scientific meaning of 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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51 The Case Study: What it is and What it Does

John Gerring is Professor of Political Science, Boston University.

• Published: 05 September 2013
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This article presents a reconstructed definition of the case study approach to research. This definition emphasizes comparative politics, which has been closely linked to this method since its creation. The article uses this definition as a basis to explore a series of contrasts between cross-case study and case study research. This article attempts to provide better understanding of this persisting methodological debate as a matter of tradeoffs, which may also contribute to destroying the boundaries that have separated these rival genres within the subfield of comparative politics.

Two centuries after Le Play’s pioneering work, the various disciplines of the social sciences continue to produce a vast number of case studies, many of which have entered the pantheon of classic works. Judging by the large volume of recent scholarly output the case study research design plays a central role in anthropology, archeology, business, education, history, medicine, political science, psychology, social work, and sociology (Gerring 2007 a , ch. 1 ). Even in economics and political economy, fields not usually noted for their receptiveness to case-based work, there has been something of a renaissance. Recent studies of economic growth have turned to case studies of unusual countries such as Botswana, Korea, and Mauritius. 1 Debates on the relationship between trade and growth and the IMF and growth have likewise combined cross-national regression evidence with in-depth (quantitativ and qualitative) case analysis ( Srinivasan and Bhagwati 1999 ; Vreeland 2003 ). Work on ethnic politics and ethnic conflict has exploited within-country variation or small-N cross-country comparisons ( Abadie and Gardeazabal 2003 ; Chandra 2004 ; Posner 2004 ). By the standard of praxis, therefore, it would appear that the method of the case study is solidly ensconced, perhaps even thriving. Arguably, we are witnessing a movement away from a variable-centered approach to causality in the social sciences and towards a case-based approach.

Indeed, the statistical analysis of cross-case observational data has been subjected to increasing scrutiny in recent years. It no longer seems self-evident, even to nomothetically inclined scholars, that non-experimental data drawn from nation-states, cities, social movements, civil conflicts, or other complex phenomena should be treated in standard regression formats. The complaints are myriad, and oftreviewed. 2 They include: (a) the problem of arriving at an adequate specification of the causal model, given a plethora of plausible models, and the associated problem of modeling interactions among these covariates; (b) identification problems, which cannot always be corrected by instrumental variable techniques; (c) the problem of “extreme” counterfactuals, i.e. extrapolating or interpolating results from a general model where the extrapolations extend beyond the observable data points; (d) problems posed by influential cases; (e) the arbitrariness of standard significance tests; (f) the misleading precision of point estimates in the context of “curve-fitting” models; (g) the problem of finding an appropriate estimator and modeling temporal autocorrelation in pooled time series; (h) the difficulty of identifying causal mechanisms; and last, but certainly not least, (i) the ubiquitous problem of faulty data drawn from a variety of questionable sources. Most of these difficulties may be understood as the by-product of causal variables that offer limited variation through time and cases that are extremely heterogeneous.

A principal factor driving the general discontent with cross-case observational research is a new-found interest in experimental models of social scientific research. Following the pioneering work of Donald Campbell (1988 ; Cook and Campbell 1979 ) and Donald Rubin (1974) , methodologists have taken a hard look at the regression model and discovered something rather obvious but at the same time crucially important: this research bears only a faint relationship to the true experiment, for all the reasons noted above. The current excitement generated by matching estimators, natural experiments, and field experiments may be understood as a move toward a quasi-experimental, and frequently case-based analysis of causal relations. Arguably, this is because the experimental ideal is often better approximated by a small number of cases that are closely related to one another, or by a single case observed over time, than by a large sample of heterogeneous units.

A third factor militating towards case-based analysis is the development of a series of alternatives to the standard linear/additive model of cross-case analysis, thus establishing a more variegated set of tools to capture the complexity of social behavior (see Brady and Collier 2004 ). Charles Ragin and associates have shown us how to deal with situations where multiple causal paths lead to the same set of outcomes, a series of techniques known as Qualitative Comparative Analysis (QCA) (“Symposium: Qualitative Comparative Analysis” 2004). Andrew Abbott has worked out a method that maps causal sequences across cases, known as optimal sequence matching ( Abbott 2001 ; Abbott and Forrest 1986 ; Abbott and Tsay 2000 ). Bear Braumoeller, Gary Goertz, Jack Levy, and Harvey Starr have defended the importance of necessary-condition arguments in the social sciences, and have shown how these arguments might be analyzed ( Braumoeller and Goertz 2000 ; Goertz 2003 ; Goertz and Levy forthcoming; Goertz and Starr 2003 ). James Fearon, Ned Lebow, Philip Tetlock, and others have explored the role of counterfactual thought experiments in the analysis of individual case histories ( Fearon 1991 ; Lebow 2000 ; Tetlock and Belkin 1996 ). Colin Elman has developed a typological method of analyzing cases ( Elman 2005 ). David Collier, Jack Goldstone, Peter Hall, James Mahoney, and Dietrich Rueschemeyer have worked to revitalize the comparative and comparative-historical methods ( Collier 1993 ; Goldstone 1997 ; Hall 2003 ; Mahoney and Rueschemeyer 2003 ). And scores of researchers have attacked the problem of how to convert the relevant details of a temporally constructed narrative into standardized formats so that cases can be meaningfully compared (Abell 1987 , 2004 ; Abbott 1992 ; Buthe 2002 ; Griffin 1993 ). While not all of these techniques are, strictly speaking, case study techniques—since they sometimes involve a large number of cases—they do move us closer to a case-based understanding of causation insofar as they preserve the texture and detail of individual cases, features that are often lost in large-N cross-case analysis.

A fourth factor concerns the recent marriage of rational choice tools with case study analysis, sometimes referred to as an “analytic narrative” ( Bates et al. 1998 ). Whether the technique is qualitative or quantitative, scholars equipped with economic models are turning, increasingly, to case studies in order to test the theoretical predictions of a general model, investigate causal mechanisms, and/or explain the features of a key case.

Finally, epistemological shifts in recent decades have enhanced the attractiveness of the case study format. The “positivist” model of explanation, which informed work in the social sciences through most of the twentieth century, tended to downplay the importance of causal mechanisms in the analysis of causal relations. Famously, Milton Friedman (1953) argued that the only criterion of a model was to be found in its accurate prediction of outcomes. The verisimilitude of the model, its accurate depiction of reality, was beside the point. In recent years, this explanatory trope has come under challenge from “realists,” who claim (among other things) that causal analysis should pay close attention to causal mechanisms (e.g. Bunge 1997 ; Little 1998 ). Within political science and sociology, the identification of a specific mechanism—a causal pathway—has come to be seen as integral to causal analysis, regardless of whether the model in question is formal or informal or whether the evidence is qualitative or quantitative ( Achen 2002 ; Elster 1998 ; George and Bennett 2005 ; Hedstrom and Swedberg 1998 ). Given this new-found (or at least newly self-conscious) interest in mechanisms, it is not surprising that social scientists would turn to case studies as a mode of causal investigation.

For all the reasons stated above, one might intuit that social science is moving towards a case-based understanding of causal relations. Yet, this movement, insofar as it exists, has scarcely been acknowledged, and would certainly be challenged by many close observers—including some of those cited in the foregoing passages.

The fact is that the case study research design is still viewed by most methodologists with extreme circumspection. A work that focuses its attention on a single example of a broader phenomenon is apt to be described as a “mere” case study, and is often identified with loosely framed and non-generalizable theories, biased case selection, informal and undisciplined research designs, weak empirical leverage (too many variables and too few cases), subjective conclusions, non-replicability, and causal determinism. To some, the term case study is an ambiguous designation covering a multitude of “inferential felonies.” 3

The quasi-mystical qualities associated with the case study persist to this day. In the field of psychology, a gulf separates “scientists” engaged in cross-case research and “practitioners” engaged in clinical research, usually focused on several cases ( Hersen and Barlow 1976 , 21). In the fields of political science and sociology, case study researchers are acknowledged to be on the “soft” side of hard disciplines. And across fields, the persisting case study orientations of anthropology, education, law, social work, and various other fields and subfields relegate them to the non-rigorous, non-systematic, non-scientific, non-positivist end of the academic spectrum.

