May 29-31, 2019 University of Southern California 3607 Trousdale Parkway Los Angeles, California 90089

Hosted by:

PROGRAM BOOK Welcome to the Moral Injury and Pathways to Recovery Conference

In addition to the conference schedule, you will find information about the presenters, the seminars, and resources for further information about moral injury. CONFERENCE SCHEDULE May 29: Plenary Day

(USC Trojan Ballroom)

7:00 am Registration (Continental Breakfast)

8:30 am- 9:00 am Welcome and Announcements Belva Brown Jordan, MDiv, Dean of Disciples Seminary Foundation and Assoc. Dean of Curriculum and Assessment, Claremont School of Theology Welcome from Partners Jonathan E. Sherin, MD, PhD Director, Los Angeles County Department of Mental Health Mark Ridley-Thomas, Supervisor, Los Angeles County Board of Supervisors Mike King, President & CEO, Volunteers of America Introduction of Faculty—Rev. Jordan

9:00 am- 9:30 am Opening Ritual Chaplain Nathan Graeser

9:30 am- 10:45 am Plenary 1—Moral Injury: Definitions, New Research, and Clinical andSpiritual Approaches William P. Nash, MD and Rita N. Brock, PhD Psychiatrist William Nash will present a range of definitions and current research about moral injury. Theologian Rita Brock will offer a view of its spiritual/community dimensions. Then they will engage in a dialogue about how their various approaches intersect and differ and what they offer each other. There will also be time for a conversation with the audience.

10:45 am- 11:15 am Break

11:15 am- 12:30 pm Plenary 2—Narrative Practices for Processing Moral Injury Joanne Braxton, PhD and Cynda Hylton-Rushton, PhD Humanities Scholar and Minister Joanne Braxton and Medical Ethicist Cynda Hylton-Rushton will discuss moral injury in relation to healthcare and trauma and describe strategies for processing it in care-givers and those they care for through the use of narrative practices.

12:30 pm- 1:15 pm Lunch

1:15 pm- 2:30 pm Plenary 3—Arts & Healing Ping Ho, MPH This plenary will enable participants to use the arts in managing trauma and moral injury and explore how the language of non-judgment in arts-work can enhance engagement and dialogue with clients. It will demonstrate experientially how the arts can facilitate self- expression, stress reduction, positive emotions, and connection to others in an interactive hour of art making, movement, music making, and writing.

2:30 pm- 3:45 pm Plenary 4—Care for Caregivers Carrie Doehring, PhD and Nancy Ramsay, PhD Pastoral theologian and licensed psychologist Carrie Doehring and pastoral theologian and director of the Soul Repair Center Nancy Ramsay will discuss moral distress and moral injury in caregivers, both professional and familial, and offer strategies for self-care in diverse populations.

1 3:45 pm- 4:15 pm Break

4:15 pm- 5:30 pm Plenary 5—Spiritual/Community Responses to Moral Injury De Hong, PhD; Amir Hussain, PhD; Cori Williams, MDiv; and Belva Brown Jordan, MDiv This panel will examine Moral Injury and spiritual strategies for recovery in Buddhism, Islam, and Christianity. It will review the challenges, community impact, and approaches to healing that will allow attendees to better assist individuals and communities with recovery from Moral Injury. In addition, panelists will explore commonalities among their traditions and the spiritual resources available across lines of difference. There will be time for attendees to engage in an interactive dialogue with the panelists.

5:30 pm Pick up CE and BCCI certificates (6 hrs.)

5:45-6:45 pm Reception (Trojan Family Room)

May 30: Seminars—Day Two

8:30 am- 9:00 am Continental Breakfast

9:00 am- 10:30 pm Seminars Meet (go directly to your seminar meeting room)

10:30-11:00 Break

11:00-12:30 Seminars Meet

12:30 pm- 1:30 pm Lunch

1:30 pm- 3:30 pm Seminars Meet

3:30 pm- 4:00 pm Break

Five Hour Seminars end: Doehring, Ramsay Receive 5 hr CME, CE, BCCI certificates

4:00 pm- 5:30 pm Seminars Meet 5-hr Seminars Begin: Haight, Hong/Williams)

May 31: Seminars and Plenary—Day Three

9:00 am- 10:30 pm All Seminars Meet

10:30-11:00 Break

11:00-1:00 All Seminars Meet for Final Session Receive 5 or 10 hr CME, CE, BCCI certificates

1:00 pm- 2:00 pm Lunch All Seminars End

2:00 pm- 4:00 pm Closing Plenary with Presenters Looking Forward to Networking

2 CONFERENCE PRESENTERS

Seminar 1: Leaving Prison Before You Get Out Upumoni S. Ama, GRIP (Guiding Rage Into Power) facilitator, is a redeemed convict, and a “returned citizen” from a prison life sentence. After serving eleven years of his life sentence, Upu vowed to change his thinking and behavior and participated in prison rehabilitation and arts programs. In 2015, Upu graduated from GRIP (Guiding Rage Into Power), a 12-month program at San Quentin Prison, where he transformed himself into a model prisoner and used what he learned to mentor fellow inmates and youth. In 2017, Upu was paroled and ordered to a halfway house. He now works as a GRIP Facilitator for the GRIP Training Institute in CA. State Prisons. He volunteers once a week to mentor local youths from group homes in Los Angeles. He is husband, father and grandfather.

