discuss any four disadvantages of a case study method of research

Case Study Method – 18 Advantages and Disadvantages

The case study method uses investigatory research as a way to collect data about specific demographics. This approach can apply to individuals, businesses, groups, or events. Each participant receives an equal amount of participation, offering information for collection that can then find new insights into specific trends, ideas, of hypotheses.

Interviews and research observation are the two standard methods of data collection used when following the case study method.

Researchers initially developed the case study method to develop and support hypotheses in clinical medicine. The benefits found in these efforts led the approach to transition to other industries, allowing for the examination of results through proposed decisions, processes, or outcomes. Its unique approach to information makes it possible for others to glean specific points of wisdom that encourage growth.

Several case study method advantages and disadvantages can appear when researchers take this approach.

List of the Advantages of the Case Study Method

1. It requires an intensive study of a specific unit. Researchers must document verifiable data from direct observations when using the case study method. This work offers information about the input processes that go into the hypothesis under consideration. A casual approach to data-gathering work is not effective if a definitive outcome is desired. Each behavior, choice, or comment is a critical component that can verify or dispute the ideas being considered.

Intensive programs can require a significant amount of work for researchers, but it can also promote an improvement in the data collected. That means a hypothesis can receive immediate verification in some situations.

2. No sampling is required when following the case study method. This research method studies social units in their entire perspective instead of pulling individual data points out to analyze them. That means there is no sampling work required when using the case study method. The hypothesis under consideration receives support because it works to turn opinions into facts, verifying or denying the proposals that outside observers can use in the future.

Although researchers might pay attention to specific incidents or outcomes based on generalized behaviors or ideas, the study itself won’t sample those situations. It takes a look at the “bigger vision” instead.

3. This method offers a continuous analysis of the facts. The case study method will look at the facts continuously for the social group being studied by researchers. That means there aren’t interruptions in the process that could limit the validity of the data being collected through this work. This advantage reduces the need to use assumptions when drawing conclusions from the information, adding validity to the outcome of the study over time. That means the outcome becomes relevant to both sides of the equation as it can prove specific suppositions or invalidate a hypothesis under consideration.

This advantage can lead to inefficiencies because of the amount of data being studied by researchers. It is up to the individuals involved in the process to sort out what is useful and meaningful and what is not.

4. It is a useful approach to take when formulating a hypothesis. Researchers will use the case study method advantages to verify a hypothesis under consideration. It is not unusual for the collected data to lead people toward the formulation of new ideas after completing this work. This process encourages further study because it allows concepts to evolve as people do in social or physical environments. That means a complete data set can be gathered based on the skills of the researcher and the honesty of the individuals involved in the study itself.

Although this approach won’t develop a societal-level evaluation of a hypothesis, it can look at how specific groups will react in various circumstances. That information can lead to a better decision-making process in the future for everyone involved.

5. It provides an increase in knowledge. The case study method provides everyone with analytical power to increase knowledge. This advantage is possible because it uses a variety of methodologies to collect information while evaluating a hypothesis. Researchers prefer to use direct observation and interviews to complete their work, but it can also advantage through the use of questionnaires. Participants might need to fill out a journal or diary about their experiences that can be used to study behaviors or choices.

Some researchers incorporate memory tests and experimental tasks to determine how social groups will interact or respond in specific situations. All of this data then works to verify the possibilities that a hypothesis proposes.

6. The case study method allows for comparisons. The human experience is one that is built on individual observations from group situations. Specific demographics might think, act, or respond in particular ways to stimuli, but each person in that group will also contribute a small part to the whole. You could say that people are sponges that collect data from one another every day to create individual outcomes.

The case study method allows researchers to take the information from each demographic for comparison purposes. This information can then lead to proposals that support a hypothesis or lead to its disruption.

7. Data generalization is possible using the case study method. The case study method provides a foundation for data generalization, allowing researches to illustrate their statistical findings in meaningful ways. It puts the information into a usable format that almost anyone can use if they have the need to evaluate the hypothesis under consideration. This process makes it easier to discover unusual features, unique outcomes, or find conclusions that wouldn’t be available without this method. It does an excellent job of identifying specific concepts that relate to the proposed ideas that researchers were verifying through their work.

Generalization does not apply to a larger population group with the case study method. What researchers can do with this information is to suggest a predictable outcome when similar groups are placed in an equal situation.

8. It offers a comprehensive approach to research. Nothing gets ignored when using the case study method to collect information. Every person, place, or thing involved in the research receives the complete attention of those seeking data. The interactions are equal, which means the data is comprehensive and directly reflective of the group being observed.

This advantage means that there are fewer outliers to worry about when researching an idea, leading to a higher level of accuracy in the conclusions drawn by the researchers.

9. The identification of deviant cases is possible with this method. The case study method of research makes it easier to identify deviant cases that occur in each social group. These incidents are units (people) that behave in ways that go against the hypothesis under consideration. Instead of ignoring them like other options do when collecting data, this approach incorporates the “rogue” behavior to understand why it exists in the first place.

This advantage makes the eventual data and conclusions gathered more reliable because it incorporates the “alternative opinion” that exists. One might say that the case study method places as much emphasis on the yin as it does the yang so that the whole picture becomes available to the outside observer.

10. Questionnaire development is possible with the case study method. Interviews and direct observation are the preferred methods of implementing the case study method because it is cheap and done remotely. The information gathered by researchers can also lead to farming questionnaires that can farm additional data from those being studied. When all of the data resources come together, it is easier to formulate a conclusion that accurately reflects the demographics.

Some people in the case study method may try to manipulate the results for personal reasons, but this advantage makes it possible to identify this information readily. Then researchers can look into the thinking that goes into the dishonest behaviors observed.

List of the Disadvantages of the Case Study Method

1. The case study method offers limited representation. The usefulness of the case study method is limited to a specific group of representatives. Researchers are looking at a specific demographic when using this option. That means it is impossible to create any generalization that applies to the rest of society, an organization, or a larger community with this work. The findings can only apply to other groups caught in similar circumstances with the same experiences.

It is useful to use the case study method when attempting to discover the specific reasons why some people behave in a specific way. If researchers need something more generalized, then a different method must be used.

2. No classification is possible with the case study method. This disadvantage is also due to the sample size in the case study method. No classification is possible because researchers are studying such a small unit, group, or demographic. It can be an inefficient process since the skills of the researcher help to determine the quality of the data being collected to verify the validity of a hypothesis. Some participants may be unwilling to answer or participate, while others might try to guess at the outcome to support it.

Researchers can get trapped in a place where they explore more tangents than the actual hypothesis with this option. Classification can occur within the units being studied, but this data cannot extrapolate to other demographics.

3. The case study method still offers the possibility of errors. Each person has an unconscious bias that influences their behaviors and choices. The case study method can find outliers that oppose a hypothesis fairly easily thanks to its emphasis on finding facts, but it is up to the researchers to determine what information qualifies for this designation. If the results from the case study method are surprising or go against the opinion of participating individuals, then there is still the possibility that the information will not be 100% accurate.

Researchers must have controls in place that dictate how data gathering work occurs. Without this limitation in place, the results of the study cannot be guaranteed because of the presence of bias.

4. It is a subjective method to use for research. Although the purpose of the case study method of research is to gather facts, the foundation of what gets gathered is still based on opinion. It uses the subjective method instead of the objective one when evaluating data, which means there can be another layer of errors in the information to consider.

Imagine that a researcher interprets someone’s response as “angry” when performing direct observation, but the individual was feeling “shame” because of a decision they made. The difference between those two emotions is profound, and it could lead to information disruptions that could be problematic to the eventual work of hypothesis verification.

5. The processes required by the case study method are not useful for everyone. The case study method uses a person’s memories, explanations, and records from photographs and diaries to identify interactions on influences on psychological processes. People are given the chance to describe what happens in the world around them as a way for researchers to gather data. This process can be an advantage in some industries, but it can also be a worthless approach to some groups.

If the social group under study doesn’t have the information, knowledge, or wisdom to provide meaningful data, then the processes are no longer useful. Researchers must weigh the advantages and disadvantages of the case study method before starting their work to determine if the possibility of value exists. If it does not, then a different method may be necessary.

6. It is possible for bias to form in the data. It’s not just an unconscious bias that can form in the data when using the case study method. The narrow study approach can lead to outright discrimination in the data. Researchers can decide to ignore outliers or any other information that doesn’t support their hypothesis when using this method. The subjective nature of this approach makes it difficult to challenge the conclusions that get drawn from this work, and the limited pool of units (people) means that duplication is almost impossible.

That means unethical people can manipulate the results gathered by the case study method to their own advantage without much accountability in the process.

7. This method has no fixed limits to it. This method of research is highly dependent on situational circumstances rather than overarching societal or corporate truths. That means the researcher has no fixed limits of investigation. Even when controls are in place to limit bias or recommend specific activities, the case study method has enough flexibility built into its structures to allow for additional exploration. That means it is possible for this work to continue indefinitely, gathering data that never becomes useful.

Scientists began to track the health of 268 sophomores at Harvard in 1938. The Great Depression was in its final years at that point, so the study hoped to reveal clues that lead to happy and healthy lives. It continues still today, now incorporating the children of the original participants, providing over 80 years of information to sort through for conclusions.

8. The case study method is time-consuming and expensive. The case study method can be affordable in some situations, but the lack of fixed limits and the ability to pursue tangents can make it a costly process in most situations. It takes time to gather the data in the first place, and then researchers must interpret the information received so that they can use it for hypothesis evaluation. There are other methods of data collection that can be less expensive and provide results faster.

That doesn’t mean the case study method is useless. The individualization of results can help the decision-making process advance in a variety of industries successfully. It just takes more time to reach the appropriate conclusion, and that might be a resource that isn’t available.

The advantages and disadvantages of the case study method suggest that the helpfulness of this research option depends on the specific hypothesis under consideration. When researchers have the correct skills and mindset to gather data accurately, then it can lead to supportive data that can verify ideas with tremendous accuracy.

This research method can also be used unethically to produce specific results that can be difficult to challenge.

When bias enters into the structure of the case study method, the processes become inefficient, inaccurate, and harmful to the hypothesis. That’s why great care must be taken when designing a study with this approach. It might be a labor-intensive way to develop conclusions, but the outcomes are often worth the investments needed.

