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Moral injury and the need to carry out ethically responsible research

机译：道德伤害与开展道德负责研究的必要性

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摘要

The need for research to advance scientific understanding must be balanced with ensuring the rights and wellbeing of participants are safeguarded, with some research topics posing more ethical quandaries for researchers than others. Moral injury is one such topic. Exposure to potentially morally injurious experiences can lead to significant distress, including post-traumatic stress disorder (PTSD), depression, and selfinjury. In this article, we discuss how the rapid expansion of research in the field of moral injury could threaten the wellbeing, dignity and integrity of participants. We also examine key guidance for carrying out ethically responsible research with participants’ rights to self-determination, confidentiality, non-maleficence and beneficence discussed in relation to the study of moral injury. We describe how investigations of moral injury are likely to pose several challenges for researchers including managing disclosures of potentially illegal acts, the risk of harm that repeated questioning about guilt and shame may pose to participant wellbeing in longitudinal studies, as well as the possible negative impact of exposure to vicarious trauma on researchers themselves. Finally, we offer several practical recommendations that researchers, research ethics committees and other regulatory bodies can take to protect participant rights, maximise the potential benefits of research outputs and ensure the field continues to expand in an ethically responsible way.
机译：必须通过确保参与者维护的权利和福祉来平衡对科学理解的需求，有一些研究主题对研究人员来说比其他研究课程造成更多的研究。道德伤害是一个这样的话题。暴露于潜在的道德伤害经验可能导致显着的痛苦，包括创伤后应激障碍（PTSD），抑郁症和自我罪。在本文中，我们讨论了道德伤害领域的研究的快速扩张是如何威胁到参与者的福祉，尊严和完整性。我们还审查了与参与者对与道德损伤的研究讨论的自我决定，保密，非恶意和福利的参与者进行道德负责的研究的关键指导。我们描述了道德伤害的调查可能对研究人员提出几种挑战，包括管理潜在的非法行为的披露，危害对内疚和羞耻的危害风险可能会在纵向研究中对参与者的福祉构成，以及可能的负面影响接触研究人员本身的替代创伤。最后，我们提供了几种实际建议，研究人员，研究伦理委员会和其他监管机构可以采取保护参与者权利，最大限度地提高研究产出的潜在利益，并确保领域继续以道德负责的方式扩大。

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