Little is known about patients who chronically express work problems through medical complaints or who develop or exaggerate physical problems to avoid work, the authors say. In 1 973 a university-affiliated medical clinic set up a multidisciplinary work clinic to study and treat patients with work-related health problems. In general the clinic's first 18 patients showed emotional immaturity and social or psychiatric dysfunction, often severe. After treatment nine of the 18 returned to work, and two began vocational retraining and later took jobs. The authors believe that because of the close relationship between work and health, medical-care institutions must deal with work problems that patients present.