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When the Body Says No

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When the Body Says No

The Cost of Hidden Stress

de Gabor Maté, MD

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INTERNATIONAL BESTSELLER
From renowned mental health expert and speaker Dr. Gabor Maté, this acclaimed, bestselling guide provides insight into the mind-body link between illness and health, and the critical role that stress and our emotional makeup play in an array of common diseases.

In this accessible and groundbreaking book—filled with the moving stories of real people—medical doctor and bestselling author Gabor Maté shows that emotion and psychological stress play a powerful role in the onset of chronic illness, including breast cancer, prostate cancer, multiple sclerosis, Alzheimer's disease and many others.

An international bestseller translated into over thirty languages, When the Body Says No promotes learning and healing, providing transformative insights into how illlness can be the body's way of saying no to what the mind cannot or will not acknowledge. With great compassion and erudition, Dr. Maté demystifies medical science and empowers us all to be our own health advocates.

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From the cover A Note to the Reader

People have always understood intuitively that mind and body are not separable. Modernity has brought with it an unfortunate dissociation, a split between what we know with our whole being and what our thinking mind accepts as truth. Of these two kinds of knowledge the latter, narrower, kind most often wins out, to our loss.

It is a pleasure and a privilege, therefore, to bring in front of the reader the findings of modern science that reaffirm the intuitions of age-old wisdom. That was my primary goal in writing this book. My other purpose was to hold up a mirror to our stress-driven society so that we may recognize how, in myriad unconscious ways, we help generate the illnesses that plague us.

This is not a book of prescriptions, but I do hope it will serve its readers as a catalyst for personal transformation. Prescriptions come from the outside, transformation occurs within. There are many books of simple prescriptions of one sort or another — physical, emotional, spiritual — that appear each year. It was not my intention to write yet one more. Prescriptions assume that something needs to be fixed; transformation brings forth the healing — the coming to integrity, to wholeness — of what is already there. While advice and prescriptions may be useful, even more valuable to us is insight into ourselves and the workings of our minds and bodies. Insight, when inspired by the quest for truth, can promote transformation. For those seeking a healing message here, that message begins on page one with the very first case study. As the great physiologist Walter Cannon suggested, there is a wisdom in our bodies. I hope When the Body Says No will help people align with the inner wisdom we all possess.

Some of the case examples in this book are derived from published biographies or autobiographies of well-known persons. The majority are taken from my clinical experience or from taped discussions with people who agreed to be interviewed and quoted regarding their medical and personal histories. For privacy reasons, names (and, in some instances, other circumstances) have been changed.

To avoid making this work prohibitively academic for the lay reader, notes have been used only sparingly. References are provided for each chapter at the end of the book.
Italics, unless otherwise noted, are mine.

I welcome comments at my e-mail address: gmate@telus.net.

1
The Bermuda Triangle

Mary was a native woman in her early forties, slight of stature, gentle and deferential in manner. She had been my patient for eight years, along with her husband and three children. There was a shyness in her smile, a touch of self-deprecation. She laughed easily. When her ever-youthful face brightened, it was impossible not to respond in kind. My heart still warms — and constricts with sorrow — when I think of Mary.

Mary and I had never talked much until the illness that was to take her life gave its first signals. The beginning seemed innocent enough: a sewing-needle puncture wound on a fingertip failed over several months to heal. The problem was traced to Raynaud’s phenomenon, in which the small arteries supplying the fingers are narrowed, depriving the tissues of oxygen. Gangrene can set in, and unfortunately this was the case for Mary. Despite several hospitalizations and surgical procedures, she was within a year begging for an amputation to rid her of the throbbing ache in her finger. By the time she got her wish the disease was rampant, and powerful narcotics were inadequate in the face of her constant pain.

Raynaud’s can occur independently or in the wake of other disorders....

Au sujet de l’auteur-

Gabor Maté, a Vancouver physician, is the author of the bestselling book about attention deficit disorder, Scattered Minds. He has been a family physician for over twenty years, a palliative care specialist and a psychotherapist; he is also staff physician at a facility for street people in Vancouver’s downtown eastside. He was a long-time columnist for The Vancouver Sun and The Globe and Mail.

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Without slipping into melodrama, Daniel Mate's splendid reading conveys real empathy for patients suffering with chronic, difficult-to-treat medical disorders such as MS, arthritis, IBS, or cancer. He sounds equally engaged with the author's pleasingly philosophical abstractions, which he keeps down to earth with conversational phrasing and a caring vibe. It's a reading that helps plant the book's thought-provoking ideas in deep places. The writing, often poetic, offers a blend of research findings and case narratives that make a compelling case: When people suffer trauma and deprivation that they can't escape or talk about, the stress they internalize makes them vulnerable to illness. This moving audio lesson could open minds and hearts to new ways of viewing many types of chronic illness. T.W. © AudioFile 2012, Portland, Maine

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Daniel Maté

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