Seminar 3: Resilience Strength Training for Veterans Timothy M. Barth, Ph.D., Professor of Psychology, Interim Provost, and Dean of Research and Graduate Studies, Texas Christian University, teaches courses in neuroscience, psychology, problem-solving, and ethical decision- making. He assisted in creating a TCU undergraduate program in the Psychology of Leadership. Dr. Barth’s areas of expertise and research are in behavioral neuroscience and ethical decision-making. He has published over 30 original research papers and book chapters, most of which evaluate various factors that may influence recovery after brain injury. Dr. Barth worked as a visiting scientist at the Merck Sharp and Dohme Neuroscience Research Centre in Harlow, England, after completing his doctorate at the University of Texas, Austin, and he worked for two years at the National Institute of Mental Health. After leaving NIMH, he accepted a faculty position at Texas Christian University in 1990 and chaired the Department of Psychology for 15 years.

Plenary 2 and Seminar 2: Transforming Moral Injury Across the Professions Joanne M. Braxton, Ph. D., M.Div. is the Frances L. and Edwin L. Cummings Professor of the Humanities Emeritus at the College of William & Mary and Adjunct Professor of Family and Community Medicine at Eastern Virginia Medical School, where she headed the W&M-EVMS Narrative Medicine for Excellence Project. An accomplished scholar, writer and healer and an ordained minister in the United Church of Christ, she has also been David B. Larson Fellow in Spirituality and Health at the Library of Congress John W. Kluge Center and a wellness consultant to the National Institutes of Health. Currently, Dr. Braxton teaches about Moral Injury as 2018-19 Davis Visiting Professor of Judeo-Christian Values at Ursinus College and serves as a member of the steering committee for the American Academy of Religion Moral Injury and Recovery section. Dr. Braxton is also CEO and lead creative for the Braxton Institute for Sustainability, Resiliency and Joy 501 (c) 3, a co-sponsor with VOA and the Soul Repair Center of the historic September 2017 Moral Injury and Collective Healing advanced training seminar held in Princeton New Jersey.

Plenary 1 and Seminar 3: Resilience Strength Training for Veterans Rita Nakashima Brock, Rel. M., M.A., and Ph.D., is Senior Vice President and Director of the Shay Moral Injury Center at Volunteers of America and a Commissioned Minister in the Christian Church (Disciples of Christ) Capitol Area Region. From 1981-1997, she taught religion and women’s studies at a number of colleges and universities, including directing the Women’s Studies Program at Stephens College from 1985-89. From 1997-2001, Dr. Brock directed the Fellowship Program at the Radcliffe Institute for Advanced Study, Harvard University, formerly known as the Bunting Institute. She was a fellow at the Harvard Divinity School Center for Values in Public Life (2001-2002) and a Visiting Scholar at the Starr King School for the Ministry in Berkeley (2002-2012). From 2012-2017, she directed the Soul Repair Center, Brite Divinity School at TCU in 2012. She is co-author of Soul Repair: Recovering from Moral Injury After War and author of Coming Home Is Hell: Moral Injury after War 2013, The Continuum Guide to Pastoral Care; Post Traumatic Stress, Moral Injury, and Soul Repair: The Implications of Western Christian Theology, 2015, Issues in Science and Theology: Do Emotions Shape the World?; and Moral Conscience, Moral Injury, and Rituals for Recovery, 2019, Moral Injury and Beyond.

MC and Plenary 5 Belva Brown Jordan is the Associate Dean for Curriculum and Assessment and associate professor of the practice of ministry at Claremont School of Theology and the Dean of Disciples Seminary Foundation (Claremont). For eight years, she directed field education and taught the practice of ministry at Lancaster Theological Seminary (Lancaster, PA) and in her last year was Dean of the Faculty. She then moved to Harvard University Divinity School (Cambridge, MA) as the assistant dean for student life. After eight years, she became 3 the associate dean for admissions and student services at Phillips Theological Seminary (Tulsa, OK). In 2013, she made the move to Claremont, CA to join the academic administrative team at Claremont School of Theology.

Seminar 5: Social and Emotional Arts on a Shoestring Kathy Cass, MA, BC-DMT, NCC, C-IAYT, AHC, is a board-certified dance/movement therapist,nationally certified counselor, certified yoga therapist, and Ayurveda health counselor. She is on faculty at Santa Monica College and El Camino Community College. Kathy is an advisor/instructor for the Social Emotional Arts Certificate Program at the UCLArts & Healing. She co-authored the manual, Dance for All. Kathy is the Ayurvedic yoga therapist at Reconnect Integrative Trauma Treatment Center.

Seminar 5: Social and Emotional Arts on a Shoestring Erica Curtis, LMFT, ATR-BC, consultant, writer, and educator on integrative approaches to mental, emotional, and relational health. She is an instructor for UCLArts and Healing, admissions consultant and former instructor at Loyola Marymount, consultant for the Board of Behavioral Sciences, past president of the S. CA Art Therapy Assn., and past director on the Board of the American Art Therapy Assn. Erica is the author of The Innovative Parent: Raising Connected, Happy, Successfully Kids through Art, to be released by Ohio University Press in spring 2019.

