Moral orienting systems: reconceptualizing moral injury as moral disorientation

Current conceptualizations of moral injury are limited by a reactive, symptom-based focus that risks pathologizing what are often systemic failures. This paper proposes a shift from a "triage model" to a proactive framework of Moral Orienting Systems (MOS). We define a moral orienting system as the dynamic stabilizing interplay of meaningful values, beliefs, behaviors, and relationships that shape moral identity. Drawing on chaplaincy experiences and interdisciplinary theory, we argue that moral wellbeing is not a static trait but a dynamic relation between an individual's moral stress and the stability and strength of their moral orientation. When systemic strength is sufficient to metabolize stress, the result is moral affirmation; when overwhelmed, the result is moral disorientation. We contrast this framework with existing measures (e.g., MIES, MIOS) to highlight their limitations in capturing chronic, non-event-based moral erosion. Finally, we close by noting the need for a Moral Orienting System Assessment (MOSA) as an operational tool to map these vectors, offering a multi-actor case study to demonstrate how this framework might guide systemic intervention and moral reorientation.

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Publication Details

Journal
Frontiers in Psychiatry
Published
2026-02-27
DOI
https://doi.org/10.3389/fpsyt.2026.1733645
Primary Topic
Psychology of Moral and Emotional Judgment
Type
article
Field-Weighted Citation Impact
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article

Moral orienting systems: reconceptualizing moral injury as moral disorientation

L. Callid Keefe-Perry, Zachary Moon
Frontiers in Psychiatry
Psychology of Moral and Emotional Judgment
article

Moral orienting systems: reconceptualizing moral injury as moral disorientation

L. Callid Keefe-Perry, Zachary Moon
article en

Abstract

Current conceptualizations of moral injury are limited by a reactive, symptom-based focus that risks pathologizing what are often systemic failures. This paper proposes a shift from a "triage model" to a proactive framework of Moral Orienting Systems (MOS). We define a moral orienting system as the dynamic stabilizing interplay of meaningful values, beliefs, behaviors, and relationships that shape moral identity. Drawing on chaplaincy experiences and interdisciplinary theory, we argue that moral wellbeing is not a static trait but a dynamic relation between an individual's moral stress and the stability and strength of their moral orientation. When systemic strength is sufficient to metabolize stress, the result is moral affirmation; when overwhelmed, the result is moral disorientation. We contrast this framework with existing measures (e.g., MIES, MIOS) to highlight their limitations in capturing chronic, non-event-based moral erosion. Finally, we close by noting the need for a Moral Orienting System Assessment (MOSA) as an operational tool to map these vectors, offering a multi-actor case study to demonstrate how this framework might guide systemic intervention and moral reorientation.

Frontiers in PsychiatryVol. 17
Boston College (US), Brite Divinity School
Openalex Percentile: Top 44%
Psychology of Moral and Emotional Judgment
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