Moral orienting systems: reconceptualizing moral injury as moral disorientation.

Current conceptualizations of moral injury are limited by a reactive, symptom-based focus that risks pathologizing what are often systemic failures. This paper proposes a shift from a "triage model" to a proactive framework of Moral Orienting Systems (MOS). We define a moral orienting system as the dynamic stabilizing interplay of meaningful values, beliefs, behaviors, and relationships that shape moral identity. Drawing on chaplaincy experiences and interdisciplinary theory, we argue that moral wellbeing is not a static trait but a dynamic relation between an individual's moral stress and the stability and strength of their moral orientation. When systemic strength is sufficient to metabolize stress, the result is moral affirmation; when overwhelmed, the result is moral disorientation. We contrast this framework with existing measures (e.g., MIES, MIOS) to highlight their limitations in capturing chronic, non-event-based moral erosion. Finally, we close by noting the need for a Moral Orienting System Assessment (MOSA) as an operational tool to map these vectors, offering a multi-actor case study to demonstrate how this framework might guide systemic intervention and moral reorientation.