Seminar 1-5: Evidence-Based Intercultural Spiritual Care Carrie Doehring is the Clifford Baldridge Professor of Pastoral Care at Iliff School of Theology and in the joint PhD program with Denver University. Ordained in the Presbyterian Church, USA and licensed as a psychologist, she is the author of 38 chapters/articles and three books. Many explore how people draw upon religious faith and spirituality to cope with trauma, moral injury/stress, and prejudice. Her book, The Practice of Pastoral Care: A Postmodern Approach, Revised and Expanded is widely used as a textbook for chaplains. She is co-editor of a volume of Pastoral Psychology on military moral injury.

Seminar 4: Insights into Moral Injury from Jewish Texts Rabbi Kim Geringer, Master in Hebrew Letters, MSW, serves on the faculty at Hebrew Union College Jewish Institute of Religion in New York City where she teaches in the rabbinic, cantorial, and Doctor of Ministry programs. She is also rabbi-in-residence at the Chai Center for Jewish Life in New Jersey. She recently published with Rabbi Nancy H. Wiener, Insights into Moral Injury and Soul Repair from Classical Jewish Texts, Pastoral Psychology, November, 2018. Through the Union for Reform Judaism, she is also the author/co-author of many publications on personal religious observance, ritual, and worship transformation.

Opening Ritual Nathan Graeser, MDiv, MSW, is Executive Director of the 1887 Chapel Restoration Fund. Until 2018, he was community program administrator for the Center for Innovation and Research for Veteran and Military Families (CIR) at the USC School of Social Work, where he directed the Los Angeles Veterans Collaborative and Innovation Fund—a collective-impact group that consists of more than 2,000 different service providers throughout Los Angeles County with over 250 regularly attending monthly meetings. He has served in the U.S. Army National Guard for nearly 17 years, including as a chaplain for combat arms battalion the last five years. He has educated hundreds of service providers on military culture and supported transition out of the military, developed better community policies as people return home from war. Graeser has been recognized for his innovative inclusion of ceremonies for transitioning veterans, as well as his creative and realistic approach to building capacity for communities and mental health providers treating veterans. He serves on numerous local and national boards and was recently recognized by USC Center for Religion and Civic Culture and the Interreligious Council of Southern California as one of 50 leaders working in the intersection of faith and social change.

Seminar 2-5: Moral Injury Among Child-Welfare Involve Parents, Professionals, and Youth Wendy Haight, Ph.D., is a Professor and Gamble-Skogmo Chair in Child Welfare and Youth Policy at the University of Minnesota. She earned her B.A. from Reed College and her PhD from the University of Chicago where she studied Developmental Cultural Psychology. Her research focuses on better understanding and supporting vulnerable children and families, especially those involved in public child welfare systems. She is the author of 10 books and over 50 journal articles, including co-authoring Development and Disability: A Japanese Case Study. Her recent research focuses on moral injury in the child welfare system. 4 5 Plenary 3 and Seminar 5: Social and Emotional Arts on a Shoestring Ping Ho, MA, MPH, is the founder/director of UCLArts and Healing, an organizational member of the UCLA Collaborative Centers for Integrative Medicine, of which Ping was founding administrator and is a steering committee member. She was also founding administrator for the UCLA Cousins Center for Psychoneuroimmunology. Ping has a bachelor's in psychology from Stanford, a master's in counseling psychology from the Univ. of CA, Santa Barbara, and an MPH in community health sciences from UCLA School of Public Health. She is co-author, with Erica Curtis, of The Innovative Parent: Raising Connected, Happy, Successful Kids through Art (Ohio University/Swallow Press, March 2019). uclartsandhealing.org

Plenary 5 and Seminar 4-5: Spiritual and Community Responses to Moral Injury Venerable De Hong, PhD, Buddhist monk since 2006 and an adjunct professor at University of the West since 2016. He is a board member of the Buddhist Pathways Prison Project and co-founder of the Engaged Buddhist Alliance. He has volunteered at seven state prisons in southern California since 2013 teaching Buddhist psychology and mindfulness meditation. De holds an MA and Ph. D. in Buddhist Studies from University of the West, completed in 2010 and 2014 respectively. His Ph. D. dissertation is “The Development of Buddhist Repentance in Early Medieval China.” De is fluent in Vietnamese and three Chinese dialects (Cantonese, Mandarin, and Teochew).

Plenary 5 Amir Hussain, PhD Professor of Theological Studies at Loyola Marymount University in Los Angeles, where he teaches courses on Islam and world religions. His own particular specialty is the study of contemporary Muslim societies in North America. In 2008, he was made a fellow of the Los Angeles Institute for the Humanities. From 2011 to 2015, Amir was the editor of the Journal of the American Academy of Religion, the premier scholarly journal for the study of religion, and is a member of the Board of Directors of the American Academy of Religion. The author or editor of eight books, he has also published over 60 book chapters and articles about religion.