The methodological status of the case study is still, officially, suspect. Even among its defenders there is confusion over the virtues and vices of this ambiguous research design. Practitioners continue to ply their trade but have difficulty articulating what it is they are doing, methodologically speaking. The case study survives in a curious methodological limbo.

This leads to a paradox: although much of what we know about the empirical world has been generated by case studies and case studies continue to constitute a large proportion of work generated by the social science disciplines, the case study method is poorly understood.

How can we make sense of the profound disjuncture between the acknowledged contributions of this genre to the various disciplines of social science and its maligned status within these disciplines? If case studies are methodologically flawed, why do they persist? Should they be rehabilitated, or suppressed? How fruitful is this style of research?

In this chapter, I provide a reconstructed definition of the case study approach to research with special emphasis on comparative politics, a field that has been closely identified with this method since its birth. Based on this definition, I then explore a series of contrasts between case study and cross-case study research. These contrasts are intended to illuminate the characteristic strengths and weaknesses (“affinities”) of these two research designs, not to vindicate one or the other. The effort of this chapter is to understand this persisting methodological debate as a matter of tradeoffs. Case studies and cross-case studies explore the world in different ways. Yet, properly constituted, there is no reason that case study results cannot be synthesized with results gained from cross-case analysis, and vice versa. My hope, therefore, is that this chapter will contribute to breaking down the boundaries that have separated these rival genres within the subfield of comparative politics.

1 Definitions

The key term of this chapter is, admittedly, a definitional morass. To refer to a work as a “case study” might mean: that its method is qualitative, small-N; that the research is holistic, thick (a more or less comprehensive examination of a phenomenon); that it utilizes a particular type of evidence (e.g. ethnographic, clinical, non-experimental, non-survey based, participant observation, process tracing, historical, textual, or field research); that its method of evidence gathering is naturalistic (a “real-life context”); that the research investigates the properties of a single observation; or that the research investigates the properties of a single phenomenon, instance, or example. Evidently, researchers have many things in mind when they talk about case study research. Confusion is compounded by the existence of a large number of near-synonyms—single unit, single subject, single case, N = 1, case based, case control, case history, case method, case record, case work, clinical research, and so forth. As a result of this profusion of terms and meanings, proponents and opponents of the case study marshal a wide range of arguments but do not seem any closer to agreement than when this debate was first broached several decades ago.

Can we reconstruct this concept in a clearer, more productive fashion? In order to do so we must understand how the key terms—case and case study—are situated within a neighborhood of related terms. In this crowded semantic field, each term is defined in relation to others. And in the context of a specific work or research terrain, they all take their meaning from a specific inference. (The reader should bear in mind that any change in the inference, and the meaning of all the key terms will probably change.) My attempt here will be to provide a single, determinate, definition of these key terms. Of course, researchers may choose to define these terms in many different ways. However, for purposes of methodological discussion it is helpful to enforce a uniform vocabulary.

Let us stipulate that a case connotes a spatially delimited phenomenon (a unit) observed at a single point in time or over some period of time. It comprises the sort of phenomena that an inference attempts to explain. Thus, in a study that attempts to explain certain features of nation-states, cases are comprised of nation-states (across some temporal frame). In a study that attempts to explain the behavior of individuals, individuals comprise the cases. And so forth. Each case may provide a single observation or multiple (within-case) observations.

For students of comparative politics, the archetypal case is the dominant political unit of our time, the nation-state. However, the study of smaller social and political units (regions, cities, villages, communities, social groups, families) or specific institutions (political parties, interest groups, businesses) is equally common in other subfields, and perhaps increasingly so in comparative politics. Whatever the chosen unit, the methodological issues attached to the case study have nothing to do with the size of the individual cases. A case may be created out of any phenomenon so long as it has identifiable boundaries and comprises the primary object of an inference.

Note that the spatial boundaries of a case are often more apparent than its temporal boundaries. We know, more or less, where a country begins and ends, even though we may have difficulty explaining when a country begins and ends. Yet, some temporal boundaries must be assumed. This is particularly important when cases consist of discrete events—crises, revolutions, legislative acts, and so forth—within a single unit. Occasionally, the temporal boundaries of a case are more obvious than its spatial boundaries. This is true when the phenomena under study are eventful but the unit undergoing the event is amorphous. For example, if one is studying terrorist attacks it may not be clear how the spatial unit of analysis should be understood, but the events themselves may be well bounded.

A case study may be understood as the intensive study of a single case for the purpose of understanding a larger class of cases (a population). Case study research may incorporate several cases. However, at a certain point it will no longer be possible to investigate those cases intensively. At the point where the emphasis of a study shifts from the individual case to a sample of cases we shall say that a study is cross-case . Evidently, the distinction between a case study and cross-case study is a continuum. The fewer cases there are, and the more intensively they are studied, the more a work merits the appellation case study. Even so, this proves to be a useful distinction, for much follows from it.

A few additional terms will now be formally defined.

An observation is the most basic element of any empirical endeavor. Conventionally, the number of observations in an analysis is referred to with the letter N . (Confusingly, N may also be used to designate the number of cases in a study, a usage that I shall try to avoid.) A single observation may be understood as containing several dimensions, each of which may be measured (across disparate observations) as a variable. Where the proposition is causal, these may be subdivided into dependent (Y) and independent (X) variables. The dependent variable refers to the outcome of an investigation. The independent variable refers to the explanatory (causal) factor, that which the outcome is supposedly dependent on.

Note that a case may consist of a single observation (N = 1). This would be true, for example, in a cross-sectional analysis of multiple cases. In a case study, however, the case under study always provides more than one observation. These may be constructed diachronically (by observing the case or some subset of within-case units through time) or synchronically (by observing within-case variation at a single point in time).

This is a clue to the fact that case studies and cross-case usually operate at different levels of analysis. The case study is typically focused on within-case variation (if there a cross-case component it is probably secondary). The cross-case study, as the name suggests, is typically focused on cross-case variation (if there is also within-case variation, it is secondary in importance). They have the same object in view—the explanation of a population of cases—but they go about this task differently.

A sample consists of whatever cases are subjected to formal analysis; they are the immediate subject of a study or case study. (Confusingly, the sample may also refer to the observations under study, and will be so used at various points in this narrative. But at present, we treat the sample as consisting of cases.) Technically, one might say that in a case study the sample consists of the case or cases that are subjected to intensive study. However, usually when one uses the term sample one is implying that the number of cases is rather large. Thus, “sample-based work” will be understood as referring to large-N cross-case methods—the opposite of case study work. Again, the only feature distinguishing the case study format from a sample-based (or “cross-case”) research design is the number of cases falling within the sample—one or a few versus many. Case studies, like large-N samples, seek to represent, in all ways relevant to the proposition at hand, a population of cases. A series of case studies might therefore be referred to as a sample if they are relatively brief and relatively numerous; it is a matter of emphasis and of degree. The more case studies one has, the less intensively each one is studied, and the more confident one is in their representativeness (of some broader population), the more likely one is to describe them as a sample rather than a series of case studies. For practical reasons—unless, that is, a study is extraordinarily long—the case study research format is usually limited to a dozen cases or less. A single case is not at all unusual.

The sample rests within a population of cases to which a given proposition refers. The population of an inference is thus equivalent to the breadth or scope of a proposition. (I use the terms proposition , hypothesis , inference , and argument interchangeably.) Note that most samples are not exhaustive; hence the use of the term sample, referring to sampling from a population. Occasionally, however, the sample equals the population of an inference; all potential cases are studied.

For those familiar with the rectangular form of a dataset it may be helpful to conceptualize observations as rows, variables as columns, and cases as either groups of observations or individual observations.

2 What is a Case Study Good For? Case Study versus Cross-case Analysis

I have argued that the case study approach to research is most usefully defined as the intensive study of a single unit or a small number of units (the cases), for the purpose of understanding a larger class of similar units (a population of cases). This is put forth as a minimal definition of the topic. 4 I now proceed to discuss the non -definitional attributes of the case study—attributes that are often, but not invariably, associated with the case study method. These will be understood as methodological affinities flowing from a minimal definition of the concept. 5

The case study research design exhibits characteristic strengths and weaknesses relative to its large-N cross-case cousin. These tradeoffs derive, first of all, from basic research goals such as (1) whether the study is oriented toward hypothesis generating or hypothesis testing, (2) whether internal or external validity is prioritized, (3) whether insight into causal mechanisms or causal effects is more valuable, and (4) whether the scope of the causal inference is deep or broad. These tradeoffs also hinge on the shape of the empirical universe, i.e. (5) whether the population of cases under study is heterogeneous or homogeneous, (6) whether the causal relationship of interest is strong or weak, (7) whether useful variation on key parameters within that population is rare or common, and (8) whether available data are concentrated or dispersed.

