The Lasting Anguish Of Moral Injury

Psychologists are finding that moral code violations can leave an enduring mark — and may require new types of therapy

By Constance Sommer, Knowable Magazine
Jul 26, 2022 9:15 PMJul 26, 2022 9:14 PM
Anguish
(Credit:Katakari/Shutterstock)

Newsletter

Sign up for our email newsletter for the latest science news
 

On a Sunday evening in September 1994, David Peters drove to a church service in Beckley, West Virginia, as the sun set over the horizon. He was 19 years old, just back from Marine Corps boot camp. He hadn’t been behind the wheel of a car all summer.

The road curved, and Peters misjudged the turn. Rays from the dipping sun blinded him. The car hit the median and headed straight at an oncoming motorcycle. And then, Peters says, “Everything went crash.”

His friend, sitting in the passenger seat, seemed fine. Peters got out of the car. The driver of the motorcycle was alive, but the woman who’d been riding behind him was now laid out on the pavement. Peters quickly realized she was dead.

Now an Episcopal priest in Pflugerville, Texas, outside Austin, Peters says there have been periods during the last 28 years when he’s found the knowledge that he killed someone almost unbearable. “I felt like I wasn’t good anymore,” he says. At times, he even wished he were dead. Years after the accident, he purchased a motorcycle, thinking “that'd be sort of justice if I died on a motorcycle.” 

Peters may have experienced what some psychologists and researchers have begun to call “moral injury,” a concept introduced by a psychiatrist to describe the devastation he witnessed in Vietnam War veterans and others who believed they’d been ordered to act in ways that violated their personal moral code. The term encompasses a constellation of signs and symptoms that go beyond mere guilt and shame and can be so severe that people lose a sense of their own goodness and trustworthiness, leading to drastic impacts on daily functioning and quality of life. 

0 free articles left
Want More? Get unlimited access for as low as $1.99/month

Already a subscriber?

Register or Log In

0 free articlesSubscribe
Discover Magazine Logo
Want more?

Keep reading for as low as $1.99!

Subscribe

Already a subscriber?

Register or Log In

Stay Curious

Sign up for our weekly newsletter and unlock one more article for free.

 

View our Privacy Policy


Want more?
Keep reading for as low as $1.99!


Log In or Register

Already a subscriber?
Find my Subscription

More From Discover
Stay Curious
Join
Our List

Sign up for our weekly science updates.

 
Subscribe
To The Magazine

Save up to 40% off the cover price when you subscribe to Discover magazine.

Copyright © 2025 LabX Media Group