There is a particular kind of wound that doesn't fit neatly into the categories we usually use to describe psychological suffering. It isn't simply fear, grief, or anxiety. It is something closer to a fracture in the moral foundation of a person — the sense that something happened that should not have, that you were part of it, and that you can never fully make it right. This is moral injury. It is one of the most underrecognized forms of psychological distress affecting peop