case study benefits psychology

• Bipolar Disorder
• Therapy Center
• When To See a Therapist
• Types of Therapy
• Best Online Therapy
• Best Couples Therapy
• Best Family Therapy
• Managing Stress
• Sleep and Dreaming
• Understanding Emotions
• Self-Improvement
• Healthy Relationships
• Student Resources
• Personality Types
• Guided Meditations
• Verywell Mind Insights
• 2024 Verywell Mind 25
• Mental Health in the Classroom
• Editorial Process
• Meet Our Review Board
• Crisis Support

What Is a Case Study?

Weighing the pros and cons of this method of research

Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

Cara Lustik is a fact-checker and copywriter.

Verywell / Colleen Tighe

• Pros and Cons

What Types of Case Studies Are Out There?

Where do you find data for a case study, how do i write a psychology case study.

A case study is an in-depth study of one person, group, or event. In a case study, nearly every aspect of the subject's life and history is analyzed to seek patterns and causes of behavior. Case studies can be used in many different fields, including psychology, medicine, education, anthropology, political science, and social work.

The point of a case study is to learn as much as possible about an individual or group so that the information can be generalized to many others. Unfortunately, case studies tend to be highly subjective, and it is sometimes difficult to generalize results to a larger population.

While case studies focus on a single individual or group, they follow a format similar to other types of psychology writing. If you are writing a case study, we got you—here are some rules of APA format to reference.  

At a Glance

A case study, or an in-depth study of a person, group, or event, can be a useful research tool when used wisely. In many cases, case studies are best used in situations where it would be difficult or impossible for you to conduct an experiment. They are helpful for looking at unique situations and allow researchers to gather a lot of˜ information about a specific individual or group of people. However, it's important to be cautious of any bias we draw from them as they are highly subjective.

What Are the Benefits and Limitations of Case Studies?

A case study can have its strengths and weaknesses. Researchers must consider these pros and cons before deciding if this type of study is appropriate for their needs.

One of the greatest advantages of a case study is that it allows researchers to investigate things that are often difficult or impossible to replicate in a lab. Some other benefits of a case study:

• Allows researchers to capture information on the 'how,' 'what,' and 'why,' of something that's implemented
• Gives researchers the chance to collect information on why one strategy might be chosen over another
• Permits researchers to develop hypotheses that can be explored in experimental research

On the other hand, a case study can have some drawbacks:

• It cannot necessarily be generalized to the larger population
• Cannot demonstrate cause and effect
• It may not be scientifically rigorous
• It can lead to bias

Researchers may choose to perform a case study if they want to explore a unique or recently discovered phenomenon. Through their insights, researchers develop additional ideas and study questions that might be explored in future studies.

It's important to remember that the insights from case studies cannot be used to determine cause-and-effect relationships between variables. However, case studies may be used to develop hypotheses that can then be addressed in experimental research.

Case Study Examples

There have been a number of notable case studies in the history of psychology. Much of  Freud's work and theories were developed through individual case studies. Some great examples of case studies in psychology include:

• Anna O : Anna O. was a pseudonym of a woman named Bertha Pappenheim, a patient of a physician named Josef Breuer. While she was never a patient of Freud's, Freud and Breuer discussed her case extensively. The woman was experiencing symptoms of a condition that was then known as hysteria and found that talking about her problems helped relieve her symptoms. Her case played an important part in the development of talk therapy as an approach to mental health treatment.
• Phineas Gage : Phineas Gage was a railroad employee who experienced a terrible accident in which an explosion sent a metal rod through his skull, damaging important portions of his brain. Gage recovered from his accident but was left with serious changes in both personality and behavior.
• Genie : Genie was a young girl subjected to horrific abuse and isolation. The case study of Genie allowed researchers to study whether language learning was possible, even after missing critical periods for language development. Her case also served as an example of how scientific research may interfere with treatment and lead to further abuse of vulnerable individuals.

Such cases demonstrate how case research can be used to study things that researchers could not replicate in experimental settings. In Genie's case, her horrific abuse denied her the opportunity to learn a language at critical points in her development.

This is clearly not something researchers could ethically replicate, but conducting a case study on Genie allowed researchers to study phenomena that are otherwise impossible to reproduce.

There are a few different types of case studies that psychologists and other researchers might use:

• Collective case studies : These involve studying a group of individuals. Researchers might study a group of people in a certain setting or look at an entire community. For example, psychologists might explore how access to resources in a community has affected the collective mental well-being of those who live there.
• Descriptive case studies : These involve starting with a descriptive theory. The subjects are then observed, and the information gathered is compared to the pre-existing theory.
• Explanatory case studies : These   are often used to do causal investigations. In other words, researchers are interested in looking at factors that may have caused certain things to occur.
• Exploratory case studies : These are sometimes used as a prelude to further, more in-depth research. This allows researchers to gather more information before developing their research questions and hypotheses .
• Instrumental case studies : These occur when the individual or group allows researchers to understand more than what is initially obvious to observers.
• Intrinsic case studies : This type of case study is when the researcher has a personal interest in the case. Jean Piaget's observations of his own children are good examples of how an intrinsic case study can contribute to the development of a psychological theory.

The three main case study types often used are intrinsic, instrumental, and collective. Intrinsic case studies are useful for learning about unique cases. Instrumental case studies help look at an individual to learn more about a broader issue. A collective case study can be useful for looking at several cases simultaneously.

The type of case study that psychology researchers use depends on the unique characteristics of the situation and the case itself.

There are a number of different sources and methods that researchers can use to gather information about an individual or group. Six major sources that have been identified by researchers are:

• Archival records : Census records, survey records, and name lists are examples of archival records.
• Direct observation : This strategy involves observing the subject, often in a natural setting . While an individual observer is sometimes used, it is more common to utilize a group of observers.
• Documents : Letters, newspaper articles, administrative records, etc., are the types of documents often used as sources.
• Interviews : Interviews are one of the most important methods for gathering information in case studies. An interview can involve structured survey questions or more open-ended questions.
• Participant observation : When the researcher serves as a participant in events and observes the actions and outcomes, it is called participant observation.
• Physical artifacts : Tools, objects, instruments, and other artifacts are often observed during a direct observation of the subject.

If you have been directed to write a case study for a psychology course, be sure to check with your instructor for any specific guidelines you need to follow. If you are writing your case study for a professional publication, check with the publisher for their specific guidelines for submitting a case study.

Here is a general outline of what should be included in a case study.

Section 1: A Case History

This section will have the following structure and content:

Background information : The first section of your paper will present your client's background. Include factors such as age, gender, work, health status, family mental health history, family and social relationships, drug and alcohol history, life difficulties, goals, and coping skills and weaknesses.

Description of the presenting problem : In the next section of your case study, you will describe the problem or symptoms that the client presented with.

Describe any physical, emotional, or sensory symptoms reported by the client. Thoughts, feelings, and perceptions related to the symptoms should also be noted. Any screening or diagnostic assessments that are used should also be described in detail and all scores reported.

Your diagnosis : Provide your diagnosis and give the appropriate Diagnostic and Statistical Manual code. Explain how you reached your diagnosis, how the client's symptoms fit the diagnostic criteria for the disorder(s), or any possible difficulties in reaching a diagnosis.

Section 2: Treatment Plan

This portion of the paper will address the chosen treatment for the condition. This might also include the theoretical basis for the chosen treatment or any other evidence that might exist to support why this approach was chosen.

• Cognitive behavioral approach : Explain how a cognitive behavioral therapist would approach treatment. Offer background information on cognitive behavioral therapy and describe the treatment sessions, client response, and outcome of this type of treatment. Make note of any difficulties or successes encountered by your client during treatment.
• Humanistic approach : Describe a humanistic approach that could be used to treat your client, such as client-centered therapy . Provide information on the type of treatment you chose, the client's reaction to the treatment, and the end result of this approach. Explain why the treatment was successful or unsuccessful.
• Psychoanalytic approach : Describe how a psychoanalytic therapist would view the client's problem. Provide some background on the psychoanalytic approach and cite relevant references. Explain how psychoanalytic therapy would be used to treat the client, how the client would respond to therapy, and the effectiveness of this treatment approach.
• Pharmacological approach : If treatment primarily involves the use of medications, explain which medications were used and why. Provide background on the effectiveness of these medications and how monotherapy may compare with an approach that combines medications with therapy or other treatments.

This section of a case study should also include information about the treatment goals, process, and outcomes.

When you are writing a case study, you should also include a section where you discuss the case study itself, including the strengths and limitiations of the study. You should note how the findings of your case study might support previous research. 

In your discussion section, you should also describe some of the implications of your case study. What ideas or findings might require further exploration? How might researchers go about exploring some of these questions in additional studies?

Need More Tips?

Here are a few additional pointers to keep in mind when formatting your case study:

• Never refer to the subject of your case study as "the client." Instead, use their name or a pseudonym.
• Read examples of case studies to gain an idea about the style and format.
• Remember to use APA format when citing references .

Crowe S, Cresswell K, Robertson A, Huby G, Avery A, Sheikh A. The case study approach .  BMC Med Res Methodol . 2011;11:100.

Crowe S, Cresswell K, Robertson A, Huby G, Avery A, Sheikh A. The case study approach . BMC Med Res Methodol . 2011 Jun 27;11:100. doi:10.1186/1471-2288-11-100

Gagnon, Yves-Chantal.  The Case Study as Research Method: A Practical Handbook . Canada, Chicago Review Press Incorporated DBA Independent Pub Group, 2010.

Yin, Robert K. Case Study Research and Applications: Design and Methods . United States, SAGE Publications, 2017.

By Kendra Cherry, MSEd Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

Understanding the Importance of Case Studies in Psychology

Case studies play a crucial role in the field of psychology, providing researchers with valuable insights into human behavior and mental processes. From providing real-life examples to generating hypotheses and analyzing rare phenomena, case studies offer a deep dive into the complexities of the human mind.

But how are these studies conducted, and what are the different types? In this article, we will explore the significance of case studies in psychology, their methodology, and the various types that researchers utilize in their work.

• Case studies provide real-life examples to support theories and concepts in psychology.
• They allow for in-depth analysis of individual experiences, thoughts, and behaviors.
• Case studies help generate hypotheses and provide insight into rare phenomena, making them valuable in research.
• 1 What Are Case Studies in Psychology?
• 2.1 Provide Real-life Examples
• 2.2 Allow for In-depth Analysis
• 2.3 Help in Generating Hypotheses
• 2.4 Provide Insight into Rare Phenomena
• 2.5 Can be Used in Ethically Sensitive Situations
• 3.1 Selecting a Case
• 3.2 Collecting Data
• 3.3 Analyzing Data
• 3.4 Reporting Findings
• 4.1 Descriptive Case Studies
• 4.2 Exploratory Case Studies
• 4.3 Explanatory Case Studies
• 4.4 Collective Case Studies
• 4.5 Single-Case Studies
• 4.6 Multiple-Case Studies
• 5.1 What are case studies in psychology?
• 5.2 Why are case studies important in psychology?
• 5.3 How do case studies help in understanding psychology?
• 5.4 What are the benefits of using case studies in psychology?
• 5.5 Can case studies be used to generalize findings?
• 5.6 What are the limitations of using case studies in psychology?

What Are Case Studies in Psychology?

Case studies in psychology refer to detailed investigations of a single individual, group, or event to explore underlying principles and behaviors.

These studies are conducted to gain a deeper understanding of specific psychological phenomena and provide valuable insights into the complexities of human behavior. By focusing on a particular subject, researchers are able to examine real-world scenarios in depth, uncovering unique aspects that may not be captured through larger-scale studies.

The purpose of case studies in psychology is not only to analyze specific cases but also to draw broader conclusions and develop theories that can contribute to the advancement of psychological knowledge. They serve as a crucial tool in the research process, allowing researchers to examine complex interactions and variables within a controlled framework.

Why Are Case Studies Important in Psychology?

Case studies hold significant importance in psychology due to their ability to provide detailed insights into individual behavior and psychological phenomena.

Through case studies , psychologists can delve deep into the unique circumstances surrounding a particular person or group, shedding light on complex psychological processes that may not be easily observable in large-scale research.

These in-depth examinations enable researchers to explore rare phenomena that may not be commonly encountered in everyday life, offering a valuable opportunity to study and understand the complexities of human behavior.

Case studies play a crucial role in generating hypotheses for further investigation, laying the groundwork for more extensive research studies.

Provide Real-life Examples

Case studies in psychology offer real-life examples that allow researchers and practitioners to apply theoretical concepts to actual scenarios, a practice famously exemplified by Sigmund Freud in his clinical work.

Freud’s use of case studies, such as the famous ‘Anna O.’ case, revolutionized how psychologists understand and treat mental disorders.

These in-depth investigations delve into an individual’s thoughts, emotions, and behaviors, providing rich data for analyzing psychological principles in action.

By examining specific cases, professionals can gain insights into varying mental health conditions, like schizophrenia, PTSD, or phobias.

Allow for In-depth Analysis

Case studies enable researchers to conduct in-depth analyses of complex psychological phenomena, facilitating detailed data collection and rigorous analysis methods.

By delving deeply into individual cases, researchers can gather rich, detailed information that may not be accessible through other research methods.

Data collection techniques such as interviews, observations, and archival research are commonly employed to gather comprehensive data.

Analytical approaches such as thematic analysis, content analysis, and grounded theory are then utilized to interpret the gathered information and derive meaningful insights.

Through this intricate process, researchers can uncover nuanced patterns, behaviors, and underlying psychological dynamics, leading to qualitative research that offers valuable insights into human behavior and cognition.

Help in Generating Hypotheses

Case studies play a key role in generating hypotheses within psychology by providing rich qualitative data that can inform diagnostic processes and research directions.

These in-depth analyses of individual cases allow researchers to delve into specific behaviors, experiences, and psychological phenomena, offering detailed insights that can lead to the formulation of new theories or test existing hypotheses.

• By examining unique cases, psychologists can identify patterns, outliers, and uncommon manifestations that expand their understanding of mental health conditions and human behavior.
• The flexibility of case study research methods enables researchers to adapt their approach to each unique case, accommodating the complex and intricate nature of psychological disorders.

This nuanced exploration of individual experiences and symptoms contributes significantly to the development of accurate diagnostic criteria and effective treatment strategies, enhancing the overall quality of psychological research and clinical practice.

Provide Insight into Rare Phenomena

Case studies offer valuable insights into rare psychological phenomena that may not be easily captured through traditional research methods, such as the application of cognitive behavioral therapy in exceptional cases.

These in-depth examinations of individual cases allow researchers to delve deeper into unique psychological abnormalities that may defy standard treatment strategies. For instance, rare cases of dissociative identity disorder have shown remarkable progress with the implementation of cognitive behavioral therapy , shedding light on the potential effectiveness of this unconventional approach. Through detailed narratives of patient experiences and therapeutic interventions, case studies provide a rich source of information for psychologists and therapists alike, offering a nuanced understanding of complex psychological conditions.

Can be Used in Ethically Sensitive Situations

Case studies are instrumental in addressing ethically sensitive situations within psychology, ensuring the competence and adherence to ethical guidelines in clinical practice and research.

In the realm of clinical settings, it is imperative for psychologists to uphold the highest ethical standards when dealing with delicate ethical dilemmas that may arise. By diving into case studies, professionals can gain valuable insights into the complexities of ethical decision-making processes. For a better understanding of the importance of case studies in psychology, you can refer to this external link .

The application of ethical principles plays a fundamental role in safeguarding the welfare of clients and maintaining trust in the therapeutic relationship. Ethical considerations serve as the moral compass guiding psychologists in navigating intricate scenarios that may challenge their professional integrity.

How Are Case Studies Conducted in Psychology?

Case studies in psychology are conducted through a systematic process involving the selection of a case, data collection, thorough analysis, and comprehensive reporting of findings.

Regarding selecting a case for a psychological study, researchers typically look for rich and detailed examples that can provide valuable insights into specific phenomena or conditions. This selection process often involves careful consideration of factors such as uniqueness, relevance to the research question, and the availability of information.

Data collection methods in psychological case studies can vary, ranging from structured interviews and observations to psychological tests and document analysis. These methods aim to gather comprehensive and reliable data that can offer a deep understanding of the case under investigation.

Once the data is collected, researchers employ various analytical approaches, such as thematic analysis, content analysis, or grounded theory, to identify patterns, themes, and relationships within the data. These analytical techniques help in uncovering significant findings and drawing meaningful conclusions.

Selecting a Case

The initial step in conducting a case study in psychology involves selecting an individual case with a compelling personal history that aligns with the research objectives.

It is paramount to consider the individual’s background, experiences, and unique attributes when choosing a case.

• Assessing the personal history of the case subject can provide valuable insights into potential factors contributing to their current situation.
• Ensuring that the research objectives are in harmony with the characteristics of the chosen case helps maintain relevance and coherence in the study.
• Each case has its own complexities, challenges, and dynamics that can offer rich material for analysis and interpretation.

Therefore, a thorough evaluation of the personal history, alignment with research goals, and distinct qualities of the case individual are crucial steps in the selection process for a psychological case study.

Collecting Data

Data collection in psychological case studies involves various methods such as observational studies , archival record reviews, and direct interviews to gather comprehensive information about the case.

Observational studies, one of the primary data collection techniques in psychological case studies, involve the systematic observation of individuals in their natural environment to understand their behavior and interactions. Researchers closely analyze and document these observations to gain insights into the case under study.

Archival record reviews play a crucial role in accessing historical information related to the case. Researchers sift through records such as medical reports, school transcripts, or legal documents to gather valuable data that provides context and background for the case.

Interview methods offer researchers the opportunity to delve deeper into the case by directly interacting with the individuals involved. Through structured or semi-structured interviews, researchers can gather detailed accounts, emotions, and perspectives, enriching the understanding of the case.

Analyzing Data

Data analysis in psychological case studies involves rigorous examination methods such as interpretative phenomenological analysis to derive meaningful insights from collected information.

This approach aims to uncover underlying themes and patterns within the data, allowing researchers to delve deep into the subjective experiences of individuals studied. Through thematic coding practices, researchers categorize and organize data based on recurring themes or concepts, facilitating a systematic analysis process. By employing analytical rigor and attention to detail, researchers can extract valuable insights that contribute to a more profound understanding of the psychological phenomena under investigation.

Reporting Findings

Reporting findings in psychological case studies follows established guidelines such as the APA format, ensuring clear and concise documentation of the research outcomes and clinical observations.

Following the APA format standards is crucial in the field of psychology as it provides a structured framework for presenting research data and insights. By adhering to these guidelines, researchers can enhance the credibility and reproducibility of their findings, fostering transparency in the scientific community.

The meticulous reporting of results not only aids in the replication of studies but also facilitates the integration of new knowledge into existing theories and practices. Maintaining consistency in clinical documentation allows for effective communication among professionals, promoting collaborative efforts in advancing psychological research.

What Are the Different Types of Case Studies in Psychology?

In psychology, various types of case studies exist, including descriptive case studies that aim to provide detailed accounts and explanatory case studies that focus on understanding underlying psychological mechanisms.

Descriptive case studies often involve extensive qualitative data collection through methods such as interviews, observations, and document analysis to present a rich narrative of an individual’s experiences or behaviors.

On the other hand, explanatory case studies delve deeper into the causal relationships between variables, seeking to uncover the reasons behind certain psychological phenomena or behaviors.

While descriptive studies offer a comprehensive portrayal, explanatory studies strive to unravel the ‘why’ and ‘how’ aspects, shedding light on the mechanisms at play in complex psychological processes.

Descriptive Case Studies

Descriptive case studies in psychology involve detailed observations and analyses of individual cases to provide comprehensive insights into behavior and psychological processes.

Observational research methods play a crucial role in conducting descriptive case studies, allowing researchers to directly observe and document the behaviors and responses of the individuals under study. These methods often involve naturalistic observations in real-life settings, providing rich and nuanced data for analysis. Researchers often employ thematic coding practices to categorize and analyze the qualitative data collected during these observations, identifying recurring themes and patterns within the behavior of the case subjects.

Exploratory Case Studies

Exploratory case studies in psychology aim to delve into new areas of research, employing thematic coding to identify patterns and themes within the collected data.

Thematic coding, a crucial methodology in these studies, involves categorizing data based on recurring themes and concepts that emerge during analysis. This process allows researchers to uncover hidden connections and gain deeper insight into the phenomena under investigation.

Longitudinal studies, often utilized in exploratory research, provide a temporal perspective by tracking changes and developments over an extended period. This longitudinal approach enables researchers to observe how patterns evolve over time, offering a more comprehensive understanding of complex psychological processes.

Explanatory Case Studies

Explanatory case studies in psychology focus on understanding the underlying psychological phenomena through interpretative phenomenological analysis, uncovering the complexities of individual behavior.

By utilizing interpretative phenomenological analysis methods, researchers can delve deep into the subjective experiences and perceptions of participants, providing rich insights into the intricate workings of the human mind. These case studies serve as valuable tools for theory testing approaches, allowing psychologists to explore the applicability and validity of existing theories in real-world contexts.

The theoretical interpretations derived from these studies help in advancing our understanding of psychological processes, shedding light on factors that influence behavior, emotions, and cognition. Through detailed qualitative analysis, researchers can capture the nuances and subtleties of individual differences and diverse psychological phenomena, contributing to the broader field of psychology.

Collective Case Studies

Collective case studies in psychology involve the examination of multiple cases or a group of individuals over an extended period, often utilizing longitudinal study designs to capture developmental changes.

The primary goal of collective case studies is to provide a comprehensive understanding of specific phenomena by observing patterns across different cases. By analyzing these cases simultaneously, researchers can gain insights into shared experiences, unique outcomes, and variations that might occur within the group.

Longitudinal study frameworks in collective case studies allow researchers to track changes over time, providing valuable data on long-term behavioral patterns and psychological development.

Cross-sectional comparisons, on the other hand, enable researchers to compare different cases at a specific point in time, helping identify similarities, differences, and potential factors influencing group dynamics.

Single-Case Studies

Single-case studies in psychology focus on individual cases, allowing for a detailed examination of unique behaviors and psychological patterns while addressing potential researcher biases.

By diving into a single individual’s experience, researchers can gain in-depth insights into specific behaviors and responses. This approach enables a focused analysis of the complexities that may not be observable in larger samples, leading to a nuanced understanding of psychological phenomena.

Scientific rigor plays a crucial role in single-case studies, requiring meticulous observation, documentation, and interpretation to uphold the validity and reliability of findings.

Attention to ethical considerations is paramount in these studies, ensuring the well-being and autonomy of the participant while maintaining the integrity of the research process. Researchers must also navigate the limitations inherent in single-case studies, such as generalizability issues and the need for robust experimental controls to establish causal relationships.

Multiple-Case Studies

Multiple-case studies in psychology involve the comparison of several cases to identify commonalities, differences, and patterns, allowing for generalizations within specific contexts.

