Pharmakon, the ancient Greek word for drug, can mean both “remedy” and “poison.” There is a close connection between poison and cure. Poison is stealthy, and takes us by surprise, whether through an unseen snake’s venomous bite or a ripe apple’s alluring disguise. Psychological poison glides past our defenses, pervades our being, and wounds us where we are most vulnerable. We participate in our poisoning through our own unknowing, from toxic cognitions and rigid fixations to self-doubt and self-sabotage. Poison can transform us by stinging us into building the immunity of increased consciousness and insight. Reason and objectivity can act as antidotes, allowing old attitudes to dissolve and new awareness to arise. Whether a poison is injected or ingested, we can use it for cure.

Moral injury violates our sense of justice, loyalty, and meaning—and creates a storm in the soul. Those who directly affect others’ lives are most at risk of suffering irreconcilable conflicts between behavior and belief: military, police, medical, educational, and other human service providers. The purported “cost of doing business” also calls us to confront institutional shadow–moral injury does not belong to the individual alone. The integrity of organizational and community values plays an important part in condoning morally distressing situations—and should play a role in healing the injured. Conflicts between actions and values are inevitable in life, and the core of being human is our unique capacity for choice. There is no way to escape shadow, and we are more than our mistakes. They are neither our totality nor our destiny.