Plenary 2 and Seminar 2: Transforming Moral Injury Across the Professions Cynda Hylton Rushton, PhD, RN, FAAN, recognized as an international leader in nursing ethics, is the Anne and George L. Bunting Professor of Clinical Ethics in the Johns Hopkins Berman Institute of Bioethics and the School of Nursing. Dr. Rushton holds a joint appointment in the School of Medicine’s Department of Pediatrics. Dr. Rushton co-chairs the Johns Hopkins Hospital’s Ethics Committee and Consultation Service. A founding member of the Berman Institute of Bioethics, her current scholarship focuses on moral suffering of clinicians, moral resilience, palliative care, and designing a culture of ethical practice. In 2016, she co- led a national collaborative State of the Science Initiative: Transforming Moral Distress into Moral Resilience in Nursing and co-chaired the American Nurses Association professional issues panel that created A Call to Action: Exploring Moral Resilience Toward a Culture of Ethical Practice. Dr. Rushton is evaluating outcomes of the Mindful Ethical Practice and Resilience Academy (MEPRA), which her team designed and implemented to build moral resilience in practicing nurses. She is author and editor of Moral Resilience: Transforming Moral Suffering in Healthcare (Oxford University Press), that aims to transform approaches to moral suffering with innovative methods of cultivating moral resilience and a culture in health care that supports ethical practice. She is a member of the National Academies of Science, Engineering & Medicine’s Committee on System Approaches to Improve Patient Care by Supporting Clinician Well-being. She is a fellow of the American Academy of Nursing and the Hastings Center.

Plenary 1 and Seminar 6: War-Related Moral Injury William Nash, MD is the Deputy Chief of Psychiatry at the Greater Los Angeles Veterans Affairs Healthcare System, retired US Navy psychiatrist, and former Director of Psychological Health for the U.S. Marine Corps. He authored the current Navy and Marine Corps doctrine for combat and operational stress control (MCRP 6-11C/ NTTP 1-15M, Dec. 2010) and was co-principal investigator for the Marine Resiliency Study in combat Marines. A co-author of Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury, he is a pioneer in the prevention, recognition, and treatment of moral injury.

5 Seminar 7: Transforming Spiritual Impasse Rebecca Parker, DMin, is the Minister of Adult Spiritual Development and Pastoral Care, and Theologianin- Residence at All Souls Unitarian Church in Washington DC; President Emerita at Starr King School for the Ministry at the Graduate Theological Union, Berkeley, California; and an ordained United Methodist Minister with dual fellowship in the Unitarian Universalist Association. An influential feminist theologian, theological educator, social activist, and a seasoned minister and musician. Her books include A House for Hope, co- authored with John Buehrens (Beacon, 2010); Saving Paradise, co-authored with Rita Nakashima Brock (Beacon, 2008); Blessing the World (Skinner House Books, 2006), edited by Rob Hardies, and Proverbs of Ashes: Violence, Redemptive Suffering, and the Search for What Saves Us, co-authored with Rita Nakashima Brock (Beacon, 2001).

Seminar 3-5: Spiritual Care of Veterans and their Families Nancy J. Ramsay, PhD, is Professor of Pastoral Theology and Pastoral Care at Brite Divinity School in Fort Worth, TX where she also serves as Director of the Soul Repair Center at Brite. The Center’s mission is encouraging research in military moral injury and equipping religious leaders and faith communities in responding effectively to veterans and their families affected by moral injury. From 2013-2017 Dr. Ramsay chaired the Advisory Board of the Soul Repair Center. From 2013-2015 Dr. Ramsay directed an Interreligious Pastoral Theology Think Tank to develop resources for spiritual care with veterans and their families. She is the co- editor with Dr. Carrie Doehring of a forthcoming special issue of Pastoral Psychology (February 2019) on Moral Injury. Nancy is the author or editor of 4 books and numerous articles addressing practices of care and issues in constructive pastoral theology. She is an ordained Presbyterian Minister. She is a clinical member of the American Association of Marriage and Family Therapy and until recently maintained supervisory status in AAMFT and Fellow Status in the American Association.

Seminar 5: Social and Emotional Arts on a Shoestring Kate Richards Geller, MA, MT-BC, LCAT, received a master’s in music therapy from NYU. Her training includes medical music therapy in pediatrics, neurology, oncology, along with voicework and improvisation. Kate has worked in medical settings, schools, and community centers, providing services to individuals and groups, with the primary goal of improving the quality of life through live, interactive music making. Her program, Sing for Yourself, demonstrates how a regular singing practice can create meaningful and lasting change in individuals and communities.