When conducting multiple-case studies, researchers typically aim to extend beyond individual case analyses to explore overarching themes and patterns that may apply to a larger population or phenomenon.

By utilizing comparative analysis, researchers can delve into the nuances of each case, observing the interplay of various factors and variables that contribute to specific outcomes.

Through this method, researchers can test existing theories, refine hypotheses, and develop new insights that contribute to the broader understanding of complex psychological phenomena.

Frequently Asked Questions

What are case studies in psychology.

Case studies in psychology involve in-depth analysis and examination of an individual, group, or event, usually to understand underlying psychological principles and phenomena.

Why are case studies important in psychology?

Case studies provide detailed and specific information about an individual or group, allowing researchers to gain a deep understanding of complex psychological processes and behaviors.

How do case studies help in understanding psychology?

Case studies help in understanding psychology by providing real-world examples of psychological theories and concepts, making them easier to comprehend and apply.

What are the benefits of using case studies in psychology?

Case studies offer a rich source of data, provide insights into rare or unusual cases, and allow for the exploration of complex and multifaceted phenomena in a real-world context.

Can case studies be used to generalize findings?

No, case studies are not meant to be used for generalization as they focus on a specific individual or group and do not represent the entire population. However, they can be used to generate hypotheses for future research.

What are the limitations of using case studies in psychology?

Some limitations of case studies include potential bias from the researcher, difficulty in replicating results, and lack of control over variables. Additionally, they may not be generalizable to the broader population.

Rachel Liu, a social psychologist, examines the influence of societal and cultural factors on individual behavior. Her research has spanned topics from group dynamics and social identity to the psychological impacts of social media. Rachel’s writing aims to illuminate the ways in which social environments shape our thoughts, feelings, and actions, offering insights into improving interpersonal relationships and fostering inclusive communities.

Similar Posts

The Basics of Biofeedback in Psychology: Understanding the Mind-Body Connection

The article was last updated by Rachel Liu on February 4, 2024. Have you ever wondered how your mind and body are connected? Biofeedback in…

Understanding CPI in Psychology: Definition and Significance

The article was last updated by Alicia Rhodes on February 4, 2024. Curious about what CPI in psychology is all about? This article will delve…

Approaches to Studying the Brain in Psychology

The article was last updated by Nicholas Reed on February 4, 2024. The study of the brain is crucial in the field of psychology, as…

Understanding the Impact of Wording Effects in Psychology

The article was last updated by Marcus Wong on February 9, 2024. Have you ever wondered how the words we use can influence our thoughts,…

Analyzing the Dodo Bird Effect in Psychology

The article was last updated by Dr. Henry Foster on February 5, 2024. Have you ever heard of the Dodo Bird Effect in psychology? This…

Understanding the ABAB Design in Psychology: Applications in Research

The article was last updated by Julian Torres on February 9, 2024. Are you curious about the ABAB design in psychology and how it is…

What Is a Case Study in Psychology?

Categories Research Methods

A case study is a research method used in psychology to investigate a particular individual, group, or situation in depth . It involves a detailed analysis of the subject, gathering information from various sources such as interviews, observations, and documents.

In a case study, researchers aim to understand the complexities and nuances of the subject under investigation. They explore the individual’s thoughts, feelings, behaviors, and experiences to gain insights into specific psychological phenomena. 

This type of research can provide great detail regarding a particular case, allowing researchers to examine rare or unique situations that may not be easily replicated in a laboratory setting. They offer a holistic view of the subject, considering various factors influencing their behavior or mental processes. 

By examining individual cases, researchers can generate hypotheses, develop theories, and contribute to the existing body of knowledge in psychology. Case studies are often utilized in clinical psychology, where they can provide valuable insights into the diagnosis, treatment, and outcomes of specific psychological disorders. 

Case studies offer a comprehensive and in-depth understanding of complex psychological phenomena, providing researchers with valuable information to inform theory, practice, and future research.

Table of Contents

Examples of Case Studies in Psychology

Case studies in psychology provide real-life examples that illustrate psychological concepts and theories. They offer a detailed analysis of specific individuals, groups, or situations, allowing researchers to understand psychological phenomena better. Here are a few examples of case studies in psychology: 

Phineas Gage

This famous case study explores the effects of a traumatic brain injury on personality and behavior. A railroad construction worker, Phineas Gage survived a severe brain injury that dramatically changed his personality.

This case study helped researchers understand the role of the frontal lobe in personality and social behavior. 

Little Albert

Conducted by behaviorist John B. Watson, the Little Albert case study aimed to demonstrate classical conditioning. In this study, a young boy named Albert was conditioned to fear a white rat by pairing it with a loud noise.

This case study provided insights into the process of fear conditioning and the impact of early experiences on behavior. 

Genie’s case study focused on a girl who experienced extreme social isolation and deprivation during her childhood. This study shed light on the critical period for language development and the effects of severe neglect on cognitive and social functioning. 

These case studies highlight the value of in-depth analysis and provide researchers with valuable insights into various psychological phenomena. By examining specific cases, psychologists can uncover unique aspects of human behavior and contribute to the field’s knowledge and understanding.

Types of Case Studies in Psychology

Psychology case studies come in various forms, each serving a specific purpose in research and analysis. Understanding the different types of case studies can help researchers choose the most appropriate approach. 

Descriptive Case Studies

These studies aim to describe a particular individual, group, or situation. Researchers use descriptive case studies to explore and document specific characteristics, behaviors, or experiences.

For example, a descriptive case study may examine the life and experiences of a person with a rare psychological disorder. 

Exploratory Case Studies

Exploratory case studies are conducted when there is limited existing knowledge or understanding of a particular phenomenon. Researchers use these studies to gather preliminary information and generate hypotheses for further investigation.

Exploratory case studies often involve in-depth interviews, observations, and analysis of existing data. 

Explanatory Case Studies

These studies aim to explain the causal relationship between variables or events. Researchers use these studies to understand why certain outcomes occur and to identify the underlying mechanisms or processes.

Explanatory case studies often involve comparing multiple cases to identify common patterns or factors. 

Instrumental Case Studies

Instrumental case studies focus on using a particular case to gain insights into a broader issue or theory. Researchers select cases that are representative or critical in understanding the phenomenon of interest.

Instrumental case studies help researchers develop or refine theories and contribute to the general knowledge in the field. 

By utilizing different types of case studies, psychologists can explore various aspects of human behavior and gain a deeper understanding of psychological phenomena. Each type of case study offers unique advantages and contributes to the overall body of knowledge in psychology.

How to Collect Data for a Case Study

There are a variety of ways that researchers gather the data they need for a case study. Some sources include:

• Directly observing the subject
• Collecting information from archival records
• Conducting interviews
• Examining artifacts related to the subject
• Examining documents that provide information about the subject

The way that this information is collected depends on the nature of the study itself

Prospective Research

In a prospective study, researchers observe the individual or group in question. These observations typically occur over a period of time and may be used to track the progress or progression of a phenomenon or treatment.

Retrospective Research

A retrospective case study involves looking back on a phenomenon. Researchers typically look at the outcome and then gather data to help them understand how the individual or group reached that point.

Benefits of a Case Study

Case studies offer several benefits in the field of psychology. They provide researchers with a unique opportunity to delve deep into specific individuals, groups, or situations, allowing for a comprehensive understanding of complex phenomena.

Case studies offer valuable insights that can inform theory development and practical applications by examining real-life examples. 

Complex Data

One of the key benefits of case studies is their ability to provide complex and detailed data. Researchers can gather in-depth information through various methods such as interviews, observations, and analysis of existing records.

This depth of data allows for a thorough exploration of the factors influencing behavior and the underlying mechanisms at play. 

Unique Data

Additionally, case studies allow researchers to study rare or unique cases that may not be easily replicated in experimental settings. This enables the examination of phenomena that are difficult to study through other psychology research methods . 

By focusing on specific cases, researchers can uncover patterns, identify causal relationships, and generate hypotheses for further investigation.

General Knowledge

Case studies can also contribute to the general knowledge of psychology by providing real-world examples that can be used to support or challenge existing theories. They offer a bridge between theory and practice, allowing researchers to apply theoretical concepts to real-life situations and vice versa. 

Case studies offer a range of benefits in psychology, including providing rich and detailed data, studying unique cases, and contributing to theory development. These benefits make case studies valuable in understanding human behavior and psychological phenomena.

Limitations of a Case Study

While case studies offer numerous benefits in the field of psychology, they also have certain limitations that researchers need to consider. Understanding these limitations is crucial for interpreting the findings and generalizing the results. 

Lack of Generalizability

One limitation of case studies is the issue of generalizability. Since case studies focus on specific individuals, groups, and situations, applying the findings to a larger population can be challenging. The unique characteristics and circumstances of the case may not be representative of the broader population, making it difficult to draw universal conclusions. 

Researcher bias is another possible limitation. The researcher’s subjective interpretation and personal beliefs can influence the data collection, analysis, and interpretation process. This bias can affect the objectivity and reliability of the findings, raising questions about the study’s validity. 

Case studies are often time-consuming and resource-intensive. They require extensive data collection, analysis, and interpretation, which can be lengthy. This can limit the number of cases that can be studied and may result in a smaller sample size, reducing the study’s statistical power. 

Case studies are retrospective in nature, relying on past events and experiences. This reliance on memory and self-reporting can introduce recall bias and inaccuracies in the data. Participants may forget or misinterpret certain details, leading to incomplete or unreliable information.

Despite these limitations, case studies remain a valuable research tool in psychology. By acknowledging and addressing these limitations, researchers can enhance the validity and reliability of their findings, contributing to a more comprehensive understanding of human behavior and psychological phenomena. 

While case studies have limitations, they remain valuable when researchers acknowledge and address these concerns, leading to more reliable and valid findings in psychology.

Alpi, K. M., & Evans, J. J. (2019). Distinguishing case study as a research method from case reports as a publication type. Journal of the Medical Library Association , 107(1). https://doi.org/10.5195/jmla.2019.615

Crowe, S., Cresswell, K., Robertson, A., Huby, G., Avery, A., & Sheikh, A. (2011). The case study approach. BMC Medical Research Methodology , 11(1), 100. https://doi.org/10.1186/1471-2288-11-100

Paparini, S., Green, J., Papoutsi, C., Murdoch, J., Petticrew, M., Greenhalgh, T., Hanckel, B., & Shaw, S. (2020). Case study research for better evaluations of complex interventions: Rationale and challenges. BMC Medicine , 18(1), 301. https://doi.org/10.1186/s12916-020-01777-6

Willemsen, J. (2023). What is preventing psychotherapy case studies from having a greater impact on evidence-based practice, and how to address the challenges? Frontiers in Psychiatry , 13, 1101090. https://doi.org/10.3389/fpsyt.2022.1101090

Yin, Robert K. Case Study Research and Applications: Design and Methods . United States, SAGE Publications, 2017.

How to Write a Psychology Case Study: Expert Tips

Have you ever heard of Phineas Gage, a man whose life story became a legendary case study in the annals of psychology? In the mid-19th century, Gage, a railroad construction foreman, survived a near-fatal accident when an iron rod pierced through his skull, severely damaging his brain. What makes this tale truly remarkable is that, despite his physical recovery, Gage's personality underwent a dramatic transformation. He went from being a mild-mannered and responsible individual to becoming impulsive and unpredictable. This remarkable case marked the dawn of psychology's fascination with understanding the intricate workings of the human mind. Case studies, like the one of Phineas Gage, have been a cornerstone of our understanding of human behavior ever since.

Short Description

In this article, we'll unravel the secrets of case study psychology as the powerful tool of this field. We will explore its essence and why these investigations are so crucial in understanding human behavior. Discover the various types of case studies, gain insights from real-world examples, and uncover the essential steps and expert tips on how to craft your very own compelling study. Get ready to embark on a comprehensive exploration of this invaluable research method.

Ready to Uncover the Secrets of the Mind?

Our team of skilled psychologists and wordsmiths is here to craft a masterpiece from your ideas.

What Is a Case Study in Psychology

A case study psychology definition can be compared to a magnifying glass turned toward a single individual, group, or phenomenon. According to our paper writer , it's a focused investigation that delves deep into the unique complexities of a particular subject. Rather than sifting through mountains of data, a case study allows us to zoom in and scrutinize the details, uncovering the 'whys' and 'hows' that often remain hidden in broader research.

A psychology case study is not about generalizations or sweeping theories; it's about the intricacies of real-life situations. It's the detective work of the field, aiming to unveil the 'story behind the data' and offering profound insights into human behavior, emotions, and experiences. So, while psychology as a whole may study the forest, a case study takes you on a journey through the trees, revealing the unique patterns, quirks, and secrets that make each one distinct.

The Significance of Psychology Case Studies

Writing a psychology case study plays a pivotal role in the world of research and understanding the human mind. Here's why they are so crucial, according to our ' do my essay ' experts:

• In-Depth Exploration: Case studies provide an opportunity to explore complex human behaviors and experiences in great detail. By diving deep into a specific case, researchers can uncover nuances that might be overlooked in broader studies.
• Unique Perspectives: Every individual and situation is unique, and case studies allow us to capture this diversity. They offer a chance to highlight the idiosyncrasies that make people who they are and situations what they are.
• Theory Testing: Case studies are a way to test and refine psychological theories in real-world scenarios. They provide practical insights that can validate or challenge existing hypotheses.
• Practical Applications: The knowledge gained from case studies can be applied to various fields, from clinical psychology to education and business. It helps professionals make informed decisions and develop effective interventions.
• Holistic Understanding: Case studies often involve a comprehensive examination of an individual's life or a particular phenomenon. This holistic approach contributes to a more profound comprehension of human behavior and the factors that influence it.

Varieties of a Psychology Case Study

When considering how to write a psychology case study, you should remember that it is a diverse field, and so are the case studies conducted within it. Let's explore the different types from our ' write my research paper ' experts:

• Descriptive Case Studies: These focus on providing a detailed description of a particular case or phenomenon. They serve as a foundation for further research and can be valuable in generating hypotheses.
• Exploratory Case Studies: Exploratory studies aim to investigate novel or scarcely explored areas within psychology. They often pave the way for more in-depth research by generating new questions and ideas.
• Explanatory Case Studies: These delve into the 'why' and 'how' of a particular case, seeking to explain the underlying factors or mechanisms that drive a particular behavior or event.
• Instrumental Case Studies: In these cases, the individual or situation under examination is instrumental in testing or illustrating a particular theory or concept in psychology.
• Intrinsic Case Studies: Contrary to instrumental case studies, intrinsic ones explore a case for its own unique significance, aiming to understand the specific details and intricacies of that case without primarily serving as a tool to test broader theories.
• Collective Case Studies: These studies involve the examination of multiple cases to identify common patterns or differences. They are helpful when researchers seek to generalize findings across a group.
• Longitudinal Case Studies: Longitudinal studies track a case over an extended period, allowing researchers to observe changes and developments over time.
• Cross-Sectional Case Studies: In contrast, cross-sectional case studies involve the examination of a case at a single point in time, offering a snapshot of that particular moment.

The Advantages of Psychology Case Studies

Learning how to write a case study offers numerous benefits, making it a valuable research method in the field. Here are some of the advantages:

• Rich Insights: Case studies provide in-depth insights into individual behavior and experiences, allowing researchers to uncover unique patterns, motivations, and complexities.
• Holistic Understanding: By examining a case in its entirety, researchers can gain a comprehensive understanding of the factors that influence human behavior, including psychological, environmental, and contextual aspects.
• Theory Development: Case studies contribute to theory development by providing real-world examples that can validate or refine existing psychological theories.
• Personalized Approach: Researchers can tailor their methods to fit the specific case, making it a flexible approach that can adapt to the unique characteristics of the subject.
• Application in Practice: The knowledge gained from case studies can be applied in various practical settings, such as clinical psychology, education, and organizational management, to develop more effective interventions and solutions.
• Real-World Relevance: Psychology case studies often address real-life issues, making the findings relevant and applicable to everyday situations.
• Qualitative Data: They generate qualitative data, which can be rich in detail and context, offering a deeper understanding of the subject matter.
• Hypothesis Generation: Case studies can spark new research questions and hypotheses, guiding further investigations in psychology.
• Ethical Considerations: In some cases, case studies can be conducted in situations where experimental research may not be ethical, providing valuable insights that would otherwise be inaccessible.
• Educational Value: Case studies are commonly used as teaching tools, helping students apply theoretical knowledge to practical scenarios and encouraging critical thinking.

How to Write a Psychology Case Study

Crafting a psychology case study requires a meticulous approach that combines the art of storytelling with the precision of scientific analysis. In this section, we'll provide you with a step-by-step guide on how to create an engaging and informative psychology case study, from selecting the right subject to presenting your findings effectively.

Step 1: Gathering Information for Subject Profiling

To create a comprehensive psychology case study, the first crucial step is gathering all the necessary information to build a detailed profile of your subject. This profile forms the backbone of your study, offering a deeper understanding of the individual or situation you're examining.

According to our case study writing service , you should begin by collecting a range of data, including personal history, demographics, behavioral observations, and any relevant documentation. Interviews, surveys, and direct observations are common methods to gather this information. Ensure that the data you collect is relevant to the specific aspects of the subject's life or behavior that you intend to investigate.

By meticulously gathering and organizing this data, you'll lay the foundation for a robust case study that not only informs your readers but also provides the context needed to make meaningful observations and draw insightful conclusions.

Step 2: Selecting a Case Study Method

Once you have gathered all the essential information about your subject, the next step in crafting a psychology case study is to choose the most appropriate case study method. The method you select will determine how you approach the analysis and presentation of your findings. Here are some common case study methods to consider:

• Single-Subject Case Study: This method focuses on a single individual or a particular event, offering a detailed examination of that subject's experiences and behaviors.
• Comparative Case Study: In this approach, you analyze two or more cases to draw comparisons or contrasts, revealing patterns or differences among them.
• Longitudinal Case Study: A longitudinal study involves tracking a subject or group over an extended period, observing changes and developments over time.
• Cross-Sectional Case Study: This method involves analyzing subjects at a specific point in time, offering a snapshot of their current state.
• Exploratory Case Study: Exploratory studies are ideal for investigating new or underexplored areas within psychology.
• Explanatory Case Study: If your goal is to uncover the underlying factors and mechanisms behind a specific behavior or phenomenon, the explanatory case study is a suitable choice.

Step 3: Gathering Background Information on the Subject

In the process of learning how to write a psychology case study, it's essential to delve into the subject's background to build a complete and meaningful narrative. The background information serves as a crucial context for understanding the individual or situation under investigation.

To gather this information effectively:

• Personal History: Explore the subject's life history, including their upbringing, family background, education, and career path. These details provide insights into their development and experiences.
• Demographics: Collect demographic data, such as age, gender, and cultural background, as part of your data collection process. These factors can be influential in understanding behavior and experiences.
• Relevant Events: Identify any significant life events, experiences, or transitions that might have had an impact on the subject's psychology and behavior.
• Psychological Factors: Assess the subject's psychological profile, including personality traits, cognitive abilities, and emotional well-being, if applicable.
• Social and Environmental Factors: Consider the subject's social and environmental context, including relationships, living conditions, and cultural influences.

Step 4: Detailing the Subject's Challenges

While writing a psychology case study, it is crucial to provide a thorough description of the subject's symptoms or the challenges they are facing. This step allows you to dive deeper into the specific issues that are the focus of your study, providing clarity and context for your readers.

To effectively describe the subject's symptoms or challenges, consider the following from our psychology essay writing service :

• Symptomatology: Enumerate the symptoms, behaviors, or conditions that the subject is experiencing. This could include emotional states, cognitive patterns, or any psychological distress.
• Onset and Duration: Specify when the symptoms or challenges began and how long they have persisted. This timeline can offer insights into the progression of the issue.
• Impact: Discuss the impact of these symptoms on the subject's daily life, relationships, and overall well-being. Consider their functional impairment and how it relates to the observed issues.
• Relevant Diagnoses: If applicable, mention any psychological or psychiatric diagnoses that have been made in relation to the subject's symptoms. This information can shed light on the clinical context of the case.

Step 5: Analyzing Data and Establishing a Diagnosis

Once you have gathered all the necessary information and described the subject's symptoms or challenges, the next critical step is to analyze the data and, if applicable, establish a diagnosis.

To effectively analyze the data and potentially make a diagnosis:

• Data Synthesis: Organize and synthesize the collected data, bringing together all the relevant information in a coherent and structured manner.
• Pattern Recognition: Identify patterns, themes, and connections within the data. Look for recurring behaviors, triggers, or factors that might contribute to the observed symptoms or challenges.
• Comparison with Diagnostic Criteria: If the study involves diagnosing a psychological condition, compare the subject's symptoms and experiences with established diagnostic criteria, such as those found in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
• Professional Consultation: It is advisable to consult with qualified professionals, such as clinical psychologists or psychiatrists, to ensure that the diagnosis, if applicable, is accurate and well-informed.
• Thorough Assessment: Ensure a comprehensive evaluation of the data, considering all possible factors and nuances before reaching any conclusions.

Step 6: Choosing an Intervention Strategy

Choosing an appropriate intervention approach is a pivotal phase in case study psychology, especially if your subject's case involves therapeutic considerations. Here's how to navigate this step effectively:

• Review Findings: Revisit the data and analysis you've conducted to gain a comprehensive understanding of the subject's symptoms, challenges, and needs.
• Consultation: If you're not a qualified mental health professional, it's advisable to consult with experts in the field, such as clinical psychologists or psychiatrists. They can offer valuable insights and recommendations for treatment.
• Tailored Approach: Select a treatment approach that is tailored to the subject's specific needs and diagnosis, if applicable. This could involve psychotherapy, medication, lifestyle changes, or a combination of interventions.
• Goal Setting: Clearly define the goals and objectives of the chosen treatment approach. What do you hope to achieve, and how will progress be measured?
• Informed Consent: If the subject is involved in the decision-making process, ensure they provide informed consent and are fully aware of the chosen treatment's details, potential benefits, and risks.
• Implementation and Monitoring: Once the treatment plan is established, put it into action and closely monitor the subject's progress. Make necessary adjustments based on their responses and evolving needs.
• Ethical Considerations: Be mindful of ethical standards and maintain the subject's confidentiality and well-being throughout the treatment process.

Step 7: Explaining Treatment Objectives and Procedures

In the final phases of your psychology case study, it's essential to provide a clear and detailed description of the treatment goals and processes that have been implemented. This step ensures that your readers understand the therapeutic journey and its intended outcomes.