Along each of these dimensions, case study research has an affinity for the first factor and cross-case research has an affinity for the second, as summarized in Table 51.1 . To clarify, these tradeoffs represent methodological affinities , not invariant laws. Exceptions can be found to each one. Even so, these general tendencies are often noted in case study research and have been reproduced in multiple disciplines and subdisciplines over the course of many decades.

It should be stressed that each of these tradeoffs carries a ceteris paribus caveat. Case studies are more useful for generating new hypotheses, all other things being equal . The reader must bear in mind that many additional factors also rightly influence a writer’s choice of research design, and they may lean in the other direction. Ceteris are not always paribus. One should not jump to conclusions about the research design appropriate to a given setting without considering the entire range of issues involved—some of which may be more important than others.

3 Hypothesis: Generating versus Testing

Social science research involves a quest for new theories as well as a testing of existing theories; it is comprised of both “conjectures” and “refutations.” 6 Regrettably, social science methodology has focused almost exclusively on the latter. The conjectural element of social science is usually dismissed as a matter of guesswork, inspiration, or luck—a leap of faith, and hence a poor subject for methodological reflection. 7 Yet, it will readily be granted that many works of social science, including most of the acknowledged classics, are seminal rather than definitive. Their classic status derives from the introduction of a new idea or a new perspective that is subsequently subjected to more rigorous (and refutable) analysis. Indeed, it is difficult to devise a program of falsification the first time a new theory is proposed. Path-breaking research, almost by definition, is protean. Subsequent research on that topic tends to be more definitive insofar as its primary task is limited: to verify or falsify a pre-existing hypothesis. Thus, the world of social science may be usefully divided according to the predominant goal undertaken in a given study, either hypothesis generating or hypothesis testing . There are two moments of empirical research, a lightbulb moment and a skeptical moment, each of which is essential to the progress of a discipline. 8

Case studies enjoy a natural advantage in research of an exploratory nature. Several millennia ago, Hippocrates reported what were, arguably, the first case studies ever conducted. They were fourteen in number. 9 Darwin’s insights into the process of human evolution came after his travels to a few select locations, notably Easter Island. Freud’s revolutionary work on human psychology was constructed from a close observation of fewer than a dozen clinical cases. Piaget formulated his theory of human cognitive development while watching his own two children as they passed from childhood to adulthood. Lévi-Strauss’s structuralist theory of human cultures built on the analysis of several North and South American tribes. Douglass North’s neo-institutionalist theory of economic development was constructed largely through a close analysis of a handful of early developing states (primarily England, the Netherlands, and the United States). 10 Many other examples might be cited of seminal ideas that derived from the intensive study of a few key cases.

Evidently, the sheer number of examples of a given phenomenon does not, by itself, produce insight. It may only confuse. How many times did Newton observe apples fall before he recognized the nature of gravity? This is an apocryphal example, but it illustrates a central point: case studies may be more useful than cross-case studies when a subject is being encountered for the first time or is being considered in a fundamentally new way. After reviewing the case study approach to medical research, one researcher finds that although case reports are commonly regarded as the lowest or weakest form of evidence, they are nonetheless understood to comprise “the first line of evidence.” The hallmark of case reporting, according to Jan Vandenbroucke, “is to recognize the unexpected.” This is where discovery begins. 11

The advantages that case studies offer in work of an exploratory nature may also serve as impediments in work of a confirmatory/disconfirmatory nature. Let us briefly explore why this might be so. 12

Traditionally, scientific methodology has been defined by a segregation of conjecture and refutation. One should not be allowed to contaminate the other. 13 Yet, in the real world of social science, inspiration is often associated with perspiration. “Lightbulb” moments arise from a close engagement with the particular facts of a particular case. Inspiration is more likely to occur in the laboratory than in the shower.

The circular quality of conjecture and refutation is particularly apparent in case study research. Charles Ragin notes that case study research is all about “casing”—defining the topic, including the hypothesis(es) of primary interest, the outcome, and the set of cases that offer relevant information vis-à-vis the hypothesis. 14 A study of the French Revolution may be conceptualized as a study of revolution, of social revolution, of revolt, of political violence, and so forth. Each of these topics entails a different population and a different set of causal factors. A good deal of authorial intervention is necessary in the course of defining a case study topic, for there is a great deal of evidentiary leeway. Yet, the “subjectivity” of case study research allows for the generation of a great number of hypotheses, insights that might not be apparent to the cross-case researcher who works with a thinner set of empirical data across a large number of cases and with a more determinate (fixed) definition of cases, variables, and outcomes. It is the very fuzziness of case studies that grants them an advantage in research at the exploratory stage, for the single-case study allows one to test a multitude of hypotheses in a rough-and-ready way. Nor is this an entirely “conjectural” process. The relationships discovered among different elements of a single case have a prima facie causal connection: they are all at the scene of the crime. This is revelatory when one is at an early stage of analysis, for at that point there is no identifiable suspect and the crime itself may be difficult to discern. The fact that A , B , and C are present at the expected times and places (relative to some outcome of interest) is sufficient to establish them as independent variables. Proximal evidence is all that is required. Hence, the common identification of case studies as “plausibility probes,” “pilot studies,” “heuristic studies,” “exploratory” and “theory-building” exercises. 15

A large-N cross-study, by contrast, generally allows for the testing of only a few hypotheses but does so with a somewhat greater degree of confidence, as is appropriate to work whose primary purpose is to test an extant theory. There is less room for authorial intervention because evidence gathered from a cross-case research design can be interpreted in a limited number of ways. It is therefore more reliable. Another way of stating the point is to say that while case studies lean toward Type 1 errors (falsely rejecting the null hypothesis), cross-case studies lean toward Type 2 errors (failing to reject the false null hypothesis). This explains why case studies are more likely to be paradigm generating, while cross-case studies toil in the prosaic but highly structured field of normal science.

I do not mean to suggest that case studies never serve to confirm or disconfirm hypotheses. Evidence drawn from a single case may falsify a necessary or sufficient hypothesis, as discussed below. Additionally, case studies are often useful for the purpose of elucidating causal mechanisms, and this obviously affects the plausibility of an X/Y relationship. However, general theories rarely offer the kind of detailed and determinate predictions on within-case variation that would allow one to reject a hypothesis through pattern matching (without additional cross-case evidence). Theory testing is not the case study’s strong suit. The selection of “crucial” cases is at pains to overcome the fact that the cross-case N is minimal. Thus, one is unlikely to reject a hypothesis, or to consider it definitively proved, on the basis of the study of a single case.

Harry Eckstein himself acknowledges that his argument for case studies as a form of theory confirmation is largely hypothetical. At the time of writing, several decades ago, he could not point to any social science study where a crucial case study had performed the heroic role assigned to it. 16 I suspect that this is still more or less true. Indeed, it is true even of experimental case studies in the natural sciences. “We must recognize,” note Donald Campbell and Julian Stanley,

that continuous, multiple experimentation is more typical of science than once-and-for-all definitive experiments. The experiments we do today, if successful, will need replication and cross-validation at other times under other conditions before they can become an established part of science … [E]ven though we recognize experimentation as the basic language of proof … we should not expect that “crucial experiments” which pit opposing theories will be likely to have clear-cut outcomes. When one finds, for example, that competent observers advocate strongly divergent points of view, it seems likely on a priori grounds that both have observed something valid about the natural situation, and that both represent a part of the truth. The stronger the controversy, the more likely this is. Thus we might expect in such cases an experimental outcome with mixed results, or with the balance of truth varying subtly from experiment to experiment. The more mature focus…avoids crucial experiments and instead studies dimensional relationships and interactions along many degrees of the experimental variables. 17

A single case study is still a single shot—a single example of a larger phenomenon.