Seminar 5: Social and Emotional Arts on a Shoestring Myriam Savage, PhD, RDT-BCT, drama therapist, board-certified trainer, and NADTA board member,is on the faculty at UCLArts and Healing. Published in peer-reviewed journals, her forthcoming chapter will be in IAP's volume: Participatory Methodologies to Elevate Children's Voice and Agency. Mimi facilitates youth with dual diagnosis, created ongoing programs for acute psychiatric units, and for two years she led weekly groups and therapeutic theatre for homeless women (seen in the film, "Game Girls," debuting at the Berlin Film Festival). She is director of the SoCal Drama Therapy Center for professional development. SoCaldramatherapycenter.com

Seminar 1: Leaving Prison Before You Get Out Jacques Verduin, M. A. Clinical Psychology, is the Founder and Director of Insight-Out, a non-profit that works with prisoners and challenged youth to turn violence and suffering into opportunities for learning and healing. He also directs the GRIP Training Institute. Verduin has been a noted leader and innovator in the field of in-prison rehabilitation in state prisons since 1996. He is an expert on violence prevention, emotional intelligence, restorative justice and mindfulness. He supervised training of the nations’ first Inmate Peer Responder Program to prevent prison suicide, as well as training of the first state-certified Inmate RapeTrauma Counselors. Under his leadership various initiatives came to fruition, such as the Insight Garden Project, the Prison Yoga Project and the Veterans Healing Veterans Project, as well as the Restorative Justice Program named V.O.E.G. (Victim-Offender Education Group) at San Quentin State Prison.

6 Seminar 4: Insights into Moral Injury from Jewish Texts Rabbi Nancy H. Wiener, DMin Founding Director of the Jacob and Hilda Blaustein Center for Pastoral Counseling and holds the Dr. Paul and Trudy Steinberg Chair in Human Relations at Hebrew Union College, Jewish Institute of Religion and is on the Executive Board of T’ruah: The Rabbinic Call for Human Rights. Her publications include: Insights into Moral Injury and Soul Repair from Classical Jewish Texts, Journal of Pastoral Psychology, 2018, with Kim Geringer; Maps and Meaning : Levitical Models for Contemporary Care (Fortress 2014), with Jo Hirschmann; Pastoral Care in a Postmodern World: Promoting Spiritual Health Across the Life Cycle, with Barbara Breitman, in Judaism and Health (2014); Seminary-Based Jewish Pastoral Education, with Julie Schwartz and Michele Prince (2013); Beyond Breaking the Glass: A Spiritual Guide to Your Jewish Wedding, revised edition (2012). She has served on the faculty of FASPE (Fellowship at Auschwitz for the Study of Professional Ethics).

Plenary 5 and Seminar 4-5: Spiritual and Community Responses to Moral Injury Cori Williams, MDiv is a Licensed Minister and National Director of Education and Training and Ministry Development at Volunteers of America. He is a graduate of Princeton Theological Seminary and also a Chaplain for a Veterans Transitional Housing Program in Raleigh, NC.

Seminar 7: Transforming Spiritual Impasse Michael Yandell, MDiv, is a U.S. Army veteran, having served as an enlisted explosive ordnance disposal (E.O.D.) specialist from 2002 to 2006. Yandell completed a Master of Divinity at Brite Divinity School and is an ordained minister in the Christian Church (Disciples of Christ). Yandell is currently a PhD candidate in theological studies at Emory University, with a concentration in Religion, Conflict, and Peacebuilding. Yandell has published pieces about moral injury in Christian Century, Plough Quarterly, Pastoral Psychology, and an essay in the recently published anthology, Exploring Moral Injury in Sacred Texts.

Seminars (May 30-31) USC Tutor Center (Seminars 1 through 7 will be 10 hours. Seminars 1-5 through 4-5 will be offered 5 hours.)

Ten-Hour Seminars: 1. “Leaving Prison Before You Get Out”: Deep Transformation with Incarcerated Populations—Healing trauma, developing emotional intelligence, cultivating mindfulness and understanding victim impact. Location: Ballroom C Upumoni S. Ama and Jacques Verduin, MA This seminar will introduce the GRIP program (Guiding Rage Into Power). The GRIP methodology is a transformational re-education modality that commits the members to a process of deep self-inquiry. Violence and suffering are transformed into gateways for healing and learning as participants heal the moral injury that drove them to lash out. The program examines the origins of criminogenic conduct, especially early trauma, and undoes destructive behavioral patterns that lead to transgressions. Participants graduate from offenders into servants. We will have a unique opportunity to study video footage of the work in action in San Quentin. What is learned about the work of staring down our demons in the trenches of our prisons? How are we all doing time? In addition to learning about how to do transformative work with prisoners, the seminar will guide participants in strategies for radical ownership of any experience of personal reactivity and how "leaving prison before getting out,” works, whether that is a physical prison or the space between our ears. In learning about how to sit in the fire of trauma pain and dissolving the hold that traumas have over lives, participants will learn about ‘Q-TIP’ (Quit Taking It Personally), how to unlearn self-blaming and blaming others, how to process feelings vs. medicating them, how to purge shame and how to achieve forgiveness of self and others. 7 2. Transforming Moral Injury Across the Professions: Cultivating Moral Resilience Through Reflective Writing and Contemplative Practice Location: Ballroom D Joanne Braxton, PhD and Cynda Hylton Rushton, PhD “Transforming Moral Injury Across the Professions” is an experiential track designed for clinicians, warfighters, chaplains, social workers, emergency workers, community organizers, VOA ministers and anyone interested in cultivating practical tools for sustainable self-care. This Track is relevant to anyone struggling with or seeking to understand any form of moral injury and critical incident stress, or anyone who works with others who experience or have experienced moral injury or critical incident stress. The skills learned help the healer heal the self, not by diminishing or minimizing moral adversity, but by naming it and addressing it. Under the guidance of two seasoned teachers with a strong background in health and well-being, participants will learn the fine art of witnessing our own and others’ experience and extending compassion to ourselves and those we serve. How do we come to understand the contours of integrity in a situation where there were no good outcomes possible? How do we transform that experience of moral stress, distress or injury, once we have named it, through reflection and contemplation? Using case studies and personal experience, we name where we find ourselves on the continuum of moral anguish and moral suffering, and then begin to learn to transform it. Participants learn practices such as journaling, spiritual life writing, walking the labyrinth, sitting meditation and other forms of exploration and meaning-making that realistically support recovery from moral adversity and the building of moral resilience.