Here's how to effectively describe treatment goals and processes:

• Specific Goals: Outline the specific goals of the chosen treatment approach. What are you aiming to achieve in terms of the subject's well-being, symptom reduction, or overall improvement?
• Interventions: Describe the therapeutic interventions that have been employed, including psychotherapeutic techniques, medications, or other strategies. Explain how these interventions are intended to address the subject's challenges.
• Timelines: Specify the expected timeline for achieving treatment goals. This may include short-term and long-term objectives, as well as milestones for assessing progress.
• Monitoring and Evaluation: Discuss the methods used to monitor and evaluate the subject's response to treatment. How are you measuring progress or setbacks, and how frequently are assessments conducted?
• Adjustments: Explain how the treatment plan is adaptable as you would in a persuasive essay . If modifications to the goals or interventions are required, clarify the decision-making process for making such adjustments.
• Collaboration: If relevant, highlight any collaboration with other professionals involved in the subject's care, emphasizing a multidisciplinary approach for comprehensive treatment.
• Patient Involvement: If the subject is actively engaged in their treatment, detail their role, responsibilities, and any tools or resources provided to support their participation.

Step 8: Crafting the Discussion and Concluding Remarks

In the final phase of your psychology case study, the discussion section is where you interpret the findings, reflect on the significance of your study, and offer insights into the broader implications of the case. Here's how to effectively write this section:

• Interpretation: Begin by interpreting the data and analysis you've presented in your case study. What do the findings reveal about the subject's psychology, behavior, or experiences?
• Relevance to Research Questions: Discuss how your findings align with or deviate from the initial research questions or hypotheses you set out to investigate.
• Comparison with Literature: Compare your findings with existing literature and research in the field of psychology. Highlight any consistencies or disparities and explain their significance.
• Clinical Considerations: If your case study has clinical or practical relevance, address the implications for therapeutic approaches, interventions, or clinical practices.
• Generalizability: Evaluate the extent to which the insights from your case study can be generalized to a broader population or other similar cases.
• Strengths and Limitations: Be candid about the strengths and limitations of your case study. Acknowledge any constraints or biases and explain how they might have influenced the results.
• Future Research Directions: Suggest areas for future research or additional case studies that could build on your findings and deepen our understanding of the subject matter.
• Conclusion: Summarize the key takeaways from your case study and provide a concise conclusion that encapsulates the main findings and their significance.

5 Helpful Tips for Crafting a Psychology Case Study

Much like learning how to write a synthesis essay , writing a compelling case study involves careful planning and attention to detail. Here are some essential guidelines to help you in the process:

• Consider Cultural Sensitivity: Recognize the importance of cultural diversity and sensitivity in your case study. Take into account the cultural background of your subject and its potential impact on their behavior and experiences.
• Use Clear Citations: Properly cite all sources, including previous research, theories, and relevant literature. Accurate citations lend credibility to your case study and acknowledge the work of others.
• Engage in Peer Discussion: Engage in discussions with peers or colleagues in the field throughout the case study process. Collaborative brainstorming and sharing insights can lead to a more well-rounded study.
• Be Mindful of Ethics: Continuously monitor and reassess the ethical considerations of your case study, especially when it involves sensitive topics or individuals. Prioritize the well-being and rights of your participants.
• Practice Patience and Persistence: Case studies can be time-consuming and may encounter setbacks. Exercise patience and persistence to ensure the quality and comprehensiveness of your research.

Case Study Psychology Example

In this psychology case study example, we delve into a compelling story that serves as a window into the fascinating realm of psychological research, offering valuable insights and practical applications.

Final Outlook

As we conclude this comprehensive writing guide on how to write a psychology case study, remember that every case holds a unique story waiting to be unraveled. The art of crafting a compelling case study lies in your hands, offering a window into the intricate world of the human mind. We encourage you to embark on your own investigative journeys, armed with the knowledge and skills acquired here, to contribute to the ever-evolving landscape of psychology.

Ready to Unravel the Mysteries of the Human Mind?

Our team of psychologists and researchers is adept at transforming complex concepts into engaging stories, ensuring that when you request us to ' write my case study for me ,' your unique vision is effectively brought to life.

is an expert in nursing and healthcare, with a strong background in history, law, and literature. Holding advanced degrees in nursing and public health, his analytical approach and comprehensive knowledge help students navigate complex topics. On EssayPro blog, Adam provides insightful articles on everything from historical analysis to the intricacies of healthcare policies. In his downtime, he enjoys historical documentaries and volunteering at local clinics.

Related Articles

10 Case Study Advantages and Disadvantages

A case study in academic research is a detailed and in-depth examination of a specific instance or event, generally conducted through a qualitative approach to data.

The most common case study definition that I come across is is Robert K. Yin’s (2003, p. 13) quote provided below:

“An empirical inquiry that investigates a contemporary phenomenon within its real-life context, especially when the boundaries between phenomenon and context are not clearly evident.”

Researchers conduct case studies for a number of reasons, such as to explore complex phenomena within their real-life context, to look at a particularly interesting instance of a situation, or to dig deeper into something of interest identified in a wider-scale project.

While case studies render extremely interesting data, they have many limitations and are not suitable for all studies. One key limitation is that a case study’s findings are not usually generalizable to broader populations because one instance cannot be used to infer trends across populations.

Case Study Advantages and Disadvantages

1. in-depth analysis of complex phenomena.

Case study design allows researchers to delve deeply into intricate issues and situations.

By focusing on a specific instance or event, researchers can uncover nuanced details and layers of understanding that might be missed with other research methods, especially large-scale survey studies.

As Lee and Saunders (2017) argue,

“It allows that particular event to be studies in detail so that its unique qualities may be identified.”

This depth of analysis can provide rich insights into the underlying factors and dynamics of the studied phenomenon.

2. Holistic Understanding

Building on the above point, case studies can help us to understand a topic holistically and from multiple angles.

This means the researcher isn’t restricted to just examining a topic by using a pre-determined set of questions, as with questionnaires. Instead, researchers can use qualitative methods to delve into the many different angles, perspectives, and contextual factors related to the case study.

We can turn to Lee and Saunders (2017) again, who notes that case study researchers “develop a deep, holistic understanding of a particular phenomenon” with the intent of deeply understanding the phenomenon.

3. Examination of rare and Unusual Phenomena

We need to use case study methods when we stumble upon “rare and unusual” (Lee & Saunders, 2017) phenomena that would tend to be seen as mere outliers in population studies.

Take, for example, a child genius. A population study of all children of that child’s age would merely see this child as an outlier in the dataset, and this child may even be removed in order to predict overall trends.

So, to truly come to an understanding of this child and get insights into the environmental conditions that led to this child’s remarkable cognitive development, we need to do an in-depth study of this child specifically – so, we’d use a case study.

4. Helps Reveal the Experiences of Marginalzied Groups

Just as rare and unsual cases can be overlooked in population studies, so too can the experiences, beliefs, and perspectives of marginalized groups.

As Lee and Saunders (2017) argue, “case studies are also extremely useful in helping the expression of the voices of people whose interests are often ignored.”

Take, for example, the experiences of minority populations as they navigate healthcare systems. This was for many years a “hidden” phenomenon, not examined by researchers. It took case study designs to truly reveal this phenomenon, which helped to raise practitioners’ awareness of the importance of cultural sensitivity in medicine.

5. Ideal in Situations where Researchers cannot Control the Variables

Experimental designs – where a study takes place in a lab or controlled environment – are excellent for determining cause and effect . But not all studies can take place in controlled environments (Tetnowski, 2015).

When we’re out in the field doing observational studies or similar fieldwork, we don’t have the freedom to isolate dependent and independent variables. We need to use alternate methods.

Case studies are ideal in such situations.

A case study design will allow researchers to deeply immerse themselves in a setting (potentially combining it with methods such as ethnography or researcher observation) in order to see how phenomena take place in real-life settings.

6. Supports the generation of new theories or hypotheses

While large-scale quantitative studies such as cross-sectional designs and population surveys are excellent at testing theories and hypotheses on a large scale, they need a hypothesis to start off with!

This is where case studies – in the form of grounded research – come in. Often, a case study doesn’t start with a hypothesis. Instead, it ends with a hypothesis based upon the findings within a singular setting.

The deep analysis allows for hypotheses to emerge, which can then be taken to larger-scale studies in order to conduct further, more generalizable, testing of the hypothesis or theory.

7. Reveals the Unexpected

When a largescale quantitative research project has a clear hypothesis that it will test, it often becomes very rigid and has tunnel-vision on just exploring the hypothesis.

Of course, a structured scientific examination of the effects of specific interventions targeted at specific variables is extermely valuable.

But narrowly-focused studies often fail to shine a spotlight on unexpected and emergent data. Here, case studies come in very useful. Oftentimes, researchers set their eyes on a phenomenon and, when examining it closely with case studies, identify data and come to conclusions that are unprecedented, unforeseen, and outright surprising.

As Lars Meier (2009, p. 975) marvels, “where else can we become a part of foreign social worlds and have the chance to become aware of the unexpected?”

Disadvantages

1. not usually generalizable.

Case studies are not generalizable because they tend not to look at a broad enough corpus of data to be able to infer that there is a trend across a population.

As Yang (2022) argues, “by definition, case studies can make no claims to be typical.”

Case studies focus on one specific instance of a phenomenon. They explore the context, nuances, and situational factors that have come to bear on the case study. This is really useful for bringing to light important, new, and surprising information, as I’ve already covered.

But , it’s not often useful for generating data that has validity beyond the specific case study being examined.

2. Subjectivity in interpretation

Case studies usually (but not always) use qualitative data which helps to get deep into a topic and explain it in human terms, finding insights unattainable by quantitative data.

But qualitative data in case studies relies heavily on researcher interpretation. While researchers can be trained and work hard to focus on minimizing subjectivity (through methods like triangulation), it often emerges – some might argue it’s innevitable in qualitative studies.

So, a criticism of case studies could be that they’re more prone to subjectivity – and researchers need to take strides to address this in their studies.

3. Difficulty in replicating results

Case study research is often non-replicable because the study takes place in complex real-world settings where variables are not controlled.

So, when returning to a setting to re-do or attempt to replicate a study, we often find that the variables have changed to such an extent that replication is difficult. Furthermore, new researchers (with new subjective eyes) may catch things that the other readers overlooked.

Replication is even harder when researchers attempt to replicate a case study design in a new setting or with different participants.

Comprehension Quiz for Students

Question 1: What benefit do case studies offer when exploring the experiences of marginalized groups?

a) They provide generalizable data. b) They help express the voices of often-ignored individuals. c) They control all variables for the study. d) They always start with a clear hypothesis.

Question 2: Why might case studies be considered ideal for situations where researchers cannot control all variables?

a) They provide a structured scientific examination. b) They allow for generalizability across populations. c) They focus on one specific instance of a phenomenon. d) They allow for deep immersion in real-life settings.

Question 3: What is a primary disadvantage of case studies in terms of data applicability?

a) They always focus on the unexpected. b) They are not usually generalizable. c) They support the generation of new theories. d) They provide a holistic understanding.

Question 4: Why might case studies be considered more prone to subjectivity?

a) They always use quantitative data. b) They heavily rely on researcher interpretation, especially with qualitative data. c) They are always replicable. d) They look at a broad corpus of data.

Question 5: In what situations are experimental designs, such as those conducted in labs, most valuable?

a) When there’s a need to study rare and unusual phenomena. b) When a holistic understanding is required. c) When determining cause-and-effect relationships. d) When the study focuses on marginalized groups.

Question 6: Why is replication challenging in case study research?

a) Because they always use qualitative data. b) Because they tend to focus on a broad corpus of data. c) Due to the changing variables in complex real-world settings. d) Because they always start with a hypothesis.

Lee, B., & Saunders, M. N. K. (2017). Conducting Case Study Research for Business and Management Students. SAGE Publications.

Meir, L. (2009). Feasting on the Benefits of Case Study Research. In Mills, A. J., Wiebe, E., & Durepos, G. (Eds.). Encyclopedia of Case Study Research (Vol. 2). London: SAGE Publications.

Tetnowski, J. (2015). Qualitative case study research design.  Perspectives on fluency and fluency disorders ,  25 (1), 39-45. ( Source )

Yang, S. L. (2022). The War on Corruption in China: Local Reform and Innovation . Taylor & Francis.

Yin, R. (2003). Case Study research. Thousand Oaks, CA: Sage.

Chris Drew (PhD)

Dr. Chris Drew is the founder of the Helpful Professor. He holds a PhD in education and has published over 20 articles in scholarly journals. He is the former editor of the Journal of Learning Development in Higher Education. [Image Descriptor: Photo of Chris]

• Chris Drew (PhD) https://helpfulprofessor.com/author/chris-drew-phd/ 17 Behaviorism Examples
• Chris Drew (PhD) https://helpfulprofessor.com/author/chris-drew-phd/ 25 Positive Psychology Examples
• Chris Drew (PhD) https://helpfulprofessor.com/author/chris-drew-phd/ 15 Animism Examples
• Chris Drew (PhD) https://helpfulprofessor.com/author/chris-drew-phd/ 10 Magical Thinking Examples

Leave a Comment Cancel Reply

Your email address will not be published. Required fields are marked *

Psychology Case Study Examples: A Deep Dive into Real-life Scenarios

Peeling back the layers of the human mind is no easy task, but psychology case studies can help us do just that. Through these detailed analyses, we’re able to gain a deeper understanding of human behavior, emotions, and cognitive processes. I’ve always found it fascinating how a single person’s experience can shed light on broader psychological principles.

Over the years, psychologists have conducted numerous case studies—each with their own unique insights and implications. These investigations range from Phineas Gage’s accidental lobotomy to Genie Wiley’s tragic tale of isolation. Such examples not only enlighten us about specific disorders or occurrences but also continue to shape our overall understanding of psychology .

As we delve into some noteworthy examples , I assure you’ll appreciate how varied and intricate the field of psychology truly is. Whether you’re a budding psychologist or simply an eager learner, brace yourself for an intriguing exploration into the intricacies of the human psyche.

Understanding Psychology Case Studies

Diving headfirst into the world of psychology, it’s easy to come upon a valuable tool used by psychologists and researchers alike – case studies. I’m here to shed some light on these fascinating tools.

Psychology case studies, for those unfamiliar with them, are in-depth investigations carried out to gain a profound understanding of the subject – whether it’s an individual, group or phenomenon. They’re powerful because they provide detailed insights that other research methods might miss.

Let me share a few examples to clarify this concept further:

• One notable example is Freud’s study on Little Hans. This case study explored a 5-year-old boy’s fear of horses and related it back to Freud’s theories about psychosexual stages.
• Another classic example is Genie Wiley (a pseudonym), a feral child who was subjected to severe social isolation during her early years. Her heartbreaking story provided invaluable insights into language acquisition and critical periods in development.

You see, what sets psychology case studies apart is their focus on the ‘why’ and ‘how’. While surveys or experiments might tell us ‘what’, they often don’t dig deep enough into the inner workings behind human behavior.

It’s important though not to take these psychology case studies at face value. As enlightening as they can be, we must remember that they usually focus on one specific instance or individual. Thus, generalizing findings from single-case studies should be done cautiously.

To illustrate my point using numbers: let’s say we have 1 million people suffering from condition X worldwide; if only 20 unique cases have been studied so far (which would be quite typical for rare conditions), then our understanding is based on just 0.002% of the total cases! That’s why multiple sources and types of research are vital when trying to understand complex psychological phenomena fully.

In the grand scheme of things, psychology case studies are just one piece of the puzzle – albeit an essential one. They provide rich, detailed data that can form the foundation for further research and understanding. As we delve deeper into this fascinating field, it’s crucial to appreciate all the tools at our disposal – from surveys and experiments to these insightful case studies.

Importance of Case Studies in Psychology

I’ve always been fascinated by the human mind, and if you’re here, I bet you are too. Let’s dive right into why case studies play such a pivotal role in psychology.

One of the key reasons they matter so much is because they provide detailed insights into specific psychological phenomena. Unlike other research methods that might use large samples but only offer surface-level findings, case studies allow us to study complex behaviors, disorders, and even treatments at an intimate level. They often serve as a catalyst for new theories or help refine existing ones.

To illustrate this point, let’s look at one of psychology’s most famous case studies – Phineas Gage. He was a railroad construction foreman who survived a severe brain injury when an iron rod shot through his skull during an explosion in 1848. The dramatic personality changes he experienced after his accident led to significant advancements in our understanding of the brain’s role in personality and behavior.

Moreover, it’s worth noting that some rare conditions can only be studied through individual cases due to their uncommon nature. For instance, consider Genie Wiley – a girl discovered at age 13 having spent most of her life locked away from society by her parents. Her tragic story gave psychologists valuable insights into language acquisition and critical periods for learning.

Finally yet importantly, case studies also have practical applications for clinicians and therapists. Studying real-life examples can inform treatment plans and provide guidance on how theoretical concepts might apply to actual client situations.

• Detailed insights: Case studies offer comprehensive views on specific psychological phenomena.
• Catalyst for new theories: Real-life scenarios help shape our understanding of psychology .
• Study rare conditions: Unique cases can offer invaluable lessons about uncommon disorders.
• Practical applications: Clinicians benefit from studying real-world examples.

In short (but without wrapping up), it’s clear that case studies hold immense value within psychology – they illuminate what textbooks often can’t, offering a more nuanced understanding of human behavior.

Different Types of Psychology Case Studies

Diving headfirst into the world of psychology, I can’t help but be fascinated by the myriad types of case studies that revolve around this subject. Let’s take a closer look at some of them.

Firstly, we’ve got what’s known as ‘Explanatory Case Studies’. These are often used when a researcher wants to clarify complex phenomena or concepts. For example, a psychologist might use an explanatory case study to explore the reasons behind aggressive behavior in children.

Second on our list are ‘Exploratory Case Studies’, typically utilized when new and unexplored areas of research come up. They’re like pioneers; they pave the way for future studies. In psychological terms, exploratory case studies could be conducted to investigate emerging mental health conditions or under-researched therapeutic approaches.

Next up are ‘Descriptive Case Studies’. As the name suggests, these focus on depicting comprehensive and detailed profiles about a particular individual, group, or event within its natural context. A well-known example would be Sigmund Freud’s analysis of “Anna O”, which provided unique insights into hysteria.

Then there are ‘Intrinsic Case Studies’, which delve deep into one specific case because it is intrinsically interesting or unique in some way. It’s sorta like shining a spotlight onto an exceptional phenomenon. An instance would be studying savants—individuals with extraordinary abilities despite significant mental disabilities.

Lastly, we have ‘Instrumental Case Studies’. These aren’t focused on understanding a particular case per se but use it as an instrument to understand something else altogether—a bit like using one puzzle piece to make sense of the whole picture!

So there you have it! From explanatory to instrumental, each type serves its own unique purpose and adds another intriguing layer to our understanding of human behavior and cognition.

Exploring Real-Life Psychology Case Study Examples

Let’s roll up our sleeves and delve into some real-life psychology case study examples. By digging deep, we can glean valuable insights from these studies that have significantly contributed to our understanding of human behavior and mental processes.

First off, let me share the fascinating case of Phineas Gage. This gentleman was a 19th-century railroad construction foreman who survived an accident where a large iron rod was accidentally driven through his skull, damaging his frontal lobes. Astonishingly, he could walk and talk immediately after the accident but underwent dramatic personality changes, becoming impulsive and irresponsible. This case is often referenced in discussions about brain injury and personality change.

Next on my list is Genie Wiley’s heart-wrenching story. She was a victim of severe abuse and neglect resulting in her being socially isolated until she was 13 years old. Due to this horrific experience, Genie couldn’t acquire language skills typically as other children would do during their developmental stages. Her tragic story offers invaluable insight into the critical periods for language development in children.

Then there’s ‘Little Hans’, a classic Freudian case that delves into child psychology. At just five years old, Little Hans developed an irrational fear of horses -or so it seemed- which Sigmund Freud interpreted as symbolic anxiety stemming from suppressed sexual desires towards his mother—quite an interpretation! The study gave us Freud’s Oedipus Complex theory.

Lastly, I’d like to mention Patient H.M., an individual who became amnesiac following surgery to control seizures by removing parts of his hippocampus bilaterally. His inability to form new memories post-operation shed light on how different areas of our brains contribute to memory formation.

Each one of these real-life psychology case studies gives us a unique window into understanding complex human behaviors better – whether it’s dissecting the role our brain plays in shaping personality or unraveling the mysteries of fear, language acquisition, and memory.

How to Analyze a Psychology Case Study

Diving headfirst into a psychology case study, I understand it can seem like an intimidating task. But don’t worry, I’m here to guide you through the process.

First off, it’s essential to go through the case study thoroughly. Read it multiple times if needed. Each reading will likely reveal new information or perspectives you may have missed initially. Look out for any patterns or inconsistencies in the subject’s behavior and make note of them.

Next on your agenda should be understanding the theoretical frameworks that might be applicable in this scenario. Is there a cognitive-behavioral approach at play? Or does psychoanalysis provide better insights? Comparing these theories with observed behavior and symptoms can help shed light on underlying psychological issues.

Now, let’s talk data interpretation. If your case study includes raw data like surveys or diagnostic tests results, you’ll need to analyze them carefully. Here are some steps that could help:

• Identify what each piece of data represents
• Look for correlations between different pieces of data
• Compute statistics (mean, median, mode) if necessary
• Use graphs or charts for visual representation

Keep in mind; interpreting raw data requires both statistical knowledge and intuition about human behavior.

Finally, drafting conclusions is key in analyzing a psychology case study. Based on your observations, evaluations of theoretical approaches and interpretations of any given data – what do you conclude about the subject’s mental health status? Remember not to jump to conclusions hastily but instead base them solidly on evidence from your analysis.

In all this journey of analysis remember one thing: every person is unique and so are their experiences! So while theories and previous studies guide us, they never define an individual completely.

Applying Lessons from Psychology Case Studies

Let’s dive into how we can apply the lessons learned from psychology case studies. If you’ve ever studied psychology, you’ll know that case studies offer rich insights. They shed light on human behavior, mental health issues, and therapeutic techniques. But it’s not just about understanding theory. It’s also about implementing these valuable lessons in real-world situations.

One of the most famous psychological case studies is Phineas Gage’s story. This 19th-century railroad worker survived a severe brain injury which dramatically altered his personality. From this study, we gained crucial insight into how different brain areas are responsible for various aspects of our personality and behavior.

• Lesson: Recognizing that damage to specific brain areas can result in personality changes, enabling us to better understand certain mental conditions.

Sigmund Freud’s work with a patient known as ‘Anna O.’ is another landmark psychology case study. Anna displayed what was then called hysteria – symptoms included hallucinations and disturbances in speech and physical coordination – which Freud linked back to repressed memories of traumatic events.

• Lesson: The importance of exploring an individual’s history for understanding their current psychological problems – a principle at the heart of psychoanalysis.

Then there’s Genie Wiley’s case – a girl who suffered extreme neglect resulting in impaired social and linguistic development. Researchers used her tragic circumstances as an opportunity to explore theories around language acquisition and socialization.

• Lesson: Reinforcing the critical role early childhood experiences play in shaping cognitive development.

Lastly, let’s consider the Stanford Prison Experiment led by Philip Zimbardo examining how people conform to societal roles even when they lead to immoral actions.