The tradeoff between hypothesis generating and hypothesis testing helps us to reconcile the enthusiasm of case study researchers and the skepticism of case study critics. They are both right, for the looseness of case study research is a boon to new conceptualizations just as it is a bane to falsification.

4 Validity: Internal versus External

Questions of validity are often distinguished according to those that are internal to the sample under study and those that are external (i.e. applying to a broader—unstudied—population). Cross-case research is always more representative of the population of interest than case study research, so long as some sensible procedure of case selection is followed (presumably some version of random sampling). Case study research suffers problems of representativeness because it includes, by definition, only a small number of cases of some more general phenomenon. Are the men chosen by Robert Lane typical of white, immigrant, working-class, American males? 18 Is Middletown representative of other cities in America? 19 These sorts of questions forever haunt case study research. This means that case study research is generally weaker with respect to external validity than its cross-case cousin.

The corresponding virtue of case study research is its internal validity. Often, though not invariably, it is easier to establish the veracity of a causal relationship pertaining to a single case (or a small number of cases) than for a larger set of cases. Case study researchers share the bias of experimentalists in this regard: they tend to be more disturbed by threats to within-sample validity than by threats to out-of-sample validity. Thus, it seems appropriate to regard the tradeoff between external and internal validity, like other tradeoffs, as intrinsic to the cross-case/single-case choice of research design.

5 Causal Insight: Causal Mechanisms versus Causal Effects

A third tradeoff concerns the sort of insight into causation that a researcher intends to achieve. Two goals may be usefully distinguished. The first concerns an estimate of the causal effect ; the second concerns the investigation of a causal mechanism (i.e. pathway from X to Y).

By causal effect I refer to two things: (a) the magnitude of a causal relationship (the expected effect on Y of a given change in X across a population of cases) and (b) the relative precision or uncertainty associated with that point estimate. Evidently, it is difficult to arrive at a reliable estimate of causal effects across a population of cases by looking at only a single case or a small number of cases. (The one exception would be an experiment in which a given case can be tested repeatedly, returning to a virgin condition after each test. But here one faces inevitable questions about the representativeness of that much-studied case.) 20 Thus, the estimate of a causal effect is almost always grounded in cross-case evidence.

It is now well established that causal arguments depend not only on measuring causal effects, but also on the identification of a causal mechanism. 21   X must be connected with Y in a plausible fashion; otherwise, it is unclear whether a pattern of covariation is truly causal in nature, or what the causal interaction might be. Moreover, without a clear understanding of the causal pathway(s) at work in a causal relationship it is impossible to accurately specify the model, to identify possible instruments for the regressor of interest (if there are problems of endogeneity), or to interpret the results. 22 Thus, causal mechanisms are presumed in every estimate of a mean (average) causal effect.

In the task of investigating causal mechanisms, cross-case studies are often not so illuminating. It has become a common criticism of large-N cross-national research—e.g. into the causes of growth, democracy, civil war, and other national-level outcomes—that such studies demonstrate correlations between inputs and outputs without clarifying the reasons for those correlations (i.e. clear causal pathways). We learn, for example, that infant mortality is strongly correlated with state failure; 23 but it is quite another matter to interpret this finding, which is consistent with a number of different causal mechanisms. Sudden increases in infant mortality might be the product of famine, of social unrest, of new disease vectors, of government repression, and of countless other factors, some of which might be expected to impact the stability of states, and others of which are more likely to be a result of state instability.

Case studies, if well constructed, may allow one to peer into the box of causality to locate the intermediate factors lying between some structural cause and its purported effect. Ideally, they allow one to “see” X and Y interact—Hume’s billiard ball crossing the table and hitting a second ball. 24 Barney Glaser and Anselm Strauss point out that in fieldwork “general relations are often discovered in vivo ; that is, the field worker literally sees them occur.” 25 When studying decisional behavior case study research may offer insight into the intentions, the reasoning capabilities, and the information-processing procedures of the actors involved in a given setting. Thus, Dennis Chong uses in-depth interviews with a very small sample of respondents in order to better understand the process by which people reach decisions about civil liberties issues. Chong comments:

One of the advantages of the in-depth interview over the mass survey is that it records more fully how subjects arrive at their opinions. While we cannot actually observe the underlying mental process that gives rise to their responses, we can witness many of its outward manifestations. The way subjects ramble, hesitate, stumble, and meander as they formulate their answers tips us off to how they are thinking and reasoning through political issues. 26

Similarly, the investigation of a single case may allow one to test the causal implications of a theory, thus providing corroborating evidence for a causal argument. This is sometimes referred to as pattern matching ( Campbell 1988 ).

Dietrich Rueschemeyer and John Stephens offer an example of how an examination of causal mechanisms may call into question a general theory based on cross-case evidence. The thesis of interest concerns the role of British colonialism in fostering democracy among postcolonial regimes. In particular, the authors investigate the diffusion hypothesis, that democracy was enhanced by “the transfer of British governmental and representative institutions and the tutoring of the colonial people in the ways of British government.” On the basis of in-depth analysis of several cases the authors report:

We did find evidence of this diffusion effect in the British settler colonies of North America and the Antipodes; but in the West Indies, the historical record points to a different connection between British rule and democracy. There the British colonial administration opposed suffrage extension, and only the white elites were “tutored” in the representative institutions. But, critically, we argued on the basis of the contrast with Central America, British colonialism did prevent the local plantation elites from controlling the local state and responding to the labor rebellion of the 1930s with massive repression. Against the adamant opposition of that elite, the British colonial rulers responded with concessions which allowed for the growth of the party– union complexes rooted in the black middle and working classes, which formed the backbone of the later movement for democracy and independence. Thus, the narrative histories of these cases indicate that the robust statistical relation between British colonialism and democracy is produced only in part by diffusion. The interaction of class forces, state power, and colonial policy must be brought in to fully account for the statistical result. 27

Whether or not Rueschemeyer and Stephens are correct in their conclusions need not concern us here. What is critical, however, is that any attempt to deal with this question of causal mechanisms is heavily reliant on evidence drawn from case studies. In this instance, as in many others, the question of causal pathways is simply too difficult, requiring too many poorly measured or unmeasurable variables, to allow for accurate cross-sectional analysis. 28

To be sure, causal mechanisms do not always require explicit attention. They may be quite obvious. And in other circumstances, they may be amenable to cross-case investigation. For example, a sizeable literature addresses the causal relationship between trade openness and the welfare state. The usual empirical finding is that more open economies are associated with higher social welfare spending. The question then becomes why such a robust correlation exists. What are the plausible interconnections between trade openness and social welfare spending? One possible causal path, suggested by David Cameron, 29 is that increased trade openness leads to greater domestic economic vulnerability to external shocks (due, for instance, to changing terms of trade). If so, one should find a robust correlation between annual variations in a country’s terms of trade (a measure of economic vulnerability) and social welfare spending. As it happens, the correlation is not robust and this leads some commentators to doubt whether the putative causal mechanism proposed by David Cameron and many others is actually at work. 30 Thus, in instances where an intervening variable can be effectively operationalized across a large sample of cases it may be possible to test causal mechanisms without resorting to case study investigation. 31

Even so, the opportunities for investigating causal pathways are generally more apparent in a case study format. Consider the contrast between formulating a standardized survey for a large group of respondents and formulating an in-depth interview with a single subject or a small set of subjects, such as that undertaken by Dennis Chong in the previous example. In the latter situation, the researcher is able to probe into details that would be impossible to delve into, let alone anticipate, in a standardized survey. She may also be in a better position to make judgements as to the veracity and reliability of the respondent. Tracing causal mechanisms is about cultivating sensitivity to a local context. Often, these local contexts are essential to cross-case testing. Yet, the same factors that render case studies useful for micro-level investigation also make them less useful for measuring mean (average) causal effects. It is a classic tradeoff.

6 Scope of Proposition: Deep versus Broad

The utility of a case study mode of analysis is in part a product of the scope of the causal argument that a researcher wishes to prove or demonstrate. Arguments that strive for great breadth are usually in greater need of cross-case evidence; causal arguments restricted to a small set of cases can more plausibly subsist on the basis of a single-case study. The extensive/intensive tradeoff is fairly commonsensical. 32 A case study of France probably offers more useful evidence for an argument about Europe than for an argument about the whole world. Propositional breadth and evidentiary breadth generally go hand in hand.

