Shira Maguen's guest appearances

Shira Maguen

Change Your POV Podcast

GeriPal

Head Space and Timing Podcast

Change Your Point Of View

Tony Williams

Jay Knight

Marjorie Morrison

Mark Stebnicki

Greg Frazier

Justin Nassiri

Steven Kidd

Pam Saulsby

Ken Falke

Rick Rescorla

John Kilpatrick

Kate Hendricks Thomas

Christopher Lochhead

Blair Cano

Corie Weathers

OwlTail

Though origins of the term “moral injury” can be traced back to religious bioethics, most modern usage comes from a recognition of a syndrome of guilt, shame, and sense of betrayal experienced by soldiers returning from war.  One feels like they crossed a line with respect to their moral beliefs.  The spectrum of acts that can lead to moral injury is broad, ranging from killing of an enemy combatant who is shooting at the soldier (seemingly acceptable under wartime ethics), to killing of civilians or children (unacceptable).  One need to witness the killing - dropping bombs or napalm can result in moral injury as well - nor need it be killing; harassment, hazing, and assault can result in moral injury, as can bearing witness to an event.  While there is often overlap between moral injury and post-traumatic stress disorder (PTSD), they are not synonymous.  Today we talk with Shira Maguen, psychologist and Professor at UCSF and the San Francisco VA.  One of the many fascinating parts of our discussion is when we talk about the moral injury faced by healthcare workers during COVID.  I encourage you to listen to the last podcast to  hear what moral injury can sound like - being asked to care for patients under far less than ideal circumstances, care that is the best under the circumstances but is not standard of care, wondering if as a result patients may have been harmed or died.   One common feature of moral injury in combat is a feeling of betrayal by superior officers who order soldiers to act in a way that contravenes their self-conception of right and wrong.  One might say we in healthcare experienced a similar betrayal of leadership that flouted the science of mask wearing, stated that doctors were billing for COVID excessively to turn a profit, and touted unproven and potentially harmful medications as miracle cures.  We also talk about treatment (and it’s more than “I wanna hold your hand,” song choice hint) Links:   Moral Injury Fact Sheet:   Moral Injury in Health Care Workers:   Health and Human Services: Moral Injury for Healthcare Workers:  Gender differences in Moral Injury Moral Injury in the Wake of Coronavirus: Attending to the Psychological Impact of the Pandemic on Healthcare Workers: Moral Injury 

Though origins of the term “moral injury” can be traced back to religious bioethics, most modern usage comes from a recognition of a syndrome of guilt, shame, and sense of betrayal experienced by soldiers returning from war.  One feels like they crossed a line with respect to their moral beliefs.  The spectrum of acts that can lead to moral injury is broad, ranging from killing of an enemy combatant who is shooting at the soldier (seemingly acceptable under wartime ethics), to killing of civilians or children (unacceptable).  One need to witness the killing - dropping bombs or napalm can result in moral injury as well - nor need it be killing; harassment, hazing, and assault can result in moral injury, as can bearing witness to an event.  While there is often overlap between moral injury and post-traumatic stress disorder (PTSD), they are not synonymous.  Today we talk with Shira Maguen, psychologist and Professor at UCSF and the San Francisco VA.  One of the many fascinating parts of our discussion is when we talk about the moral injury faced by healthcare workers during COVID.  I encourage you to listen to the last podcast to <a href="https://www.geripal.org/2021/04/life-death-and-hospital-strained-by.html" rel="nofollow" target="_blank"> hear what moral injury can sound like</a> - being asked to care for patients under far less than ideal circumstances, care that is the best under the circumstances but is not standard of care, wondering if as a result patients may have been harmed or died.   One common feature of moral injury in combat is a feeling of betrayal by superior officers who order soldiers to act in a way that contravenes their self-conception of right and wrong.  One might say we in healthcare experienced a similar betrayal of leadership that flouted the science of mask wearing, stated that doctors were billing for COVID excessively to turn a profit, and touted unproven and potentially harmful medications as miracle cures.  We also talk about treatment (and it’s more than “I wanna hold your hand,” song choice hint) Links: <ul> <li><a href="https://www.ptsd.va.gov/professional/treat/cooccurring/moral_injury.asp" rel="nofollow" target="_blank"> Moral Injury Fact Sheet</a>: </li> <li><a href="https://www.ptsd.va.gov/professional/treat/cooccurring/moral_injury_hcw.asp" rel="nofollow" target="_blank"> Moral Injury in Health Care Workers: </a></li> <li><a href="https://files.asprtracie.hhs.gov/documents/bh-addressing-moral-injury-for-healthcare-workers.pdf" rel="nofollow" target="_blank"> Health and Human Services: Moral Injury for Healthcare Workers: </a></li> <li><a href="https://pubmed.ncbi.nlm.nih.gov/32805522/" rel="nofollow" target="_blank">Gender differences in Moral Injury</a></li> <li>Moral Injury in the Wake of Coronavirus: Attending to the Psychological</li> <li><a href="https://pubmed.ncbi.nlm.nih.gov/32584102/" rel="nofollow" target="_blank">Impact of the Pandemic on Healthcare Workers: Moral Injury</a></li> </ul>

