Freud's most famous case studies include Little Hans (1909a) and The Rat Man (1909b). Even today case histories
are one of the main methods of investigation in abnormal psychology and
psychiatry. For students of these disciplines they can give a vivid insight
into what those who suffer from mental illness often have to endure.Case
studies are often conducted in clinical medicine and involve collecting and
reporting descriptive information about a particular person or specific
environment, such as a school. 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.
In order to produce a fairly detailed and
comprehensive profile of the person, the psychologist may use various types of
accessible data, such as medical records, employer's reports, school reports or
psychological test results. 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. 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.
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. Interpreting the information means the researcher decides what to
include or leave out. A good case study should always make clear which
information is factual description and which is inference or the opinion of the
researcher.
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
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