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.

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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]

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Home » Pros and Cons » 12 Case Study Method Advantages and Disadvantages

12 Case Study Method Advantages and Disadvantages

A case study is an investigation into an individual circumstance. The investigation may be of a single person, business, event, or group. The investigation involves collecting in-depth data about the individual entity through the use of several collection methods. Interviews and observation are two of the most common forms of data collection used.

The case study method was originally developed in the field of clinical medicine. It has expanded since to other industries to examine key results, either positive or negative, that were received through a specific set of decisions. This allows for the topic to be researched with great detail, allowing others to glean knowledge from the information presented.

Here are the advantages and disadvantages of using the case study method.

List of the Advantages of the Case Study Method

1. it turns client observations into useable data..

Case studies offer verifiable data from direct observations of the individual entity involved. These observations provide information about input processes. It can show the path taken which led to specific results being generated. Those observations make it possible for others, in similar circumstances, to potentially replicate the results discovered by the case study method.

2. It turns opinion into fact.

Case studies provide facts to study because you’re looking at data which was generated in real-time. It is a way for researchers to turn their opinions into information that can be verified as fact because there is a proven path of positive or negative development. Singling out a specific incident also provides in-depth details about the path of development, which gives it extra credibility to the outside observer.

3. It is relevant to all parties involved.

Case studies that are chosen well will be relevant to everyone who is participating in the process. Because there is such a high level of relevance involved, researchers are able to stay actively engaged in the data collection process. Participants are able to further their knowledge growth because there is interest in the outcome of the case study. Most importantly, the case study method essentially forces people to make a decision about the question being studied, then defend their position through the use of facts.

4. It uses a number of different research methodologies.

The case study method involves more than just interviews and direct observation. Case histories from a records database can be used with this method. Questionnaires can be distributed to participants in the entity being studies. Individuals who have kept diaries and journals about the entity being studied can be included. Even certain experimental tasks, such as a memory test, can be part of this research process.

5. It can be done remotely.

Researchers do not need to be present at a specific location or facility to utilize the case study method. Research can be obtained over the phone, through email, and other forms of remote communication. Even interviews can be conducted over the phone. That means this method is good for formative research that is exploratory in nature, even if it must be completed from a remote location.

6. It is inexpensive.

Compared to other methods of research, the case study method is rather inexpensive. The costs associated with this method involve accessing data, which can often be done for free. Even when there are in-person interviews or other on-site duties involved, the costs of reviewing the data are minimal.

7. It is very accessible to readers.

The case study method puts data into a usable format for those who read the data and note its outcome. Although there may be perspectives of the researcher included in the outcome, the goal of this method is to help the reader be able to identify specific concepts to which they also relate. That allows them to discover unusual features within the data, examine outliers that may be present, or draw conclusions from their own experiences.

List of the Disadvantages of the Case Study Method

1. it can have influence factors within the data..

Every person has their own unconscious bias. Although the case study method is designed to limit the influence of this bias by collecting fact-based data, it is the collector of the data who gets to define what is a “fact” and what is not. That means the real-time data being collected may be based on the results the researcher wants to see from the entity instead. By controlling how facts are collected, a research can control the results this method generates.

2. It takes longer to analyze the data.

The information collection process through the case study method takes much longer to collect than other research options. That is because there is an enormous amount of data which must be sifted through. It’s not just the researchers who can influence the outcome in this type of research method. Participants can also influence outcomes by given inaccurate or incomplete answers to questions they are asked. Researchers must verify the information presented to ensure its accuracy, and that takes time to complete.

3. It can be an inefficient process.

Case study methods require the participation of the individuals or entities involved for it to be a successful process. That means the skills of the researcher will help to determine the quality of information that is being received. Some participants may be quiet, unwilling to answer even basic questions about what is being studied. Others may be overly talkative, exploring tangents which have nothing to do with the case study at all. If researchers are unsure of how to manage this process, then incomplete data is often collected.

4. It requires a small sample size to be effective.

The case study method requires a small sample size for it to yield an effective amount of data to be analyzed. If there are different demographics involved with the entity, or there are different needs which must be examined, then the case study method becomes very inefficient.

5. It is a labor-intensive method of data collection.

The case study method requires researchers to have a high level of language skills to be successful with data collection. Researchers must be personally involved in every aspect of collecting the data as well. From reviewing files or entries personally to conducting personal interviews, the concepts and themes of this process are heavily reliant on the amount of work each researcher is willing to put into things.

These case study method advantages and disadvantages offer a look at the effectiveness of this research option. With the right skill set, it can be used as an effective tool to gather rich, detailed information about specific entities. Without the right skill set, the case study method becomes inefficient and inaccurate.

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Case Study Method: What are the Advantages and Disadvantages?

by  Antony W

January 25, 2023

Case study method employs investigative inquiry to acquire data on certain demographics. The strategy is applicable to individuals, organizations, groups, and events.  

Each participant receives an equal amount of engagement, providing data that may help to discover novel insights on particular patterns, ideas, or hypotheses.

In this guide, we look at the advantages and the disadvantages of case stud method as a technique of collecting data.

What is Case Study Method?

The case study method was a technique first established to generate and support hypotheses in clinical medicine. The technique was adapted to other sectors because of the benefits uncovered by these initiatives, allowing for the analysis of results through suggested decisions, procedures, or outcomes.

Its distinctive approach to knowledge enables others to discover special insights that foster development.

What are the Advantages of Case Study Methods?

The following are the advantages of case study methods:

1. It Offers a Detailed Examination of a Particular Unit.

When adopting the case study technique, researchers must document independently verifiable data from firsthand observations. The work provides information on the input mechanisms that contribute to the hypothesis under consideration .

2. Case Study Method is Useful When Creating a Hypothesis

Researchers will use this technique to test a proposed hypothesis. After finishing this effort, it is not unusual for the acquired facts to inspire the formation of new concepts.

This approach fosters more research because it permits notions to change as individuals do in their social and physical settings. This implies that a comprehensive data set may be collected depending on the abilities of the researcher and the candor of the participants in the study.

3. Case Study Method Provide Constant Examination of Facts

Using the case study technique, researchers will examine the social group’s facts in a continuous manner. This indicates there are no disruptions in the process that might compromise the authenticity of the data obtained for this project.

This benefit lowers the need to make assumptions when taking conclusions from the data, hence enhancing the long-term validity of the study’s findings. Thus, the conclusion becomes crucial to both sides of the equation, as it may either confirm certain hypotheses or refute the theory under discussion.

Due to the sheer volume of data being examined by academics, this benefit might result in inefficiency. It is the responsibility of the persons concerned to determine what is helpful and significant and what is not.

4. The Technique Allows for Comparison

Individual insights gleaned from collective settings comprise the human experience.

Certain demographics may think, behave, or respond to stimuli in certain ways, yet each member of that group will contribute a little portion to a whole.

The case study methodology enables researchers to compare information from each demographic group. This information can then lead to ideas that either support or disprove a theory.

5. It Gives an Expansion of Knowledge.

The case study technique equips everyone with the ability to expand his or her knowledge via analysis. This advantage is attainable due to the employment of a range of methods to collect data and evaluate hypotheses.

Researchers prefer to accomplish their job through direct observation and interviews, however surveys can also be beneficial. Participants may be required to record their experiences in a notebook or diary, and the information may help to analyze behaviors or decisions.

Some researchers use memory tests and experimental activities to predict how social groups would interact with or respond to particular scenarios. All of this information then serves to confirm the hypothesized possibilities.

6. Case Study Method Doesn’t Require Data Sampling

This research technique examines social units holistically as opposed to isolating and analyzing individual data pieces. Therefore, no sample is necessary when employing the case study technique.

The hypothesis under examination is supported because it seeks to transform views into facts by validating or rejecting future ideas that may be used by outside observers.

Although researchers may pay attention to specific incidences or results based on broader behaviors or concepts, the study itself will not sample such instances. Instead, it looks at the “larger picture.”

What are Disadvantages of Case Study Methods?

The following are the disadvantages of case study methods:

1. Case Study Methodology Provides Limited Representation

The use of the case study technique is restricted to a particular subset of representatives.

When selecting this option, researchers are targeting a certain demographic. This indicates that it is impossible to generalize the findings of this study to the rest of society, an organization, or a wider community.

Utilizing the case study technique is advantageous when seeking to determine the particular reasons why some individuals behave in a certain manner. But if researchers want something more generic, they must choose a different technique.

2. Case Study Method Makes Categorization Impossible

This shortcoming is also a result of the case study method’s small sample size.

Because researchers are examining such a small unit, group, or demography, categorization is impossible. Since the abilities of the researcher affect the quality of the data obtained to evaluate the validity of a hypothesis, the procedure might be inefficient.

Some individuals may be hesitant to answer or participate, while others may make educated guesses to support the conclusion.

3. It Doesn’t Exclude the Possibility of Errors

Individuals have an unconscious bias that shapes their actions and decisions.

Due to its emphasis on uncovering facts, the case study technique may quickly identify outliers that contradict a theory, but it is up to the researchers to choose what material counts as such.

If the outcomes of the case study technique are unexpected or contradict the opinions of the participants, it is still possible that the information is not 100 percent correct.

Researchers must have rules in place that regulate the process of data collection. The outcomes of the study cannot be reliable in the absence of this restriction due to the presence of bias.

4. Case Study Method is a Subjective Research Methodology

Although the goal of the case study research technique is to collect data, the information acquired is but opinion. It employs the subjective technique as opposed to the objective method for analyzing data, which implies that the information considered may have an additional layer of mistakes.

Imagine that a researcher undertaking direct observation misinterprets a participant’s answer as “anger” when the subject was actually experiencing “shame” due to a decision they made.

The gap between these two emotions is substantial, and it might lead to information disturbances that could be detrimental for the final proof of the hypothesis.

About the author 

Antony W is a professional writer and coach at Help for Assessment. He spends countless hours every day researching and writing great content filled with expert advice on how to write engaging essays, research papers, and assignments.

Case Study Research Method in Psychology

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.

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On This Page:

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

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

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

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

Freud (1909a, 1909b) conducted very detailed investigations into the private lives of his patients in an attempt to both understand and help them overcome their illnesses.

