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Transformational healing: the phenomenology of fulfilment in the face of adversity
  1. Drew Leder1,
  2. Kevin Aho2
  1. 1Philosophy, Loyola University Maryland College of Arts and Sciences, Baltimore, Maryland, USA
  2. 2Communications and Philosophy, Florida Gulf Coast University College of Arts and Sciences, Fort Myers, Florida, USA
  1. Correspondence to Dr Kevin Aho, Communications and Philosophy, Florida Gulf Coast University College of Arts and Sciences, Fort Myers, Florida, USA; kaho{at}fgcu.edu

Abstract

In the last two decades, there has been an explosion of scholarship in the phenomenology of health and illness of great practical significance for clinicians and the allied health professions. ‘Healing’ has been distinguished from medical ‘cure’ insofar as it involves a process of existential re-integration even in the face of ongoing illness and incapacity. This article goes further than much existing literature in the field: it examines ways in which illness can trigger for some ‘transformational healing’—that is, not simply a return to previous functioning, but positive alterations that open one’s life to enhanced fulfilment, authenticity and/or connection. Using philosophical resources and ‘pathographies’, first-person accounts of illness and healing, we examine six forms, often interconnected, of transformational healing. These involve, in turn: vulnerability, intimacy, resilience, presence, gratitude and transcendence. In placing a spotlight on ways in which serious illness, injury and disability can inform positive transformations, we are not minimising the suffering often associated with such conditions. Nonetheless, many individuals experience life-enhancements despite, or even because of, the effects of suffering which can reveal personal strengths, deepened intimacy with others and heightened appreciation of life. The possibility of transformational healing, while far from a universal experience, has personal, philosophical and clinical significance not to be overlooked.

  • philosophy of medicine/health care
  • medical ethics/bioethics
  • Medical humanities
  • patient narratives
  • narrative medicine

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Footnotes

  • Collaborators Not applicable.

  • Contributors Co-authors contributed equally to the research and writing of the paper. DL should be listed as lead author. KA is the guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; externally peer reviewed.