Marriage as a site of psychological injury

Depression, panic, and moral injury in the lives of palestinian women with addicted husbands

Bibliographic Data

ID15414992
AuthorsBilal Hamamra (0000-0003-4375-0293, An-Najah National University, corresponding author), Iman Hammad (An-Najah National University), Nancy Zabadi (An-Najah National University)
Year2025
Pages1-18
Publication date2025-12-27
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Ethnicity in Substance Abuse (JOURNAL)
Journal identifiersISSN: 1533-2640 • E-ISSN: 1533-2659
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15332640.2025.2609270
PMID41454794
OpenAlexW7117371347
LanguageEN
Citations received1
References cited25

This study examines how addiction within marriage functions as a site of psychological injury for Palestinian women, generating depression, panic, and moral injury under conditions of secrecy, stigma, and social surveillance. Drawing on thematic analysis of 30 detailed testimonies from Palestinian women in digital peer support forums, the research examines the collapse of marital trust, the corrosion of intimacy, and the moral disorientation that addiction precipitates. Findings reveal that women endure betrayal, emotional withdrawal, and chronic vigilance, manifesting in anxiety, sleeplessness, and somatic complaints. Shame, cultural codes of honor, and fear of social judgment intensify isolation and suppress disclosure, while limited access to gender responsive services perpetuates distress. The concept of moral injury illuminates how deception, abandonment, and coerced silence violate women's core values, leaving wounds of conscience alongside fear-based trauma. Coping repertoires include prayer, secrecy management, selective disclosure, and strategic disengagement, often aimed at survival rather than transformation. By situating addiction within the intersecting pressures of patriarchy, occupation, and stigma, the study argues for culturally attuned interventions that prioritize -dignity, confidentiality, and community-based recognition of women's injuries

Addiction · Coping (psychology · Moral injury · Psychological intervention · Psychosocial · Secrecy · Silence · Sobriety · Social isolation · Thematic analysis · Grief, Bereavement, and Mental Health · Intimate Partner and Family Violence · Posttraumatic Stress Disorder Research

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