• Lesson: Highlighting that situational forces can drastically impact human behavior beyond personal characteristics or morality.

These examples demonstrate that psychology case studies aren’t just academic exercises isolated from daily life. Instead, they provide profound lessons that help us make sense of complex human behaviors, mental health issues, and therapeutic strategies. By understanding these studies, we’re better equipped to apply their lessons in our own lives – whether it’s navigating personal relationships, working with diverse teams at work or even self-improvement.

Challenges and Critiques of Psychological Case Studies

Delving into the world of psychological case studies, it’s not all rosy. Sure, they offer an in-depth understanding of individual behavior and mental processes. Yet, they’re not without their share of challenges and criticisms.

One common critique is the lack of generalizability. Each case study is unique to its subject. We can’t always apply what we learn from one person to everyone else. I’ve come across instances where results varied dramatically between similar subjects, highlighting the inherent unpredictability in human behavior.

Another challenge lies within ethical boundaries. Often, sensitive information surfaces during these studies that could potentially harm the subject if disclosed improperly. To put it plainly, maintaining confidentiality while delivering a comprehensive account isn’t always easy.

Distortion due to subjective interpretations also poses substantial difficulties for psychologists conducting case studies. The researcher’s own bias may color their observations and conclusions – leading to skewed outcomes or misleading findings.

Moreover, there’s an ongoing debate about the scientific validity of case studies because they rely heavily on qualitative data rather than quantitative analysis. Some argue this makes them less reliable or objective when compared with other research methods such as experiments or surveys.

To summarize:

• Lack of generalizability
• Ethical dilemmas concerning privacy
• Potential distortion through subjective interpretation
• Questions about scientific validity

While these critiques present significant challenges, they do not diminish the value that psychological case studies bring to our understanding of human behavior and mental health struggles.

Conclusion: The Impact of Case Studies in Understanding Human Behavior

Case studies play a pivotal role in shedding light on human behavior. Throughout this article, I’ve discussed numerous examples that illustrate just how powerful these studies can be. Yet it’s the impact they have on our understanding of human psychology where their true value lies.

Take for instance the iconic study of Phineas Gage. It was through his tragic accident and subsequent personality change that we began to grasp the profound influence our frontal lobes have on our behavior. Without such a case study, we might still be in the dark about this crucial aspect of our neurology.

Let’s also consider Genie, the feral child who showed us the critical importance of social interaction during early development. Her heartbreaking story underscores just how vital appropriate nurturing is for healthy mental and emotional growth.

Here are some key takeaways from these case studies:

• Our brain structure significantly influences our behavior.
• Social interaction during formative years is vital for normal psychological development.
• Studying individual cases can reveal universal truths about human nature.

What stands out though, is not merely what these case studies teach us individually but collectively. They remind us that each person constitutes a unique combination of various factors—biological, psychological, and environmental—that shape their behavior.

One cannot overstate the significance of case studies in psychology—they are more than mere stories or isolated incidents; they’re windows into the complexities and nuances of human nature itself.

In wrapping up, I’d say that while statistics give us patterns and trends to understand groups, it’s these detailed narratives offered by case studies that help us comprehend individuals’ unique experiences within those groups—making them an invaluable part of psychological research.

Related Posts

Cracking the Anxious-Avoidant Code

Deflection: Unraveling the Science Behind Material Bending

• About This Site
• What is social theory?
• Habermas/Parsons
• Frankfurt School
• Inequalities
• Research Students
• Dirty Looks
• Latest Posts
• Pedagogy & Curriculum
• Contributors
• Publications

Select Page

What are the benefits and drawbacks of case study research?

Posted by Mark Murphy | May 24, 2014 | Method , Research Students | 0

There should be no doubt that with case studies what you gain in depth you lose in breadth – this is the unavoidable compromise that needs to be understood from the beginning of the research process. So this is neither an advantage nor a disadvantage as one aspect cancels out the benefits/drawbacks of the other – there are other benefits and drawbacks that need attention however …

• Their flexibility: case studies are popular for a number of reasons, one being that they can be conducted at various points in the research process. Researchers are known to favour them as a way to develop ideas for more extensive research in the future – pilot studies often take the form of case studies. They are also effective conduits for a broad range of research methods; in that sense they are non-prejudicial against any particular type of research – focus groups are just as welcome in case study research as are questionnaires or participant observation.
• Capturing reality: One of their key benefits is their ability to capture what Hodkinson and Hodkinson call ‘lived reality’ (2001: 3). As they put it, case studies have the potential, when applied successfully, to ‘retain more of the “noise” of real life than many other types of research’ (Hodkinson and Hodkinson, 2001: 3). The importance of ‘noise’ and its place in research is especially important in contexts such as education, for example in schools where background noise is unavoidable. Educational contexts are always complex, and as a result it is difficult to exclude other unwanted variables, ‘some of which may only have real significance for one of their students’ (Hodkinson and Hodkinson, 2001, 4).
• The challenge of generality: At the same time, given their specificity, care needs to be taken when attempting to generalise from the findings. While there’s no inherent flaw in case study design that precludes its broader application, it is preferable that researchers choose their case study sites carefully, while also basing their analysis within existing research findings that have been generated via other research designs. No design is infallible but so often has the claim against case studies been made, that some of the criticism (unwarranted and unfair in many cases) has stuck.
• Suspicion of amateurism: Less partisan researchers might wonder whether the case study offers the time and finance-strapped researcher a convenient and pragmatic source of data, providing findings and recommendations that, given the nature of case studies, can neither be confirmed nor denied, in terms of utility or veracity. Who is to say that case studies offer anything more than a story to tell, and nothing more than that?
• But alongside this suspicion is another more insiduous one – a notion that ‘stories’ are not what social science research is about. This can be a concern for those who favour  case study research, as the political consequences can be hard to ignore. That said, so much research is based either on peoples’ lives or the impact of other issues (poverty, institutional policy) on their lives, so the stories of what actually occurs in their lives or in professional environments tend to be an invaluable source of evidence. The fact is that stories (individual, collective, institutional) have a vital role to play in the world of research. And to play the specific v. general card against case study design suggests a tendency towards forms of research fundamentalism as opposed to any kind of rational and objective take on case study’s strengths and limitations.
• Preciousness: Having said that, researchers should not fall into the trap (surprising how often this happens) of assuming that case study data speaks for itself – rarely is this ever the case, an assumption that is as patronising to research subjects as it is false. The role of the researcher is both to describe social phenomena and also to explain – i.e., interpret. Without interpretation the research findings lack meaningful presentation – they present themselves as fact when of course the reality of ‘facts’ is one of the reasons why such research is carried out.
• Conflation of political/research objectives: Another trap that case study researchers sometimes fall into is presenting research findings as if they were self-evidently true, as if the stories were beyond criticism. This is often accompanied by a vague attachment to the notion that research is a political process – one that is performed as a form of liberation against for example policies that seek to ignore the stories of those who ‘suffer’ at the hands of overbearing political or economic imperatives. Case study design should not be viewed as a mechanism for providing a ‘local’ bulwark against the ‘global’ – bur rather as a mechanism for checking the veracity of universalist claims (at least one of its objectives). The valorisation of particularism can only get you so far in social research.

Reference: Hodkinson, P. and H. Hodkinson (2001). The strengths and limitations of case study research. Paper presented to the Learning and Skills Development Agency conference, Making an impact on policy and practice , Cambridge, 5-7 December 2001, downloaded from h ttp://education.exeter.ac.uk/tlc/docs/publications/LE_PH_PUB_05.12.01.rtf.26.01.2013

About The Author

Mark Murphy

Mark Murphy is a Reader in Education and Public Policy at the University of Glasgow. He previously worked as an academic at King’s College, London, University of Chester, University of Stirling, National University of Ireland, Maynooth, University College Dublin and Northern Illinois University. Mark is an active researcher in the fields of education and public policy. His research interests include educational sociology, critical theory, accountability in higher education, and public sector reform.

Related Posts

Reading theory: My nervous encounters with Actor Network Theory

January 20, 2014

The experiences of ‘estranged students’: Call for Participants

April 27, 2018

Academic Cherrypicking; and ‘Lensification’

April 1, 2013

I am moving to Norway

August 14, 2013

Recent Posts

• Business Essentials
• Leadership & Management
• Credential of Leadership, Impact, and Management in Business (CLIMB)
• Entrepreneurship & Innovation
• Digital Transformation
• Finance & Accounting
• Business in Society
• For Organizations
• Support Portal
• Media Coverage
• Founding Donors
• Leadership Team

• Harvard Business School →
• HBS Online →
• Business Insights →

Business Insights

Harvard Business School Online's Business Insights Blog provides the career insights you need to achieve your goals and gain confidence in your business skills.

• Career Development
• Communication
• Decision-Making
• Earning Your MBA
• Negotiation
• News & Events
• Productivity
• Staff Spotlight
• Student Profiles
• Work-Life Balance
• AI Essentials for Business
• Alternative Investments
• Business Analytics
• Business Strategy
• Business and Climate Change
• Design Thinking and Innovation
• Digital Marketing Strategy
• Disruptive Strategy
• Economics for Managers
• Entrepreneurship Essentials
• Financial Accounting
• Global Business
• Launching Tech Ventures
• Leadership Principles
• Leadership, Ethics, and Corporate Accountability
• Leading Change and Organizational Renewal
• Leading with Finance
• Management Essentials
• Negotiation Mastery
• Organizational Leadership
• Power and Influence for Positive Impact
• Strategy Execution
• Sustainable Business Strategy
• Sustainable Investing
• Winning with Digital Platforms

5 Benefits of Learning Through the Case Study Method

• 28 Nov 2023

While several factors make HBS Online unique —including a global Community and real-world outcomes —active learning through the case study method rises to the top.

In a 2023 City Square Associates survey, 74 percent of HBS Online learners who also took a course from another provider said HBS Online’s case method and real-world examples were better by comparison.

Here’s a primer on the case method, five benefits you could gain, and how to experience it for yourself.

Access your free e-book today.

What Is the Harvard Business School Case Study Method?

The case study method , or case method , is a learning technique in which you’re presented with a real-world business challenge and asked how you’d solve it. After working through it yourself and with peers, you’re told how the scenario played out.

HBS pioneered the case method in 1922. Shortly before, in 1921, the first case was written.

“How do you go into an ambiguous situation and get to the bottom of it?” says HBS Professor Jan Rivkin, former senior associate dean and chair of HBS's master of business administration (MBA) program, in a video about the case method . “That skill—the skill of figuring out a course of inquiry to choose a course of action—that skill is as relevant today as it was in 1921.”

Originally developed for the in-person MBA classroom, HBS Online adapted the case method into an engaging, interactive online learning experience in 2014.

In HBS Online courses , you learn about each case from the business professional who experienced it. After reviewing their videos, you’re prompted to take their perspective and explain how you’d handle their situation.

You then get to read peers’ responses, “star” them, and comment to further the discussion. Afterward, you learn how the professional handled it and their key takeaways.

HBS Online’s adaptation of the case method incorporates the famed HBS “cold call,” in which you’re called on at random to make a decision without time to prepare.

“Learning came to life!” said Sheneka Balogun , chief administration officer and chief of staff at LeMoyne-Owen College, of her experience taking the Credential of Readiness (CORe) program . “The videos from the professors, the interactive cold calls where you were randomly selected to participate, and the case studies that enhanced and often captured the essence of objectives and learning goals were all embedded in each module. This made learning fun, engaging, and student-friendly.”

If you’re considering taking a course that leverages the case study method, here are five benefits you could experience.

5 Benefits of Learning Through Case Studies

1. take new perspectives.

The case method prompts you to consider a scenario from another person’s perspective. To work through the situation and come up with a solution, you must consider their circumstances, limitations, risk tolerance, stakeholders, resources, and potential consequences to assess how to respond.

Taking on new perspectives not only can help you navigate your own challenges but also others’. Putting yourself in someone else’s situation to understand their motivations and needs can go a long way when collaborating with stakeholders.

2. Hone Your Decision-Making Skills

Another skill you can build is the ability to make decisions effectively . The case study method forces you to use limited information to decide how to handle a problem—just like in the real world.

Throughout your career, you’ll need to make difficult decisions with incomplete or imperfect information—and sometimes, you won’t feel qualified to do so. Learning through the case method allows you to practice this skill in a low-stakes environment. When facing a real challenge, you’ll be better prepared to think quickly, collaborate with others, and present and defend your solution.

3. Become More Open-Minded

As you collaborate with peers on responses, it becomes clear that not everyone solves problems the same way. Exposing yourself to various approaches and perspectives can help you become a more open-minded professional.

When you’re part of a diverse group of learners from around the world, your experiences, cultures, and backgrounds contribute to a range of opinions on each case.

On the HBS Online course platform, you’re prompted to view and comment on others’ responses, and discussion is encouraged. This practice of considering others’ perspectives can make you more receptive in your career.

“You’d be surprised at how much you can learn from your peers,” said Ratnaditya Jonnalagadda , a software engineer who took CORe.

In addition to interacting with peers in the course platform, Jonnalagadda was part of the HBS Online Community , where he networked with other professionals and continued discussions sparked by course content.

“You get to understand your peers better, and students share examples of businesses implementing a concept from a module you just learned,” Jonnalagadda said. “It’s a very good way to cement the concepts in one's mind.”

4. Enhance Your Curiosity

One byproduct of taking on different perspectives is that it enables you to picture yourself in various roles, industries, and business functions.

“Each case offers an opportunity for students to see what resonates with them, what excites them, what bores them, which role they could imagine inhabiting in their careers,” says former HBS Dean Nitin Nohria in the Harvard Business Review . “Cases stimulate curiosity about the range of opportunities in the world and the many ways that students can make a difference as leaders.”

Through the case method, you can “try on” roles you may not have considered and feel more prepared to change or advance your career .

5. Build Your Self-Confidence

Finally, learning through the case study method can build your confidence. Each time you assume a business leader’s perspective, aim to solve a new challenge, and express and defend your opinions and decisions to peers, you prepare to do the same in your career.

According to a 2022 City Square Associates survey , 84 percent of HBS Online learners report feeling more confident making business decisions after taking a course.

“Self-confidence is difficult to teach or coach, but the case study method seems to instill it in people,” Nohria says in the Harvard Business Review . “There may well be other ways of learning these meta-skills, such as the repeated experience gained through practice or guidance from a gifted coach. However, under the direction of a masterful teacher, the case method can engage students and help them develop powerful meta-skills like no other form of teaching.”

How to Experience the Case Study Method

If the case method seems like a good fit for your learning style, experience it for yourself by taking an HBS Online course. Offerings span seven subject areas, including:

• Business essentials
• Leadership and management
• Entrepreneurship and innovation
• Finance and accounting
• Business in society

No matter which course or credential program you choose, you’ll examine case studies from real business professionals, work through their challenges alongside peers, and gain valuable insights to apply to your career.

Are you interested in discovering how HBS Online can help advance your career? Explore our course catalog and download our free guide —complete with interactive workbook sections—to determine if online learning is right for you and which course to take.

About the Author

We use essential cookies to make Venngage work. By clicking “Accept All Cookies”, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts.

Manage Cookies

Cookies and similar technologies collect certain information about how you’re using our website. Some of them are essential, and without them you wouldn’t be able to use Venngage. But others are optional, and you get to choose whether we use them or not.

Strictly Necessary Cookies

These cookies are always on, as they’re essential for making Venngage work, and making it safe. Without these cookies, services you’ve asked for can’t be provided.

Show cookie providers

• Google Login

Functionality Cookies

These cookies help us provide enhanced functionality and personalisation, and remember your settings. They may be set by us or by third party providers.

Performance Cookies

These cookies help us analyze how many people are using Venngage, where they come from and how they're using it. If you opt out of these cookies, we can’t get feedback to make Venngage better for you and all our users.

• Google Analytics

Targeting Cookies

These cookies are set by our advertising partners to track your activity and show you relevant Venngage ads on other sites as you browse the internet.

• Google Tag Manager
• Infographics
• Daily Infographics
• Popular Templates
• Accessibility
• Graphic Design
• Graphs and Charts
• Data Visualization
• Human Resources
• Beginner Guides

Blog Beginner Guides What is a Case Study? [+6 Types of Case Studies]

What is a Case Study? [+6 Types of Case Studies]

Written by: Ronita Mohan Sep 20, 2021

Case studies have become powerful business tools. But what is a case study? What are the benefits of creating one? Are there limitations to the format?

If you’ve asked yourself these questions, our helpful guide will clear things up. Learn how to use a case study for business. Find out how cases analysis works in psychology and research.

We’ve also got examples of case studies to inspire you.

Haven’t made a case study before? You can easily  create a case study  with Venngage’s customizable templates.

CREATE A CASE STUDY

Click to jump ahead:

What is a case study, what is the case study method, benefits of case studies, limitations of case studies, types of case studies, faqs about case studies.

Case studies are research methodologies. They examine subjects, projects, or organizations to tell a story.

USE THIS TEMPLATE

Numerous sectors use case analyses. The social sciences, social work, and psychology create studies regularly.

Healthcare industries write reports on patients and diagnoses. Marketing case study examples , like the one below, highlight the benefits of a business product.

CREATE THIS REPORT TEMPLATE

Now that you know what a case study is, we explain how case reports are used in three different industries.

What is a business case study?

A business or marketing case study aims at showcasing a successful partnership. This can be between a brand and a client. Or the case study can examine a brand’s project.

There is a perception that case studies are used to advertise a brand. But effective reports, like the one below, can show clients how a brand can support them.

Hubspot created a case study on a customer that successfully scaled its business. The report outlines the various Hubspot tools used to achieve these results.

Hubspot also added a video with testimonials from the client company’s employees.

So, what is the purpose of a case study for businesses? There is a lot of competition in the corporate world. Companies are run by people. They can be on the fence about which brand to work with.

Business reports  stand out aesthetically, as well. They use  brand colors  and brand fonts . Usually, a combination of the client’s and the brand’s.

With the Venngage  My Brand Kit  feature, businesses can automatically apply their brand to designs.

A business case study, like the one below, acts as social proof. This helps customers decide between your brand and your competitors.

Don’t know how to design a report? You can learn  how to write a case study  with Venngage’s guide. We also share design tips and examples that will help you convert.

Related: 55+ Annual Report Design Templates, Inspirational Examples & Tips [Updated]

What is a case study in psychology?

In the field of psychology, case studies focus on a particular subject. Psychology case histories also examine human behaviors.

Case reports search for commonalities between humans. They are also used to prescribe further research. Or these studies can elaborate on a solution for a behavioral ailment.

The American Psychology Association  has a number of case studies on real-life clients. Note how the reports are more text-heavy than a business case study.

Famous psychologists such as Sigmund Freud and Anna O popularised the use of case studies in the field. They did so by regularly interviewing subjects. Their detailed observations build the field of psychology.

It is important to note that psychological studies must be conducted by professionals. Psychologists, psychiatrists and therapists should be the researchers in these cases.

Related: What Netflix’s Top 50 Shows Can Teach Us About Font Psychology [Infographic]

What is a case study in research?

Research is a necessary part of every case study. But specific research fields are required to create studies. These fields include user research, healthcare, education, or social work.

For example, this UX Design  report examined the public perception of a client. The brand researched and implemented new visuals to improve it. The study breaks down this research through lessons learned.

Clinical reports are a necessity in the medical field. These documents are used to share knowledge with other professionals. They also help examine new or unusual diseases or symptoms.

The pandemic has led to a significant increase in research. For example,  Spectrum Health  studied the value of health systems in the pandemic. They created the study by examining community outreach.

The pandemic has significantly impacted the field of education. This has led to numerous examinations on remote studying. There have also been studies on how students react to decreased peer communication.

Social work case reports often have a community focus. They can also examine public health responses. In certain regions, social workers study disaster responses.

You now know what case studies in various fields are. In the next step of our guide, we explain the case study method.

Return to Table of Contents

A case analysis is a deep dive into a subject. To facilitate this case studies are built on interviews and observations. The below example would have been created after numerous interviews.

Case studies are largely qualitative. They analyze and describe phenomena. While some data is included, a case analysis is not quantitative.

There are a few steps in the case method. You have to start by identifying the subject of your study. Then determine what kind of research is required.

In natural sciences, case studies can take years to complete. Business reports, like this one, don’t take that long. A few weeks of interviews should be enough.

The case method will vary depending on the industry. Reports will also look different once produced.

As you will have seen, business reports are more colorful. The design is also more accessible . Healthcare and psychology reports are more text-heavy.

Designing case reports takes time and energy. So, is it worth taking the time to write them? Here are the benefits of creating case studies.

• Collects large amounts of information
• Helps formulate hypotheses
• Builds the case for further research
• Discovers new insights into a subject
• Builds brand trust and loyalty
• Engages customers through stories

For example, the business study below creates a story around a brand partnership. It makes for engaging reading. The study also shows evidence backing up the information.

We’ve shared the benefits of why studies are needed. We will also look at the limitations of creating them.

Related: How to Present a Case Study like a Pro (With Examples)

There are a few disadvantages to conducting a case analysis. The limitations will vary according to the industry.

• Responses from interviews are subjective
• Subjects may tailor responses to the researcher
• Studies can’t always be replicated
• In certain industries, analyses can take time and be expensive
• Risk of generalizing the results among a larger population

These are some of the common weaknesses of creating case reports. If you’re on the fence, look at the competition in your industry.

Other brands or professionals are building reports, like this example. In that case, you may want to do the same.

There are six common types of case reports. Depending on your industry, you might use one of these types.

Descriptive case studies

Explanatory case studies, exploratory case reports, intrinsic case studies, instrumental case studies, collective case reports.

USE THIS TEMPLATE

We go into more detail about each type of study in the guide below.

Related:  15+ Professional Case Study Examples [Design Tips + Templates]

When you have an existing hypothesis, you can design a descriptive study. This type of report starts with a description. The aim is to find connections between the subject being studied and a theory.

Once these connections are found, the study can conclude. The results of this type of study will usually suggest how to develop a theory further.

A study like the one below has concrete results. A descriptive report would use the quantitative data as a suggestion for researching the subject deeply.

When an incident occurs in a field, an explanation is required. An explanatory report investigates the cause of the event. It will include explanations for that cause.

The study will also share details about the impact of the event. In most cases, this report will use evidence to predict future occurrences. The results of explanatory reports are definitive.

Note that there is no room for interpretation here. The results are absolute.

The study below is a good example. It explains how one brand used the services of another. It concludes by showing definitive proof that the collaboration was successful.

Another example of this study would be in the automotive industry. If a vehicle fails a test, an explanatory study will examine why. The results could show that the failure was because of a particular part.

Related: How to Write a Case Study [+ Design Tips]

An explanatory report is a self-contained document. An exploratory one is only the beginning of an investigation.

Exploratory cases act as the starting point of studies. This is usually conducted as a precursor to large-scale investigations. The research is used to suggest why further investigations are needed.

An exploratory study can also be used to suggest methods for further examination.

