Case study methods may be of limited usefulness for drawing valid conclusions because

  • an in-depth study or one individual or small group, e.g. Bradshaw’s Carol or Lavarenne’s “Thursday Group”
  • the person or small group are usually interesting or unusual in some specific way, e.g. a group of patients who a re trialing a particular therapy.
  • case studies are often retrospective write ups which make a point or provide an example
  • they may be longitudinal, following the course of a disorder or a treatment for example.
  • different research methods including observation, interview, questionnaire, standardised test etc are used to collect the data; this is called method triangulation; researchers try to identify common themes from the findings of their different measures
  • the case history details the background of the person or small group under scrutiny and provides context
  • much of the data may be qualitative but some may also be quantitative as well
  • Case studies take an ideographic approach meaning they build a detailed picture that helps us to understand how this one person or one small group constructs their understanding of the world; this is in contrast to the nomothetic approach which involves quantitative data meaning inferential statistics can be used to test hypothesis (sceintific approach)

Strengths

  • The case study can be a comprehensive way of studying psychological phenomena-
    • the degree of detail and quantity of data collected means they may provide a better reflection of the issue being studied;
    • in comparison with laboratory experiments they provide greater insight into the range of individual differences seen within a data set
    • ideographic methods which look at individual differences can provide hypotheses which it might be possible to test in more scientific ways in the future
  • The case study can provide valid data
    • The person is studied within the context of their family and natural environment; findings have increased ecological validity; they are not contrived or artificial in any way
    • The data collected is not restricted in any way; when the researcher reveals something interesting, every opportunity can be followed up and further measurements taken unlike an experiment, questionnaire or structured interview
    • the use of method triangulation and collection of both qualitative and quantitative data means that weaknesses of one type of data or method are counteracted by the strengths of the other type of data and methods used, making for more meaningful, useful and accurate findings.
  • Although some claim that case studies are unscientific due to the weaknesses outlined below they do use research methods which are reliable such as standardised tests and questionnaires;
    • if another person was to conduct the tests on the person being studied at the same point then it is likely that the findings would be consistent

Weaknesses

  • Generalisation is highly limited, if not impossible
    • The study reflects the uniqueness of one individual and thus generalisation to others may be unjustified (think about individual differences in the ways our brains work due to neuroplasticity which takes place in interaction with our own unique environmental experiences.
  • Reliability difficult to prove
    • Replication may be difficult as exact circumstances are impossible to recreate
    • As it is difficult to show demonstrate the reliability of the findings, some would say this limits their usefulness and renders the study unscientific

Let’s Revise

Case study methods may be of limited usefulness for drawing valid conclusions because

  1. Carefully read this information again and create five multi-choice questions
  2. Swap your questions with a friend and test yourselves
  3. Now create a ‘fill in the gaps’ activity by deleting words and putting them into a box at the end of the document
  4. Swap your fill in the gaps with a friend and test yourselves again.
  5. Create a flashcard for case studies as used in psychology; do as much as you can from memory but don’t take a mistake on your card!
  6. Now answer the following question- allow yourself about 15 minutes:

Practice Question: Assess the usefulness of case studies as research method in clinical psychology (8 marks)

Challenge yourself:  Compare the use of case studies and experiments as research methods in psychology (8)

This handout forces you to integrate what you know about Lavarenne and /or Bradshaw to root your points clearly in clinical psychology. This is critical for Paper 2: case-studies-in-clinical-1

By Dr. Saul McLeod, updated 2019

What is a case study research method?

Case studies are in-depth investigations of a single person, group, event or community. Typically, data are gathered from a variety of sources and by using several different methods (e.g. observations & interviews).

The case study research method originated in clinical medicine (the case history, i.e. the patient’s personal history). In psychology, case studies are often confined to the study of a particular individual.

The information is mainly biographical and relates to events in the individual's past (i.e. retrospective), as well as to significant events which are currently occurring in his or her everyday life.

The case study is not itself a research method, but researchers select methods of data collection and analysis that will generate material suitable for case studies.

What is an example of a case study in psychology?

Case studies are widely used in psychology and amongst the best known were the ones carried out by Sigmund Freud, including Anna O and Little Hans.

Freud (1909a, 1909b) conducted very detailed investigations into the private lives of his patients in an attempt to both understand and help them overcome their illnesses. Even today case histories are one of the main methods of investigation in abnormal psychology and psychiatry.

This makes it clear that the case study is a method that should only be used by a psychologist, therapist or psychiatrist, i.e. someone with a professional qualification.

