VICTORIA TIMES COLONIST
April 13 , 2003

Review by May Brown

The role of stress in physical illness is a complicated and controversial subject, and one on which Vancouver physician Dr. Gabor Maté offers some interesting views in his book When the Body Says No: The Cost of Hidden Stress (Knopf Canada, 300 pages, $36.95).

After years as a family physician, palliative care specialist and psychotherapist, Maté is currently staff physician at a facility for street people in Vancouver's Downtown Eastside.

He is also the author of Scattered Minds, a book about attention deficit disorder, and has just co-authored a book on parenting with Vancouver developmental psychologist Dr. Gordon Neufeld.

n When the Body Says No, Maté draws on the stories of patients he has seen over the years, as well as some high profile figures such as baseball player Lou Gehrig.

Their illnesses range from asthma, rheumatoid arthritic and lupus to cancer and ALS, and by sharing details of their personal Iives, Maté aims to show how stress and repressed emotion (particularly anger) impact the body's ability to combat physical illness.

The subject is so complex, and generates so many questions, that even writing a review of the book is difficult to do in a limited space.

The average reader may have some difficulty with the medical explanations, although Maté does a credible job, but more absorbing are the patients' stories, which illustrate Maté's theories in a human, compassionate way.

Similarly, his list of The Seven A's of Healing, from acceptance to affirmation, provide an easy-to-follow guideline at the end of the book.

The index offers not only page numbers but also, in many cases, definitions and descriptions.
So does Maté effectively make his point?

Do we come away from this book believing that causes illness, and do we leave equipped with what it takes to prevent or cope with disease?

The book is well presented, compelling and provides food for thought, but, as anyone with chronic illness knows, there are no easy answers.

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