For example, the below analysis could have found inconclusive results. In that situation, it would be the basis for an in-depth study.

Intrinsic studies are more common in the field of psychology. These reports can also be conducted in healthcare or social work.

These types of studies focus on a unique subject, such as a patient. They can sometimes study groups close to the researcher.

The aim of such studies is to understand the subject better. This requires learning their history. The researcher will also examine how they interact with their environment.

For instance, if the case study below was about a unique brand, it could be an intrinsic study.

Once the study is complete, the researcher will have developed a better understanding of a phenomenon. This phenomenon will likely not have been studied or theorized about before.

Examples of intrinsic case analysis can be found across psychology. For example, Jean Piaget’s theories on cognitive development. He established the theory from intrinsic studies into his own children.

Related: What Disney Villains Can Tell Us About Color Psychology [Infographic]

This is another type of study seen in medical and psychology fields. Instrumental reports are created to examine more than just the primary subject.

When research is conducted for an instrumental study, it is to provide the basis for a larger phenomenon. The subject matter is usually the best example of the phenomenon. This is why it is being studied.

Assume it’s examining lead generation strategies. It may want to show that visual marketing is the definitive lead generation tool. The brand can conduct an instrumental case study to examine this phenomenon.

Collective studies are based on instrumental case reports. These types of studies examine multiple reports.

There are a number of reasons why collective reports are created:

• To provide evidence for starting a new study
• To find pattens between multiple instrumental reports
• To find differences in similar types of cases
• Gain a deeper understanding of a complex phenomenon
• Understand a phenomenon from diverse contexts

A researcher could use multiple reports, like the one below, to build a collective case report.

Related: 10+ Case Study Infographic Templates That Convert

What makes a case study a case study?

A case study has a very particular research methodology. They are an in-depth study of a person or a group of individuals. They can also study a community or an organization. Case reports examine real-world phenomena within a set context.

How long should a case study be?

The length of studies depends on the industry. It also depends on the story you’re telling. Most case studies should be at least 500-1500 words long. But you can increase the length if you have more details to share.

What should you ask in a case study?

The one thing you shouldn’t ask is ‘yes’ or ‘no’ questions. Case studies are qualitative. These questions won’t give you the information you need.

Ask your client about the problems they faced. Ask them about solutions they found. Or what they think is the ideal solution. Leave room to ask them follow-up questions. This will help build out the study.

How to present a case study?

When you’re ready to present a case study, begin by providing a summary of the problem or challenge you were addressing. Follow this with an outline of the solution you implemented, and support this with the results you achieved, backed by relevant data. Incorporate visual aids like slides, graphs, and images to make your case study presentation more engaging and impactful.

Now you know what a case study means, you can begin creating one. These reports are a great tool for analyzing brands. They are also useful in a variety of other fields.

Use a visual communication platform like Venngage to design case studies. With Venngage’s templates, you can design easily. Create branded, engaging reports, all without design experience.

Discover popular designs

Infographic maker

Brochure maker

White paper online

Newsletter creator

Flyer maker

Timeline maker

Letterhead maker

Mind map maker

Ebook maker

• Open access
• Published: 27 June 2011

The case study approach

• Sarah Crowe 1 ,
• Kathrin Cresswell 2 ,
• Ann Robertson 2 ,
• Guro Huby 3 ,
• Anthony Avery 1 &
• Aziz Sheikh 2  

BMC Medical Research Methodology volume  11 , Article number:  100 ( 2011 ) Cite this article

782k Accesses

1041 Citations

37 Altmetric

Metrics details

The case study approach allows in-depth, multi-faceted explorations of complex issues in their real-life settings. The value of the case study approach is well recognised in the fields of business, law and policy, but somewhat less so in health services research. Based on our experiences of conducting several health-related case studies, we reflect on the different types of case study design, the specific research questions this approach can help answer, the data sources that tend to be used, and the particular advantages and disadvantages of employing this methodological approach. The paper concludes with key pointers to aid those designing and appraising proposals for conducting case study research, and a checklist to help readers assess the quality of case study reports.

Peer Review reports

Introduction

The case study approach is particularly useful to employ when there is a need to obtain an in-depth appreciation of an issue, event or phenomenon of interest, in its natural real-life context. Our aim in writing this piece is to provide insights into when to consider employing this approach and an overview of key methodological considerations in relation to the design, planning, analysis, interpretation and reporting of case studies.

The illustrative 'grand round', 'case report' and 'case series' have a long tradition in clinical practice and research. Presenting detailed critiques, typically of one or more patients, aims to provide insights into aspects of the clinical case and, in doing so, illustrate broader lessons that may be learnt. In research, the conceptually-related case study approach can be used, for example, to describe in detail a patient's episode of care, explore professional attitudes to and experiences of a new policy initiative or service development or more generally to 'investigate contemporary phenomena within its real-life context' [ 1 ]. Based on our experiences of conducting a range of case studies, we reflect on when to consider using this approach, discuss the key steps involved and illustrate, with examples, some of the practical challenges of attaining an in-depth understanding of a 'case' as an integrated whole. In keeping with previously published work, we acknowledge the importance of theory to underpin the design, selection, conduct and interpretation of case studies[ 2 ]. In so doing, we make passing reference to the different epistemological approaches used in case study research by key theoreticians and methodologists in this field of enquiry.

This paper is structured around the following main questions: What is a case study? What are case studies used for? How are case studies conducted? What are the potential pitfalls and how can these be avoided? We draw in particular on four of our own recently published examples of case studies (see Tables 1 , 2 , 3 and 4 ) and those of others to illustrate our discussion[ 3 – 7 ].

What is a case study?

A case study is a research approach that is used to generate an in-depth, multi-faceted understanding of a complex issue in its real-life context. It is an established research design that is used extensively in a wide variety of disciplines, particularly in the social sciences. A case study can be defined in a variety of ways (Table 5 ), the central tenet being the need to explore an event or phenomenon in depth and in its natural context. It is for this reason sometimes referred to as a "naturalistic" design; this is in contrast to an "experimental" design (such as a randomised controlled trial) in which the investigator seeks to exert control over and manipulate the variable(s) of interest.

Stake's work has been particularly influential in defining the case study approach to scientific enquiry. He has helpfully characterised three main types of case study: intrinsic , instrumental and collective [ 8 ]. An intrinsic case study is typically undertaken to learn about a unique phenomenon. The researcher should define the uniqueness of the phenomenon, which distinguishes it from all others. In contrast, the instrumental case study uses a particular case (some of which may be better than others) to gain a broader appreciation of an issue or phenomenon. The collective case study involves studying multiple cases simultaneously or sequentially in an attempt to generate a still broader appreciation of a particular issue.

These are however not necessarily mutually exclusive categories. In the first of our examples (Table 1 ), we undertook an intrinsic case study to investigate the issue of recruitment of minority ethnic people into the specific context of asthma research studies, but it developed into a instrumental case study through seeking to understand the issue of recruitment of these marginalised populations more generally, generating a number of the findings that are potentially transferable to other disease contexts[ 3 ]. In contrast, the other three examples (see Tables 2 , 3 and 4 ) employed collective case study designs to study the introduction of workforce reconfiguration in primary care, the implementation of electronic health records into hospitals, and to understand the ways in which healthcare students learn about patient safety considerations[ 4 – 6 ]. Although our study focusing on the introduction of General Practitioners with Specialist Interests (Table 2 ) was explicitly collective in design (four contrasting primary care organisations were studied), is was also instrumental in that this particular professional group was studied as an exemplar of the more general phenomenon of workforce redesign[ 4 ].

What are case studies used for?

According to Yin, case studies can be used to explain, describe or explore events or phenomena in the everyday contexts in which they occur[ 1 ]. These can, for example, help to understand and explain causal links and pathways resulting from a new policy initiative or service development (see Tables 2 and 3 , for example)[ 1 ]. In contrast to experimental designs, which seek to test a specific hypothesis through deliberately manipulating the environment (like, for example, in a randomised controlled trial giving a new drug to randomly selected individuals and then comparing outcomes with controls),[ 9 ] the case study approach lends itself well to capturing information on more explanatory ' how ', 'what' and ' why ' questions, such as ' how is the intervention being implemented and received on the ground?'. The case study approach can offer additional insights into what gaps exist in its delivery or why one implementation strategy might be chosen over another. This in turn can help develop or refine theory, as shown in our study of the teaching of patient safety in undergraduate curricula (Table 4 )[ 6 , 10 ]. Key questions to consider when selecting the most appropriate study design are whether it is desirable or indeed possible to undertake a formal experimental investigation in which individuals and/or organisations are allocated to an intervention or control arm? Or whether the wish is to obtain a more naturalistic understanding of an issue? The former is ideally studied using a controlled experimental design, whereas the latter is more appropriately studied using a case study design.

Case studies may be approached in different ways depending on the epistemological standpoint of the researcher, that is, whether they take a critical (questioning one's own and others' assumptions), interpretivist (trying to understand individual and shared social meanings) or positivist approach (orientating towards the criteria of natural sciences, such as focusing on generalisability considerations) (Table 6 ). Whilst such a schema can be conceptually helpful, it may be appropriate to draw on more than one approach in any case study, particularly in the context of conducting health services research. Doolin has, for example, noted that in the context of undertaking interpretative case studies, researchers can usefully draw on a critical, reflective perspective which seeks to take into account the wider social and political environment that has shaped the case[ 11 ].

How are case studies conducted?

Here, we focus on the main stages of research activity when planning and undertaking a case study; the crucial stages are: defining the case; selecting the case(s); collecting and analysing the data; interpreting data; and reporting the findings.

Defining the case

Carefully formulated research question(s), informed by the existing literature and a prior appreciation of the theoretical issues and setting(s), are all important in appropriately and succinctly defining the case[ 8 , 12 ]. Crucially, each case should have a pre-defined boundary which clarifies the nature and time period covered by the case study (i.e. its scope, beginning and end), the relevant social group, organisation or geographical area of interest to the investigator, the types of evidence to be collected, and the priorities for data collection and analysis (see Table 7 )[ 1 ]. A theory driven approach to defining the case may help generate knowledge that is potentially transferable to a range of clinical contexts and behaviours; using theory is also likely to result in a more informed appreciation of, for example, how and why interventions have succeeded or failed[ 13 ].

For example, in our evaluation of the introduction of electronic health records in English hospitals (Table 3 ), we defined our cases as the NHS Trusts that were receiving the new technology[ 5 ]. Our focus was on how the technology was being implemented. However, if the primary research interest had been on the social and organisational dimensions of implementation, we might have defined our case differently as a grouping of healthcare professionals (e.g. doctors and/or nurses). The precise beginning and end of the case may however prove difficult to define. Pursuing this same example, when does the process of implementation and adoption of an electronic health record system really begin or end? Such judgements will inevitably be influenced by a range of factors, including the research question, theory of interest, the scope and richness of the gathered data and the resources available to the research team.

Selecting the case(s)

The decision on how to select the case(s) to study is a very important one that merits some reflection. In an intrinsic case study, the case is selected on its own merits[ 8 ]. The case is selected not because it is representative of other cases, but because of its uniqueness, which is of genuine interest to the researchers. This was, for example, the case in our study of the recruitment of minority ethnic participants into asthma research (Table 1 ) as our earlier work had demonstrated the marginalisation of minority ethnic people with asthma, despite evidence of disproportionate asthma morbidity[ 14 , 15 ]. In another example of an intrinsic case study, Hellstrom et al.[ 16 ] studied an elderly married couple living with dementia to explore how dementia had impacted on their understanding of home, their everyday life and their relationships.

For an instrumental case study, selecting a "typical" case can work well[ 8 ]. In contrast to the intrinsic case study, the particular case which is chosen is of less importance than selecting a case that allows the researcher to investigate an issue or phenomenon. For example, in order to gain an understanding of doctors' responses to health policy initiatives, Som undertook an instrumental case study interviewing clinicians who had a range of responsibilities for clinical governance in one NHS acute hospital trust[ 17 ]. Sampling a "deviant" or "atypical" case may however prove even more informative, potentially enabling the researcher to identify causal processes, generate hypotheses and develop theory.

In collective or multiple case studies, a number of cases are carefully selected. This offers the advantage of allowing comparisons to be made across several cases and/or replication. Choosing a "typical" case may enable the findings to be generalised to theory (i.e. analytical generalisation) or to test theory by replicating the findings in a second or even a third case (i.e. replication logic)[ 1 ]. Yin suggests two or three literal replications (i.e. predicting similar results) if the theory is straightforward and five or more if the theory is more subtle. However, critics might argue that selecting 'cases' in this way is insufficiently reflexive and ill-suited to the complexities of contemporary healthcare organisations.

The selected case study site(s) should allow the research team access to the group of individuals, the organisation, the processes or whatever else constitutes the chosen unit of analysis for the study. Access is therefore a central consideration; the researcher needs to come to know the case study site(s) well and to work cooperatively with them. Selected cases need to be not only interesting but also hospitable to the inquiry [ 8 ] if they are to be informative and answer the research question(s). Case study sites may also be pre-selected for the researcher, with decisions being influenced by key stakeholders. For example, our selection of case study sites in the evaluation of the implementation and adoption of electronic health record systems (see Table 3 ) was heavily influenced by NHS Connecting for Health, the government agency that was responsible for overseeing the National Programme for Information Technology (NPfIT)[ 5 ]. This prominent stakeholder had already selected the NHS sites (through a competitive bidding process) to be early adopters of the electronic health record systems and had negotiated contracts that detailed the deployment timelines.

It is also important to consider in advance the likely burden and risks associated with participation for those who (or the site(s) which) comprise the case study. Of particular importance is the obligation for the researcher to think through the ethical implications of the study (e.g. the risk of inadvertently breaching anonymity or confidentiality) and to ensure that potential participants/participating sites are provided with sufficient information to make an informed choice about joining the study. The outcome of providing this information might be that the emotive burden associated with participation, or the organisational disruption associated with supporting the fieldwork, is considered so high that the individuals or sites decide against participation.

In our example of evaluating implementations of electronic health record systems, given the restricted number of early adopter sites available to us, we sought purposively to select a diverse range of implementation cases among those that were available[ 5 ]. We chose a mixture of teaching, non-teaching and Foundation Trust hospitals, and examples of each of the three electronic health record systems procured centrally by the NPfIT. At one recruited site, it quickly became apparent that access was problematic because of competing demands on that organisation. Recognising the importance of full access and co-operative working for generating rich data, the research team decided not to pursue work at that site and instead to focus on other recruited sites.

Collecting the data

In order to develop a thorough understanding of the case, the case study approach usually involves the collection of multiple sources of evidence, using a range of quantitative (e.g. questionnaires, audits and analysis of routinely collected healthcare data) and more commonly qualitative techniques (e.g. interviews, focus groups and observations). The use of multiple sources of data (data triangulation) has been advocated as a way of increasing the internal validity of a study (i.e. the extent to which the method is appropriate to answer the research question)[ 8 , 18 – 21 ]. An underlying assumption is that data collected in different ways should lead to similar conclusions, and approaching the same issue from different angles can help develop a holistic picture of the phenomenon (Table 2 )[ 4 ].

Brazier and colleagues used a mixed-methods case study approach to investigate the impact of a cancer care programme[ 22 ]. Here, quantitative measures were collected with questionnaires before, and five months after, the start of the intervention which did not yield any statistically significant results. Qualitative interviews with patients however helped provide an insight into potentially beneficial process-related aspects of the programme, such as greater, perceived patient involvement in care. The authors reported how this case study approach provided a number of contextual factors likely to influence the effectiveness of the intervention and which were not likely to have been obtained from quantitative methods alone.

In collective or multiple case studies, data collection needs to be flexible enough to allow a detailed description of each individual case to be developed (e.g. the nature of different cancer care programmes), before considering the emerging similarities and differences in cross-case comparisons (e.g. to explore why one programme is more effective than another). It is important that data sources from different cases are, where possible, broadly comparable for this purpose even though they may vary in nature and depth.

Analysing, interpreting and reporting case studies

Making sense and offering a coherent interpretation of the typically disparate sources of data (whether qualitative alone or together with quantitative) is far from straightforward. Repeated reviewing and sorting of the voluminous and detail-rich data are integral to the process of analysis. In collective case studies, it is helpful to analyse data relating to the individual component cases first, before making comparisons across cases. Attention needs to be paid to variations within each case and, where relevant, the relationship between different causes, effects and outcomes[ 23 ]. Data will need to be organised and coded to allow the key issues, both derived from the literature and emerging from the dataset, to be easily retrieved at a later stage. An initial coding frame can help capture these issues and can be applied systematically to the whole dataset with the aid of a qualitative data analysis software package.

The Framework approach is a practical approach, comprising of five stages (familiarisation; identifying a thematic framework; indexing; charting; mapping and interpretation) , to managing and analysing large datasets particularly if time is limited, as was the case in our study of recruitment of South Asians into asthma research (Table 1 )[ 3 , 24 ]. Theoretical frameworks may also play an important role in integrating different sources of data and examining emerging themes. For example, we drew on a socio-technical framework to help explain the connections between different elements - technology; people; and the organisational settings within which they worked - in our study of the introduction of electronic health record systems (Table 3 )[ 5 ]. Our study of patient safety in undergraduate curricula drew on an evaluation-based approach to design and analysis, which emphasised the importance of the academic, organisational and practice contexts through which students learn (Table 4 )[ 6 ].

Case study findings can have implications both for theory development and theory testing. They may establish, strengthen or weaken historical explanations of a case and, in certain circumstances, allow theoretical (as opposed to statistical) generalisation beyond the particular cases studied[ 12 ]. These theoretical lenses should not, however, constitute a strait-jacket and the cases should not be "forced to fit" the particular theoretical framework that is being employed.

When reporting findings, it is important to provide the reader with enough contextual information to understand the processes that were followed and how the conclusions were reached. In a collective case study, researchers may choose to present the findings from individual cases separately before amalgamating across cases. Care must be taken to ensure the anonymity of both case sites and individual participants (if agreed in advance) by allocating appropriate codes or withholding descriptors. In the example given in Table 3 , we decided against providing detailed information on the NHS sites and individual participants in order to avoid the risk of inadvertent disclosure of identities[ 5 , 25 ].

What are the potential pitfalls and how can these be avoided?

The case study approach is, as with all research, not without its limitations. When investigating the formal and informal ways undergraduate students learn about patient safety (Table 4 ), for example, we rapidly accumulated a large quantity of data. The volume of data, together with the time restrictions in place, impacted on the depth of analysis that was possible within the available resources. This highlights a more general point of the importance of avoiding the temptation to collect as much data as possible; adequate time also needs to be set aside for data analysis and interpretation of what are often highly complex datasets.

Case study research has sometimes been criticised for lacking scientific rigour and providing little basis for generalisation (i.e. producing findings that may be transferable to other settings)[ 1 ]. There are several ways to address these concerns, including: the use of theoretical sampling (i.e. drawing on a particular conceptual framework); respondent validation (i.e. participants checking emerging findings and the researcher's interpretation, and providing an opinion as to whether they feel these are accurate); and transparency throughout the research process (see Table 8 )[ 8 , 18 – 21 , 23 , 26 ]. Transparency can be achieved by describing in detail the steps involved in case selection, data collection, the reasons for the particular methods chosen, and the researcher's background and level of involvement (i.e. being explicit about how the researcher has influenced data collection and interpretation). Seeking potential, alternative explanations, and being explicit about how interpretations and conclusions were reached, help readers to judge the trustworthiness of the case study report. Stake provides a critique checklist for a case study report (Table 9 )[ 8 ].

Conclusions

The case study approach allows, amongst other things, critical events, interventions, policy developments and programme-based service reforms to be studied in detail in a real-life context. It should therefore be considered when an experimental design is either inappropriate to answer the research questions posed or impossible to undertake. Considering the frequency with which implementations of innovations are now taking place in healthcare settings and how well the case study approach lends itself to in-depth, complex health service research, we believe this approach should be more widely considered by researchers. Though inherently challenging, the research case study can, if carefully conceptualised and thoughtfully undertaken and reported, yield powerful insights into many important aspects of health and healthcare delivery.

Yin RK: Case study research, design and method. 2009, London: Sage Publications Ltd., 4

Google Scholar  

Keen J, Packwood T: Qualitative research; case study evaluation. BMJ. 1995, 311: 444-446.

Article   CAS   PubMed   PubMed Central   Google Scholar  

Sheikh A, Halani L, Bhopal R, Netuveli G, Partridge M, Car J, et al: Facilitating the Recruitment of Minority Ethnic People into Research: Qualitative Case Study of South Asians and Asthma. PLoS Med. 2009, 6 (10): 1-11.

Article   Google Scholar  

Pinnock H, Huby G, Powell A, Kielmann T, Price D, Williams S, et al: The process of planning, development and implementation of a General Practitioner with a Special Interest service in Primary Care Organisations in England and Wales: a comparative prospective case study. Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R&D (NCCSDO). 2008, [ http://www.sdo.nihr.ac.uk/files/project/99-final-report.pdf ]

Robertson A, Cresswell K, Takian A, Petrakaki D, Crowe S, Cornford T, et al: Prospective evaluation of the implementation and adoption of NHS Connecting for Health's national electronic health record in secondary care in England: interim findings. BMJ. 2010, 41: c4564-

Pearson P, Steven A, Howe A, Sheikh A, Ashcroft D, Smith P, the Patient Safety Education Study Group: Learning about patient safety: organisational context and culture in the education of healthcare professionals. J Health Serv Res Policy. 2010, 15: 4-10. 10.1258/jhsrp.2009.009052.

Article   PubMed   Google Scholar  

van Harten WH, Casparie TF, Fisscher OA: The evaluation of the introduction of a quality management system: a process-oriented case study in a large rehabilitation hospital. Health Policy. 2002, 60 (1): 17-37. 10.1016/S0168-8510(01)00187-7.

Stake RE: The art of case study research. 1995, London: Sage Publications Ltd.

Sheikh A, Smeeth L, Ashcroft R: Randomised controlled trials in primary care: scope and application. Br J Gen Pract. 2002, 52 (482): 746-51.

PubMed   PubMed Central   Google Scholar  

King G, Keohane R, Verba S: Designing Social Inquiry. 1996, Princeton: Princeton University Press

Doolin B: Information technology as disciplinary technology: being critical in interpretative research on information systems. Journal of Information Technology. 1998, 13: 301-311. 10.1057/jit.1998.8.

George AL, Bennett A: Case studies and theory development in the social sciences. 2005, Cambridge, MA: MIT Press

Eccles M, the Improved Clinical Effectiveness through Behavioural Research Group (ICEBeRG): Designing theoretically-informed implementation interventions. Implementation Science. 2006, 1: 1-8. 10.1186/1748-5908-1-1.

Article   PubMed Central   Google Scholar  

Netuveli G, Hurwitz B, Levy M, Fletcher M, Barnes G, Durham SR, Sheikh A: Ethnic variations in UK asthma frequency, morbidity, and health-service use: a systematic review and meta-analysis. Lancet. 2005, 365 (9456): 312-7.

