Universidad Complutense de Madrid, Madrid, Spain.
J Med Philos. 2024 Nov 22;49(6):576-589. doi: 10.1093/jmp/jhae032.
Drawing on Catherine Malabou's notion of plasticity, this article argues for a conception of resilience as plastic. Resilience has proven an important concept in health care, describing how we manage life-changing illnesses. Yet, resilience is not without its critics, who suggest it neglects a political, social, or personal dimension in illness. In this article, I propose that a concept of plastic resilience can address these criticisms. On this account, success should not be based on a return to function, but rather on how actively we are involved in the formation of a new self after illness. I address some approaches that can benefit from "plastic resilience," namely, art therapy, expert companionship, and shared decision-making. In each case, I underline how we should help patients thematize and engage with their new selves, while also being constantly vigilant for how these changes might impact our current assumptions around their preferences for treatment.
本文借鉴了凯瑟琳·马兰博（Catherine Malabou）的可塑性概念，提出了将弹性概念理解为具有可塑性。弹性在医疗保健领域已经被证明是一个重要的概念，它描述了我们如何应对改变生活的疾病。然而，弹性并非没有批评者，他们认为它忽视了疾病的政治、社会或个人层面。在本文中，我提出，一个具有可塑性的弹性概念可以解决这些批评。在这种观点下，成功不应该基于功能的恢复，而应该基于我们在患病后如何积极地参与到新自我的形成过程中。我探讨了一些可以受益于“具有可塑性的弹性”的方法，即艺术治疗、专家陪伴和共同决策。在每种情况下，我都强调了我们应该如何帮助患者将自己的新身份主题化并与之互动，同时也要时刻警惕这些变化可能会如何影响我们目前对他们治疗偏好的假设。