There is an ethical issue of competence. Only someone qualified to diagnose and treat a person can conduct a formal case study relating to atypical (i.e. abnormal) behavior or atypical development.

How is a case study conducted?

The procedure used in a case study means that the researcher provides a description of the behavior. This comes from interviews and other sources, such as observation.

The client also reports detail of events from his or her point of view. The researcher then writes up the information from both sources above as the case study, and interprets the information.

The research may also continue for an extended period of time, so processes and developments can be studied as they happen.

Amongst the sources of data the psychologist is likely to turn to when carrying out a case study are observations of a person’s daily routine, unstructured interviews with the participant herself (and with people who know her), diaries, personal notes (e.g. letters, photographs, notes) or official document (e.g. case notes, clinical notes, appraisal reports).

The case study method often involves simply observing what happens to, or reconstructing ‘the case history’ of a single participant or group of individuals (such as a school class or a specific social group), i.e. the idiographic approach.

The interview is also an extremely effective procedure for obtaining information about an individual, and it may be used to collect comments from the person's friends, parents, employer, workmates and others who have a good knowledge of the person, as well as to obtain facts from the person him or herself.

Most of this information is likely to be qualitative (i.e. verbal description rather than measurement) but the psychologist might collect numerical data as well.

How to analyze case study data

The data collected can be analyzed using different theories (e.g. grounded theory, interpretative phenomenological analysis, text interpretation, e.g. thematic coding).

All the approaches mentioned here use preconceived categories in the analysis and they are ideographic in their approach, i.e. they focus on the individual case without reference to a comparison group.

Interpreting the information means the researcher decides what to include or leave out. A good case study should always make clear which information is the factual description and which is an inference or the opinion of the researcher.

Strengths of Case Studies

  • Provides detailed (rich qualitative) information.
  • Provides insight for further research.
  • Permitting investigation of otherwise impractical (or unethical) situations.

Case studies allow a researcher to investigate a topic in far more detail than might be possible if they were trying to deal with a large number of research participants (nomothetic approach) with the aim of ‘averaging’.

Because of their in-depth, multi-sided approach case studies often shed light on aspects of human thinking and behavior that would be unethical or impractical to study in other ways.

Research which only looks into the measurable aspects of human behavior is not likely to give us insights into the subjective dimension to experience which is so important to psychoanalytic and humanistic psychologists.

Case studies are often used in exploratory research. They can help us generate new ideas (that might be tested by other methods). They are an important way of illustrating theories and can help show how different aspects of a person's life are related to each other.

The method is therefore important for psychologists who adopt a holistic point of view (i.e. humanistic psychologists).

Limitations of Case Studies

  • Lacking scientific rigour and providing little basis for generalization of results to the wider population.
  • Researchers' own subjective feeling may influence the case study (researcher bias).
  • Difficult to replicate.
  • Time-consuming and expensive.
  • The volume of data, together with the time restrictions in place, impacted on the depth of analysis that was possible within the available resources.

Because a case study deals with only one person/event/group we can never be sure if the case study investigated is representative of the wider body of "similar" instances. This means the the conclusions drawn from a particular case may not be transferable to other settings.

Because case studies are based on the analysis of qualitative (i.e. descriptive) data a lot depends on the interpretation the psychologist places on the information she has acquired.

This means that there is a lot of scope for observer bias and it could be that the subjective opinions of the psychologist intrude in the assessment of what the data means.

For example, Freud has been criticized for producing case studies in which the information was sometimes distorted to fit the particular theories about behavior (e.g. Little Hans).

This is also true of Money’s interpretation of the Bruce/Brenda case study (Diamond, 1997) when he ignored evidence that went against his theory.

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How to reference this article:

McLeod, S. A. (2019, August 03). Case study method. Simply Psychology. www.simplypsychology.org/case-study.html

APA Style References

Diamond, M., & Sigmundson, K. (1997). Sex Reassignment at Birth: Long-term Review and Clinical Implications. Archives of Pediatrics & Adolescent Medicine, 151(3), 298-304

Freud, S. (1909a). Analysis of a phobia of a five year old boy. In The Pelican Freud Library (1977), Vol 8, Case Histories 1, pages 169-306

Freud, S. (1909b). Bemerkungen über einen Fall von Zwangsneurose (Der "Rattenmann"). Jb. psychoanal. psychopathol. Forsch., I, p. 357-421; GW, VII, p. 379-463; Notes upon a case of obsessional neurosis, SE, 10: 151-318.

 Download this article as a PDF

How to reference this article:

McLeod, S. A. (2019, August 03). Case study method. Simply Psychology. www.simplypsychology.org/case-study.html

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