Moral Injury: Podcast with Shira Maguen

Shira Maguen, Ph.D. is Mental Health Director of the OEF/OIF Integrated Care Clinic and Staff Psychologist on the Posttraumatic Stress Disorder Clinical Team (PCT) at the San Francisco VA Medical Center (SFVAMC), and Associate Professor in the Dept. of Psychiatry, UCSF School of Medicine. She is also the San Francisco site lead for the VA Women’s Practice-Based Research Network (PBRN) and co-director of the SFVAMC MIRECC Postdoctoral Research Fellowship. Dr. Maguen completed her internship and postdoctoral training at the National Center for PTSD at the VA Boston Healthcare System after receiving her doctorate in Clinical Psychology from Georgia State University. She is involved with both the research and clinical components of the PTSD program. Her research interests fall under the umbrella of PTSD, moral injury, and suicide, and include risk and resilience factors in veterans, with a particular focus on female veterans. Dr. Maguen was the recipient of a VA Health Services Research and Development Grant that examined the impact of killing in veterans of war and moral injury. She has four additional grants that examine a novel treatment for veterans who have killed in war; trauma-related eating problems in female veterans; the effectiveness of evidence-based treatments in Iraq and Afghanistan veterans via natural language processing; and the effectiveness of a behaviorally-based treatment for insomnia (BBTI) in primary care. She recently completed a grant that examines PTSD and co-morbid conditions in OIF/OEF female veterans, and one that examines mild TBI and PTSD in OIF/OEF veterans. Dr. Maguen is the author of over 100 peer-reviewed publications, most of which focus on veteran mental health. She also works in a clinical capacity within the OEF/OIF Integrated Care Clinic and treating veterans with evidence-based treatments for PTSD. She supervises research health fellows and other trainees in evidence-based treatments for PTSD and provides mentorship for trauma-focused research fellows. In this episode, you will learn:  Shira's background and experience Looking at veteran mental health needs as developmental; different needs at different stages The Origins of the concept of moral injury Similarities and differences between PTSD and Moral Injury Moral Injury and relationships Definition of moral injury Cultural expectations and influences on moral injury Interventions that impact moral injury  Links Mentioned In This Episode: Dr. Maguen's email address: Shira.Maguen@va.gov Articles published by Dr. Maguen and colleagues Veteran Mental Health Boot Camp(Includes episode with Dr. Joseph Currier)--- Send in a voice message: https://podcasters.spotify.com/pod/show/changeyourpov/messageSupport this podcast: https://podcasters.spotify.com/pod/show/changeyourpov/support

