This article, starting from the psychotherapeutic experience with transplant patients, explores the success or failure of some individual and family psychotherapies with this specific category of patients. This peculiar context of psychotherapy, if, on one hand, acts as a catalyst of change triggered by the period of crisis associated with the disease, on the other hand it seems to induce patients and their families to recreate a pseudobalance around the disease and treatments. The emotional wave evoked by the disease seems to be able to create a movement functional to the family’s adjustment to the paranormative event, determining also the resolution of psychological disorders and symptoms initially classified as reactive at the onset of the organic pathology. The clinical experience in this field, however, leads us to think that this change and/or growth, during the care path of these patients, undergoes a block/relapse that brings the psychological symptomatology back when the clinical emergency ceases. This makes us wonder to what extent the reactive efforts of an individual or family, when it comes to illness, can be defined as resilience, and to what extent their failure can be defined as resistance to change.
Keywords: Resilience, reactive disorders, transplant, resistance to change.