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

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

 Famous Case Studies

• Anna O – One of the most famous case studies, documenting psychoanalyst Josef Breuer’s treatment of “Anna O” (real name Bertha Pappenheim) for hysteria in the late 1800s using early psychoanalytic theory.
• Little Hans – A child psychoanalysis case study published by Sigmund Freud in 1909 analyzing his five-year-old patient Herbert Graf’s house phobia as related to the Oedipus complex.
• Bruce/Brenda – Gender identity case of the boy (Bruce) whose botched circumcision led psychologist John Money to advise gender reassignment and raise him as a girl (Brenda) in the 1960s.
• Genie Wiley – Linguistics/psychological development case of the victim of extreme isolation abuse who was studied in 1970s California for effects of early language deprivation on acquiring speech later in life.
• Phineas Gage – One of the most famous neuropsychology case studies analyzes personality changes in railroad worker Phineas Gage after an 1848 brain injury involving a tamping iron piercing his skull.

Clinical Case Studies

• Studying the effectiveness of psychotherapy approaches with an individual patient
• Assessing and treating mental illnesses like depression, anxiety disorders, PTSD
• Neuropsychological cases investigating brain injuries or disorders

Child Psychology Case Studies

• Studying psychological development from birth through adolescence
• Cases of learning disabilities, autism spectrum disorders, ADHD
• Effects of trauma, abuse, deprivation on development

Types of Case Studies

• Explanatory case studies : Used to explore causation in order to find underlying principles. Helpful for doing qualitative analysis to explain presumed causal links.
• Exploratory case studies : Used to explore situations where an intervention being evaluated has no clear set of outcomes. It helps define questions and hypotheses for future research.
• Descriptive case studies : Describe an intervention or phenomenon and the real-life context in which it occurred. It is helpful for illustrating certain topics within an evaluation.
• Multiple-case studies : Used to explore differences between cases and replicate findings across cases. Helpful for comparing and contrasting specific cases.
• Intrinsic : Used to gain a better understanding of a particular case. Helpful for capturing the complexity of a single case.
• Collective : Used to explore a general phenomenon using multiple case studies. Helpful for jointly studying a group of cases in order to inquire into the phenomenon.

Where Do You Find Data for a Case Study?

There are several places to find data for a case study. The key is to gather data from multiple sources to get a complete picture of the case and corroborate facts or findings through triangulation of evidence. Most of this information is likely qualitative (i.e., verbal description rather than measurement), but the psychologist might also collect numerical data.

1. Primary sources

• Interviews – Interviewing key people related to the case to get their perspectives and insights. The interview is an extremely effective procedure for obtaining information about an individual, and it may be used to collect comments from the person’s friends, parents, employer, workmates, and others who have a good knowledge of the person, as well as to obtain facts from the person him or herself.
• Observations – Observing behaviors, interactions, processes, etc., related to the case as they unfold in real-time.
• Documents & Records – Reviewing private documents, diaries, public records, correspondence, meeting minutes, etc., relevant to the case.

2. Secondary sources

• News/Media – News coverage of events related to the case study.
• Academic articles – Journal articles, dissertations etc. that discuss the case.
• Government reports – Official data and records related to the case context.
• Books/films – Books, documentaries or films discussing the case.

3. Archival records

Searching historical archives, museum collections and databases to find relevant documents, visual/audio records related to the case history and context.

Public archives like newspapers, organizational records, photographic collections could all include potentially relevant pieces of information to shed light on attitudes, cultural perspectives, common practices and historical contexts related to psychology.

4. Organizational records

Organizational records offer the advantage of often having large datasets collected over time that can reveal or confirm psychological insights.

Of course, privacy and ethical concerns regarding confidential data must be navigated carefully.

However, with proper protocols, organizational records can provide invaluable context and empirical depth to qualitative case studies exploring the intersection of psychology and organizations.

• Organizational/industrial psychology research : Organizational records like employee surveys, turnover/retention data, policies, incident reports etc. may provide insight into topics like job satisfaction, workplace culture and dynamics, leadership issues, employee behaviors etc.
• Clinical psychology : Therapists/hospitals may grant access to anonymized medical records to study aspects like assessments, diagnoses, treatment plans etc. This could shed light on clinical practices.
• School psychology : Studies could utilize anonymized student records like test scores, grades, disciplinary issues, and counseling referrals to study child development, learning barriers, effectiveness of support programs, and more.

How do I Write a Case Study in Psychology?

Follow specified case study guidelines provided by a journal or your psychology tutor. General components of clinical case studies include: background, symptoms, assessments, diagnosis, treatment, and outcomes. Interpreting the information means the researcher decides what to include or leave out. A good case study should always clarify which information is the factual description and which is an inference or the researcher’s opinion.

1. Introduction

• Provide background on the case context and why it is of interest, presenting background information like demographics, relevant history, and presenting problem.
• Compare briefly to similar published cases if applicable. Clearly state the focus/importance of the case.

2. Case Presentation

• Describe the presenting problem in detail, including symptoms, duration,and impact on daily life.
• Include client demographics like age and gender, information about social relationships, and mental health history.
• Describe all physical, emotional, and/or sensory symptoms reported by the client.
• Use patient quotes to describe the initial complaint verbatim. Follow with full-sentence summaries of relevant history details gathered, including key components that led to a working diagnosis.
• Summarize clinical exam results, namely orthopedic/neurological tests, imaging, lab tests, etc. Note actual results rather than subjective conclusions. Provide images if clearly reproducible/anonymized.
• Clearly state the working diagnosis or clinical impression before transitioning to management.

3. Management and Outcome

• Indicate the total duration of care and number of treatments given over what timeframe. Use specific names/descriptions for any therapies/interventions applied.
• Present the results of the intervention,including any quantitative or qualitative data collected.
• For outcomes, utilize visual analog scales for pain, medication usage logs, etc., if possible. Include patient self-reports of improvement/worsening of symptoms. Note the reason for discharge/end of care.

4. Discussion

• Analyze the case, exploring contributing factors, limitations of the study, and connections to existing research.
• Analyze the effectiveness of the intervention,considering factors like participant adherence, limitations of the study, and potential alternative explanations for the results.
• Identify any questions raised in the case analysis and relate insights to established theories and current research if applicable. Avoid definitive claims about physiological explanations.
• Offer clinical implications, and suggest future research directions.

5. Additional Items

• Thank specific assistants for writing support only. No patient acknowledgments.
• References should directly support any key claims or quotes included.
• Use tables/figures/images only if substantially informative. Include permissions and legends/explanatory notes.
• Provides detailed (rich qualitative) information.
• Provides insight for further research.
• Permitting investigation of otherwise impractical (or unethical) situations.

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

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

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

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

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

Limitations

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

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

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

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

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

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

Breuer, J., & Freud, S. (1895).  Studies on hysteria . Standard Edition 2: London.

Curtiss, S. (1981). Genie: The case of a modern wild child .

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

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

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

Harlow J. M. (1848). Passage of an iron rod through the head.  Boston Medical and Surgical Journal, 39 , 389–393.

Harlow, J. M. (1868).  Recovery from the Passage of an Iron Bar through the Head .  Publications of the Massachusetts Medical Society. 2  (3), 327-347.

Money, J., & Ehrhardt, A. A. (1972).  Man & Woman, Boy & Girl : The Differentiation and Dimorphism of Gender Identity from Conception to Maturity. Baltimore, Maryland: Johns Hopkins University Press.

Money, J., & Tucker, P. (1975). Sexual signatures: On being a man or a woman.

Further Information

• Case Study Approach
• Case Study Method
• Enhancing the Quality of Case Studies in Health Services Research
• “We do things together” A case study of “couplehood” in dementia
• Using mixed methods for evaluating an integrative approach to cancer care: a case study

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• Case Study | Definition, Examples & Methods

Case Study | Definition, Examples & Methods

Published on 5 May 2022 by Shona McCombes . Revised on 30 January 2023.

A case study is a detailed study of a specific subject, such as a person, group, place, event, organisation, or phenomenon. Case studies are commonly used in social, educational, clinical, and business research.

A case study research design usually involves qualitative methods , but quantitative methods are sometimes also used. Case studies are good for describing , comparing, evaluating, and understanding different aspects of a research problem .

Table of contents

When to do a case study, step 1: select a case, step 2: build a theoretical framework, step 3: collect your data, step 4: describe and analyse the case.

A case study is an appropriate research design when you want to gain concrete, contextual, in-depth knowledge about a specific real-world subject. It allows you to explore the key characteristics, meanings, and implications of the case.

Case studies are often a good choice in a thesis or dissertation . They keep your project focused and manageable when you don’t have the time or resources to do large-scale research.

You might use just one complex case study where you explore a single subject in depth, or conduct multiple case studies to compare and illuminate different aspects of your research problem.

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Once you have developed your problem statement and research questions , you should be ready to choose the specific case that you want to focus on. A good case study should have the potential to:

• Provide new or unexpected insights into the subject
• Challenge or complicate existing assumptions and theories
• Propose practical courses of action to resolve a problem
• Open up new directions for future research

Unlike quantitative or experimental research, a strong case study does not require a random or representative sample. In fact, case studies often deliberately focus on unusual, neglected, or outlying cases which may shed new light on the research problem.

If you find yourself aiming to simultaneously investigate and solve an issue, consider conducting action research . As its name suggests, action research conducts research and takes action at the same time, and is highly iterative and flexible. 

However, you can also choose a more common or representative case to exemplify a particular category, experience, or phenomenon.

While case studies focus more on concrete details than general theories, they should usually have some connection with theory in the field. This way the case study is not just an isolated description, but is integrated into existing knowledge about the topic. It might aim to:

• Exemplify a theory by showing how it explains the case under investigation
• Expand on a theory by uncovering new concepts and ideas that need to be incorporated
• Challenge a theory by exploring an outlier case that doesn’t fit with established assumptions

To ensure that your analysis of the case has a solid academic grounding, you should conduct a literature review of sources related to the topic and develop a theoretical framework . This means identifying key concepts and theories to guide your analysis and interpretation.

There are many different research methods you can use to collect data on your subject. Case studies tend to focus on qualitative data using methods such as interviews, observations, and analysis of primary and secondary sources (e.g., newspaper articles, photographs, official records). Sometimes a case study will also collect quantitative data .