Shira Maguen, Ph.D. is Mental Health Director of the OEF/OIF Integrated Care Clinic and Staff Psychologist on the Posttraumatic Stress Disorder Clinical Team (PCT) at the San Francisco VA Medical Center (SFVAMC), and Associate Professor in the Dept. of Psychiatry, UCSF School of Medicine. She is also the San Francisco site lead for the VA Women’s Practice-Based Research Network (PBRN) and co-director of the SFVAMC MIRECC Postdoctoral Research Fellowship. Dr. Maguen completed her internship and postdoctoral training at the National Center for PTSD at the VA Boston Healthcare System after receiving her doctorate in Clinical Psychology from Georgia State University. She is involved with both the research and clinical components of the PTSD program. Her research interests fall under the umbrella of PTSD, moral injury, and suicide, and include risk and resilience factors in veterans, with a particular focus on female veterans. Dr. Maguen was the recipient of a VA Health Services Research and Development Grant that examined the impact of killing in veterans of war and moral injury. She has four additional grants that examine a novel treatment for veterans who have killed in war; trauma-related eating problems in female veterans; the effectiveness of evidence-based treatments in Iraq and Afghanistan veterans via natural language processing; and the effectiveness of a behaviorally-based treatment for insomnia (BBTI) in primary care. She recently completed a grant that examines PTSD and co-morbid conditions in OIF/OEF female veterans, and one that examines mild TBI and PTSD in OIF/OEF veterans. Dr. Maguen is the author of over 100 peer-reviewed publications, most of which focus on veteran mental health. She also works in a clinical capacity within the OEF/OIF Integrated Care Clinic and treating veterans with evidence-based treatments for PTSD. She supervises research health fellows and other trainees in evidence-based treatments for PTSD and provides mentorship for trauma-focused research fellows. <h2>In this episode, you will learn:</h2> <ul> <li>Shira's background and experience</li> <li>Looking at veteran mental health needs as developmental; different needs at different stages</li> <li>The Origins of the concept of moral injury</li> <li>Similarities and differences between PTSD and Moral Injury</li> <li>Moral Injury and relationships</li> <li>Definition of moral injury</li> <li>Cultural expectations and influences on moral injury</li> <li>Interventions that impact moral injury</li> </ul> <h2>Links Mentioned In This Episode:</h2> Dr. Maguen's email address: Shira.Maguen@va.gov <a href="https://www.researchgate.net/profile/Shira_Maguen" rel="noopener nofollow" target="_blank">Articles published by Dr. Maguen and colleagues</a> <a href="http://www.veteranmentalhealth.com/bootcamp" rel="nofollow" target="_blank">Veteran Mental Health Boot Camp</a>(Includes episode with Dr. Joseph Currier)--- Send in a voice message: <a href="https://podcasters.spotify.com/pod/show/changeyourpov/message" rel="nofollow" target="_blank">https://podcasters.spotify.com/pod/show/changeyourpov/message</a> Support this podcast: <a href="https://podcasters.spotify.com/pod/show/changeyourpov/support" rel="payment nofollow" target="_blank">https://podcasters.spotify.com/pod/show/changeyourpov/support</a>