3. Resilience Strength Training (RST) for Veterans Location: Ballroom A&B Timothy M. Barth, PhD and Rita Nakashima Brock, PhD RST is a peer-facilitated, sixty-hour program for military veterans who are interested in strengthening their capacities to process moral injury and other inner struggles, improve relationships, and bounce back from adversity. The pilot program, created by an expert design team and funded by a grant from Bristol, Meyers, Squibb Foundation, has been tested for eighteen months in Los Angeles and New York City and shown very positive results in post-traumatic growth and greater life satisfaction for participants. Seminar participants will first hear from veterans in Los Angeles who have completed the program. They willdiscuss the impact it has had on their lives and what it was like to go through the program. Then the project director will explain the design and peer facilitators will describe how they were trained and what they did in the program. The facilitators will lead participants through some of the activities used in the program. In addition, the seminar includes an hour of introduction to Trauma Release Exercises (TRE), which is one of the forms of spiritual exercises used to support other activities. TRE releases stress or trauma stored in the body so it can be processed and accompanies other practices like mindfulness. Copies of the facilitator and participant manuals will be available for examination.

4. Insights into Moral Injury and Soul Repair from Classical and Contemporary Jewish Texts Location: #433 Kim Geringer, Master in Hebrew Letters, MSW and Nancy Wiener, DMin Jewish literature and languages, such as Hebrew and Aramaic, have always recognized the existence of soul wounds and the need for soul repair. In this seminar we will explore Jewish biblical, rabbinic, and liturgical texts to broaden and deepen an understanding of the contemporary field of Moral Injury and Soul Repair. To date, the vast majority of literature on Moral Injury has been written from psychological, secular, Christian and Muslim perspectives. Our research and teaching have focused on finding concepts and language that can speak to Moral Injury in a uniquely Jewish vernacular and context so all committed to the field can enhance their clinical work and/or find new tools to promote their own healing and self-care and those they serve. We will begin with an overview of core Jewish teachings that sets the backdrop and context for the texts, rituals, liturgies, and case studies we will study and discuss them throughout the seminar.

5. Social Emotional Arts on a Shoestring for Individuals & Groups in Any Setting Location: Forum Kathy Cass, MA; Erica Curtis, LMFT; Ping Ho, MA, MPH; Kate Richards Geller, MA; and Myriam Savage, PhD In this 10-hour training, you will experience activities in art, movement, music and writing developed by UCLArts & Healing and its team of creative arts therapists. This curriculum offers general guidelines on the use of each art form in therapeutic contexts, communication techniques for creating rapport and preventing resistance, and containment strategies for managing stress responses. Ongoing assessments of the program have shown that this curriculum achieves its intended goals of helping to build connection, evoke positive emotions, bolster resilience, decrease stress and pain, facilitate verbal and nonverbal communication, strengthen 8 the creative vs. illness narrative, and manage grief and loss. The training enables sustainable delivery in settings with limited resources, including hospitals, nursing homes, schools, shelters, and community clinics.

6. War-Related Moral Injury: Theory, Research, and Clinical Care Location: #352 William P. Nash, M.D. In this seminar, moral injury will be examined through the lens of medical science, continuing the work of the psychiatrist Jonathan Shay, who developed the concept of moral injury in his clinical care of Vietnam veterans at the Boston VA Medical Center in the 1980s and 90s. Through a mixture of lectures, guided discussions, and large group exercises, participants will formulate answers to the following questions of relevance to moral injury as a public health challenge: 1. How did the scientific concept of moral injury develop and gain traction? What health-related problem did it solve? 2. What are the existing empirical measures relevant to moral injury? 3. What types of events are known to result in moral injury? 4. What are the adverse health and social outcomes that correlate with exposure to potentially morally injurious events? 5. What is the nature of moral injury? How does it differ from normal moral development? 6. What, exactly, is injured in moral injury in a person or community? 7. What is the relationship between moral injury and PTSD or grief? 8. What is the nature of moral repair? What work does it require? 9. What clinical treatments have been tried for moral injury? What are their logic models and what is the evidence they work? 10. What are the most burning questions moral injury science must tackle today and in the future? Participants can expect to gain actionable knowledge about moral injury as a form of psychological harm that affects all domains of life, and skill in the use of a number of emerging clinical and research tools for assessment and treatment. No prior medical or scientific knowledge or skill is required to participate in this seminar.

