They Can’t Find Anything Wrong! Seven Keys to Understanding, Treating, and Healing Stress Illness

Kaiser Permanente, The Permanente Medical Group, The Permanente Federation


By David D Clarke, MD

Review by Erik K Fromme, MD

Spring 2008 - Volume 12 Number 2

https://doi.org/10.7812/TPP/07-049

They can't find anything wrong! Seven keys to understanding, treating, and healing stress illness describes the approach and techniques developed by physician David D Clarke, MD, in treating more than 7000 patients with "stress illness." For more than 20 years, Dr Clarke has taken referrals of patients with "medically unexplained" symptoms, who have generally already seen multiple health professionals bent on finding a biomedical explanation. Patients with medically unexplained symptoms have always existed, but with greater and greater advances in diagnostic technology they have become increasingly marginalized. The better we get at identifying the underlying mechanisms of disease, the more skeptical we are of patients for whom we "can't find anything wrong." Dr Clarke describes medically unexplained symptoms as a "blind spot in the health care system," but it might be more accurate to say that very few physicians have the knowledge, attitudes, and skills to successfully manage such patients.

TPJ Reader Survey

The Permanente Journal values your opinion. Please take this time to give us your input, which will help us to serve you better. Click here to complete the survey and for a chance to win one of two Apple Watches.

Circulation

25,000 print readers per quarter, 7,628 eTOC readers, and in 2016, 1.4 million page views on TPJ articles in PubMed from a broad international readership.

Subscriptions

The Permanente Journal (ISSN 1552-5767) is published quarterly by The Permanente Press. Journal subscriptions are entered for the calendar year. Advance payment in US dollars is required.

Letters

Articles, editorials, letters to the editor, and other material represent the opinion of the authors. Send your comments to permanente.journal@kp.org.


Copyright 2017 The Permanente Journal - Kaiser Permanente. All Rights Reserved.