HST085: Moral Injury with Dr Shira Maguen

Summary:Shira Maguen, Ph.D. is Mental Health Director of the OEF/OIF Integrated Care Clinic and Staff Psychologist on the Posttraumatic Stress Disorder Clinical Team (PCT) at the San Francisco VA Medical Center (SFVAMC), and Associate Professor in the Dept. of Psychiatry, UCSF School of Medicine. She is also the San Francisco site lead for the VA Women’s Practice Based Research Network (PBRN) and co-director of the SFVAMC MIRECC Postdoctoral Research Fellowship.Dr. Maguen completed her internship and postdoctoral training at the National Center for PTSD at the VA Boston Healthcare System after receiving her doctorate in Clinical Psychology from Georgia State University. She is involved with both the research and clinical components of the PTSD program. Her research interests fall under the umbrella of PTSD, moral injury, and suicide, and include risk and resilience factors in veterans, with a particular focus on female veterans. Dr. Maguen was the recipient of a VA Health Services Research and Development Grant that examined the impact of killing in veterans of war and moral injury. She has four additional grants that examine a novel treatment for veterans who have killed in war; trauma-related eating problems in female veterans; the effectiveness of evidence-based treatments in Iraq and Afghanistan veterans via natural language processing; and the effectiveness of a behaviorally-based treatment for insomnia (BBTI) in primary care. She recently completed a grant that examines PTSD and co-morbid conditions in OIF/OEF female veterans, and one that examines mild TBI and PTSD in OIF/OEF veterans.Dr. Maguen is the author of over 100 peer-reviewed publications, most of which focus on veteran mental health. She also works in a clinical capacity within the OEF/OIF Integrated Care Clinic and treating veterans with evidence-based treatments for PTSD. She supervises research health fellows and other trainees in evidence-based treatments for PTSD, and provides mentorship for trauma-focused research fellows.In this Episode, you will learn: Shira's background and experience Looking at veteran mental health needs as developmental; different needs at different stages The Origins of the concept of moral injury Similiarties and differences between PTSD and Moral Injury Moral Injury and relationships Definition of moral injury Cultural expectations and influences on moral injury Interventions that impact moral injury Links Mentioned In This Episode:Dr. Maguen's email address: Shira.Maguen@va.govArticles published by Dr. Maguen and colleaguesVeteran Mental Health Boot Camp(Includes episode with Dr. Joseph Currier)Want to keep up with all of the Head Space and Timing content? Subscribe Here You can be sure to find future episodes of Head Space and Timing, and all of the CYPOV Podcast Network Shows, by subscribing through your Podcast player of choice, like iTunes.Using an app makes subscribing and listening to podcasts (both ours and others) so much simpler. Just subscribe to Change Your POV Podcast within your app and it will automatically update every time a new episode is released.Do you want to check out Duane’s latest book, Combat Vet Don’t Mean Crazy? Check it out by finding it on Amazon or finding more about it here:Please Leave a Review on iTunes – Learn How Here.Would you like to be a guest on Head Space and Timing? Follow This Link.  ★ Support this podcast ★ 

Summary: Shira Maguen, Ph.D. is Mental Health Director of the OEF/OIF Integrated Care Clinic and Staff Psychologist on the Posttraumatic Stress Disorder Clinical Team (PCT) at the San Francisco VA Medical Center (SFVAMC), and Associate Professor in the Dept. of Psychiatry, UCSF School of Medicine. She is also the San Francisco site lead for the VA Women’s Practice Based Research Network (PBRN) and co-director of the SFVAMC MIRECC Postdoctoral Research Fellowship.Dr. Maguen completed her internship and postdoctoral training at the National Center for PTSD at the VA Boston Healthcare System after receiving her doctorate in Clinical Psychology from Georgia State University. She is involved with both the research and clinical components of the PTSD program. Her research interests fall under the umbrella of PTSD, moral injury, and suicide, and include risk and resilience factors in veterans, with a particular focus on female veterans. Dr. Maguen was the recipient of a VA Health Services Research and Development Grant that examined the impact of killing in veterans of war and moral injury. She has four additional grants that examine a novel treatment for veterans who have killed in war; trauma-related eating problems in female veterans; the effectiveness of evidence-based treatments in Iraq and Afghanistan veterans via natural language processing; and the effectiveness of a behaviorally-based treatment for insomnia (BBTI) in primary care. She recently completed a grant that examines PTSD and co-morbid conditions in OIF/OEF female veterans, and one that examines mild TBI and PTSD in OIF/OEF veterans.Dr. Maguen is the author of over 100 peer-reviewed publications, most of which focus on veteran mental health. She also works in a clinical capacity within the OEF/OIF Integrated Care Clinic and treating veterans with evidence-based treatments for PTSD. She supervises research health fellows and other trainees in evidence-based treatments for PTSD, and provides mentorship for trauma-focused research fellows. In this Episode, you will learn:<ul> <li>Shira's background and experience</li> <li>Looking at veteran mental health needs as developmental; different needs at different stages</li> <li>The Origins of the concept of moral injury</li> <li>Similiarties and differences between PTSD and Moral Injury</li> <li>Moral Injury and relationships</li> <li>Definition of moral injury</li> <li>Cultural expectations and influences on moral injury</li> <li>Interventions that impact moral injury</li> </ul> Links Mentioned In This Episode: Dr. Maguen's email address: Shira.Maguen@va.gov<a href="https://www.researchgate.net/profile/Shira_Maguen" rel="nofollow" target="_blank">Articles published by Dr. Maguen and colleagues </a> <a href="http://www.veteranmentalhealth.com/bootcamp" rel="nofollow" target="_blank">Veteran Mental Health Boot Camp</a>(Includes episode with Dr. Joseph Currier)Want to keep up with all of the Head Space and Timing content? <a href="https://m.me/veteranmentalhealth" rel="nofollow" target="_blank">Subscribe Here  </a> You can be sure to find future episodes of Head Space and Timing, and all of the CYPOV Podcast Network Shows, by subscribing through your Podcast player of choice, like <a href="https://itunes.apple.com/us/podcast/change-your-pov-podcast/id1195590171" rel="nofollow" target="_blank">iTunes</a>.Using an app makes subscribing and listening to podcasts (both ours and others) so much simpler. Just subscribe to Change Your POV Podcast within your app and it will automatically update every time a new episode is released.Do you want to check out Duane’s latest book, Combat Vet Don’t Mean Crazy? Check it out by <a href="https://www.amazon.com/dp/0996318143/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1524007636&amp;sr=1-1" rel="nofollow" target="_blank">finding it on Amazon</a> or finding more about it here: Please Leave a Review on iTunes – <a href="http://changeyourpov.com/leavereview" rel="nofollow" target="_blank">Learn How Here</a>. Would you like to be a guest on Head Space and Timing? <a href="http://changeyourpov.com/head-space-timing-interview" rel="nofollow" target="_blank">Follow This Link</a>. <a href="https://ko-fi.com/headspaceandtiming" rel="payment nofollow" target="_blank">★ Support this podcast ★</a>

