Survival is not strength
The novel's spine is its argument with Nietzsche's maxim. The protagonist is called strong because she did not die — but the book shows that survival and strength are different things, and that conflating them erases the survivor's actual experience. Scenes of her performing wellness for others dramatize the gap between being called strong and feeling intact. The point: the aphorism comforts the people who say it more than the people it describes.
Characters:The protagonist