The aim is to gain as thorough an understanding as possible of the case and its context.

In writing up the case study, you need to bring together all the relevant aspects to give as complete a picture as possible of the subject.

How you report your findings depends on the type of research you are doing. Some case studies are structured like a standard scientific paper or thesis, with separate sections or chapters for the methods , results , and discussion .

Others are written in a more narrative style, aiming to explore the case from various angles and analyse its meanings and implications (for example, by using textual analysis or discourse analysis ).

In all cases, though, make sure to give contextual details about the case, connect it back to the literature and theory, and discuss how it fits into wider patterns or debates.

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Case Study – Methods, Examples and Guide

Table of Contents

A case study is a research method that involves an in-depth examination and analysis of a particular phenomenon or case, such as an individual, organization, community, event, or situation.

It is a qualitative research approach that aims to provide a detailed and comprehensive understanding of the case being studied. Case studies typically involve multiple sources of data, including interviews, observations, documents, and artifacts, which are analyzed using various techniques, such as content analysis, thematic analysis, and grounded theory. The findings of a case study are often used to develop theories, inform policy or practice, or generate new research questions.

Types of Case Study

Types and Methods of Case Study are as follows:

Single-Case Study

A single-case study is an in-depth analysis of a single case. This type of case study is useful when the researcher wants to understand a specific phenomenon in detail.

For Example , A researcher might conduct a single-case study on a particular individual to understand their experiences with a particular health condition or a specific organization to explore their management practices. The researcher collects data from multiple sources, such as interviews, observations, and documents, and uses various techniques to analyze the data, such as content analysis or thematic analysis. The findings of a single-case study are often used to generate new research questions, develop theories, or inform policy or practice.

Multiple-Case Study

A multiple-case study involves the analysis of several cases that are similar in nature. This type of case study is useful when the researcher wants to identify similarities and differences between the cases.

For Example, a researcher might conduct a multiple-case study on several companies to explore the factors that contribute to their success or failure. The researcher collects data from each case, compares and contrasts the findings, and uses various techniques to analyze the data, such as comparative analysis or pattern-matching. The findings of a multiple-case study can be used to develop theories, inform policy or practice, or generate new research questions.

Exploratory Case Study

An exploratory case study is used to explore a new or understudied phenomenon. This type of case study is useful when the researcher wants to generate hypotheses or theories about the phenomenon.

For Example, a researcher might conduct an exploratory case study on a new technology to understand its potential impact on society. The researcher collects data from multiple sources, such as interviews, observations, and documents, and uses various techniques to analyze the data, such as grounded theory or content analysis. The findings of an exploratory case study can be used to generate new research questions, develop theories, or inform policy or practice.

Descriptive Case Study

A descriptive case study is used to describe a particular phenomenon in detail. This type of case study is useful when the researcher wants to provide a comprehensive account of the phenomenon.

For Example, a researcher might conduct a descriptive case study on a particular community to understand its social and economic characteristics. The researcher collects data from multiple sources, such as interviews, observations, and documents, and uses various techniques to analyze the data, such as content analysis or thematic analysis. The findings of a descriptive case study can be used to inform policy or practice or generate new research questions.

Instrumental Case Study

An instrumental case study is used to understand a particular phenomenon that is instrumental in achieving a particular goal. This type of case study is useful when the researcher wants to understand the role of the phenomenon in achieving the goal.

For Example, a researcher might conduct an instrumental case study on a particular policy to understand its impact on achieving a particular goal, such as reducing poverty. The researcher collects data from multiple sources, such as interviews, observations, and documents, and uses various techniques to analyze the data, such as content analysis or thematic analysis. The findings of an instrumental case study can be used to inform policy or practice or generate new research questions.

Case Study Data Collection Methods

Here are some common data collection methods for case studies:

Interviews involve asking questions to individuals who have knowledge or experience relevant to the case study. Interviews can be structured (where the same questions are asked to all participants) or unstructured (where the interviewer follows up on the responses with further questions). Interviews can be conducted in person, over the phone, or through video conferencing.

Observations

Observations involve watching and recording the behavior and activities of individuals or groups relevant to the case study. Observations can be participant (where the researcher actively participates in the activities) or non-participant (where the researcher observes from a distance). Observations can be recorded using notes, audio or video recordings, or photographs.

Documents can be used as a source of information for case studies. Documents can include reports, memos, emails, letters, and other written materials related to the case study. Documents can be collected from the case study participants or from public sources.

Surveys involve asking a set of questions to a sample of individuals relevant to the case study. Surveys can be administered in person, over the phone, through mail or email, or online. Surveys can be used to gather information on attitudes, opinions, or behaviors related to the case study.

Artifacts are physical objects relevant to the case study. Artifacts can include tools, equipment, products, or other objects that provide insights into the case study phenomenon.

How to conduct Case Study Research

Conducting a case study research involves several steps that need to be followed to ensure the quality and rigor of the study. Here are the steps to conduct case study research:

• Define the research questions: The first step in conducting a case study research is to define the research questions. The research questions should be specific, measurable, and relevant to the case study phenomenon under investigation.
• Select the case: The next step is to select the case or cases to be studied. The case should be relevant to the research questions and should provide rich and diverse data that can be used to answer the research questions.
• Collect data: Data can be collected using various methods, such as interviews, observations, documents, surveys, and artifacts. The data collection method should be selected based on the research questions and the nature of the case study phenomenon.
• Analyze the data: The data collected from the case study should be analyzed using various techniques, such as content analysis, thematic analysis, or grounded theory. The analysis should be guided by the research questions and should aim to provide insights and conclusions relevant to the research questions.
• Draw conclusions: The conclusions drawn from the case study should be based on the data analysis and should be relevant to the research questions. The conclusions should be supported by evidence and should be clearly stated.
• Validate the findings: The findings of the case study should be validated by reviewing the data and the analysis with participants or other experts in the field. This helps to ensure the validity and reliability of the findings.
• Write the report: The final step is to write the report of the case study research. The report should provide a clear description of the case study phenomenon, the research questions, the data collection methods, the data analysis, the findings, and the conclusions. The report should be written in a clear and concise manner and should follow the guidelines for academic writing.

Examples of Case Study

Here are some examples of case study research:

• The Hawthorne Studies : Conducted between 1924 and 1932, the Hawthorne Studies were a series of case studies conducted by Elton Mayo and his colleagues to examine the impact of work environment on employee productivity. The studies were conducted at the Hawthorne Works plant of the Western Electric Company in Chicago and included interviews, observations, and experiments.
• The Stanford Prison Experiment: Conducted in 1971, the Stanford Prison Experiment was a case study conducted by Philip Zimbardo to examine the psychological effects of power and authority. The study involved simulating a prison environment and assigning participants to the role of guards or prisoners. The study was controversial due to the ethical issues it raised.
• The Challenger Disaster: The Challenger Disaster was a case study conducted to examine the causes of the Space Shuttle Challenger explosion in 1986. The study included interviews, observations, and analysis of data to identify the technical, organizational, and cultural factors that contributed to the disaster.
• The Enron Scandal: The Enron Scandal was a case study conducted to examine the causes of the Enron Corporation’s bankruptcy in 2001. The study included interviews, analysis of financial data, and review of documents to identify the accounting practices, corporate culture, and ethical issues that led to the company’s downfall.
• The Fukushima Nuclear Disaster : The Fukushima Nuclear Disaster was a case study conducted to examine the causes of the nuclear accident that occurred at the Fukushima Daiichi Nuclear Power Plant in Japan in 2011. The study included interviews, analysis of data, and review of documents to identify the technical, organizational, and cultural factors that contributed to the disaster.

Application of Case Study

Case studies have a wide range of applications across various fields and industries. Here are some examples:

Business and Management

Case studies are widely used in business and management to examine real-life situations and develop problem-solving skills. Case studies can help students and professionals to develop a deep understanding of business concepts, theories, and best practices.

Case studies are used in healthcare to examine patient care, treatment options, and outcomes. Case studies can help healthcare professionals to develop critical thinking skills, diagnose complex medical conditions, and develop effective treatment plans.

Case studies are used in education to examine teaching and learning practices. Case studies can help educators to develop effective teaching strategies, evaluate student progress, and identify areas for improvement.

Social Sciences

Case studies are widely used in social sciences to examine human behavior, social phenomena, and cultural practices. Case studies can help researchers to develop theories, test hypotheses, and gain insights into complex social issues.

Law and Ethics

Case studies are used in law and ethics to examine legal and ethical dilemmas. Case studies can help lawyers, policymakers, and ethical professionals to develop critical thinking skills, analyze complex cases, and make informed decisions.

Purpose of Case Study

The purpose of a case study is to provide a detailed analysis of a specific phenomenon, issue, or problem in its real-life context. A case study is a qualitative research method that involves the in-depth exploration and analysis of a particular case, which can be an individual, group, organization, event, or community.

The primary purpose of a case study is to generate a comprehensive and nuanced understanding of the case, including its history, context, and dynamics. Case studies can help researchers to identify and examine the underlying factors, processes, and mechanisms that contribute to the case and its outcomes. This can help to develop a more accurate and detailed understanding of the case, which can inform future research, practice, or policy.

Case studies can also serve other purposes, including:

• Illustrating a theory or concept: Case studies can be used to illustrate and explain theoretical concepts and frameworks, providing concrete examples of how they can be applied in real-life situations.
• Developing hypotheses: Case studies can help to generate hypotheses about the causal relationships between different factors and outcomes, which can be tested through further research.
• Providing insight into complex issues: Case studies can provide insights into complex and multifaceted issues, which may be difficult to understand through other research methods.
• Informing practice or policy: Case studies can be used to inform practice or policy by identifying best practices, lessons learned, or areas for improvement.