HST085: Dr. Shira Maguen - Moral Injury 

Summary:   Shira Maguen, Ph.D. is Mental Health Director of the OEF/OIF Integrated Care Clinic and Staff Psychologist on the Posttraumatic Stress Disorder Clinical Team (PCT) at the San Francisco VA Medical Center (SFVAMC), and Associate Professor in the Dept. of Psychiatry, UCSF School of Medicine. She is also the San Francisco site lead for the VA Women’s Practice Based Research Network (PBRN) and co-director of the SFVAMC MIRECC Postdoctoral Research Fellowship. Dr. Maguen completed her internship and postdoctoral training at the National Center for PTSD at the VA Boston Healthcare System after receiving her doctorate in Clinical Psychology from Georgia State University. She is involved with both the research and clinical components of the PTSD program. Her research interests fall under the umbrella of PTSD, moral injury, and suicide, and include risk and resilience factors in veterans, with a particular focus on female veterans. Dr. Maguen was the recipient of a VA Health Services Research and Development Grant that examined the impact of killing in veterans of war and moral injury. She has four additional grants that examine a novel treatment for veterans who have killed in war; trauma-related eating problems in female veterans; the effectiveness of evidence-based treatments in Iraq and Afghanistan veterans via natural language processing; and the effectiveness of a behaviorally-based treatment for insomnia (BBTI) in primary care. She recently completed a grant that examines PTSD and co-morbid conditions in OIF/OEF female veterans, and one that examines mild TBI and PTSD in OIF/OEF veterans. Dr. Maguen is the author of over 100 peer-reviewed publications, most of which focus on veteran mental health. She also works in a clinical capacity within the OEF/OIF Integrated Care Clinic and treating veterans with evidence-based treatments for PTSD. She supervises research health fellows and other trainees in evidence-based treatments for PTSD, and provides mentorship for trauma-focused research fellows. In this Episode, you will learn:    Shira's background and experience Looking at veteran mental health needs as developmental; different needs at different stages The Origins of the concept of moral injury Similiarties and differences between PTSD and Moral Injury Moral Injury and relationships Definition of moral injury Cultural expectations and influences on moral injury Interventions that impact moral injury  Links Mentioned In This Episode: Dr. Maguen's email address: Shira.Maguen@va.gov Articles published by Dr. Maguen and colleagues  Veteran Mental Health Boot Camp(Includes episode with Dr. Joseph Currier)   Want to keep up with all of the Head Space and Timing content? Subscribe Here  You can be sure to find future episodes of Head Space and Timing, and all of the CYPOV Podcast Network Shows, by subscribing through your Podcast player of choice, like iTunes. Using an app makes subscribing and listening to podcasts (both ours and others) so much simpler. Just subscribe to Change Your POV Podcast within your app and it will automatically update every time a new episode is released. Do you want to check out Duane’s latest book, Combat Vet Don’t Mean Crazy? Check it out by  finding it on Amazon 