7. Transforming Spiritual Impasse: Thinking Theologically about Moral Injury Location: #351 Rebecca Parker, D.Min and Michael Yandell, M.Div Participants will gain insight and skills for accompanying people as they engage the spiritual, religious, and theological crises that often are present in moral injury as “spiritual impasse.” Spiritual impasse occurs when a person’s core beliefs confront life experiences for which their belief system is not adequate; deeply held beliefs may shatter and the person enters a “dark night of the soul.” Within the experiences of isolation, guilt, regret, broken-heartedness, and failure, it is possible to detect theological perspectives at work—core frameworks of meaning relating to themes such as sacrifice, atonement, redemption, belonging, purification, punishment, suffering, and forgiveness. The human capacity for profound evil, betrayal, and dehumanizing acts also comes into play. When experiencing spiritual impasse, people often make one of three choices: they deny their experience and hold onto their beliefs; they accept their experience and abandon their beliefs; or they transform their established framework of meaning in light of their lived experience—they become creators of spiritual, theological and ethical insight that restores meaning and purpose to their lives. We will explore this third option as a pathway of healing from moral injury, drawing on the work of theologians and spiritual teachers whose life experience has included moral injury, and considering a diversity of spiritual perspectives and practices from among the world’s religious traditions.

Five-Hour Seminars: 1-5. Evidence-based intercultural spiritual care for caregivers experiencing moral stress and injuries Location: #227 (This seminar is 5 hours)-May 30, 9 am – 3:30 pm only! Carrie Doehring, Ph.D Moral stress was first described by healthcare professionals worried about not providing adequate care. Moral stress of caregivers arises from the shame and fear of causing harm through not putting core values into practice, like protecting life. Negative health outcomes arise for those who do not get specific help with religious, spiritual and moral struggles at the heart of moral stress. This seminar provides an intercultural, evidence-based approach to spiritual care of moral stress experienced by caregivers. The seminar draws upon research on spiritual struggles, moral injury, spiritual integration and wholeness. It aims to help caregivers find intrinsically meaningful spiritual practices that can shift them from (1) the shame of moral injury/stress into 9 embodied self-compassion and goodness, and from (2) life limiting shame-based values and beliefs around suffering to life giving compassion-based values and beliefs.

2-5. “Basically, I look at it like combat”: Moral injury among child-welfare involved parents, professionals and youth Location: #352 (This seminar is 5 hours)-May 30 4 pm to May 31, 9am-1 pm only! Wendy Haight, Ph.D We will focus on empirical research addressing moral injury among professionals, parents and youth involved in the public child welfare system. We administered a modified version of the Moral Injury Events Scale (MIES) to participants and then conducted in-depth, semi-structured, audio-recorded individual interviews with them to elaborate their MIES responses. Participants described harm to themselves occurring through under-resourced systems, problematic professionals, unfair laws and policies, child maltreatment, an adversarial system, systemic biases, harm to children by the system and poor-quality services. They also communicated feelings such as anger, sadness, emotional numbing, guilt and shame. Many also described troubling, existential issues. For example, professionals questioned their ability to function in a moral manner within a system they viewed as deeply flawed, and in an unsupportive working environment steeped in human misery. Parents and youth described a loss of trust in professionals and resulting inability to engage fully in potentially helpful services. Participants described coping through a variety of resources available in their everyday lives including: stress reducing and meaning-making activities, self-reflection and forgiveness; social support and corrective experiences; engagement in advocacy and social programs to support other parents and professionals; and spiritual engagement. If involvement in child welfare places professionals, parents and youth at increased risk of moral injury, then moral injury is a critically important construct to understand and address to conduct effective, ethical child welfare practice. Identifying potential models of successful coping with moral injury in everyday life can help identify viable targets for formal prevention and intervention efforts.

3-5. Spiritual Care for Veterans and their Families: Resources and Practices for Religious Leaders and Chaplains Location: #232 (This seminar is 5 hours)-May 30, 9 am – 3:30 pm only! Nancy Ramsay, Ph.D This 5 hour interactive seminar will equip religious leaders in faith communities and in specialized settings to respond to those affected by military moral injury and their families. We will frame moral injury through the lens of loss and grief. We will draw on resources from the Abrahamic traditions and theoretical resources such as Pauline Boss’ theory of “ambiguous loss” (2006) and ritual practice (Anderson and Foley, 1998) to propose and illustrate practices of care that enhance resilience and hope for veterans and their families. The seminar will focus on strategies for spiritual care with persons who find a religious tradition helpful, those participating in faith communities, and those residing in specialized contexts such as hospitals, assisted living, and hospice. Because the consequences of Moral injury are not only personal but also relational, systemic, and generational, we will develop guidelines for effective responses to veterans and their partners and families. We will also consider how to sensitize and equip a community of faith for effectively supporting veterans and their family members. We will consider factors preceding military service that may influence an individual’s response to war such as earlier experiences of marginalization and trauma, value for and understanding of religious resources relevant for framing the violence of war, and relational resources.

