed to build more robust measures and effective treatments for moral injury to improve health equity.