Advantages of Case Study Research

There are several advantages of case study research, including:

• In-depth exploration: Case study research allows for a detailed exploration and analysis of a specific phenomenon, issue, or problem in its real-life context. This can provide a comprehensive understanding of the case and its dynamics, which may not be possible through other research methods.
• Rich data: Case study research can generate rich and detailed data, including qualitative data such as interviews, observations, and documents. This can provide a nuanced understanding of the case and its complexity.
• Holistic perspective: Case study research allows for a holistic perspective of the case, taking into account the various factors, processes, and mechanisms that contribute to the case and its outcomes. This can help to develop a more accurate and comprehensive understanding of the case.
• Theory development: Case study research can help to develop and refine theories and concepts by providing empirical evidence and concrete examples of how they can be applied in real-life situations.
• Practical application: Case study research can inform practice or policy by identifying best practices, lessons learned, or areas for improvement.
• Contextualization: Case study research takes into account the specific context in which the case is situated, which can help to understand how the case is influenced by the social, cultural, and historical factors of its environment.

Limitations of Case Study Research

There are several limitations of case study research, including:

• Limited generalizability : Case studies are typically focused on a single case or a small number of cases, which limits the generalizability of the findings. The unique characteristics of the case may not be applicable to other contexts or populations, which may limit the external validity of the research.
• Biased sampling: Case studies may rely on purposive or convenience sampling, which can introduce bias into the sample selection process. This may limit the representativeness of the sample and the generalizability of the findings.
• Subjectivity: Case studies rely on the interpretation of the researcher, which can introduce subjectivity into the analysis. The researcher’s own biases, assumptions, and perspectives may influence the findings, which may limit the objectivity of the research.
• Limited control: Case studies are typically conducted in naturalistic settings, which limits the control that the researcher has over the environment and the variables being studied. This may limit the ability to establish causal relationships between variables.
• Time-consuming: Case studies can be time-consuming to conduct, as they typically involve a detailed exploration and analysis of a specific case. This may limit the feasibility of conducting multiple case studies or conducting case studies in a timely manner.
• Resource-intensive: Case studies may require significant resources, including time, funding, and expertise. This may limit the ability of researchers to conduct case studies in resource-constrained settings.

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• First Online: 14 December 2017

Cite this chapter

• Marta Strumińska-Kutra 4 &
• Izabela Koładkiewicz 5  

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The main aim of the chapter is to discuss the case study method. We shall begin by confronting its definition. It is quite a challenge, as researchers representing various paradigms embark on this type of research project. These paradigms define the way we perceive the explored reality, our chances of understanding/cognizing it, and the acceptable research methods. As a consequence, not only is the case study subject to various definitions, but it is also employed to achieve manifold goals). Despite these differences, we can point out a number of characteristics that distinguish case study method; they shall be the focus of our discussion. As much as possible, we shall take into account the variety of perspectives in case study-based research, or recommend to readers the sources where they can find more detailed information on a particular issue. In this chapter, the presentation of premises and types of case studies will be followed by a manual, guiding readers in their endeavor to design their own research using the method discussed.

Author’s Note:

This chapter is substantially revised version of a chapter published in Jemielniak, D. ed. (2012) Badania jakościowe, PWN: Warszawa.

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The concept of strategy, as referred to by Robert Yin ( 2003a , b ), Norman Denzin and Yvonne Lincoln ( 2005 ), means research process design. Here, we shall use it interchangeably with two other terms: approach (Creswell 2007 ) and method. The latter is understood broadly as a set of directives and rules based on ontological and epistemological assumptions, indicating certain ways of conducting research. “Strategy ” and “method” are also referred to as synonyms of the case study methodology (Mills et al. 2010 ).

Even if the starting point of our research is interest in a particular case, we need to bolster our case with a theoretical framework, which will serve as a point of reference for research results.

We must remember that sampling should also involve documents, articles, posts on Internet fora, place and time of observation, and so on.

Here, “case” refers rather to a happening, an expression, or a statement that does not match the emerging pattern, and not to “case” understood as a bounded system/phenomenon.

In fact, the analysis is far less structured and multistage. It comprises abundant feedback and requires the researcher to revert to theoretical reflection; there are periods of “creative impotence” and the process is affected by the other publications read by researchers during the process.

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Strumińska-Kutra, M., Koładkiewicz, I. (2018). Case Study. In: Ciesielska, M., Jemielniak, D. (eds) Qualitative Methodologies in Organization Studies. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-65442-3_1

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Module 2: Research Methods in Social Psychology

Module Overview

In Module 2 we will address the fact that psychology is the scientific study of behavior and mental processes. We will do this by examining the steps of the scientific method and describing the five major designs used in psychological research. We will also differentiate between reliability and validity and their importance for measurement. Psychology has very clear ethical standards and procedures for scientific research. We will discuss these but also why they are needed. Finally, psychology as a field, but especially social psychology as a subfield, is faced with a replication crisis and issues with the generalizability of its findings. These will be explained to close out the module.

Module Outline

2.1. The Scientific Method

2.2. research designs used by social psychologists, 2.3. reliability and validity, 2.4. research ethics, 2.5. issues in social psychology.

Module Learning Outcomes

• Clarify what it means for psychology to be scientific by examining the steps of the scientific method and the three cardinal features of science.
• Outline the five main research methods used in psychology and clarify how they are utilized in social psychology.
• Differentiate and explain the concepts of reliability and validity.
• Describe key features of research ethics.
• Clarify the nature of the replication crisis in psychology and the importance of generalizability.

Section Learning Objectives

• Define scientific method.
• Outline and describe the steps of the scientific method, defining all key terms.
• Identify and clarify the importance of the three cardinal features of science.

In Module 1, we learned that psychology was the scientific study of behavior and mental processes. We will spend quite a lot of time on the behavior and mental processes part, but before we proceed, it is prudent to elaborate more on what makes psychology scientific. In fact, it is safe to say that most people not within our discipline or a sister science, would be surprised to learn that psychology utilizes the scientific method at all.

So what is the scientific method? Simply, the scientific method is a systematic method for gathering knowledge about the world around us. The key word here is that it is systematic meaning there is a set way to use it. What is that way? Well, depending on what source you look at it can include a varying number of steps. For our purposes, the following will be used:

Table 2.1: The Steps of the Scientific Method

Science has at its root three cardinal features that we will see play out time and time again throughout this book, and as mentioned in Module 1. They are:

• Observation – In order to know about the world around us we must be able to see it firsthand. In relation to social psychology, we know our friend and his parents pretty well, and so in our time with them have observed the influence they exert on his life.
• Experimentation – To be able to make causal or cause and effect statements, we must be able to isolate variables. We have to manipulate one variable and see the effect of doing so on another variable. Experimentation is the primary method social psychology uses to test its hypotheses.
• Measurement – How do we know whether or not our friend is truly securely attached to his parents? Well, simply we measure attachment. In order to do that, we could give our friend a short questionnaire asking about his attachment pattern to his parents. For this questionnaire, let’s say we use a 5-point scale for all questions (with 1 meaning the question does not apply to 5 meaning it definitely is true or matters). If there were 10 questions, then our friend would have a score between 10 and 50. The 10 would come from him answering every question with a 1 and the 50 from answering every question with a 5. If you are not aware, there are four main styles of attachment (secure, anxious-ambivalent, avoidant, and disorganized-disoriented). We would have 2-3 questions assessing each of the 4 styles meaning that if we had 2 questions for that style, the score would range from 2 to 10. If 3 questions, the range would be 3 to 15. The higher the score, the more likely the person exhibits that style to the parent and our friend should only have a high score on one of the four styles if our scale correctly assesses attachment. We will discuss reliability and validity in Section 2.3.
• List the five main research methods used in psychology.
• Describe observational research, listing its advantages and disadvantages.
• Describe case study research, listing its advantages and disadvantages.
• Describe survey research, listing its advantages and disadvantages.
• Describe correlational research, listing its advantages and disadvantages.
• Describe experimental research, listing its advantages and disadvantages.
• State the utility and need for multimethod research.

Step 3 called on the scientist to test their hypothesis. Psychology as a discipline uses five main research designs. These include observational research, case studies, surveys, correlational designs, and experiments.

2.2.1. Observational Research

In terms of naturalistic observation , the scientist studies human or animal behavior in its natural environment which could include the home, school, or a forest. The researcher counts, measures, and rates behavior in a systematic way and at times uses multiple judges to ensure accuracy in how the behavior is being measured. This is called inter-rater reliability as you will see in Section 2.3. The advantage of this method is that you witness behavior as it occurs and it is not tainted by the experimenter. The disadvantage is that it could take a long time for the behavior to occur and if the researcher is detected then this may influence the behavior of those being observed. In the case of the latter, the behavior of the observed becomes artificial .

Laboratory observation involves observing people or animals in a laboratory setting. The researcher might want to know more about parent-child interactions and so brings a mother and her child into the lab to engage in preplanned tasks such as playing with toys, eating a meal, or the mother leaving the room for a short period of time. The advantage of this method over the naturalistic method is that the experimenter can use sophisticated equipment and videotape the session to examine it at a later time. The problem is that since the subjects know the experimenter is watching them, their behavior could become artificial from the start.

2.2.1.1. Example of an observational social psychology study. Griffiths (1991) studied the gambling behavior of adolescents by observing the clientele of 33 arcades in the UK. He used participant (when the researcher becomes an active participant in the group they are studying) and non-participant observation methodologies and found that adolescent gambling depended on the time of day and the time of year, and regular players had stereotypical behaviors and conformed to specific rules of etiquette. They played for fun, to win, to socialize, for excitement, and/or to escape.

2.2.2. Case Studies

Psychology can also utilize a detailed description of one person or a small group based on careful observation. This was the approach the founder of psychoanalysis, Sigmund Freud, took to develop his theories. The advantage of this method is that you arrive at a rich description of the behavior being investigated but the disadvantage is that what you are learning may be unrepresentative of the larger population and so lacks generalizability . Again, bear in mind that you are studying one person or a very small group. Can you possibly make conclusions about all people from just one or even five or ten? The other issue is that the case study is subject to the bias of the researcher in terms of what is included in the final write up and what is left out. Despite these limitations, case studies can lead us to novel ideas about the cause of behavior and help us to study unusual conditions that occur too infrequently to study with large sample sizes and in a systematic way. Though our field does make use of the case study methodology, social psychology does not frequently use the design.