Sheikh A, Panesar SS, Lasserson T, Netuveli G: Recruitment of ethnic minorities to asthma studies. Thorax. 2004, 59 (7): 634-

CAS   PubMed   PubMed Central   Google Scholar  

Hellström I, Nolan M, Lundh U: 'We do things together': A case study of 'couplehood' in dementia. Dementia. 2005, 4: 7-22. 10.1177/1471301205049188.

Som CV: Nothing seems to have changed, nothing seems to be changing and perhaps nothing will change in the NHS: doctors' response to clinical governance. International Journal of Public Sector Management. 2005, 18: 463-477. 10.1108/09513550510608903.

Lincoln Y, Guba E: Naturalistic inquiry. 1985, Newbury Park: Sage Publications

Barbour RS: Checklists for improving rigour in qualitative research: a case of the tail wagging the dog?. BMJ. 2001, 322: 1115-1117. 10.1136/bmj.322.7294.1115.

Mays N, Pope C: Qualitative research in health care: Assessing quality in qualitative research. BMJ. 2000, 320: 50-52. 10.1136/bmj.320.7226.50.

Mason J: Qualitative researching. 2002, London: Sage

Brazier A, Cooke K, Moravan V: Using Mixed Methods for Evaluating an Integrative Approach to Cancer Care: A Case Study. Integr Cancer Ther. 2008, 7: 5-17. 10.1177/1534735407313395.

Miles MB, Huberman M: Qualitative data analysis: an expanded sourcebook. 1994, CA: Sage Publications Inc., 2

Pope C, Ziebland S, Mays N: Analysing qualitative data. Qualitative research in health care. BMJ. 2000, 320: 114-116. 10.1136/bmj.320.7227.114.

Cresswell KM, Worth A, Sheikh A: Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare. BMC Med Inform Decis Mak. 2010, 10 (1): 67-10.1186/1472-6947-10-67.

Article   PubMed   PubMed Central   Google Scholar  

Malterud K: Qualitative research: standards, challenges, and guidelines. Lancet. 2001, 358: 483-488. 10.1016/S0140-6736(01)05627-6.

Article   CAS   PubMed   Google Scholar  

Yin R: Case study research: design and methods. 1994, Thousand Oaks, CA: Sage Publishing, 2

Yin R: Enhancing the quality of case studies in health services research. Health Serv Res. 1999, 34: 1209-1224.

Green J, Thorogood N: Qualitative methods for health research. 2009, Los Angeles: Sage, 2

Howcroft D, Trauth E: Handbook of Critical Information Systems Research, Theory and Application. 2005, Cheltenham, UK: Northampton, MA, USA: Edward Elgar

Book   Google Scholar  

Blakie N: Approaches to Social Enquiry. 1993, Cambridge: Polity Press

Doolin B: Power and resistance in the implementation of a medical management information system. Info Systems J. 2004, 14: 343-362. 10.1111/j.1365-2575.2004.00176.x.

Bloomfield BP, Best A: Management consultants: systems development, power and the translation of problems. Sociological Review. 1992, 40: 533-560.

Shanks G, Parr A: Positivist, single case study research in information systems: A critical analysis. Proceedings of the European Conference on Information Systems. 2003, Naples

Pre-publication history

The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2288/11/100/prepub

Download references

Acknowledgements

We are grateful to the participants and colleagues who contributed to the individual case studies that we have drawn on. This work received no direct funding, but it has been informed by projects funded by Asthma UK, the NHS Service Delivery Organisation, NHS Connecting for Health Evaluation Programme, and Patient Safety Research Portfolio. We would also like to thank the expert reviewers for their insightful and constructive feedback. Our thanks are also due to Dr. Allison Worth who commented on an earlier draft of this manuscript.

Author information

Authors and affiliations.

Division of Primary Care, The University of Nottingham, Nottingham, UK

Sarah Crowe & Anthony Avery

Centre for Population Health Sciences, The University of Edinburgh, Edinburgh, UK

Kathrin Cresswell, Ann Robertson & Aziz Sheikh

School of Health in Social Science, The University of Edinburgh, Edinburgh, UK

You can also search for this author in PubMed   Google Scholar

Corresponding author

Correspondence to Sarah Crowe .

Additional information

Competing interests.

The authors declare that they have no competing interests.

Authors' contributions

AS conceived this article. SC, KC and AR wrote this paper with GH, AA and AS all commenting on various drafts. SC and AS are guarantors.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and permissions

About this article

Cite this article.

Crowe, S., Cresswell, K., Robertson, A. et al. The case study approach. BMC Med Res Methodol 11 , 100 (2011). https://doi.org/10.1186/1471-2288-11-100

Download citation

Received : 29 November 2010

Accepted : 27 June 2011

Published : 27 June 2011

DOI : https://doi.org/10.1186/1471-2288-11-100

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

• Case Study Approach
• Electronic Health Record System
• Case Study Design
• Case Study Site
• Case Study Report

BMC Medical Research Methodology

ISSN: 1471-2288

• General enquiries: [email protected]

support your career

get the interview & get the job

• Career Development

How To Write a Psychology Case Study in 8 Steps (Plus Tips)

We bet you may be familiar with what a case study is if you are a psychology, sociology, or anthropology student, depending on what you study in college. This research technique is employed to examine a specific individual, group, or circumstance. This tutorial from our dissertation writing services will teach you how to write a case study effectively, from conducting research to properly citing sources. Additionally, we will examine various case study types and provide examples for you so that you have no further questions.

• Gather information to create a profile for a subject. …
• Choose a case study method. …
• Collect information regarding the subject’s background. …
• Describe the subject’s symptoms or problems. …
• Analyze the data and establish a diagnosis. …
• Choose a treatment approach.

Why are psychology case studies important?

Case studies in psychology are crucial because they can be used to develop treatments, validate diagnoses, and provide evidence to support psychological theories. They can also enable future psychologists to review additional comprehensive empirical research to broaden their own case study investigations. The comparison of information from earlier case studies can aid future research development procedures.

What is a psychology case study?

A psychology case study is a comprehensive examination of a single individual, group of people, or event that draws on data from experiments, observations, and other sources. Psychologists gather data for a case study through experimentation, interviews, observation, psychometric testing, and case study archives. These studies typically investigate psychological mechanisms and behaviors to gather knowledge for subsequent investigations into a condition or behavior. Sometimes, a case study will look at every aspect of a person’s life and behavior.

Benefits of psychology case studies

Here are some common benefits of a psychology case study:

Types of psychology case studies

A research psychologist may choose to conduct one of the following six types of case studies:

How to write a psychology case study

If you’re considering writing your own case study, here are eight steps to get you started:

1. Gather information to create a profile for a subject

Before creating research methods and a hypothesis, it’s critical to gain as much knowledge as you can about the research topic. You can use prior case studies as supplementary data to conduct and better understand theories or information during your case study research. After gathering data from earlier studies, gather data on the topic from the following four sources:

2. Choose a case study method

When creating a psychology case study, there are two approaches to consider: the prospective approach and the retrospective approach. To choose the best approach, take into account the case study’s focus and the research you hope to uncover. In a prospective case study, the goal is to observe a person or group in order to identify and comprehend the psychological outcomes. Retrospective case studies analyze past events, such as a subject’s diagnosis, to identify potential influences on a subject’s psychological well-being and past behaviors.

3. Collect information regarding the subjects background

The subject’s history or background is presented in the first section of a case study. In this section, a research psychologist collects the following information:

4. Describe the subjects symptoms or problems

Include any mental, bodily, or sensory symptoms a subject may have in order to create an effective treatment plan. Including in your study any thoughts, emotions, or worries the subject has regarding their symptoms is beneficial. If the subject is tested, describe all results and evaluations that are pertinent to the case study.

5. Analyze the data and establish a diagnosis

This step entails analyzing and choosing the best diagnosis for the subject based on the information from your research. Explain each step of your research methods, as well as the symptoms of your subject, to provide evidence to support your diagnosis. Additionally, symptoms may serve as evidence that a person meets the requirements for a particular disorder.

6. Choose a treatment approach

Once you have reached a diagnosis, the following step in writing a psychology case study is to select a treatment strategy. Here are four treatment approaches you may decide to use:

7. Describe treatment goals and processes

Define the objectives of using this treatment, how you intend to use it, and any outcomes you anticipate occurring after treatment after choosing a treatment approach. Some objectives might be to completely eradicate symptoms or use the therapy to lessen some symptoms and implement coping mechanisms so the patient can resume a normal life. To provide more details on the diagnosis for future research, it’s crucial to record your treatment procedures and keep track of how the subject responds to them.

8. Write a discussion section

The discussion section appears as the final section of a psychology case study. You must describe all case study procedures, outcomes, and components in this section, along with any restrictions and how the study adds to prior research. This section also contains any psychological conclusions or hypotheses that may need additional study. You have the chance to review every aspect of your study in the discussion section and assess its accuracy, potential contributions to future research, and potential therapeutic strategies a psychologist might employ with a different patient who shares your history and symptoms.

Tips for writing a psychology case study

Four suggestions for writing a psychology case study are provided below:

Tips To Write An Excellent Case Study Report In Psychology

What is included in a case study psychology?

In psychology, a case study is when a descriptive research methodology is used to get a detailed analysis of a person, group, or phenomenon. Numerous methods, such as in-person interviews, direct observation, psychometric tests, and examination of archival materials, may be used.

What is the case study method in psychology?

• Introduce the customer. Set the stage for your case study with an introduction.
• State the problem. Every product or service is a solution to a problem.
• Introduce your product. This is where you begin solving the problem.
• Show results. The big reveal. …

Related posts:

• 15 BPI Certifications (With Tips for Choosing One)
• Report Writing Skills: Definition and Examples
• How To Measure Training Effectiveness in 5 Steps
• What Is ABC Inventory? (With Benefits, Steps and an Example)
• FAQ: What Is an Oil and Gas Management Degree?
• 30 Inspirational Career Change Quotes (And How They Help)
• 10 of the Best Master’s Degrees for the Future (And Jobs To Consider)
• 9 Paraprofessional Skills (Plus 3 Tips for Improving Them)

Related Posts

How to write a letter to the editor in 8 steps, how to learn embedded systems programming in 6 steps, leave a reply cancel reply.

Your email address will not be published. Required fields are marked *

Save my name, email, and website in this browser for the next time I comment.

Henry Gustav Molaison: The Curious Case of Patient H.M. 

Erin Heaning

Clinical Safety Strategist at Bristol Myers Squibb

Psychology Graduate, Princeton University

Erin Heaning, a holder of a BA (Hons) in Psychology from Princeton University, has experienced as a research assistant at the Princeton Baby Lab.

Learn about our Editorial Process

Saul Mcleod, PhD

Editor-in-Chief for Simply Psychology

BSc (Hons) Psychology, MRes, PhD, University of Manchester

Saul Mcleod, PhD., is a qualified psychology teacher with over 18 years of experience in further and higher education. He has been published in peer-reviewed journals, including the Journal of Clinical Psychology.

Olivia Guy-Evans, MSc

Associate Editor for Simply Psychology

BSc (Hons) Psychology, MSc Psychology of Education

Olivia Guy-Evans is a writer and associate editor for Simply Psychology. She has previously worked in healthcare and educational sectors.

On This Page:

Henry Gustav Molaison, known as Patient H.M., is a landmark case study in psychology. After a surgery to alleviate severe epilepsy, which removed large portions of his hippocampus , he was left with anterograde amnesia , unable to form new explicit memories , thus offering crucial insights into the role of the hippocampus in memory formation.

• Henry Gustav Molaison (often referred to as H.M.) is a famous case of anterograde and retrograde amnesia in psychology.
• H. M. underwent brain surgery to remove his hippocampus and amygdala to control his seizures. As a result of his surgery, H.M.’s seizures decreased, but he could no longer form new memories or remember the prior 11 years of his life.
• He lost his ability to form many types of new memories (anterograde amnesia), such as new facts or faces, and the surgery also caused retrograde amnesia as he was able to recall childhood events but lost the ability to recall experiences a few years before his surgery.
• The case of H.M. and his life-long participation in studies gave researchers valuable insight into how memory functions and is organized in the brain. He is considered one of the most studied medical and psychological history cases.

Who is H.M.?

Henry Gustav Molaison, or “H.M” as he is commonly referred to by psychology and neuroscience textbooks, lost his memory on an operating table in 1953.

For years before his neurosurgery, H.M. suffered from epileptic seizures believed to be caused by a bicycle accident that occurred in his childhood. The seizures started out as minor at age ten, but they developed in severity when H.M. was a teenager.

Continuing to worsen in severity throughout his young adulthood, H.M. was eventually too disabled to work. Throughout this period, treatments continued to turn out unsuccessful, and epilepsy proved a major handicap and strain on H.M.’s quality of life.

And so, at age 27, H.M. agreed to undergo a radical surgery that would involve removing a part of his brain called the hippocampus — the region believed to be the source of his epileptic seizures (Squire, 2009).

For epilepsy patients, brain resection surgery refers to removing small portions of brain tissue responsible for causing seizures. Although resection is still a surgical procedure used today to treat epilepsy, the use of lasers and detailed brain scans help ensure valuable brain regions are not impacted.

In 1953, H.M.’s neurosurgeon did not have these tools, nor was he or the rest of the scientific or medical community fully aware of the true function of the hippocampus and its specific role in memory. In one regard, the surgery was successful, as H.M. did, in fact, experience fewer seizures.

However, family and doctors soon noticed he also suffered from severe amnesia, which persisted well past when he should have recovered. In addition to struggling to remember the years leading up to his surgery, H.M. also had gaps in his memory of the 11 years prior.

Furthermore, he lacked the ability to form new memories — causing him to perpetually live an existence of moment-to-moment forgetfulness for decades to come.

In one famous quote, he famously and somberly described his state as “like waking from a dream…. every day is alone in itself” (Squire et al., 2009).

H.M. soon became a major case study of interest for psychologists and neuroscientists who studied his memory deficits and cognitive abilities to better understand the hippocampus and its function.

When H.M. died on December 2, 2008, at the age of 82, he left behind a lifelong legacy of scientific contribution.

Surgical Procedure

Neurosurgeon William Beecher Scoville performed H.M.’s surgery in Hartford, Connecticut, in August 1953 when H.M. was 27 years old.

During the procedure, Scoville removed parts of H.M.’s temporal lobe which refers to the portion of the brain that sits behind both ears and is associated with auditory and memory processing.

More specifically, the surgery involved what was called a “partial medial temporal lobe resection” (Scoville & Milner, 1957). In this resection, Scoville removed 8 cm of brain tissue from the hippocampus — a seahorse-shaped structure located deep in the temporal lobe .

Bilateral resection of the anterior temporal lobe in patient HM.

Further research conducted after this removal showed Scoville also probably destroyed the brain structures known as the “uncus” (theorized to play a role in the sense of smell and forming new memories) and the “amygdala” (theorized to play a crucial role in controlling our emotional responses such as fear and sadness).

As previously mentioned, the removal surgery partially reduced H.M.’s seizures; however, he also lost the ability to form new memories.

At the time, Scoville’s experimental procedure had previously only been performed on patients with psychosis, so H.M. was the first epileptic patient and showed no sign of mental illness. In the original case study of H.M., which is discussed in further detail below, nine of Scoville’s patients from this experimental surgery were described.

However, because these patients had disorders such as schizophrenia, their symptoms were not removed after surgery.

In this regard, H.M. was the only patient with “clean” amnesia along with no other apparent mental problems.

H.M’s Amnesia

H.M.’s apparent amnesia after waking from surgery presented in multiple forms. For starters, H.M. suffered from retrograde amnesia for the 11-year period prior to his surgery.

Retrograde describes amnesia, where you can’t recall memories that were formed before the event that caused the amnesia. Important to note, current research theorizes that H.M.’s retrograde amnesia was not actually caused by the loss of his hippocampus, but rather from a combination of antiepileptic drugs and frequent seizures prior to his surgery (Shrader 2012).

In contrast, H.M.’s inability to form new memories after his operation, known as anterograde amnesia, was the result of the loss of the hippocampus.

This meant that H.M. could not learn new words, facts, or faces after his surgery, and he would even forget who he was talking to the moment he walked away.

However, H.M. could perform tasks, and he could even perform those tasks easier after practice. This important finding represented a major scientific discovery when it comes to memory and the hippocampus. The memory that H.M. was missing in his life included the recall of facts, life events, and other experiences.

This type of long-term memory is referred to as “explicit” or “ declarative ” memories and they require conscious thinking.

In contrast, H.M.’s ability to improve in tasks after practice (even if he didn’t recall that practice) showed his “implicit” or “ procedural ” memory remained intact (Scoville & Milner, 1957). This type of long-term memory is unconscious, and examples include riding a bike, brushing your teeth, or typing on a keyboard.

Most importantly, after removing his hippocampus, H.M. lost his explicit memory but not his implicit memory — establishing that implicit memory must be controlled by some other area of the brain and not the hippocampus.

After the severity of the side effects of H.M.’s operation became clear, H.M. was referred to neurosurgeon Dr. Wilder Penfield and neuropsychologist Dr. Brenda Milner of Montreal Neurological Institute (MNI) for further testing.

As discussed, H.M. was not the only patient who underwent this experimental surgery, but he was the only non-psychotic patient with such a degree of memory impairment. As a result, he became a major study and interest for Milner and the rest of the scientific community.

Since Penfield and Milner had already been conducting memory experiments on other patients at the time, they quickly realized H.M.’s “dense amnesia, intact intelligence, and precise neurosurgical lesions made him a perfect experimental subject” (Shrader 2012).

Milner continued to conduct cognitive testing on H.M. for the next fifty years, primarily at the Massachusetts Institute of Technology (MIT). Her longitudinal case study of H.M.’s amnesia quickly became a sensation and is still one of the most widely-cited psychology studies.

In publishing her work, she protected Henry’s identity by first referring to him as the patient H.M. (Shrader 2012).

In the famous “star tracing task,” Milner tested if H.M.’s procedural memory was affected by the removal of the hippocampus during surgery.

In this task, H.M. had to trace an outline of a star, but he could only trace the star based on the mirrored reflection. H.M. then repeated this task once a day over a period of multiple days.

Over the course of these multiple days, Milner observed that H.M. performed the test faster and with fewer errors after continued practice. Although each time he performed the task, he had no memory of having participated in the task before, his performance improved immensely (Shrader 2012).

As this task showed, H.M. had lost his declarative/explicit memory, but his unconscious procedural/implicit memory remained intact.

Given the damage to his hippocampus in surgery, researchers concluded from tasks such as these that the hippocampus must play a role in declarative but not procedural memory.

Therefore, procedural memory must be localized somewhere else in the brain and not in the hippocampus.

H.M’s Legacy

Milner’s and hundreds of other researchers’ work with H.M. established fundamental principles about how memory functions and is organized in the brain.

Without the contribution of H.M. in volunteering the study of his mind to science, our knowledge today regarding the separation of memory function in the brain would certainly not be as strong.

Until H.M.’s watershed surgery, it was not known that the hippocampus was essential for making memories and that if we lost this valuable part of our brain, we would be forced to live only in the moment-to-moment constraints of our short-term memory .

Once this was realized, the findings regarding H.M. were widely publicized so that this operation to remove the hippocampus would never be done again (Shrader 2012).

H.M.’s case study represents a historical time period for neuroscience in which most brain research and findings were the result of brain dissections, lesioning certain sections, and seeing how different experimental procedures impacted different patients.

Therefore, it is paramount we recognize the contribution of patients like H.M., who underwent these dangerous operations in the mid-twentieth century and then went on to allow researchers to study them for the rest of their lives.

Even after his death, H.M. donated his brain to science. Researchers then took his unique brain, froze it, and then in a 53-hour procedure, sliced it into 2,401 slices which were then individually photographed and digitized as a three-dimensional map.

Through this map, H.M.’s brain could be preserved for posterity (Wb et al., 2014). As neuroscience researcher Suzanne Corkin once said it best, “H.M. was a pleasant, engaging, docile man with a keen sense of humor, who knew he had a poor memory but accepted his fate.

There was a man behind the data. Henry often told me that he hoped that research into his condition would help others live better lives. He would have been proud to know how much his tragedy has benefitted science and medicine” (Corkin, 2014).

Corkin, S. (2014). Permanent present tense: The man with no memory and what he taught the world. Penguin Books.

Hardt, O., Einarsson, E. Ö., & Nader, K. (2010). A bridge over troubled water: Reconsolidation as a link between cognitive and neuroscientific memory research traditions. Annual Review of Psychology, 61, 141–167.

Scoville, W. B., & Milner, B. (1957). Loss of recent memory after bilateral hippocampal lesions . Journal of neurology, neurosurgery, and psychiatry, 20 (1), 11.

Shrader, J. (2012, January). HM, the man with no memory | Psychology Today. Retrieved from, https://www.psychologytoday.com/us/blog/trouble-in-mind/201201/hm-the-man-no-memory

Squire, L. R. (2009). The legacy of patient H. M. for neuroscience . Neuron, 61 , 6–9.

Related Articles

Famous Experiments , Social Science

Solomon Asch Conformity Line Experiment Study

Famous Experiments , Learning Theories

Bandura’s Bobo Doll Experiment on Social Learning

Famous Experiments

John Money Gender Experiment: Reimer Twins

Famous Experiments , Child Psychology

Van Ijzendoorn & Kroonenberg: Cultural Variations in Attachment

Dement and Kleitman (1957)

Held and Hein (1963) Kitten carosel

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

• View all journals
• Explore content
• About the journal
• Publish with us
• Sign up for alerts
• 12 May 2024

Is the Internet bad for you? Huge study reveals surprise effect on well-being

• Carissa Wong

You can also search for this author in PubMed   Google Scholar

A global, 16-year study 1 of 2.4 million people has found that Internet use might boost measures of well-being, such as life satisfaction and sense of purpose — challenging the commonly held idea that Internet use has negative effects on people’s welfare.

Access options

Access Nature and 54 other Nature Portfolio journals

Get Nature+, our best-value online-access subscription

24,99 € / 30 days

cancel any time

Subscribe to this journal

Receive 51 print issues and online access

185,98 € per year

only 3,65 € per issue

Rent or buy this article

Prices vary by article type

Prices may be subject to local taxes which are calculated during checkout

doi: https://doi.org/10.1038/d41586-024-01410-z

Vuorre, M. & Przybylski, A. K. Technol. Mind Behav . https://doi.org/10.1037/tmb0000127 (2024).

Article   Google Scholar  

Heffer, T. et al. Clin. Psychol. Sci. 7 , 462–470 (2018).

Coyne, S. M., Rogers, A. A., Zurcher, J. D., Stockdale, L. & Booth, M. Comput. Hum. Behav . 104 , 106160 (2020).