4-5. Spiritual and Community Responses to Moral Injury Location: #227 (This seminar is 5 hours)-May 30 4 pm to May 31, 9am-1 pm only! De Hong, Ph.D & Cori Williams, M.Div This seminar will build skills for spiritual and pastoral care for individuals and communities. It is designed to allow participants to better assist individuals with Moral Injury processing and recovery. Participants will learn how to employ effective faith practices to help break the silence of Moral Injury related trauma. Faculty will draw from both the Buddhist and Christian traditions and invite seminar participants to engage with their own traditions and explore the power of ritual, spiritual practices, and community development for healing and restoration of individuals and their communities. We will also explore pastoral care in the context of diverse cultures and social institutions in individuals and communities. A combination of presentations and dialogue will explore classic practices related to suffering, contemporary models, and key ideas and theologies that inform the work of pastoral care and effective spiritual practices.

10 SELECTED BIBLIOGRAPHY (Plenary and Seminar presenters may also suggest further readings.)

Bonhoeffer, D. (2005) Ethics Minneapolis: Fortress Press. Boss, P. (2006) Loss, trauma, and resilience: Therapeutic work with ambiguous loss. W.W. Norton. Braxton, Joanne, M. (2012) Honoring the Body: “Living Practices for Daily Life.” Pilgrim Press. Brock, R & Lettini, G. (2012) Soul Repair: Recovering from Moral Injury After War. Beacon Press. Brock, R. N. and Lettini, G. (2012) Soul Repair: Recovering from Moral Injury After War. Beacon Press. Brock, R. N. and Parker, R.A. (2001) Proverbs of Ashes: Violence, Redemptive Suffering, and the Search for What Saves Us. Beacon Press. Brock, R.N. and Parker, R.A. (2008) Saving Paradise: How Christianity Traded Love of This World for Crucifixion and Empire. Beacon Press. Doehring, C. (2015) The practice of pastoral care: A postmodern approach (Revised and expanded ed.). Westminster John Knox. Epstein, Mark (2014) The Trauma of Everyday Life, Penguin. Epstein, Mark (2013) Thoughts Without a Thinker: Psychotherapy from a Buddhist Perspective, Basic Books. Frank, A. (2013) The wounded storyteller. University of Chicago Press. Graham, L. K. (2017) Moral Injury: Restoring Wounded Souls. Abingdon Press. Hedges, P. (2010) Controversies in interreligious dialogue and the theology of religions. SCM Press. Hussain, A,. (2016) Muslims and the Making of America. Baylor University Press. IV, E. E. (2016) Muslim Americans in the Military: Centuries of Service. Indiana University Press. Joseph, S. (2013) What doesn't kill us: The new psychology of posttraumatic growth. Basic Books Kabat-Zinn, J. (2012) Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain and Illness. CNIB. Kennedy, E. and Charles, S. (2017). On Becoming a Counselor, 4th Ed. Paulist Press. LaMothe, R. (2018 ). Pastoral reflections on global citizenship: Framing the political in terms of care, faith, and community. Lexington. Litz, B. T., et al.( 2016) Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury. Guilford Marlantes, K. (2011). What It Is Like to Go to War. Atlantic Monthly Press. Mateus, T. (2015). Sacred Wounds: A Path to Healing from Spiritual Trauma. Chalice Press. McDonald, J., ed. (2017). Exploring Moral Injury in Sacred Text. Jessica Kingsley Publishers. Gaiter, J. M.,ed. (2018). Momentum of Hope: Stories of Moral Injury. Volunteers of America. Moon, Z. (2019). Warriors between Worlds: Moral Injury and Identities in Crisis. Lexington. Moon, Z.(2015). Coming home: Ministry that matters with veterans and military families. Chalice Press. Parker, R.A. (2006 ). Blessing the world: what can save us now? Boston: Skinner House Books. Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. Norton. Powers, B. S. (2018) Full Darkness: Original Sin, Moral Injury, and Wartime Violence. Wm. B. Eerdmans Publishing Co. Rambo, S. (2017). Resurrecting Wounds: Living in the Afterlife of Trauma. Baylor University Press Rambo, S. (2010). Spirit and Trauma: A Theology of Remaining. Westminster Press Rushton, C. H. (2018). Moral Resilience: Transforming Moral Suffering in Healthcare. Oxford University Press. Saul, Jack (2014). Trauma, Collective Healing: Promoting Community Resilience in the Aftermath of Disaster. Routledge. Shay, J. (1994). Achilles in Vietnam: combat trauma and the undoing of character. Scribner. Shay, J. (2003). Odysseus in America: Combat Trauma and the Trials of Homecoming. Scribner. 11 Sites, K. (2013). The Things They Cannot Say: Stories Soldiers Won't Tell You About What They've Seen, Done, or Failed to Do in War. Harper Perennial. Tillich, P. (2014). The Courage to Be (Third Edition). Yale University Press. Ungar, M. (2012). The social ecology of resilience: A handbook of theory and practice. Springer Van Der Kolk, B. (2014). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Penguin Group LLC. Walzer, M. (2015). Just and unjust wars: a moral argument with historical illustrations (Fifth edition). Basic Books. Wiener, N., & Hirschmann, J. (2014). Maps and Meaning: Levitical Models for Contemporary Care. Fortress Press. Wood, D. (2016). What Have We Done? The Moral Injury of Our Longest Wars. Little, Brown, & Co.

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