2.2.2.1. Example of a case study from clinical psychology. In 1895, the book, Studies on Hysteria , was published by Josef Breuer (1842-1925) and Sigmund Freud (1856-1939), and marked the birth of psychoanalysis, though Freud did not use this actual term until a year later. The book published several case studies, including that of Anna O., born February 27, 1859 in Vienna to Jewish parents Siegmund and Recha Pappenheim, strict Orthodox adherents and considered millionaires at the time. Bertha, known in published case studies as Anna O., was expected to complete the formal education of a girl in the upper middle class which included foreign language, religion, horseback riding, needlepoint, and piano. She felt confined and suffocated in this life and took to a fantasy world she called her “private theater.” Anna also developed hysteria to include symptoms such as memory loss, paralysis, disturbed eye movements, reduced speech, nausea, and mental deterioration. Her symptoms appeared as she cared for her dying father and her mother called on Breuer to diagnose her condition (note that Freud never actually treated her). Hypnosis was used at first and relieved her symptoms. Breuer made daily visits and allowed her to share stories from her private theater which he came to call “talking cure” or “chimney sweeping.” Many of the stories she shared were actually thoughts or events she found troubling and reliving them helped to relieve or eliminate the symptoms. Breuer’s wife, Mathilde, became jealous of her husband’s relationship with the young girl, leading Breuer to terminate treatment in the June of 1882 before Anna had fully recovered. She relapsed and was admitted to Bellevue Sanatorium on July 1, eventually being released in October of the same year. With time, Anna O. did recover from her hysteria and went on to become a prominent member of the Jewish Community, involving herself in social work, volunteering at soup kitchens, and becoming ‘House Mother’ at an orphanage for Jewish girls in 1895. Bertha (Anna O.) became involved in the German Feminist movement, and in 1904 founded the League of Jewish Women. She published many short stories; a play called Women’s Rights , in which she criticized the economic and sexual exploitation of women, and wrote a book in 1900 called The Jewish Problem in Galicia , in which she blamed the poverty of the Jews of Eastern Europe on their lack of education. In 1935 she was diagnosed with a tumor and was summoned by the Gestapo in 1936 to explain anti-Hitler statements she had allegedly made. She died shortly after this interrogation on May 28, 1936. Freud considered the talking cure of Anna O. to be the origin of psychoanalytic therapy and what would come to be called the cathartic method.

To learn more about observational and case study designs, please take a look at our Research Methods in Psychology textbook by visiting:

https://opentext.wsu.edu/carriecuttler/chapter/observational-research/

For more on Anna O., please see:

https://www.psychologytoday.com/blog/freuds-patients-serial/201201/bertha-pappenheim-1859-1936

2.2.3. Surveys/Self-Report Data

A survey is a questionnaire consisting of at least one scale with some number of questions which assess a psychological construct of interest such as parenting style, depression, locus of control, attitudes, or sensation seeking behavior. It may be administered by paper and pencil or computer. Surveys allow for the collection of large amounts of data quickly but the actual survey could be tedious for the participant and social desirability , when a participant answers questions dishonestly so that he/she is seen in a more favorable light, could be an issue. For instance, if you are asking high school students about their sexual activity they may not give genuine answers for fear that their parents will find out. Or if you wanted to know about prejudicial attitudes of a group of people, you could use the survey method. You could alternatively gather this information via an interview in a structured or unstructured fashion. Important to survey research is that you have random sampling or when everyone in the population has an equal chance of being included in the sample. This helps the survey to be representative of the population and in terms of key demographic variables such as gender, age, ethnicity, race, education level, and religious orientation.

To learn more about the survey research design, please take a look at our Research Methods in Psychology textbook by visiting:

https://opentext.wsu.edu/carriecuttler/chapter/7-1-overview-of-survey-research/

2.2.4. Correlational Research

This research method examines the relationship between two variables or two groups of variables. A numerical measure of the strength of this relationship is derived, called the correlation coefficient , and can range from -1.00, a perfect inverse relationship meaning that as one variable goes up the other goes down, to 0 or no relationship at all, to +1.00 or a perfect relationship in which as one variable goes up or down so does the other. In terms of a negative correlation we might say that as a parent becomes more rigid, controlling, and cold, the attachment of the child to the parent goes down. In contrast, as a parent becomes warmer, more loving, and provides structure, the child becomes more attached. The advantage of correlational research is that you can correlate anything. The disadvantage is that you can correlate anything. Variables that really do not have any relationship to one another could be viewed as related. Yes. This is both an advantage and a disadvantage. For instance, we might correlate instances of making peanut butter and jelly sandwiches with someone we are attracted to sitting near us at lunch. Are the two related? Not likely, unless you make a really good PB&J but then the person is probably only interested in you for food and not companionship. The main issue here is that correlation does not allow you to make a causal statement.

To learn more about the correlational research design, please take a look at our Research Methods in Psychology textbook by visiting:

https://opentext.wsu.edu/carriecuttler/chapter/correlational-research/

2.2.5. Example of a Study Using Survey and Correlational Designs

Roccas, Sagiv, Schwartz, and Knafo (2002) examined the relationship of the big five personality traits and values by administering the Schwartz (1992) Values survey, NEO-PI, a positive affect scale, and a single item assessing religiosity to introductory to psychology students at an Israeli university. For Extraversion, it was found that values that define activity, challenge, excitement, and pleasure as desirable goals in life (i.e. stimulation, hedonism, and achievement) were important while valuing self-denial or self-abnegation, expressed in traditional values, was antithetical.

For Openness, values that emphasize intellectual and emotional autonomy, acceptance and cultivation of diversity, and pursuit of novelty and change (i.e. universalism, self-direction, and stimulation) were important while conformity, security, and tradition values were incompatible. Benevolence, tradition, and to a lesser degree conformity, were important for Agreeableness while power and achievement correlated negatively. In terms of Conscientiousness (C), there was a positive correlation with security values as both share the goal of maintaining smooth interpersonal relations and avoiding disruption of social order and there was a negative correlation with stimulation, indicating an avoidance of risk as a motivator of C.

Finally, there was little association of values with the domain of Neuroticism but a closer inspection of the pattern of correlations with the facets of N suggests two components. First, the angry hostility and impulsiveness facets could be called extrapunitive since the negative emotion is directed outward and tends to correlate positively with hedonism and stimulation values and negatively with benevolence, tradition, conformity, and C values. Second, the anxiety, depression, self-consciousness, and vulnerability facets could be called intrapunitive since the negative emotion is directed inward. This component tends to correlate positively with tradition values and negatively with achievement and stimulation values.

2.2.6. Experiments

An experiment is a controlled test of a hypothesis in which a researcher manipulates one variable and measures its effect on another variable. The variable that is manipulated is called the independent variable (IV) and the one that is measured is called the dependent variable (DV) . A common feature of experiments is to have a control group that does not receive the treatment or is not manipulated and an experimental group that does receive the treatment or manipulation. If the experiment includes random assignment participants have an equal chance of being placed in the control or experimental group. The control group allows the researcher to make a comparison to the experimental group, making a causal statement possible, and stronger.

2.2.6.1. Example of an experiment.    Allison and Messick (1990) led subjects to believe they were the first of six group members to take points from a common resource pool and that they could take as many points as desired which could later be exchanged for cash. Three variables were experimentally manipulated. First, subjects in the low payoff condition were led to believe the pool was only 18 or 21 points in size whereas those in the high payoff condition were told the pool consisted of either 24 or 27 points. Second, the pools were divisible (18 and 24) or nondivisible (21 or 27). Third, half of the subjects were placed in the fate control condition and told that if the requests from the six group members exceeded the pool size, then no one could keep any points, while the other half were in the no fate control condition and told there would be no penalties for overconsumption of the pool.  Finally, data for a fourth variable, social values, was collected via questionnaire four weeks prior to participation. In all, the study employed a 2 (fate control) x 2 (payoff size) x 2 (divisibility) x 2 (social values) between-subjects factorial design.

Results showed that subjects took the least number of points from the resource pool when the resource was divisible, the payoffs were low, and there was no fate control. On the other hand, subjects took the most points when the resource was nondivisible, the payoffs were high, and subjects were noncooperative. To further demonstrate this point, Allison and Messick (1990) counted the number of inducements to which participants were exposed. This number ranged from 0 to 4 inducements. Subjects took between one-fifth and one-fourth when there were one or two inducements, took about one-third when there were three inducements, and about half of the pool when all four were present. They state that an equal division rule was used when there were no temptations to violate equality but as the number of temptations increased, subjects became progressively more likely to overconsume the pool. The authors conclude that the presence of competing cues/factors tends to invite the use of self-serving rules to include “First-come, first-served” and “People who get to go first take more.”

To learn more about the experimental research design, please take a look at our Research Methods in Psychology textbook by visiting:

https://opentext.wsu.edu/carriecuttler/chapter/experiment-basics/

2.2.7. Multi-Method Research

As you have seen above, no single method alone is perfect. All have their strengths and limitations. As such, for the psychologist to provide the clearest picture of what is affecting behavior or mental processes, several of these approaches are typically employed at different stages of the research process. This is called multi-method research.

2.2.8. Archival Research

Another technique used by psychologists is called archival research or when the researcher analyzes data that has already been collected and for another purpose. For instance, a researcher may request data from high schools about a student’s GPA and their SAT and/or ACT score(s) and then obtain their four-year GPA from the university they attended. This can be used to make a prediction about success in college and which measure – GPA or standardized test score – is the better predictor.

2.2.9. Meta-Analysis

Meta-analysis is a statistical procedure that allows a researcher to combine data from more than one study. For example, Shariff et al. (2015) published an article on religious priming and prosociality in Personality and Social Psychology Review . The authors used effect-size analyses, p- curve analyses, and adjustments for publication bias (no worries, you don’t have to understand any of that), to evaluate the robustness of four types of religious priming, how religion affects prosocial behavior, and whether religious-priming effects generalize to those who are loosely or not religious at all. Results were presented across 93 studies and 11,653 participants and showed that religious priming has robust effects in relation to a variety of outcome measures, prosocial behavior included. It did not affect non-religious people though.

2.2.10. Communicating Results

In scientific research, it is common practice to communicate the findings of our investigation. By reporting what we found in our study other researchers can critique our methodology and address our limitations. Publishing allows psychology to grow its knowledge base about human behavior. We can also see where gaps still exist. We move it into the public domain so others can read and comment on it. Scientists can also replicate what we did and possibly extend our work if it is published.