Download references

Reprints and permissions

Related Articles

• Public health

Why role-playing games can spur climate action

World View 22 MAY 24

How does ChatGPT ‘think’? Psychology and neuroscience crack open AI large language models

News Feature 14 MAY 24

Daniel Kahneman obituary: psychologist who revolutionized the way we think about thinking

Obituary 03 MAY 24

Ozempic keeps wowing: trial data show benefits for kidney disease

News 24 MAY 24

Trials that infected people with common colds can inform today’s COVID-19 challenge trials

Correspondence 21 MAY 24

A global pandemic treaty is in sight: don’t scupper it

Editorial 21 MAY 24

Can mathematicians help to solve social-justice problems?

Career Feature 22 MAY 24

Internet use and teen mental health: it’s about more than just screen time

Professor, Division Director, Translational and Clinical Pharmacology

Cincinnati Children’s seeks a director of the Division of Translational and Clinical Pharmacology.

Cincinnati, Ohio

Cincinnati Children's Hospital & Medical Center

Data Analyst for Gene Regulation as an Academic Functional Specialist

The Rheinische Friedrich-Wilhelms-Universität Bonn is an international research university with a broad spectrum of subjects. With 200 years of his...

53113, Bonn (DE)

Rheinische Friedrich-Wilhelms-Universität

Recruitment of Global Talent at the Institute of Zoology, Chinese Academy of Sciences (IOZ, CAS)

The Institute of Zoology (IOZ), Chinese Academy of Sciences (CAS), is seeking global talents around the world.

Beijing, China

Institute of Zoology, Chinese Academy of Sciences (IOZ, CAS)

Full Professorship (W3) in “Organic Environmental Geochemistry (f/m/d)

The Institute of Earth Sciences within the Faculty of Chemistry and Earth Sciences at Heidelberg University invites applications for a   FULL PROFE...

Heidelberg, Brandenburg (DE)

Universität Heidelberg

Postdoctoral scholarship in Structural biology of neurodegeneration

A 2-year fellowship in multidisciplinary project combining molecular, structural and cell biology approaches to understand neurodegenerative disease

Umeå, Sweden

Umeå University

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Quick links

• Explore articles by subject
• Guide to authors
• Editorial policies

The Search for Meaning

Why Our Brains Are Built to Search

• Find a Therapist

Verified by Psychology Today

• Psychiatrists
• Treatment Centers
• Support Groups

Professionals

Therapists Sign Up | Login

Psychology Today: Health, Help, Happiness + Find a Therapist

Today’s essentials today’s essential reads.

Perfectionism

The bad advice of "always be useful".

Leon Garber LMHC on May 25, 2024 in Perfectionism

Being useful isn't always good and can, sometimes, backfire. Perfectionists often struggle to deeply connect with others due to their preoccupations with their standards.

• Relationships

How to Make Sense of a Relationship Betrayal

Susan Krauss Whitbourne PhD, ABPP on May 25, 2024 in Fulfillment at Any Age

Being lied to or exploited by someone close to you can be an unnerving experience. New research unpacks the emotions of the betrayer, showing who you can and cannot trust.

AI Finds Astonishing Male/Female Differences in Human Brain

Leonard Sax M.D., Ph.D. on May 24, 2024 in Sax on Sex

Stanford neuroscientists document large male/female differences in brain connectivity.

• Personality

Have You Been a Target or Victim of Mate Poaching?

Martin Graff Ph.D. on May 24, 2024 in Love, Digitally

Is mate poaching just opportunistic behavior, or does personality play a role? Here's what the research says.

What Can We Do to Improve Concert Goers’s Experience?

Lu Wang Ph.D. on May 25, 2024 in Music Is Number in Space

Can new technology help classical music appeal to a broad contemporary audience?

Artificial Intelligence

The shift from analog to digital to cognitive.

John Nosta on May 25, 2024 in The Digital Self

As AI and LLMs usher in The Cognitive Age, humanity faces an existential question: will our own cognition become obsolete, or will we evolve alongside our digital partners?

Why We Like Cryptic Word Puzzles

Marcel Danesi Ph.D. on May 25, 2024 in Brain Workout

The clues used for creating cryptic crosswords constitute in themselves a genre of word puzzles. Solving these invariably produces a sense of pleasure that is exceptional.

The Wisdom of Resentment: From Toxic to Tonic

Jessica Del Pozo, Ph.D. on May 25, 2024 in Being Awake Better

Resentment is often labeled as a toxic feeling. However, trusting the inherent wisdom of our emotions can guide us toward healing and growth.

7 Ways to Manage Crisis Calls From a Struggling Adult Child

Jeffrey Bernstein Ph.D. on May 25, 2024 in Liking the Child You Love

When your phone buzzes with the familiar number of your adult child in distress, navigating the conversation can feel like walking a tightrope. Here's how to keep your balance.

What I Learned From Missing the Solar Eclipse

Nadja Halilbegovich on May 25, 2024 in From Surviving to Thriving

My disappointment taught me the value of radical acceptance and that our inner narratives define our experience.

Autistic Youth Deserve Freedom from Abuse

Jennifer Gerlach LCSW on May 25, 2024 in Beyond Mental Health

Autistic youth are more than twice as likely to experience abuse than their neurotypical counterparts. How can systems better serve these families?

Mindfulness

5 ways to find focus in the age of distractions.

Anita Owusu MSW, RSW on May 25, 2024 in Your Inner World

Master the art of presence and single-tasking to combat overwhelm, reclaim focus, and rediscover the joy of being fully present in every moment.

5 Factors in Finding Passion in Your Career

Ran D. Anbar M.D. on May 25, 2024 in Understanding Hypnosis

Keys to finding one’s passion include patience, willingness to explore many new experiences, and engaging in activities that allow you to joyfully express your life values.

Recommended Standard Care for People With Suicide Risk

David A. Jobes Ph.D., ABPP on May 25, 2024 in The Psychology of Life

Survey research of hospitals shows a failure to use common sense evidence-based approaches for suicidal risk while proven psychological approaches for suicidality are rarely used.

Can You Use Your Phone While Feeding Your Baby?

Corinne Masur Psy.D. on May 25, 2024 in Parenting Matters

Looking at your phone while you are with your baby, your young child, or even your teenager deprives them of the time you'd spend together in the present.

Visualize Your Perfect Day to Make It Come True

Susanna Newsonen on May 25, 2024 in The Path to Passionate Happiness

What could you do tomorrow or this weekend to bring your perfect day into your reality?

Ethics and Morality

Discover your evil side.

Rafa Euba on May 25, 2024 in You Are Not Meant To Be Happy

Ordinary people may behave cruelly in exceptional circumstances

A Field Guide to Life's Big Lessons, Indian Style

Rahul Bhandari on May 25, 2024 in Turning Adversity into Advantage

Dive into Indian wisdom with quirky phrases that offer life lessons in action, communication, and self-acceptance!

Addressing Common Errors New EFT Relational Therapists Make

Jason N. Linder, PsyD on May 24, 2024 in Relationship and Trauma Insights

Feeling stuck with a case as an emotionally focused therapist? Here are five lessons from a supervisor's perspective to help you work smarter, not harder.

How Sunlight Heals Us

It’s Not Just Vitamin D

Weight Loss Drugs Make People Feel Good—and Bad

Alexandra Brewis and Emily Mendenhall Ph.D. on May 24, 2024 in Diagnosis: Human

Weight loss drugs are transforming many people physically. But how we feel about them is an important side effect.

Toxic Motivation: Recognize and Recover From the Cycle

Jake Breeden on May 24, 2024 in Detoxing Management

Toxic workplace tactics like threats and sacrifice may boost short-term productivity, but at a severe human cost.

How to Work Together as a Team

Robert Taibbi L.C.S.W. on May 24, 2024 in Fixing Families

We hear a lot of talk about the need to work together as a team as partners and parents, but what does that mean? Here are some key principles and ways to get there.

Early-Life Trauma, Adult Relationships, and Sexual Behavior

Robert Weiss Ph.D., LCSW, CSAT on May 24, 2024 in Love and Sex in the Digital Age

Many people fail to see the connection between childhood trauma and adult-life thoughts and actions. Thus, they may think of themselves as crazy.

Is It Ever Okay to Treat a Couple and an Individual in It?

David J. Ley Ph.D. on May 24, 2024 in Women Who Stray

The question of whether a therapist can or should provide conjoint individual and couples therapy is a hotly debated issue with no clear guidelines or answers.

Selfies and the Self

Andrea Mathews LPC, NCC on May 24, 2024 in Traversing the Inner Terrain

Is the selfie a way to authenticate the self?

When You Sense Someone’s Upset With You, Try This

Jeff Wetzler Ed.D. on May 24, 2024 in Unexpected Breakthroughs

Personal Perspective: What can you do when you’re pretty sure someone is upset with you, but they won’t tell you what's really going on?

Misogyny Disguised as Attraction Should Be Labeled HAZMAT

Gina Barreca Ph.D. on May 24, 2024 in Snow White Doesn't Live Here Anymore

You turn to self-hatred because it's easier than hating everybody else. Maybe if you hate yourself, you have the power to change what can happen. Emotional chaos is overwhelming.

The Art of Deep Empathic Listening

Assael Romanelli Ph.D. on May 24, 2024 in The Other Side of Relationships

Mature intimacy is the ability to “feel, together.” Here are six practices for deeper listening.

Finding Serenity During Angry Times 

Rita Watson MPH on May 24, 2024 in With Love and Gratitude

Personal Perspective: In a world of political rantings and accusations, embracing serenity provides a reserve of hope that helps to keep anger at bay.

The Heart Break Tool Box

Natalie Cawley PsychD on May 24, 2024 in Just About Coping

You can develop a toolbox to get through your breakup, and it will help.

An Outline of the Kama Sutra

Neel Burton M.D. on May 24, 2024 in Ataraxia

Explore the lesser-known parts of India’s key text on eroticism: the 'Kama Sutra.'

3 Ways to Spot the Difference in Chemistry and Compatibility

Mark Travers Ph.D. on May 24, 2024 in Social Instincts

Chemistry pulls us in, but compatibility makes us stay.

How Can I Feel More Connected to My Partner?

Kelli Miller LCSW on May 24, 2024 in Love Hacks

Learning how to feel more connected to your partner is essential to a quality relationship.

• Find a Treatment Center
• Find a Psychiatrist
• Find a Support Group
• Find Online Therapy
• United States
• Brooklyn, NY
• Chicago, IL
• Houston, TX
• Los Angeles, CA
• New York, NY
• Portland, OR
• San Diego, CA
• San Francisco, CA
• Seattle, WA
• Washington, DC
• Asperger's
• Bipolar Disorder
• Chronic Pain
• Eating Disorders
• Passive Aggression
• Goal Setting
• Positive Psychology
• Stopping Smoking
• Low Sexual Desire
• Child Development
• Self Tests NEW
• Therapy Center
• Diagnosis Dictionary
• Types of Therapy

At any moment, someone’s aggravating behavior or our own bad luck can set us off on an emotional spiral that threatens to derail our entire day. Here’s how we can face our triggers with less reactivity so that we can get on with our lives.

• Emotional Intelligence
• Gaslighting
• Affective Forecasting
• Neuroscience

• Open access
• Published: 22 May 2024

A family perspective for the mechanism of parent-child conflict on maternal anxiety in Chinese children with autism

• Xue Du 1 , 2 ,
• Le Sun 1 , 2 &
• Qi Dong 1 , 2  

BMC Psychology volume  12 , Article number:  286 ( 2024 ) Cite this article

145 Accesses

Metrics details

Mothers of children with autism reported higher levels of anxiety than mothers of typical children. This study revealed the relationship between parent-child conflict, children’s problem behavior, parenting stress, and maternal anxiety from the perspective of the relationship within the family.

The State-Trait Anxiety Inventory (STAI) and Caregiver Strain Questionnaire (CGSQ) were used to measure maternal anxiety and parenting stress respectively from 102 mothers of children with autism. We also collected information on parent-child relationships and children’s problem behaviors by using the Child-Parent Relationship Scale (CPRS) and Conners Parent Symptom Questionnaire (PSQ).

Parent-child conflict positively predicted state and trait anxiety in mothers of children with autism. The severity of children’s psychosomatic disorders fully mediated the positive association between parent-child conflict and state-trait anxiety in mothers of children with autism. Parenting stress significantly moderated the impact of parent-child conflict on maternal state anxiety and trait anxiety.

In the case of children with autism spectrum disorders, parent-child conflict can directly affect maternal anxiety levels, especially when mothers have low levels of parenting stress. Parent-child conflict can also affect children’s problem behaviors and thus indirectly affect maternal anxiety. Therefore, this study is of great significance for the alleviation of anxiety of mothers of autistic children and the family intervention for the early rehabilitation of autistic children.

Peer Review reports

Introduction

Autism spectrum disorder (ASD) is a neurological disorder characterized by difficulties in social interactions, patterns of communication, and repetitive behaviors and/or interests, which can lead to difficulties with extensive social interaction, communication, and participation in daily activities [ 1 ]. Recently, the incidence of autism in the United States was reported as high as 1 in 36 children [ 2 ]. The development and adaptation of children with ASD are difficult to understand and unpredictable, which can easily lead to uncertainty in mothers [ 3 ]. Therefore, parenting a child with ASD presents unique challenges to parents that can negatively impact caregivers’ mental health [ 4 ]. As the child’s primary caregiver, mothers of children with ASD were at increased risk for anxiety compared with fathers [ 5 ], healthy children, or children with other developmental disabilities [ 6 , 7 , 8 , 9 ].

Anxiety is an unpleasant state of fear and anxiety, accompanied by physical activation. It often involves efforts and expectations to avoid danger and threat, but inefficient in dealing with that danger or threat [ 10 ]. Anxiety is divided into two types: State-anxiety and Trait-anxiety [ 11 ]. State anxiety refers to a person’s temporary, passive state. This state exists immediately and has a certain intensity level. Excessive state anxiety levels will damage an individual’s mental health. Trait anxiety refers to stable individual differences in a person’s relatively enduring personality characteristics [ 12 ].

Ecosystem theory believes that the family microsystem is an important component of the ecosystem that affects the development of family members [ 13 ]. As two important family micro factors, parent-child relationship, and parenting pressure have a profound impact on individual physical and mental development [ 13 , 14 , 15 ]. For example, a good parent-child interaction can reduce the mother’s depression and anxiety [ 16 ], while a poor parent-child relationship can lead to the individual suffering from mental illness [ 17 , 18 ], such as depression and anxiety [ 19 ]. Parent-child conflict, as a manifestation of a negative parent-child relationship [ 20 , 21 ], can increase the mother’s parenting difficulty leading to more anxiety in the typical development populations. However, the relationship between the parent-child relationship and anxiety in Chinese mothers of children with ASD is unclear.

Similarly, according to the transactional models [ 22 ], parental characteristics can not only affect children’s development outcomes, but children’s development outcomes can also affect parents’ emotional health levels and behaviors [ 23 , 24 ], there is a continuous interaction between children and their mothers [ 25 , 26 , 27 ]. Previous results have confirmed that compared with children with low behavioral problems, parents of children with high behavioral problems have higher anxiety levels [ 28 ] and parents’ trait anxiety can positively predict preschool children’s emotional problems [ 29 ]. That is to say, children’s problem behaviors caused by diseases are an important source of stress and depressive symptoms for parents of children with ASD [ 30 , 31 , 32 ], which harms the mother’s health [ 33 ].

To sum up, according to the family systems theory, children’s problem behavior, parenting stress, and parent-child conflict may work together on anxiety, but few studies have focused on mothers of children with ASD. Therefore, this study will start from the main dimension of maternal anxiety of ASD children to explore the relationship between the parent-child relationship and ASD maternal anxiety, as well as the possible mechanisms of children’s problem behaviors and parenting stress. This can help us better understand the role of family factors in the onset of autism, improve the quality of life of families of children with autism, and promote early intervention of children with autism.

Participants

In this study, a questionnaire survey was used to collect hypothesis test data. The formal investigation was conducted from February to June 2023 at designated disabled Persons federations and special education institutions in Chongqing. We used G-Power3.1 to measure the sample size we needed, with 108 participants needed to achieve 80% statistical test power at a moderate effect size (F = 0.25) and a significance level of 0. 05. The survey was conducted online and offline at the same time, a total of 118 data were received, and 102 were finally received, with a recovery rate of 86%. Factors such as incomplete paper, online recycling, and short or long regular response time were excluded. Inclusion criteria for children with autism: (1) Meet the diagnostic criteria of the American Diagnostic and Statistical Manual of Psychiatry, Fifth Edition (DSM-5); (2) The family members of the children signed a written informed consent form. Inclusion criteria for mothers of children with ASD: (1) Mothers of children with ASD who have been diagnosed; (2) Clear consciousness, no intellectual disability, and able to complete the scale assessment; (3) Voluntarily participate in the survey. The study obtained the informed consent of all participating mothers, and mothers were informed of the ethical principles of voluntary participation. This study was in line with the Declaration of Helsinki and approved by the Ethics Committee of the College of Educational Sciences, Chongqing Normal University.

Research tools

Demographic information.

A self-made questionnaire was used to collect the demographic information of the research subjects, including the mother’s age, marital status, education, occupations, family income, number of children, children’s age and gender, cost of treatment (see Table  1 ).

State-trait anxiety inventory (STAI)

The State-Trait Anxiety Inventory developed by Spielberger was used to measure the anxiety level of the participants [ 34 ]. The Chinese revised version of the measurement tool used in this study contains two subscales (40 items in total). Questions 1 to 20 are the State Anxiety Inventory. Questions 21 to 40 were the Trait Anxiety Inventory [ 35 ]. Both the state anxiety and trait anxiety subscales were scored on a scale of 1 to 4. The higher the cumulative total score, the higher the individual’s state anxiety level or the more obvious the trait anxiety [ 36 ]. In this study, the Cronbach’s α coefficient of this scale was 0.905.

Child-parent relationship scale (CPRS)

The Child-Parent Relationship Scale was compiled by Pianta to investigate the parent-child relationship in families with young children [ 37 , 38 ]. Two dimensions including parent-child intimacy and parent-child conflict with a total of 22 questions in this scale. Participants were asked to answer on a 5-point Likert scale ranging from “completely inconsistent to completely consistent.” Two dimensions are scored separately, the higher the score, the higher the conflict or intimacy between parents and children. In this study, a parent-child conflict subscale was selected to measure the negative conflict between mother and child. The final score was calculated by averaging all the questions, and the higher the score, the higher the conflict between parents and children. The Cronbach’s α coefficient for this dimension was 0.879.

Caregiver strain questionnaire (CGSQ)

The Caregiver Strain Questionnaire was compiled by Brannan and introduced to China by the Institute of Mental Health of Peking University in 2001, it had good test-retest reliability and structural validity [ 39 , 40 ]. The Caregiver Stress Questionnaire assessed the caregiver’s parenting stress, with a total of 21 items, including 3 dimensions, namely objective pressure, subjective internal pressure, and subjective external pressure. It adopted a five-level score of 1 to 5 points. The higher the score, the higher the caregiver’s stress [ 41 ]. Another study found that it had good reliability and validity in assessing the stress issues of caregivers of autistic children [ 42 ]. In this study, the Cronbach’s α coefficient of this scale was 0.945.

Conners parent Symptom Questionnaire (PSQ)

The Conners Parent Symptom Questionnaire was compiled by Conners in 1969, this scale was widely used abroad and had good reliability and validity [ 43 ]. It was also suitable for assessing behavioral problems of Chinese children aged 3 to 17 years old [ 44 ]. The scale consists of 48 questions, including five dimensions: conduct problems, learning problems, psychosomatic disorders, impulsive-hyperactive and anxiety. There were 4 levels of scoring, with options ranging from 0 to 3, representing “none” to “a lot” respectively. The questionnaire was filled out by the child’s father or mother, with higher scores indicating more severe behavioral problems. In this study, the Cronbach’s α coefficient of this scale was 0.962.

Analytical procedure

The main analysis procedures of this study were as follows:

Firstly, descriptive statistics were used to analyze the information of 102 mothers of children with ASD.

Secondly, according to Hayes’s suggestion [ 45 ], the SPSS plug-in PROCESS was used to test the mediating role of the five sub-dimensions of children’s behavioral problems (conduct behavior, learning problems, psychosomatic disorders, impulsivity-hyperactivity, and anxiety) in the relationship between parent-child conflict and maternal anxiety. The BOOTSTRAP was used for parameter estimation. The sample size was 5000. The 95% confidence interval didn’t include 0, which meant that the parameter was significant.

Finally, according to Edwards and Lambert [ 46 ], parenting stress was divided into high and low stress levels. The moderating effects of high and low stress levels on parent-child conflict, child problem behavior, and maternal anxiety were estimated. In the grouping of maternal parenting stress levels, the high-level group was one standard deviation (SD) above the mean (M + 1SD), and the low-level group was one standard deviation (SD) below the mean (M-1SD).

Common method bias test

Since the data in this study, all come from the mother’s evaluation, during the data collection process, anonymous participation, reverse question scoring, and balanced scale order were used for control [ 47 ]. Harman’s single factor test was used to conduct unrotated factor analysis for possible common method deviations, and the total number of factors with characteristic roots greater than 1 was found to be 29. The explanation rate of the first common factor was 22.23%, which was less than the critical value of 40%. Therefore, it was believed that the data in this study didn’t have serious common method bias problems.

Table  1 presents demographic information on mothers of autistic children. The average age of the mothers was 36.13 ± 0.67 years old; a very small number of mothers were divorced or unmarried; more than half of the mothers had a bachelor’s degree or college education; nearly a quarter of the mothers were unemployed; 60.8% of the families had only one child; the gender of the children was 79 boys and 23 girls and the age of the children was mainly 3–6 years old.

Descriptive statistics and correlations

Table  2 shows the descriptive, correlation, and reliability results regarding the variables of interest. The results showed that the mother’s age was somewhat related to the main study variables. Therefore, it was included as a control variable in the subsequent analyses. Mother’s state anxiety was significantly positively correlated with the dimensions of parent-child conflict, parenting stress, conduct problems in children’s behavioral problems, psychosomatic disorders, and anxiety. Mother’s trait anxiety was significantly positively correlated with the dimensions of parent-child conflict, conduct problems in children’s behavioral problems, psychosomatic disorders, and anxiety. Therefore, in the next test of the mediating effect, the dimensions of conduct problems, psychosomatic disorders, and anxiety in children’s behavioral problems were tested as mediating variables.

