Jonathan Shay (born in 1941) is an American psychiatrist.
- Moral injury is present when
- (1) there has been a betrayal of what's right
- (2) by someone who holds legitimate authority
- (3) in a high-stakes situation.
- p. 183
- What does leadership malpractice add to the elements visible in betrayal of what's right by the self in a high-stakes situation? Primarily, it destroys the capacity for social trust in the mental and social worlds of the service member or veteran. I regard this as a kind of wound contamination in the mind, preventing healing and leaking toxins. When the capacity for trust is destroyed, its place is filled by the active expectancy of harm, exploitation, or humiliation.
- p. 184