Summary: Shira Maguen, Ph.D. is Mental Health Director of the OEF/OIF Integrated Care Clinic and Staff Psychologist on the Posttraumatic Stress Disorder Clinical Team (PCT) at the San Francisco VA Medical Center (SFVAMC), and Associate Professor in the Dept. of Psychiatry, UCSF School of Medicine. She is also the San Francisco site lead for the VA Women’s Practice Based Research Network (PBRN) and co-director of the SFVAMC MIRECC Postdoctoral Research Fellowship. Dr. Maguen completed her internship and postdoctoral training at the National Center for PTSD at the VA Boston Healthcare System after receiving her doctorate in Clinical Psychology from Georgia State University. She is involved with both the research and clinical components of the PTSD program. Her research interests fall under the umbrella of PTSD, moral injury, and suicide, and include risk and resilience factors in veterans, with a particular focus on female veterans. Dr. Maguen was the recipient of a VA Health Services Research and Development Grant that examined the impact of killing in veterans of war and moral injury. She has four additional grants that examine a novel treatment for veterans who have killed in war; trauma-related eating problems in female veterans; the effectiveness of evidence-based treatments in Iraq and Afghanistan veterans via natural language processing; and the effectiveness of a behaviorally-based treatment for insomnia (BBTI) in primary care. She recently completed a grant that examines PTSD and co-morbid conditions in OIF/OEF female veterans, and one that examines mild TBI and PTSD in OIF/OEF veterans. Dr. Maguen is the author of over 100 peer-reviewed publications, most of which focus on veteran mental health. She also works in a clinical capacity within the OEF/OIF Integrated Care Clinic and treating veterans with evidence-based treatments for PTSD. She supervises research health fellows and other trainees in evidence-based treatments for PTSD, and provides mentorship for trauma-focused research fellows. In this Episode, you will learn: <ul> <li>Shira's background and experience</li> <li>Looking at veteran mental health needs as developmental; different needs at different stages</li> <li>The Origins of the concept of moral injury</li> <li>Similiarties and differences between PTSD and Moral Injury</li> <li>Moral Injury and relationships</li> <li>Definition of moral injury</li> <li>Cultural expectations and influences on moral injury</li> <li>Interventions that impact moral injury</li> </ul> Links Mentioned In This Episode: Dr. Maguen's email address: Shira.Maguen@va.gov <a href="https://www.researchgate.net/profile/Shira_Maguen" rel="noopener nofollow" target="_blank">Articles published by Dr. Maguen and colleagues</a> <a href="http://www.veteranmentalhealth.com/bootcamp" rel="nofollow" target="_blank">Veteran Mental Health Boot Camp</a>(Includes episode with Dr. Joseph Currier) Want to keep up with all of the Head Space and Timing content? <a href="https://m.me/veteranmentalhealth" rel="nofollow" target="_blank">Subscribe Here </a> You can be sure to find future episodes of Head Space and Timing, and all of the CYPOV Podcast Network Shows, by subscribing through your Podcast player of choice, like <a href="https://itunes.apple.com/us/podcast/change-your-pov-podcast/id1195590171" rel="noopener nofollow" target="_blank">iTunes</a>. Using an app makes subscribing and listening to podcasts (both ours and others) so much simpler. Just subscribe to Change Your POV Podcast within your app and it will automatically update every time a new episode is released. Do you want to check out Duane’s latest book, Combat Vet Don’t Mean Crazy? Check it out by <a href="https://www.amazon.com/dp/0996318143/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1524007636&amp;sr=1-1" rel="nofollow" target="_blank"> finding it on Amazon</a>