There are several ways to communicate our findings. We can do so at conferences in the form of posters or oral presentations, through newsletters from APA itself or one of its many divisions or other organizations, or through research journals and specifically scientific research articles. Published journal articles represent a form of communication between scientists and in them, the researchers describe how their work relates to previous research, how it replicates and/or extends this work, and what their work might mean theoretically.

Research articles begin with an abstract or a 150-250 word summary of the entire article. The purpose is to describe the experiment and allows the reader to make a decision about whether he or she wants to read it further. The abstract provides a statement of purpose, overview of the methods, main results, and a brief statement of the conclusion. Keywords are also given that allow for students and other researchers alike to find the article when doing a search.

The abstract is followed by four major sections as described:

• Introduction – The first section is designed to provide a summary of the current literature as it relates to your topic. It helps the reader to see how you arrived at your hypothesis and the design of your study. Essentially, it gives the logic behind the decisions you made. You also state the purpose and share your predictions or hypothesis.
• Method – Since replication is a required element of science, we must have a way to share information on our design and sample with readers. This is the essence of the method section and covers three major aspects of your study – your participants, materials or apparatus, and procedure. The reader needs to know who was in your study so that limitations related to generalizability of your findings can be identified and investigated in the future. You will also state your operational definition, describe any groups you used, random sampling or assignment procedures, information about how a scale was scored, etc. Think of the Method section as a cookbook. The participants are your ingredients, the materials or apparatus are whatever tools you will need, and the procedure is the instructions for how to bake the cake.
• Results – In this section you state the outcome of your experiment and whether they were statistically significant or not. You can also present tables and figures.
• Discussion – In this section you start by restating the main findings and hypothesis of the study. Next, you offer an interpretation of the findings and what their significance might be. Finally, you state strengths and limitations of the study which will allow you to propose future directions.

Whether you are writing a research paper for a class or preparing an article for publication, or reading a research article, the structure and function of a research article is the same. Understanding this will help you when reading social psychological articles.

• Clarify why reliability and validity are important.
• Define reliability and list and describe forms it takes.
• Define validity and list and describe forms it takes.

Recall that measurement involves the assignment of scores to an individual which are used to represent aspects of the individual such as how conscientious they are or their level of depression. Whether or not the scores actually represent the individual is what is in question. Cuttler (2017) says in her book Research Methods in Psychology, “Psychologists do not simply  assume  that their measures work. Instead, they collect data to demonstrate  that they work. If their research does not demonstrate that a measure works, they stop using it.” So how do they demonstrate that a measure works? This is where reliability and validity come in.

2.3.1. Reliability

First, reliability describes how consistent a measure is. It can be measured in terms of test-retest reliability , or how reliable the measure is across time, internal consistency , or the “consistency of people’s responses across the items on multiple-item measures,” (Cuttler, 2017), and finally inter-rater reliability , or how consistent different observers are when making judgments. In terms of inter-rater reliability, Cuttler (2017) writes, “Inter-rater reliability would also have been measured in Bandura’s Bobo doll study. In this case, the observers’ ratings of how many acts of aggression a particular child committed while playing with the Bobo doll should have been highly positively correlated.”

2.3.2. Validity

A measure is considered to be valid if its scores represent the variable it is said to measure. For instance, if a scale says it measures depression, and it does, then we can say it is valid. Validity can take many forms. First, face validity is “the extent to which a measurement method appears “on its face” to measure the construct of interest” (Cuttler, 2017). A scale purported to measure values should have questions about values such as benevolence, conformity, and self-direction, and not questions about depression or attitudes toward toilet paper.

Content validity is to what degree a measure covers the construct of interest. Cuttler (2017) says, “… consider that attitudes are usually defined as involving thoughts, feelings, and actions toward something. By this conceptual definition, a person has a positive attitude toward exercise to the extent that he or she thinks positive thoughts about exercising, feels good about exercising, and actually exercises.”

Oftentimes, we expect a person’s scores on one measure to be correlated with scores on another measure that we expect it to be related to, called criterion validity . For instance, consider parenting style and attachment. We would expect that if a person indicates on one scale that their father was authoritarian (or dictatorial) then attachment would be low or insecure. In contrast, if the mother was authoritative (or democratic) we would expect the child to show a secure attachment style.

As researchers we expect that our results will generalize from our sample to the larger population. This was the issue with case studies as the sample is too small to make conclusions about everyone. If our results do generalize from the circumstances under which our study was conducted to similar situations, then we can say our study has external validity . External validity is also affected by how real the research is. Two types of realism are possible. First, mundane realism occurs when the research setting closely resembles the real world setting. Experimental realism is the degree to which the experimental procedures that are used feel real to the participant. It does not matter if they really mirror real life but that they only appear real to the participant. If so, his or her behavior will be more natural and less artificial.

In contrast, a study is said to have good internal validity when we can confidently say that the effect on the dependent variable (the one that is measured) was due solely to our manipulation or the independent variable. A confound occurs when a factor other than the independent variable leads to changes in the dependent variable.

To learn more about reliability and validity, please visit: https://opentext.wsu.edu/carriecuttler/chapter/reliability-and-validity-of-measurement/

• Exemplify instances of ethical misconduct in research.
• List and describe principles of research ethics.

Throughout this module so far, we have seen that it is important for researchers to understand the methods they are using. Equally important, they must understand and appreciate ethical standards in research. The American Psychological Association identifies high standards of ethics and conduct as one of its four main guiding principles or missions. To read about the other three, please visit https://www.apa.org/about/index.aspx . So why are ethical standards needed and what do they look like?

2.4.1. Milgram’s Study on Learning…or Not

Possibly, the one social psychologist students know about the most is Stanley Milgram, if not by name, then by his study on obedience using shock (Milgram, 1974). Essentially, two individuals came to each experimental session but only one of these two individuals was a participant. The other was what is called a confederate and is part of the study without the participant knowing. The confederate was asked to pick heads or tails and then a coin was flipped. As you might expect, the confederate always won and chose to be the learner . The “experimenter,” who was also a confederate, took him into one room where he was hooked up to wires and electrodes. This was done while the “teacher,” the actual participant, watched and added to the realism of what was being done. The teacher was then taken into an adjacent room where he was seated in front of a shock generator. The teacher was told it was his task to read a series of word pairs to the learner. Upon completion of reading the list, he would ask the learner one of the two words and it was the learner’s task to state what the other word in the pair was. If the learner incorrectly paired any of the words, he would be shocked. The shock generator started at 30 volts and increased in 15-volt increments up to 450 volts. The switches were labeled with terms such as “Slight shock,” “Moderate shock,” “Danger: Severe Shock,” and the final two switches were ominously labeled “XXX.”

As the experiment progressed, the teacher would hear the learner scream, holler, plead to be released, complain about a heart condition, or say nothing at all. When the learner stopped replying, the teacher would turn to the experimenter and ask what to do, to which the experimenter indicated for him to treat nonresponses as incorrect and shock the learner. Most participants asked the experimenter whether they should continue at various points in the experiment. The experimenter issued a series of commands to include, “Please continue,” “It is absolutely essential that you continue,” and “You have no other choice, you must go on.”

Any guesses as to what happened? What percent of the participants would you hypothesize actually shocked the learner to death? Milgram found that 65 percent of participants/teachers shocked the learner to the XXX switches which would have killed him. Why? They were told to do so. How do you think the participant felt when they realized that they could kill someone simply because they were told to do so?

Source: Milgram, S. (1974). Obedience to authority. New York, NY: Harper Perennial.

2.4.2. GO TO JAIL:  Go Directly to Jail. Do Not Pass Go. Do Not Collect $200

Early in the morning on Sunday, August 14, 1971, a Palo Alto, CA police car began arresting college students for committing armed robbery and burglary. Each suspect was arrested at his home, charged, read his Miranda rights, searched, handcuffed, and placed in the back of the police car as neighbors watched. At the station, the suspect was booked, read his rights again, and identified. He was then placed in a cell. How were these individuals chosen? Of course, they did not really commit the crimes they were charged with. The suspects had answered a newspaper ad requesting volunteers for a study of the psychological effects of prison life.

After screening individuals who applied to partake in the study, a final group of 24 were selected. These individuals did not have any psychological problems, criminal record, history of drug use, or mental disorder. They were paid $15 for their participation. The participants were divided into two groups through a flip of a coin. One half became the prison guards and the other half the prisoners. The prison was constructed by boarding up each end of a corridor in the basement of Stanford University’s Psychology building. This space was called “The Yard” and was the only place where the prisoners were permitted to walk, exercise, and eat. Prison cells were created by removing doors from some of the labs and replacing them with specially made doors with steel bars and cell numbers. A small closet was used for solitary confinement and was called “The Hole.” There were no clocks or windows in the prison and an intercom was used to make announcements to all prisoners. The suspects who were arrested were transported to “Stanford County Jail” to be processed. It was there they were greeted by the warden and told what the seriousness of their crime was. They were stripped searched and deloused, and the process was made to be intentionally degrading and humiliating. They were given uniforms with a prison ID number on it. This number became the only way they were referred to during their time. A heavy chain was placed on each prisoner’s right ankle which served the purpose of reminding them of how oppressive their environment was.

The guards were given no training and could do what they felt was necessary to maintain order and command the respect of the prisoners. They made their own set of rules and were supervised by the warden, who was played by another student at Stanford. Guards were dressed in identical uniforms, carried a whistle, held a billy club, and wore special mirror sun-glasses so no one could see their eyes or read their emotions. Three guards were assigned to each of the three hour shifts and supervised the nine prisoners. At 2:30 am they would wake the prisoners to take counts. This provided an opportunity to exert control and to get a feel for their role. Similarly, prisoners had to figure out how they were to act and at first, tried to maintain their independence. As you might expect, this led to confrontations between the prisoners and the guards resulting in the guards physically punishing the prisoners with push-ups.

The first day was relatively quiet, but on the second day, a rebellion broke out in which prisoners removed their caps, ripped off their numbers, and put their beds against their cell doors creating a barricade. The guards responded by obtaining a fire extinguisher and shooting a stream of the cold carbon dioxide solution at the prisoners. The cells were then broken into, the prisoners stripped, beds removed, ringleaders put into solitary confinement, and a program of harassment and intimidation of the remaining inmates began. Since 9 guards could not be on duty at all times to maintain order, a special “privilege cell” was established and the three prisoners least involved in the rebellion were allowed to stay in it. They were given their beds and uniforms back, could brush their teeth and take a bath, and were allowed to eat special food in the presence of the other six prisoners. This broke the solidarity among the prisoners.