Granted, there are a variety of ways in which single-case studies can credibly claim to provide evidence for causal propositions of broad reach—e.g. by choosing cases that are especially representative of the phenomenon under study (“typical” cases) or by choosing cases that represent the most difficult scenario for a given proposition and are thus biased against the attainment of certain results (“crucial” cases). Even so, a proposition with a narrow scope is more conducive to case study analysis than a proposition with a broad purview, all other things being equal. The breadth of an inference thus constitutes one factor, among many, in determining the utility of the case study mode of analysis. This is reflected in the hesitancy of many case study researchers to invoke determinate causal propositions with great reach—“covering laws,” in the idiom of philosophy of science.

By the same token, one of the primary virtues of the case study method is the depth of analysis that it offers. One may think of depth as referring to the detail, richness, completeness, wholeness, or the degree of variance in an outcome that is accounted for by an explanation. The case study researcher’s complaint about the thinness of cross-case analysis is well taken; such studies often have little to say about individual cases. Otherwise stated, cross-case studies are likely to explain only a small portion of the variance with respect to a given outcome. They approach that outcome at a very general level. Typically, a cross-case study aims only to explain the occurrence/non-occurrence of a revolution, while a case study might also strive to explain specific features of that event—why it occurred when it did and in the way that it did. Case studies are thus rightly identified with “holistic” analysis and with the “thick” description of events. 33

Whether to strive for breadth or depth is not a question that can be answered in any definitive way. All we can safely conclude is that researchers invariably face a choice between knowing more about less, or less about more. The case study method may be defended, as well as criticized, along these lines. 34 Indeed, arguments about the “contextual sensitivity” of case studies are perhaps more precisely (and fairly) understood as arguments about depth and breadth. The case study researcher who feels that cross-case research on a topic is insensitive to context is usually not arguing that nothing at all is consistent across the chosen cases. Rather, the case study researcher’s complaint is that much more could be said—accurately—about the phenomenon in question with a reduction in inferential scope. 35

Indeed, I believe that a number of traditional issues related to case study research can be understood as the product of this basic tradeoff. For example, case study research is often lauded for its holistic approach to the study of social phenomena in which behavior is observed in natural settings. Cross-case research, by contrast, is criticized for its construction of artificial research designs that decontextualize the realm of social behavior by employing abstract variables that seem to bear little relationship to the phenomena of interest. 36 These associated congratulations and critiques may be understood as a conscious choice on the part of case study researchers to privilege depth over breadth.

7 The Population of Cases: Heterogeneous versus Homogeneous

The choice between a case study and cross-case style of analysis is driven not only by the goals of the researcher, as reviewed above, but also by the shape of the empirical universe that the researcher is attempting to understand. Consider, for starters, that the logic of cross-case analysis is premised on some degree of cross-unit comparability (unit homogeneity). Cases must be similar to each other in whatever respects might affect the causal relationship that the writer is investigating, or such differences must be controlled for. Uncontrolled heterogeneity means that cases are “apples and oranges;” one cannot learn anything about underlying causal processes by comparing their histories. The underlying factors of interest mean different things in different contexts (conceptual stretching) or the X/Y relationship of interest is different in different contexts (unit heterogeneity).

Case study researchers are often suspicious of large-sample research, which, they suspect, contains heterogeneous cases whose differences cannot easily be modeled. “Variable-oriented” research is said to involve unrealistic “homogenizing assumptions.” 37 In the field of international relations, for example, it is common to classify cases according to whether they are deterrence failures or deterrence successes. However, Alexander George and Richard Smoke point out that “the separation of the dependent variable into only two subclasses, deterrence success and deterrence failure,” neglects the great variety of ways in which deterrence can fail. Deterrence, in their view, has many independent causal paths (causal equifinality), and these paths may be obscured when a study lumps heterogeneous cases into a common sample. 38

Another example, drawn from clinical work in psychology, concerns heterogeneity among a sample of individuals. Michel Hersen and David Barlow explain:

Descriptions of results from 50 cases provide a more convincing demonstration of the effectiveness of a given technique than separate descriptions of 50 individual cases. The major difficulty with this approach, however, is that the category in which these clients are classified most always becomes unmanageably heterogeneous. “Neurotics,” [for example], …may have less in common than any group of people one would choose randomly. When cases are described individually, however, a clinician stands a better chance of gleaning some important information, since specific problems and specific procedures are usually described in more detail. When one lumps cases together in broadly defined categories, individual case descriptions are lost and the ensuing report of percentage success becomes meaningless. 39

Under circumstances of extreme case heterogeneity, the researcher may decide that she is better off focusing on a single case or a small number of relatively homogeneous cases. Within-case evidence, or cross-case evidence drawn from a handful of most-similar cases, may be more useful than cross-case evidence, even though the ultimate interest of the investigator is in a broader population of cases. (Suppose one has a population of very heterogeneous cases, one or two of which undergo quasi-experimental transformations. Probably, one gains greater insight into causal patterns throughout the population by examining these cases in detail than by undertaking some large-N cross-case analysis.) By the same token, if the cases available for study are relatively homogeneous, then the methodological argument for cross-case analysis is correspondingly strong. The inclusion of additional cases is unlikely to compromise the results of the investigation because these additional cases are sufficiently similar to provide useful information.

The issue of population heterogeneity/homogeneity may be understood, therefore, as a tradeoff between N (observations) and K (variables). If, in the quest to explain a particular phenomenon, each potential case offers only one observation and also requires one control variable (to neutralize heterogeneities in the resulting sample), then one loses degrees of freedom with each additional case. There is no point in using cross-case analysis or in extending a two-case study to further cases. If, on the other hand, each additional case is relatively cheap—if no control variables are needed or if the additional case offers more than one useful observation (through time)—then a cross-case research design may be warranted. 40 To put the matter more simply, when adjacent cases are unit homogeneous the addition of more cases is easy, for there is no (or very little) heterogeneity to model. When adjacent cases are heterogeneous additional cases are expensive, for every added heterogeneous element must be correctly modeled, and each modeling adjustment requires a separate (and probably unverifiable) assumption. The more background assumptions are required in order to make a causal inference, the more tenuous that inference is; it is not simply a question of attaining statistical significance. The ceteris paribus assumption at the core of all causal analysis is brought into question. In any case, the argument between case study and cross-case research designs is not about causal complexity per se (in the sense in which this concept is usually employed), but rather about the tradeoff between N and K in a particular empirical realm, and about the ability to model case heterogeneity through statistical legerdemain. 41

Before concluding this discussion it is important to point out that researchers’ judgements about case comparability are not, strictly speaking, matters that can be empirically verified. To be sure, one can look—and ought to look—for empirical patterns among potential cases. If those patterns are strong then the assumption of case comparability seems reasonably secure, and if they are not then there are grounds for doubt. However, debates about case comparability usually concern borderline instances. Consider that many phenomena of interest to social scientists are not rigidly bounded. If one is studying democracies there is always the question of how to define a democracy, and therefore of determining how high or low the threshold for inclusion in the sample should be. Researchers have different ideas about this, and these ideas can hardly be tested in a rigorous fashion. Similarly, there are longstanding disputes about whether it makes sense to lump poor and rich societies together in a single sample, or whether these constitute distinct populations. Again, the borderline between poor and rich (or “developed” and “undeveloped”) is blurry, and the notion of hiving off one from the other for separate analysis questionable, and unresolvable on purely empirical grounds. There is no safe (or “conservative”) way to proceed. A final sticking point concerns the cultural/historical component of social phenomena. Many case study researchers feel that to compare societies with vastly different cultures and historical trajectories is meaningless. Yet, many cross-case researchers feel that to restrict one’s analytic focus to a single cultural or geographic region is highly arbitrary, and equally meaningless. In these situations, it is evidently the choice of the researcher how to understand case homogeneity/heterogeneity across the potential populations of an inference. Where do like cases end and unlike cases begin?

