A recent review of existing research proposes that self-transcendence, a state of reduced self-focus and expanded awareness, may be a key mechanism for healing moral injury. Moral injury is the deep distress that can occur after someone violates their own moral code, often seen in veterans and first responders. The review suggests that mindfulness-based and contemplative practices can help cultivate self-transcendence, which in turn may aid in moral identity repair and meaning-making.
The paper draws on contemplative research to theorize how mindfulness practices like decentering and meta-awareness can promote flexible thinking and reduce habitual self-focus. This could help people with moral injury reinterpret their experiences and find new meaning. However, the review is a theoretical framework, not a clinical trial, so the findings are not proven.
The authors note limitations, including challenges in measuring self-transcendence and determining when someone is ready for this type of work. No safety concerns were reported. For now, this review offers a promising direction for future research, but it is not a treatment recommendation.