Less than 36 hours after the study began a prisoner began showing signs of uncontrollable crying, acute emotional disturbance, rage, and disorganized thinking. Though his emotional problems were initially seen as an attempt to gain release which resulted in his being returned to the prison and used as an informant, the symptoms worsened and he had to be released from the study. Then there was the rumor of a mass escape by the prisoners which the guards worked to foil. When it was revealed that the prisoners were never actually going to attempt the prison break, the guards became very frustrated and made the prisoners engage in menial work, pushups, jumping jacks, and anything else humiliating that they could think of.

A Catholic priest was invited to evaluate how realistic the prison was. Each prisoner was interviewed individually and most introduced himself to the priest by his prison number and not his name. He offered to help them obtain a lawyer and some accepted. One prisoner was feeling ill (#819) and did not meet with the priest right away. When he did, he broke down and began to cry. He was quickly taken to another room and all prison garments taken off. While this occurred, the guards lined up the other prisoners and broke them out into a chant of “Prisoner #819 is a bad prisoner. Because of what Prisoner #819 did, my cell is a mess. Mr. Correctional Officer.” This further upset the prisoner and he was encouraged to leave, though he refused each time. He finally did agree to leave after the researcher (i.e. Zimbardo) told him what he was undergoing was just a research study and not really prison. The next day parole hearings were held and prisoners who felt they deserved to be paroled were interviewed one at a time. Most, when asked if they would give up the money they were making for their participation so they could leave, said yes.

In all, the study lasted just six days. Zimbardo noted that three types of guards emerged—tough but fair who followed the prison rules; “good guys” who never punished the prisoners and did them little favors; and finally those who were hostile, inventive in their employment of punishment, and who truly enjoyed the power they had. As for the prisoners, they coped with the events in the prison in different ways. Some fought back, others broke down emotionally, one developed a rash over his entire body, and some tried to be good prisoners and do all that the guards asked of them. No matter what strategy they used early on, by the end of the study they all were disintegrated as a group, and as individuals. The guards commanded blind obedience from all of the prisoners.

When asked later why he ended the study, Zimbardo cited two reasons. First, it became apparent that the guards were escalating their abuse of the prisoners in the middle of the night when they thought no one was watching. Second, Christina Maslach, a recent Stanford Ph.D. was asked to conduct interviews with the guards and prisoners and saw the prisoners being marched to the toilet with bags on their heads and legs chained together. She was outraged and questioned the study’s morality.

Source: http://www.prisonexp.org/

If you would like to learn more about the moral foundations of ethical research, please visit: https://opentext.wsu.edu/carriecuttler/chapter/moral-foundations-of-ethical-research/

2.4.3. Ethical Guidelines

Due to these studies, and others, the American Psychological Association (APA) established guiding principles for conducting psychological research. The principles can be broken down in terms of when they should occur during the process of a person participating in the study.

2.4.3.1. Before participating. First, researchers must obtain informed consent or when the person agrees to participate because they are told what will happen to them. They are given information about any risks they face, or potential harm that could come to them, whether physical or psychological. They are also told about confidentiality or the person’s right not to be identified. Since most research is conducted with students taking introductory psychology courses, they have to be given the right to do something other than a research study to likely earn required credits for the class. This is called an alternative activity and could take the form of reading and summarizing a research article. The amount of time taken to do this should not exceed the amount of time the student would be expected to participate in a study.

2.4.3.2. While participating. Participants are afforded the ability to withdraw or the person’s right to exit the study if any discomfort is experienced.

2.4.3.3. After participating . Once their participation is over, participants should be debriefed or when the true purpose of the study is revealed and they are told where to go if they need assistance and how to reach the researcher if they have questions. So can researchers deceive participants, or intentionally withhold the true purpose of the study from them? According to the APA, a minimal amount of deception is allowed.

Human research must be approved by an Institutional Review Board or IRB. It is the IRB that will determine whether the researcher is providing enough information for the participant to give consent that is truly informed, if debriefing is adequate, and if any deception is allowed or not.

If you would like to learn more about how to use ethics in your research, please read: https://opentext.wsu.edu/carriecuttler/chapter/putting-ethics-into-practice/

• Describe the replication crisis in psychology.
• Describe the issue with generalizability faced by social psychologists.

2.5.1. The Replication Crisis in Social Psychology

Today, the field of psychology faces what is called a replication crisis. Simply, published findings in psychology are not replicable, one of the hallmarks of science. Swiatkowski and Dompnier (2017) addressed this issue but with a focus on social psychology. They note that the field faces a confidence crisis due to events such as Diederick Staple intentionally fabricating data over a dozen years which lead to the retraction of over 50 published papers. They cite a study by John et al. (2012) in which 56% of 2,155 respondents admitted to collecting more data after discovering that the initial statistical test was not significant and 46% selectively reported studies that “worked” in a paper to be published. They also note that Nuijten et al. (2015) collected a sample of over 30,000 articles from the top 8 psychology journals and found that 1 in 8 possibly had an inconsistent p value that could have affected the conclusion the researchers drew.

So, how extensive is the issue? The Psychology Reproducibility Project was started to determine to what degree psychological effects from the literature could be replicated. One hundred published studies were attempted to be replicated by independent research teams and from different subfields in psychology. Only 39% of the findings were considered to be successfully replicated. For social psychology the results were worse. Only 25% were replicated.

Why might a study not replicate? Swiatkowski and Dompnier (2017) cite a few reasons. First, they believe that statistical power, or making the decision to not reject the null hypothesis (H0 – hypothesis stating that there is no effect or your hypothesis was not correct) when it is actually false, is an issue in social psychology. Many studies are underpowered as shown by small effect sizes observed in the field, which inflates the rate of false-positive findings and leads to unreplicable findings.

Second, they say that some researchers use “unjustifiable flexibility in data analysis, such as working with several undisclosed dependent variables, collecting more observations after initial hypothesis testing, stopping data collection earlier than planned because of a statistically significant predicted finding, controlling for gender effects a posterior, dropping experimental conditions, and so on” (pg. 114). Some also do undisclosed multiple testing without making adjustments, called p-hacking, or dropping observations to achieve a significance level, called cherry picking . Such practices could explain the high prevalence of false positives in social psychological research.

Third, some current publication standards may promote bad research practices in a few ways. Statistical significance has been set at p = 0.05 as the sine qua non condition for publication. According to Swiattkowski and Dompnier (2017) this leads to dichotomous thinking in terms of the “strict existence and non-existence of an effect” (pg. 115). Also, positive, statistically significant results are more likely to be published than negative, statistically, non-significant results which can be hard to interpret. This bias leads to a structural incentive to seek out positive results. Finally, the authors point out that current editorial standards show a preference for novelty or accepting studies which report new and original psychological effects. This reduces the importance of replications which lack prestige and inspire little interest among researchers. It should also be pointed out that there is a mentality of ‘Publish or perish’ at universities for full time faculty. Those who are prolific and publish often are rewarded with promotions, pay raises, tenure, or prestigious professorships. Also, studies that present highly novel and cool findings are showcased by the media.

The authors state, “In the long run, the lack of a viable falsification procedure seriously undermines the quality of scientific knowledge psychology produces. Without a way to build a cumulative net of well-tested theories and to abandon those that are false, social psychology risks ending up with a confused mixture of both instead”(pg. 117).

For more on this issue, check out the following articles

• 2016 Article in the Atlantic – https://www.theatlantic.com/science/archive/2016/03/psychologys-replication-crisis-cant-be-wished-away/472272/
• 2018 Article in The Atlantic – https://www.theatlantic.com/science/archive/2018/11/psychologys-replication-crisis-real/576223/
• 2018 Article in the Washington Post – https://www.washingtonpost.com/news/speaking-of-science/wp/2018/08/27/researchers-replicate-just-13-of-21-social-science-experiments-published-in-top-journals/?noredirect=on&utm_term=.2a05aff2d7de
• 2018 Article from Science News – https://www.sciencenews.org/blog/science-public/replication-crisis-psychology-science-studies-statistics

2.5.2. Generalizability

Earlier we discussed how researchers want to generalize their findings from the sample to the population, or from a small, representative group to everyone. The problem that plagues social psychology is who makes up our samples. Many social psychological studies are conducted with college students working for course credit (Sears, 1986). They represent what is called a convenience sample . Can we generalize from college students to the larger group?

Module Recap

In Module 1 we stated that psychology studied behavior and mental processes using the strict standards of science. In Module 2 we showed you how that is done via adoption of the scientific method and use of the research designs of observation, case study, surveys, correlation, and experiments. To make sure our measurement of a variable is sound, we need to have measures that are reliable and valid. And to give our research legitimacy we have to use clear ethical standards for research to include gaining informed consent from participants, telling them of the risks, giving them the right to withdraw, debriefing them, and using nothing more than minimal deception. Despite all this, psychology faces a crisis in which many studies are not replicating and findings from some social psychological research are not generalizable to the population.

This concludes Part I of the book. In Part II we will discuss how we think about ourselves and others. First, we will tackle the self and then move to the perception of others. Part II will conclude with a discussion of attitudes.

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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

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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.

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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.

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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

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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.

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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

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Received : 29 November 2010

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Published : 27 June 2011

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

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What the Case Study Method Really Teaches

• Nitin Nohria

Seven meta-skills that stick even if the cases fade from memory.

It’s been 100 years since Harvard Business School began using the case study method. Beyond teaching specific subject matter, the case study method excels in instilling meta-skills in students. This article explains the importance of seven such skills: preparation, discernment, bias recognition, judgement, collaboration, curiosity, and self-confidence.

During my decade as dean of Harvard Business School, I spent hundreds of hours talking with our alumni. To enliven these conversations, I relied on a favorite question: “What was the most important thing you learned from your time in our MBA program?”

• Nitin Nohria is the George F. Baker Professor of Business Administration, Distinguished University Service Professor, and former dean of Harvard Business School.

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