Because this issue is not, strictly speaking, empirical it may be referred to as an ontological element of research design. An ontology is a vision of the world as it really is, a more or less coherent set of assumptions about how the world works, a research Weltanschauung analogous to a Kuhnian paradigm. 42 While it seems odd to bring ontological issues into a discussion of social science methodology it may be granted that social science research is not a purely empirical endeavor. What one finds is contingent upon what one looks for, and what one looks for is to some extent contingent upon what one expects to find. Stereotypically, case study researchers tend to have a “lumpy” vision of the world; they see countries, communities, and persons as highly individualized phenomena. Cross-case researchers, by contrast, have a less differentiated vision of the world; they are more likely to believe that things are pretty much the same everywhere, at least as respects basic causal processes. These basic assumptions, or ontologies, drive many of the choices made by researchers when scoping out appropriate ground for research.

8 Causal Strength: Strong versus Weak

Regardless of whether the population is homogeneous or heterogeneous, causal relationships are easier to study if the causal effect is strong, rather than weak. Causal “strength,” as I use the term here, refers to the magnitude and consistency of X’s effect on Y across a population of cases. (It invokes both the shape of the evidence at hand and whatever priors might be relevant to an interpretation of that evidence.) Where X has a strong effect on Y it will be relatively easy to study this relationship. Weak relationships, by contrast, are often difficult to discern. This much is commonsensical, and applies to all research designs.

For our purposes, what is significant is that weak causal relationships are particularly opaque when encountered in a case study format. Thus, there is a methodological affinity between weak causal relationships and large-N cross-case analysis, and between strong causal relationships and case study analysis.

This point is clearest at the extremes. The strongest species of causal relationships may be referred to as deterministic , where X is assumed to be necessary and/or sufficient for Y’s occurrence. A necessary and sufficient cause accounts for all of the variation on Y. A sufficient cause accounts for all of the variation in certain instances of Y. A necessary cause accounts, by itself, for the absence of Y. In all three situations, the relationship is usually assumed to be perfectly consistent, i.e. invariant. There are no exceptions.

It should be clear why case study research designs have an easier time addressing causes of this type. Consider that a deterministic causal proposition can be dis proved with a single case. 43 For example, the reigning theory of political stability once stipulated that only in countries that were relatively homogeneous, or where existing heterogeneity was mitigated by cross-cutting cleavages, would social peace endure. 44 Arend Lijphart’s case study of the Netherlands, a country with reinforcing social cleavages and very little social conflict, disproved this deterministic theory on the basis of a single case. 45 (One may dispute whether the original theory is correctly understood as deterministic. However, if it is , then it has been decisively refuted by a single case study.) Proving an invariant causal argument generally requires more cases. However, it is not nearly as complicated as proving a probabilistic argument for the simple reason that one assumes invariant relationships; consequently, the single case under study carries more weight.

Magnitude and consistency—the two components of causal strength—are usually matters of degree. It follows that the more tenuous the connection between X and Y, the more difficult it will be to address in a case study format. This is because the causal mechanisms connecting X with Y are less likely to be detectable in a single case when the total impact is slight or highly irregular. It is no surprise, therefore, that the case study research design has, from the very beginning, been associated with causal arguments that are deterministic, while cross-case research has been associated with causal arguments that are assumed to be minimal in strength and “probabilistic” in consistency. 46 (Strictly speaking, causal magnitude and consistency are independent features of a causal relationship. However, because they tend to covary, and because we tend to conceptualize them in tandem, I treat them as components of a single dimension.)

Now, let us now consider an example drawn from the other extreme. There is generally assumed to be a weak relationship between regime type and economic performance. Democracy, if it has any effect on economic growth at all, probably has only a slight effect over the near-to-medium term, and this effect is probably characterized by many exceptions (cases that do not fit the general pattern). This is because many things other than democracy affect a country’s growth performance and because there may be a significant stochastic component in economic growth (factors that cannot be modeled in a general way). Because of the diffuse nature of this relationship it will probably be difficult to gain insight by looking at a single case. Weak relationships are difficult to observe in one instance. Note that even if there seems to be a strong relationship between democracy and economic growth in a given country it may be questioned whether this case is actually typical of the larger population of interest, given that we have already stipulated that the typical magnitude of this relationship is diminutive and irregular. Of course, the weakness of democracy’s presumed relationship to growth is also a handicap in cross-case analysis. A good deal of criticism has been directed toward studies of this type, where findings are rarely robust. 47 Even so, it seems clear that if there is a relationship between democracy and growth it is more likely to be perceptible in a large cross-case setting. The positive hypothesis, as well as the null hypothesis, is better approached in a sample rather than in a case.

9 Useful Variation: Rare versus Common

When analyzing causal relationships we must be concerned not only with the strength of an X/Y relationship but also with the distribution of evidence across available cases. Specifically, we must be concerned with the distribution of useful variation —understood as variation (temporal or spatial) on relevant parameters that might yield clues about a causal relationship. It follows that where useful variation is rare—i.e. limited to a few cases—the case study format recommends itself. Where, on the other hand, useful variation is common, a cross-case method of analysis may be more defensible.

Consider a phenomenon like social revolution, an outcome that occurs very rarely. The empirical distribution on this variable, if we count each country-year as an observation, consists of thousands of non-revolutions (0) and just a few revolutions (1). Intuitively, it seems clear that the few “revolutionary” cases are of great interest. We need to know as much as possible about them, for they exemplify all the variation that we have at our disposal. In this circumstance, a case study mode of analysis is difficult to avoid, though it might be combined with a large-N cross-case analysis. As it happens, many outcomes of interest to social scientists are quite rare, so the issue is by no means trivial. 48

By way of contrast, consider a phenomenon like turnover, understood as a situation where a ruling party or coalition is voted out of office. Turnover occurs within most democratic countries on a regular basis, so the distribution of observations on this variable (incumbency/turnover) is relatively even across the universe of country-years. There are lots of instances of both outcomes. Under these circumstances a cross-case research design seems plausible, for the variation across cases is regularly distributed.

Another sort of variation concerns that which might occur within a given case. Suppose that only one or two cases within a large population exhibit quasi-experimental qualities: the factor of special interest varies, and there is no corresponding change in other factors that might affect the outcome. Clearly, we are likely to learn a great deal from studying this particular case—perhaps a lot more than we might learn from studying hundreds of additional cases that deviate from the experimental ideal. But again, if many cases have this experimental quality, there is little point in restricting ourselves to a single example; a cross-case research design may be justified.

A final sort of variation concerns the characteristics exhibited by a case relative to a particular theory that is under investigation. Suppose that a case provides a “crucial” test for a theory: it fits that theory’s predictions so perfectly and so precisely that no other explanation could plausibly account for the performance of the case. If no other crucial cases present themselves, then an intensive study of this particular case is de rigueur. Of course, if many such cases lie within the population then it may be possible to study them all at once (with some sort of numeric reduction of the relevant parameters).

The general point here is that the distribution of useful variation across a population of cases matters a great deal in the choice between case study and cross-case research designs.

10 Data Availability: Concentrated versus Dispersed

I have left the most prosaic factor for last. Sometimes, one’s choice of research design is driven by the quality and quantity of information that is currently available, or could be easily gathered, on a given question. This is a practical matter, and is distinct from the actual (ontological) shape of the world. It concerns, rather, what we know about the former at a given point in time. 49 The question of evidence may be posed as follows: How much do we know about the cases at hand that might be relevant to the causal question of interest, and how precise, certain, and case comparable is that data? An evidence-rich environment is one where all relevant factors are measurable, where these measurements are relatively precise, where they are rendered in comparable terms across cases, and where one can be relatively confident that the information is, indeed, accurate. An evidence-poor environment is the opposite.

The question of available evidence impinges upon choices in research design when one considers its distribution across a population of cases. If relevant information is concentrated in a single case, or if it is contained in incommensurable formats across a population of cases, then a case study mode of analysis is almost unavoidable. If, on the other hand, it is evenly distributed across the population—i.e. we are equally well informed about all cases—and is case comparable, then there is little to recommend a narrow focus. (I employ data, evidence, and information as synonyms in this section.)

Consider the simplest sort of example, where information is truly limited to one or a few cases. Accurate historical data on infant mortality and other indices of human development are currently available for only a handful of countries (these include Chile, Egypt, India, Jamaica, Mauritius, Sri Lanka, the United States, and several European countries). 50 This data problem is not likely to be rectified in future years, as it is exceedingly difficult to measure infant mortality except by public or private records. Consequently, anyone studying this general subject is likely to rely heavily on these cases, where in-depth analysis is possible and profitable. Indeed, it is not clear whether any large-N cross-case analysis is possible prior to the twentieth century. Here, a case study format is virtually prescribed, and a cross-case format proscribed.

