Publication:
TREATING MORAL INJURY FOR THE MODERN WARRIOR WITH EAS (EQUINE ASSISTED SERVICES)

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Date
2025-04-17
Authors
Grant, Justin M.
Mahoney, Tara
Decker, Kimberley
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Poster
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Abstract
Moral Injury (MI) is a profound psychological and spiritual wound resulting from experiences that violate deeply held moral beliefs, often occurring in high-stakes situations involving a betrayal of what is right by a legitimate authority. For American military veterans, MI can stem from combat-related actions such as harming others, witnessing death, or failing to prevent morally distressing events. Left unaddressed, MI can lead to lasting emotional, cognitive, behavioral, spiritual, and social consequences. Equine Assisted Services (EAS) offers a promising approach to addressing MI by leveraging the innate characteristics of horses, which are highly attuned to human emotions and nonverbal cues. Research has demonstrated that equine interactions support emotional regulation and facilitate trust, self-awareness, and connection—key elements in moral repair. The process of moral repair focuses on restoring integrity, addressing grief, making amends, and rebuilding hope and trust. By engaging with horses in a structured and supportive environment, veterans can experience a unique form of nonjudgmental acceptance that fosters healing and resilience. Studies suggest that therapeutic riding and Chaplain-enabled Equine Assisted Activities may be particularly effective in treating MI among veterans, given the significant overlap between MI and PTSD symptoms. Through equine interactions, veterans can reconnect with their values, work through moral dilemmas, and rebuild their sense of self and purpose. This presentation will explore best practices in EAS for treating MI, emphasizing ethical considerations for both horse and human. It will also address the stigma surrounding MI and highlight the importance of expanding awareness and access to collaborative therapeutic interventions for those who have served and still served. By integrating EAS into active duty and veteran care, we can offer a compassionate, effective pathway toward healing, moral reconciliation, and renewed hope for those affected by the invisible wounds of war.
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