Mediation effect test

Table  3 shows that parent-child conflict positively affected mothers’ state-trait anxiety (B = 0.136, P  < 0.05; B = 0.166, P  < 0.01). The results also showed that parent-child conflict was significantly related to psychosomatic disorders in children with ASD (B = 0.418, P  < 0.001), and psychosomatic disorders in children with ASD were significantly related to mother’s state-trait anxiety (B = 0.217, P  < 0.01; B = 0.158, P  < 0.05). Under this condition, the indirect effect of parent-child conflict on state-trait anxiety in mothers of ASD children was significant (B = 0.091, 95% confidence interval [CI]: [0.028, 0.175]; B = 0.066, 95% confidence interval [CI]: [0.004, 0.157]), the mediating effect plot was shown in Fig.  1 . and Fig.  2 . Children’s conduct problems and anxiety didn’t mediate the impact of parent-child conflict on maternal anxiety. In summary, the severity of children’s psychosomatic disorders fully mediated the relationship between parent-child conflict and state-trait anxiety in mothers.

Diagram of the mediating effect of psychosomatic disorders on the impact of parent-child conflict on state anxiety

Diagram of the mediating effect of psychosomatic disorders on the impact of parent-child conflict on trait anxiety

Moderating effect test

The moderating effect of a mother’s parenting stress is shown in Table  4 . The interaction term between parent-child conflict and maternal parenting stress significantly predicted maternal state anxiety (B=-0.005, t=-0.814, p  < 0.001) and trait anxiety (B=-0.001, t=-0.095, p  < 0.001). In summary, parenting stress significantly mediated the impact of parent-child conflict on maternal state anxiety and trait anxiety.

To reveal the essence of the interaction, a simple slope analysis was carried out, and the moderating variable parenting stress was added or subtracted by one standard deviation as the high-stress group and the low-stress group respectively.

Firstly, parenting stress had a moderating effect on the relationship between parent-child conflict and maternal state anxiety (Fig.  3 ). The results found that when the level of parenting stress was high, parent-child conflict had a significant negative predictive effect on state anxiety (simple slope=-0.27, t=-2.91, p  < 0.01); when the level of parenting stress was low, parent-child conflict had a significant positive predictive effect on state anxiety (simple slope = 0.32, t = 4.22, p  < 0.001), and the predictive effect is large (the value of simple slope changes from − 0.27 to 0.32). The specific performance was as follows: for mothers with high parenting pressure, as parent-child conflict increases, the mother’s state anxiety will decrease; for mothers with low parenting stress, as parent-child conflict increases, their state anxiety will increase significantly.

Secondly, parenting stress had a moderating effect on the relationship between parent-child conflict and maternal trait anxiety ((Fig.  4 ). The results found that when the level of parenting stress was high, the predictive effect of parent-child conflict on maternal trait anxiety was not significant ( p  = 0.093); when the level of parenting stress was low, parent-child conflict had a significant positive predictive effect on state anxiety (simple slope = 0.34, t = 4.80, p  < 0.001). The performance was as follows: for mothers with high parenting stress, their trait anxiety levels were higher regardless of parent-child conflict; for mothers with low parenting stress, a significant increase in trait anxiety occurred as parent-child conflict increased.

Parenting stress as a moderator between parent-child conflict and STATE anxiety (PS = Parenting Stress, the same as Fig.  4 .)

Parenting stress as a moderator between parent-child conflict and TRAIT anxiety

From the perspective of the family, this study revealed the mechanism of children’s behavioral problems and parenting stress on the relationship between parent-child conflict and maternal anxiety. It showed that alleviating parenting stress and reducing the probability of parent-child conflict had a positive significance for improving the anxiety state of mothers of children with ASD and promoting their mental health development.

The relationship between parent-child conflict and anxiety in mothers of children with ASD

This study found that parent-child conflict can significantly and positively predict anxiety in mothers of children with ASD, which was similar to previous research results. In a study of children with autism, more than half of the mothers experienced significant psychological distress, and parent-child conflict was one of the predictors [ 48 ]. In families of children with ASD, both mother-child and father-child relationships were affected by parents’ mental health [ 33 ]. Stress, anxiety, and stress and depressive symptoms in mothers of children with autism predict poorer parent-child relationships [ 49 ]. Another study pointed out that compared with families of non-autistic children, parents of autistic children were more likely to experience stress and depression, and these emotions were also related to parent-child conflict [ 50 ]. In caring for a child with autism, a mother may find that her own needs and the needs of other family members were ignored or placed on the back burner. Therefore, early interventions that support mothers may help reduce their stress and anxiety to improve families’ overall quality of life [ 51 ]. Previous studies generally focused on the relationship between the parent-child relationship and mental health problems of mothers of ASD children. This study further refined the dimension of mental health problems and paid attention to the impact of parent-child conflict on the anxiety of mothers of ASD children.

The mediating role of children’s behavioral problems

This study found that psychosomatic disorders in children’s behavioral problems play a mediating role between parent-child conflict and anxiety in mothers of children with ASD.

On the one hand, conflictual parent-child relationships can easily lead to serious psychosomatic disorders in children. Parent-child conflicts can affect the quality of parent-child relationships, undermine the stability of family relationships, make children feel insecure, and trigger children’s behavioral questions [ 17 ]. Some studies have also shown that the parenting stress caused by children with ASD usually affects the entire family, and the symptoms of children with ASD can have an impact on family relationships (parent-child relationship) [ 52 ].

On the other hand, the severity of children’s behavioral problems will have an impact on the anxiety of mothers of children with ASD, which is consistent with existing research results. Behavioral problems in children with autism have a positive predictive effect on parental anxiety [ 36 ], children’s behavioral problems trigger sources of stress and anxiety in mothers [ 53 ], and the state and trait anxiety of mothers are positively related to the total score of children’s difficulties and emotional symptoms [ 54 ]. Therefore, children’s behavioral problems become an important factor in alleviating mothers’ anxiety levels, which also provides evidence for the importance of early intervention for children with autism.

The moderating role of parenting stress

This study found that parenting stress mediates the relationship between parent-child conflict and maternal anxiety in children with ASD. At low parenting stress levels, parent-child conflict has a greater predictive effect on maternal state and trait anxiety. At high parenting stress levels, the parent-child conflict has a greater predictive effect on maternal state and trait anxiety. The predictive effect of parent-child conflict on maternal trait anxiety was not significant, this is similar to previous research results. Compared with mothers of ordinary children, ASD caregivers face greater parenting stress [ 55 ]. High levels of parenting stress and depressive symptoms are associated with maladaptive parenting behaviors and/or related to low-quality parent-child relationships. High parenting pressure can also cause negative parenting behaviors in mothers [ 56 ], forming a bad parent-child relationship [ 57 ], leading to a decrease in the frequency of parent-child conflicts, resulting in more severe negative emotions [ 58 , 59 ].

Under low parenting stress levels, parent-child conflict will lead to increased state-trait anxiety in mothers of children with ASD. State anxiety mainly reflects a short-term anxious emotional state, which is directly triggered by environmental stimuli and is closely related to life events and stress [ 54 ]; Trait anxiety can be understood as a relatively stable emotional pattern reflected by individuals in the face of dangerous situations in the outside world, with significant individual differences [ 60 ]. Therefore, under the condition of low parenting stress levels, mothers of children with ASD will pay more attention to external events (conflict-type interactions between parents and children), thereby increasing their state anxiety level. The daily stress of children with ASD caused by impaired social functions caregiving, rehabilitation support, and financial burdens can put mothers in a chronic state of stress for a long time, leading to an increased risk of trait anxiety [ 61 ]. Under high levels of parenting stress, maternal trait anxiety will be at a higher level regardless of parenting stress. Parenting stress will make mothers of children with ASD feel long-term anxiety. At this time, external events (conflict-type interactions between parents and children) have no significant predictive effect on the trait anxiety of mothers of children with ASD. Therefore, we should try to reduce the parenting stress of mothers of children with ASD, so that mothers can better face conflicts with their children, thereby improving their anxiety state and improving their mental health.

Limitations and future directions

Even though this is the first study to reveal the mechanism of parent-child conflict on maternal anxiety in Chinese children with autism from a family perspective, it also has certain limitations. Firstly, as a cross-sectional study, it cannot explore the causal relationship between variables. In the future, it is necessary to further explore the causal relationship between variables through longitudinal research or experimental research. Secondly, the sample size of girls and the overall sample size are small; in addition, this study focuses only included mothers, and data collection on fathers and comparison of anxiety between parents were not considered. Finally, the data used in this study are mothers’ self-assessments, it only examines the relationship between parent-child conflict, child behavioral problems, parenting stress, and maternal anxiety from the mother’s perspective. Future research can use a variety of assessment methods, such as professional evaluation from a different perspective to obtain more comprehensive and objective research conclusions.

Conclusions

This study elucidated the mechanism of parent-child conflict on maternal anxiety of autistic children and the intricate interactions therein from the perspective of families. The findings provide strong evidence to support the relationship between these key variables. Specifically, parent-child conflict became an important predictor of maternal anxiety in children with autism. In addition, the mediating role of children’s behavior problems in parent-child conflict and maternal anxiety in autistic children emphasizes the importance of early intervention in autistic children. In addition, this study highlights the relationship between parenting stress and parent-child conflict becoming maternal anxiety in children with autism. In a word, this study has important implications for the clinical practice of early family intervention for children with autism.

Data availability

The datasets generated during and analyzed during the current study are available from the corresponding author upon reasonable request.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5 ™ . 5th ed. Arlington, VA, US: American Psychiatric Publishing, Inc.; 2013.

Book   Google Scholar  

Maenner MJ. Prevalence and characteristics of Autism Spectrum Disorder among children aged 8 years — Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2020. MMWR Surveill Summ. 2023;72(SS–2):1–14.

Article   PubMed   PubMed Central   Google Scholar  

Firth I, Dryer R. The predictors of distress in parents of children with autism spectrum disorder. J Intellect Dev Disabil. 2013;38:163–71.

Article   PubMed   Google Scholar  

Da Paz NS, Wallander JL. Interventions that target improvements in mental health for parents of children with autism spectrum disorders: a narrative review. 2017. https://doi.org/10.1016/j.cpr.2016.10.006 .

Bitsika V, Sharpley CF, Bell R. The buffering effect of resilience upon stress, anxiety and depression in parents of a child with an Autism Spectrum Disorder. J Dev Phys Disabil. 2013;25:533–43.

Article   Google Scholar  

Ingersoll B, Meyer K, Becker MW. Increased rates of depressed mood in mothers of children with ASD associated with the presence of the broader autism phenotype. Autism Res off J Int Soc Autism Res. 2011;4:143–8.

Hayes SA, Watson SL. The impact of parenting stress: a meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. J Autism Dev Disord. 2013;43:629–42.

Hodges H, Fealko C, Soares N. Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation. Transl Pediatr. 2020;9(Suppl 1):S55–65.

Zhou H, Xu X, Yan W, Zou X, Wu L, Luo X, et al. Prevalence of Autism Spectrum Disorder in China: a Nationwide Multi-center Population-based study among children aged 6 to 12 years. Neurosci Bull. 2020;36:961–71.

Huang X. Psychology of personality. Hangzhou: Zhejiang Education; 2003.

Google Scholar  

Shek DT. The factorial structure of the Chinese version of the state-trait anxiety inventory: a confirmatory factor analysis. Educ Psychol Meas. 1991;51:985–97.

Spielberger CD. Anxiety, cognition and affect: a state-trait perspective. Hillsdale, NJ, US: Lawrence Erlbaum Associates, Inc; 1985.

Bronfenbrenner U. Contexts of child rearing: problems and prospects. Am Psychol. 1979;34:844–50.

Wang Y, Luan J, Li Y. The relationship between maternal parenting stress and children’s anxiety: the mediating role of parent-child conflict and the moderating role of maternal mindfulness. Psychol Dev Educ. 2023;39:702–9.

Hutchinson EA, Rosen D, Allen K, Price RB, Amole M, Silk JS. Adolescent Gaze-Directed attention during parent-child conflict: the effects of depressive symptoms and parent-child relationship quality. Child Psychiatry Hum Dev. 2019;50:483–93.

Agazzi H, Tan SY, Ogg J, Armstrong K, Kirby RS. Does parent-child Interaction Therapy reduce maternal stress, anxiety, and Depression among mothers of children with Autism Spectrum Disorder? Child Fam Behav Ther. 2017;39:283–303.

Bradford AB, Burningham KL, Sandberg JG, Johnson LN. The Association between the parent-child relationship and symptoms of anxiety and depression: the roles of attachment and perceived spouse attachment behaviors. J Marital Fam Ther. 2017;43:291–307.

Hu Y, He Z, Zeng Z, Zhan L, Shen Z. The effect of parent-child relationship on adolescent depression: the role of cognitive flexibility and friendship quality. Chin J Clin Psychol. 2023;:682–7.

Nakić Radoš S. Parental sensitivity and responsiveness as Mediators between Postpartum Mental Health and Bonding in mothers and fathers. Front Psychiatry. 2021;12:723418.

Hudson JL, Rapee RM. Parent-child interactions and anxiety disorders: an observational study. Behav Res Ther. 2001;39:1411–27.

Bögels SM, Siqueland L. Family cognitive behavioral therapy for children and adolescents with clinical anxiety disorders. J Am Acad Child Adolesc Psychiatry. 2006;45:134–41.

Sameroff A. Transactional models in early social relations. Hum Dev. 1975;18:65–79.

Xing X, Wang M. Sex differences in the reciprocal relationships between mild and severe corporal punishment and children’s internalizing problem behavior in a Chinese sample. J Appl Dev Psychol. 2013;34:9–16.

Wang M, Liu L. Reciprocal relations between Harsh Discipline and Children’s Externalizing Behavior in China: a 5-Year longitudinal study. Child Dev. 2018;89:174–87.

Ambert A-M. The effect of children on parents. New York, NY, England: Haworth Press, Inc; 1992.

Pettit GS, Arsiwalla DD. Commentary on special section on bidirectional parent-child relationships: the continuing evolution of dynamic, transactional models of parenting and youth behavior problems. J Abnorm Child Psychol. 2008;36:711–8.

Lanjekar PD, Joshi SH, Lanjekar PD, Wagh V. The effect of parenting and the parent-child relationship on a child’s Cognitive Development: A literature review. Cureus. 2022;14:e30574.

PubMed   PubMed Central   Google Scholar  

Wang Y, Zhang J, Yi C. The relationship between children’s behavioural problems and parental shame, anxiety and family environment. Chin J Mental Health. 2008;:692–3.

Zhou T, Yi C. Relationship between behavioral inhibition, parental trait anxiety and behavioral problems in preschool children. Chin J Clin Psychol. 2016;24:828–32.

Orsmond GI, Seltzer MM, Greenberg JS, Krauss MW. Mother-child relationship quality among adolescents and adults with autism. Am J Ment Retard AJMR. 2006;111:121–37.

Rodriguez G, Hartley SL, Bolt D. Transactional relations between parenting stress and child autism symptoms and behavior problems. J Autism Dev Disord. 2019;49:1887–98.

Civick PD. Maternal and paternal differences in parental stress levels and marital satisfaction levels in parents of children diagnosed with autism spectrum disorders. Diss Theses - Gradworks; 2008.

Hickey EJ, Hartley SL, Papp L. Psychological well-being and parent-child relationship quality in relation to child autism: an actor-Partner modeling Approach. Fam Process. 2020;59:636–50.

Spielberger C, Gorsuch R, Lushene R, Vagg P, Jacobs G. Manual for the State-Trait Anxiety Inventory (Form Y1 – Y2). 1983.

Cheng C, He J, Yu Y, Zhong X, Li C, Zhang X, et al. Measurement equivalence of the Chinese version of the state-trait anxiety scale. Chin J Clin Psychol. 2021;29:68–73.

Li X, Wu J, Yao X, Liu Y, Ren J, Chen S. The relationship between behavioral problems and parental anxiety in children with autism and intellectual disability: the mediating role of parenting stress and the moderating role of perceived social support. Psychol Dev Educ. 2023;39:77–84.

Pianta RC, Nimetz SL, Bennett E. Mother–child relationships, teacher–child relationships, and school outcomes in preschool and kindergarten. Early Child Res Q. 1997;12:263–80.

Zhang X, Chen H, Zhang G, Zhou B, Wu W. A longitudinal study of parent-child relationships and Problem behaviors in early childhood: transactional models. Acta Psychol Sin. 2008;40:571.

Brannan A, Heflinger C, Bickman L. The caregiver strain questionnaire: measuring the impact on the family of living with a child with serious emotional disturbance. J Emot Behav Disord - J Emot BEHAV DISORD. 1997;5:212–22.

Kang Chuanyuan. A follow-up study of adolescent in boys with attention deficit hyperactivity disorder. Master. Peking university; 2005.

Du M, Kang C, Li X, Wan S, Cao Y, Ding K, et al. Effects of abnormal behaviors in children with pervasive developmental disorders on caregiver’s mental health. Chin J Neuropsychiatric Dis. 2015;41:199–202.

Chung ST, Lok EYC, Chan QKN, Cheng K-M, Lam S-M, Lui SSY. Psychometric properties of the Caregiver strain questionnaire in a Chinese sample of caregivers of children with Autism Spectrum Disorder. J Autism Dev Disord. 2023. https://doi.org/10.1007/s10803-023-06028-0 .

Wender EH. Hyperactive children: a handbook for diagnosis and treatment. Arch Pediatr Adolesc Med. 1982;136:655.

Su L, Li X, Huang C, Luo X, Zhang J. Conners parent Symptom Questionnaire in Chinese City norms. Chin J Clin Psychol. 2001;:241–3.

Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: The Guilford; 2013.

Edwards JR, Lambert LS. Methods for integrating moderation and mediation: a general analytical framework using moderated path analysis. Psychol Methods. 2007;12:1–22.

Hao Z, Lirong L. Statistical remedies for common method biases. Adv Psychol Sci. 2004;12:942.

Duarte CS, Bordin IA, Yazigi L, Mooney J. Factors associated with stress in mothers of children with autism. Autism Int J Res Pract. 2005;9:416–27.

Kulasinghe K, Whittingham K, Mitchell AE. Emotional availability in the mother-child relationship for families of young children with autism spectrum disorder in Australia: a cross-sectional survey. Res Dev Disabil. 2022;131:104365.

Estes A, Olson E, Sullivan K, Greenson J, Winter J, Dawson G, et al. Parenting-related stress and psychological distress in mothers of toddlers with autism spectrum disorders. Brain Dev. 2013;35:133–8.

Davis NO, Carter AS. Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: associations with child characteristics. J Autism Dev Disord. 2008;38:1278–91.

Wang Z, Liu Q, Luo B, Chen J. The impact of autism in children on family relationships. Contemp Educational Theory Pract. 2016;8:129–31.

Rezendes DL, Scarpa A. Associations between parental Anxiety/Depression and child behavior problems related to Autism Spectrum disorders: the roles of parenting stress and parenting self-efficacy. Autism Res Treat. 2011;2011:395190.

Liu S, Lin L, Wang X, Dai M, Chen Q, Chen J, et al. Association between emotional and behavioral problems and maternal anxiety in children with autism spectrum disorder. Chin J Child Health Care. 2022;30:361–5.

Yorke I, White P, Weston A, Rafla M, Charman T, Simonoff E. The Association between emotional and behavioral problems in children with Autism Spectrum Disorder and Psychological Distress in their parents: a systematic review and Meta-analysis. J Autism Dev Disord. 2018;48:3393–415.

Liu L, Wang M. Parenting stress and children’s problem behavior in China: the mediating role of parental psychological aggression. J Fam Psychol JFP J Div Fam Psychol Am Psychol Assoc Div. 2015;43:29:20–8.

Zvara BJ, Mills-Koonce WR, Heilbron N, Clincy A, Cox MJ, Family Life Project Key Contributors. The interdependence of adult relationship quality and parenting behaviours among African American and European couples in Rural, Low-Income communities. Infant Child Dev. 2015;24:343–63.

Baker JK, Seltzer MM, Greenberg JS. Longitudinal effects of adaptability on behavior problems and maternal depression in families of adolescents with autism. J Fam Psychol JFP J Div Fam Psychol Am Psychol Assoc Div. 2011;43:25:601–9.

McStay RL, Dissanayake C, Scheeren A, Koot HM, Begeer S. Parenting stress and autism: the role of age, autism severity, quality of life and problem behaviour of children and adolescents with autism. Autism Int J Res Pract. 2014;18:502–10.

Lau JYF, Eley TC, Stevenson J. Examining the state-trait anxiety relationship: a behavioural genetic approach. J Abnorm Child Psychol. 2006;34:19–27.

Minichil W, Getinet W, Derajew H, Seid S. Depression and associated factors among primary caregivers of children and adolescents with mental illness in Addis Ababa, Ethiopia. BMC Psychiatry. 2019;19:249.

Download references

Acknowledgements

The authors would like to express their appreciation for their involvement in this study.

This research was supported by the Humanities and Social Science Youth Project of the Ministry of Education (19YJC190006), Venture & Innovation Support Program for Chongqing Overseas Returnees(cx2018107), Chongqing Social Science Planning and Cultivation Project (2020PY61), The 72th Batch of General Financial Grant from the China Postdoctoral Science Foundation(2022M720597), Scientific and Technological Research Program of Chongqing Municipal Education Commission(KJQN202000508), General Project of Humanities and Social Sciences Research of Chongqing Municipal Education Commission(22SKGH109), Youth Project of the Chongqing Education Science Planning(K22YY205692), General Project of scientific research on disability prevention and rehabilitation in the disabled people in Chongqing(KFKT202204), Open Research Fund of Key laboratory of cognition and personality, Ministry of Education、Doctoral Fund of Chongqing Normal University(18xwb005).

Author information

Authors and affiliations.

College of Educational Science, Chongqing Normal University, Chongqing, 401331, China

Xue Du, Le Sun & Qi Dong

Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, 401331, China

You can also search for this author in PubMed   Google Scholar

Contributions

Xue Du contributed to the conception of the study, secured funding, organized the investigation, and revised the manuscript. Le Sun analyzed the data, wrote the original paper and organized the investigation. Qi Dong helped data collection and analyzed the data. All authors reviewed the manuscript.

Corresponding author

Correspondence to Xue Du .

Ethics declarations

Ethics approval and consent to participate.

This study is in line with the Declaration of Helsinki and approved by the Ethics Committee of the College of Educational Sciences, Chongqing Normal University. Informed consent was obtained from all subjects involved in the study.

Consent for publication

Not Applicable.

Competing interests

I declare that the authors have no competing interests as defined by BMC, or other interests that might be perceived to influence the results and/or discussion reported in this paper.

Additional information

Publisher’s note.

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ . The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and permissions

About this article

Cite this article.

Du, X., Sun, L. & Dong, Q. A family perspective for the mechanism of parent-child conflict on maternal anxiety in Chinese children with autism. BMC Psychol 12 , 286 (2024). https://doi.org/10.1186/s40359-024-01786-7

Download citation

Received : 24 December 2023

Accepted : 13 May 2024

Published : 22 May 2024

DOI : https://doi.org/10.1186/s40359-024-01786-7

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

• Mothers of children with autism
• Child problem behavior
• Parent-child conflict
• Parenting stress

BMC Psychology

ISSN: 2050-7283

• General enquiries: [email protected]