Other problems of evidence are more subtle. Let us dwell for the moment on the question of data comparability. In their study of social security spending, Mulligan, Gil, and Sala-i-Martin note that

although our spending and design numbers are of good quality, there are some missing observations and, even with all the observations, it is difficult to reduce the variety of elderly subsidies to one or two numbers. For this reason, case studies are an important part of our analysis, since those studies do not require numbers that are comparable across a large number of countries. Our case study analysis utilizes data from a variety of country-specific sources, so we do not have to reduce “social security” or “democracy” to one single number. 51

Here, the incommensurability of the evidence militates towards a case study format. In the event that the authors (or subsequent analysts) discover a coding system that provides reasonably valid cross-case measures of social security, democracy, and other relevant concepts then our state of knowledge about the subject is changed, and a cross-case research design is rendered more plausible.

Importantly, the state of evidence on a topic is never entirely fixed. Investigators may gather additional data, recode existing data, or discover new repositories of data. Thus, when discussing the question of evidence one must consider the quality and quantity of evidence that could be gathered on a given question, given sufficient time and resources. Here it is appropriate to observe that collecting new data, and correcting existing data, is usually easier in a case study format than in a large-N cross-case format. It will be difficult to rectify data problems if one’s cases number in the hundreds or thousands. There are simply too many data points to allow for this.

One might consider this issue in the context of recent work on democracy. There is general skepticism among scholars with respect to the viability of extant global indicators intended to capture this complex concept (e.g. by Freedom House and by the Polity IV data project). 52 Measurement error, aggregation problems, and questions of conceptual validity are rampant. When dealing with a single country or a single continent it is possible to overcome some of these faults by manually recoding the countries of interest. 53 The case study format often gives the researcher an opportunity to fact-check, to consult multiple sources, to go back to primary materials, and to overcome whatever biases may affect the secondary literature. Needless to say, this is not a feasible approach for an individual investigator if one’s project encompasses every country in the world. The best one can usually manage, under the circumstances, is some form of convergent validation (by which different indices of the same concept are compared) or small adjustments in the coding intended to correct for aggregation problems or measurement error. 54

For the same reason, the collection of original data is typically more difficult in cross-case analysis than in case study analysis, involving greater expense, greater difficulties in identifying and coding cases, learning foreign languages, traveling, and so forth. Whatever can be done for a set of cases can usually be done more easily for a single case.

It should be kept in mind that many of the countries of concern to anthropologists, economists, historians, political scientists, and sociologists are still terra incognita. Outside the OECD, and with the exception of a few large countries that have received careful attention from scholars (e.g. India, Brazil, China), most countries of the world are not well covered by the social science literature. Any statement that one might wish to make about, say, Botswana, will be difficult to verify if one has recourse only to secondary materials. And these—very limited—secondary sources are not necessarily of the most reliable sort. Thus, if one wishes to say something about political patterns obtaining in roughly 90 percent of the world’s countries and if one wishes to go beyond matters that can be captured in standard statistics collected by the World Bank and the IMF and other agencies (and these can also be very sketchy when lesser-studied countries are concerned) one is more or less obliged to conduct a case study. Of course, one could, in principle, gather similar information across all relevant cases. However, such an enterprise faces formidable logistical difficulties. Thus, for practical reasons, case studies are sometimes the most defensible alternative when the researcher is faced with an information-poor environment.

However, this point is easily turned on its head. Datasets are now available to study many problems of concern to the social sciences. Thus, it may not be necessary to collect original information for one’s book, article, or dissertation. Sometimes in-depth single-case analysis is more time consuming than cross-case analysis. If so, there is no informational advantage to a case study format. Indeed, it may be easier to utilize existing information for a cross-case analysis, particularly when a case study format imposes hurdles of its own—e.g. travel to distant climes, risk of personal injury, expense, and so forth. It is interesting to note that some observers consider case studies to be “relatively more expensive in time and resources.” 55

Whatever the specific logistical hurdles, it is a general truth that the shape of the evidence—that which is currently available and that which might feasibly be collected by an author—often has a strong influence on an investigator’s choice of research designs. Where the evidence for particular cases is richer and more accurate there is a strong prima facie argument for a case study format focused on those cases. Where, by contrast, the relevant evidence is equally good for all potential cases, and is comparable across those cases, there is no reason to shy away from cross-case analysis. Indeed, there may be little to gain from case study formats.

11 Conclusions

At the outset, I took note of the severe disjuncture that has opened up between an often-maligned methodology and a heavily practiced method. The case study is disrespected but nonetheless regularly employed. Indeed, it remains the workhorse of most disciplines and subfields in the social sciences. How, then, can one make sense of this schizophrenia between methodological theory and praxis?

The torment of the case study begins with its definitional penumbra. Frequently, this key term is conflated with a set of disparate methodological traits that are not definitionally entailed. My first objective, therefore, was to craft a narrower and more useful concept for purposes of methodological discussion. The case study, I argued, is best defined as an intensive study of a single case with an aim to generalize across a larger set of cases. It follows from this definition that case studies may be small-or large-N, qualitative or quantitative, experimental or observational, synchronic or diachronic. It also follows that the case study research design comports with any macrotheoretical framework or paradigm—e.g. behavioralism, rational choice, institutionalism, or interpretivism. It is not epistemologically distinct. What differentiates the case study from the cross-case study is simply its way of defining observations, not its analysis of those observations or its method of modeling causal relations. The case study research design constructs its observations from a single case or a small number of cases, while cross-case research designs construct observations across multiple cases. Cross-case and case study research operate, for the most part, at different levels of analysis.

The travails of the case study are not simply definitional. They are also rooted in an insufficient appreciation of the methodological tradeoffs that this method calls forth. At least eight characteristic strengths and weaknesses must be considered. Ceteris paribus, case studies are more useful when the strategy of research is exploratory rather than confirmatory/disconfirmatory, when internal validity is given preference over external validity, when insight into causal mechanisms is prioritized over insight into causal effects, when propositional depth is prized over breadth, when the population of interest is heterogeneous rather than homogeneous, when causal relationships are strong rather than weak, when useful information about key parameters is available only for a few cases, and when the available data are concentrated rather than dispersed.

Although I do not have the space to discuss other issues in this venue, it is worth mentioning that other considerations may also come into play in a researcher’s choice between a case study and cross-case study research format. However, these additional issues—e.g. causal complexity and the state of research on a topic—do not appear to have clear methodological affinities. They may augur one way, or the other.

My objective throughout this chapter is to restore a greater sense of meaning, purpose, and integrity to the case study method. It is hoped that by offering a narrower and more carefully bounded definition of this method the case study may be rescued from some of its most persistent ambiguities. And it is hoped that the characteristic strengths of this method, as well as its limitations, will be more apparent to producers and consumers of case study research. The case study is a useful tool for some research objectives, but not all.

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Acemoglu, Johnson, and Robinson (2003) , Chernoff and Warner (2002) , Rodrik (2003) . See also studies focused on particular firms or regions, e.g. Coase ( 1959 ; 2000 ).

For general discussion of the following points see Achen (1986) , Freedman (1991) , Kittel ( 1999 , 2005 ), Kittel and Winner (2005) , Manski (1993) , Winship and Morgan (1999) , Winship and Sobel (2004) .

Achen and Snidal ( 1989 , 160). See also Geddes ( 1990 ; 2003 ), Goldthorpe (1997) , King, Keohane, and Verba (1994) , Lieberson ( 1985 , 107–15; 1992 ; 1994 ), Lijphart ( 1971 , 683–4), Odell (2004) , Sekhon (2004) , Smelser ( 1973 , 45, 57). It should be noted that these writers, while critical of the case study format, are not necessarily opposed to case studies per se (that is to say, they should not be classified as opponents of the case study).

My intention is to include only those attributes commonly associated with the case study method that are always implied by our use of the term, excluding those attributes that are sometimes violated by standard usage. Thus, I chose not to include “ethnography” as a defining feature of the case study, since many case studies (so called) are not ethnographic. For further discussion of minimal definitions see Gerring (2001 , ch. 4 ), Gerring and Barresi (2003) , Sartori (1976) .

