{"title":"对治疗过渡的象征性解读:对体现、意义和变化的理论反思。","authors":"Federica Marino","doi":"10.1007/s11019-026-10394-8","DOIUrl":null,"url":null,"abstract":"<p><p>Therapeutic transition is commonly framed within biomedical discourse as an instrumental modification aimed at optimizing clinical outcomes. While this perspective is indispensable for clinical decision-making, it captures only a limited dimension of what therapeutic change entails. This article proposes a symbolic-theoretical framework for understanding therapeutic transition as a meaningful reconfiguration of embodied experience rather than as a purely technical adjustment. Drawing on phenomenology, medical anthropology, narrative theory, and medical humanities, the paper reconceptualizes the body as an interpretative field through which therapeutic change is lived, negotiated, and integrated into personal identity. It argues that symbolic interpretation is not an optional supplement to biomedical explanation, but a structural necessity for articulating dimensions of therapeutic experience that resist outcome-based evaluation. On this basis, the article identifies a symbolic architecture of therapeutic transition composed of modulation, regulation, suspension, and persistence. These dimensions do not describe stages or trajectories, but recurring structural patterns through which change is experienced. Their configuration reveals the inherently asymmetrical and partial nature of therapeutic transformation, challenging totalizing models of healing. By foregrounding asymmetry, limits, and finitude, the paper reframes therapeutic transition as a process of meaningful adjustment rather than comprehensive resolution. It argues that attention to symbolic frameworks enriches medical understanding by clarifying the human limits within which therapeutic intervention operates, without opposing empirical medicine or undermining its epistemic authority.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"1139-1147"},"PeriodicalIF":3.6000,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A symbolic reading of therapeutic transition: a theoretical reflection on embodiment, meaning, and change.\",\"authors\":\"Federica Marino\",\"doi\":\"10.1007/s11019-026-10394-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Therapeutic transition is commonly framed within biomedical discourse as an instrumental modification aimed at optimizing clinical outcomes. While this perspective is indispensable for clinical decision-making, it captures only a limited dimension of what therapeutic change entails. This article proposes a symbolic-theoretical framework for understanding therapeutic transition as a meaningful reconfiguration of embodied experience rather than as a purely technical adjustment. Drawing on phenomenology, medical anthropology, narrative theory, and medical humanities, the paper reconceptualizes the body as an interpretative field through which therapeutic change is lived, negotiated, and integrated into personal identity. It argues that symbolic interpretation is not an optional supplement to biomedical explanation, but a structural necessity for articulating dimensions of therapeutic experience that resist outcome-based evaluation. On this basis, the article identifies a symbolic architecture of therapeutic transition composed of modulation, regulation, suspension, and persistence. These dimensions do not describe stages or trajectories, but recurring structural patterns through which change is experienced. Their configuration reveals the inherently asymmetrical and partial nature of therapeutic transformation, challenging totalizing models of healing. By foregrounding asymmetry, limits, and finitude, the paper reframes therapeutic transition as a process of meaningful adjustment rather than comprehensive resolution. It argues that attention to symbolic frameworks enriches medical understanding by clarifying the human limits within which therapeutic intervention operates, without opposing empirical medicine or undermining its epistemic authority.</p>\",\"PeriodicalId\":47449,\"journal\":{\"name\":\"Medicine Health Care and Philosophy\",\"volume\":\" \",\"pages\":\"1139-1147\"},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2026-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medicine Health Care and Philosophy\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://doi.org/10.1007/s11019-026-10394-8\",\"RegionNum\":2,\"RegionCategory\":\"哲学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2026/9/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"ETHICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicine Health Care and Philosophy","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1007/s11019-026-10394-8","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/9/9 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"ETHICS","Score":null,"Total":0}
A symbolic reading of therapeutic transition: a theoretical reflection on embodiment, meaning, and change.
Therapeutic transition is commonly framed within biomedical discourse as an instrumental modification aimed at optimizing clinical outcomes. While this perspective is indispensable for clinical decision-making, it captures only a limited dimension of what therapeutic change entails. This article proposes a symbolic-theoretical framework for understanding therapeutic transition as a meaningful reconfiguration of embodied experience rather than as a purely technical adjustment. Drawing on phenomenology, medical anthropology, narrative theory, and medical humanities, the paper reconceptualizes the body as an interpretative field through which therapeutic change is lived, negotiated, and integrated into personal identity. It argues that symbolic interpretation is not an optional supplement to biomedical explanation, but a structural necessity for articulating dimensions of therapeutic experience that resist outcome-based evaluation. On this basis, the article identifies a symbolic architecture of therapeutic transition composed of modulation, regulation, suspension, and persistence. These dimensions do not describe stages or trajectories, but recurring structural patterns through which change is experienced. Their configuration reveals the inherently asymmetrical and partial nature of therapeutic transformation, challenging totalizing models of healing. By foregrounding asymmetry, limits, and finitude, the paper reframes therapeutic transition as a process of meaningful adjustment rather than comprehensive resolution. It argues that attention to symbolic frameworks enriches medical understanding by clarifying the human limits within which therapeutic intervention operates, without opposing empirical medicine or undermining its epistemic authority.
期刊介绍:
Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.