These additional attributes might also be understood as comprising an ideal-type (“maximal”) definition of the topic ( Gerring 2001 , ch. 4 ; Gerring and Barresi 2003 ).

Popper (1969) .

Karl Popper (quoted in King, Keohane, and Verba 1994 , 14) writes: “there is no such thing as a logical method of having new ideas…Discovery contains ‘an irrational element,’ or a ‘creative intuition.”’ One recent collection of essays and interviews takes new ideas as its special focus ( Munck and Snyder 2007 ), though it may be doubted whether there are generalizable results.

Gerring (2001 , ch. 10 ). The tradeoff between these two styles of research is implicit in Achen and Snidal (1989) , who criticize the case study for its deficits in the latter genre but also acknowledge the benefits of the case study along the former dimension (1989, 167–8). Reichenbach also distinguished between a “context of discovery,” and a “context of justification.” Likewise, Peirce’s concept of abduction recognizes the importance of a generative component in science.

Bonoma ( 1985 , 199). Some of the following examples are discussed in Patton (2002 , 245).

North and Weingast (1989) ; North and Thomas (1973) .

Vandenbroucke ( 2001 , 331).

For discussion of this trade-off in the context of economic growth theory see Temple ( 1999 , 120).

Geddes (2003) , King, Keohane, and Verba (1994) , Popper ( 1934 /1968).

Ragin (1992) .

Eckstein (1975) , Ragin ( 1992 ; 1997 ), Rueschemeyer and Stephens (1997) .

Eckstein (1975) .

Campbell and Stanley ( 1963 , 3).

Lane (1962) .

Lynd and Lynd (1929/1956) .

Note that the intensive study of a single unit may be a perfectly appropriate way to estimate causal effects within that unit . Thus, if one is interested in the relationship between welfare benefits and work effort in the United States one might obtain a more accurate assessment by examining data drawn from the USA alone, rather than crossnationally. However, since the resulting generalization does not extend beyond the unit in question it is not a case study in the usual sense.

Achen (2002) , Dessler (1991) , Elster (1998) , George and Bennett (2005) , Gerring (2005) , Hedstrom and Swedberg (1998) , Mahoney (2001) , Tilly (2001) .

In a discussion of instrumental variables in two-stage least-squares analysis, Angrist and Krueger ( 2001 : 8) note that “good instruments often come from detailed knowledge of the economic mechanism, institutions determining the regressor of interest.”

Goldstone et al. (2000) .

This has something to do with the existence of process-tracing evidence, a matter discussed below. But it is not necessarily predicated on this sort of evidence. Sensitive time-series data, another specialty of the case study, is also relevant to the question of causal mechanisms.

Glaser and Strauss ( 1967 , 40).

Chong ( 1993 , 868). For other examples of in-depth interviewing see Hochschild (1981) , Lane (1962) .

Rueschemeyer and Stephens ( 1997 , 62).

Other good examples of within-case research that shed light on a broader theory can be found in Martin (1992) ; Martin and Swank (2004) ; Thies (2001) ; Young (1999) .

Cameron (1978) .

Alesina, Glaeser, and Sacerdote (2001) .

For additional examples of this nature, see Feng (2003) ; Papyrakis and Gerlagh (2003) ; Ross (2001) .

Eckstein ( 1975 , 122).

I am using the term “thick” in a somewhat different way than in Geertz (1973) .

See Ragin ( 2000 , 22).

Ragin (1987 , ch. 2 ). Herbert Blumer’s (1969 , ch. 7 ) complaints, however, are more far-reaching.

Orum, Feagin, and Sjoberg ( 1991 , 7).

Ragin ( 2000 , 35). See also Abbott (1990) ; Bendix (1963) ; Meehl (1954) ; Przeworski and Teune ( 1970 , 8–9); Ragin ( 1987 ; 2004 , 124); Znaniecki (1934 , 250–1).

George and Smoke (1974 , 514).

Hersen and Barlow (1976 , 11).

Shalev (1998) .

To be sure, if adjacent cases are identical , the phenomenon of interest is invariant then the researcher gains nothing at all by studying more examples of a phenomenon, for the results obtained with the first case will simply be replicated. However, virtually all phenomena of interest to social scientists have some degree of heterogeneity (cases are not identical), some stochastic element. Thus, the theoretical possibility of identical, invariant cases is rarely met in practice.

Gutting (1980) ; Hall (2003) ; Kuhn ( 1962 /1970); Wolin (1968) .

Dion (1998) .

Almond (1956) ; Bentley ( 1908 /1967); Lipset ( 1960 /1963); Truman (1951) .

Lijphart (1968) ; see also Lijphart (1969) . For additional examples of case studies disconfirming general propositions of a deterministic nature see Allen (1965) ; Lipset, Trow, and Coleman (1956) ; Njolstad (1990) ; discussion in Rogowski (1995) .

Znaniecki (1934) . See also discussion in Robinson (1951) .

Kittel ( 1999 ; 2005 ); Kittel and Winner (2005) ; Levine and Renelt (1992) ; Temple (1999) .

Consider the following topics and their—extremely rare—instances of variation: early industrialization (England, the Netherlands), fascism (Germany, Italy), the use of nuclear weapons (United States), world war (WWI, WWII), single non-transferable vote electoral systems (Jordan, Taiwan, Vanuatu, pre-reform Japan), electoral system reforms within established democracies (France, Italy, Japan, New Zealand, Thailand). The problem of “rareness” is less common where parameters are scalar, rather than dichotomous. But there are still plenty of examples of phenomena whose distributions are skewed by a few outliers, e.g. population (China, India), personal wealth (Bill Gates, Warren Buffett), ethnic heterogeneity (Papua New Guinea).

Of course, what we know about the potential cases is not independent of the underlying reality; it is, nonetheless, not entirely dependent on that reality.

Gerring (2007 b ) .

Mulligan, Gil, and Sala-i-Martin (2002 , 13).

Bollen (1993) ; Bowman, Lehoucq, and Mahoney (2005) ; Munck and Verkuilen (2002) ; Treier and Jackman (2005) .

Bowman, Lehoucq, and Mahoney (2005) .

Bollen (1993) ; Treier and Jackman (2005) .

Stoecker ( 1991 , 91).

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What Is a Case Study?

Weighing the pros and cons of this method of research

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

Cara Lustik is a fact-checker and copywriter.

Verywell / Colleen Tighe

• Pros and Cons

What Types of Case Studies Are Out There?

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

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

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

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

At a Glance

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

What Are the Benefits and Limitations of Case Studies?

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

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

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

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

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

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

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

Case Study Examples

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

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

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

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

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

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

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

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

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

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

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

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

Section 1: A Case History

This section will have the following structure and content:

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

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

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

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

Section 2: Treatment Plan

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

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

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

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

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

Need More Tips?

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

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

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

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

Case Study Research

• First Online: 29 September 2022

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• Robert E. White   ORCID: orcid.org/0000-0002-8045-164X 3 &
• Karyn Cooper 4  

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As a footnote to the previous chapter, there is such a beast known as the ethnographic case study. Ethnographic case study has found its way into this chapter rather than into the previous one because of grammatical considerations. Simply put, the “case study” part of the phrase is the noun (with “case” as an adjective defining what kind of study it is), while the “ethnographic” part of the phrase is an adjective defining the type of case study that is being conducted. As such, the case study becomes the methodology, while the ethnography part refers to a method, mode or approach relating to the development of the study.

The experiential account that we get from a case study or qualitative research of a similar vein is just so necessary. How things happen over time and the degree to which they are subject to personality and how they are only gradually perceived as tolerable or intolerable by the communities and the groups that are involved is so important. Robert Stake, University of Illinois, Urbana-Champaign

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A Case in Case Study Methodology

Christine Benedichte Meyer

Norwegian School of Economics and Business Administration

Meyer, C. B. (2001). A Case in Case Study Methodology. Field Methods 13 (4), 329-352.

The purpose of this article is to provide a comprehensive view of the case study process from the researcher’s perspective, emphasizing methodological considerations. As opposed to other qualitative or quantitative research strategies, such as grounded theory or surveys, there are virtually no specific requirements guiding case research. This is both the strength and the weakness of this approach. It is a strength because it allows tailoring the design and data collection procedures to the research questions. On the other hand, this approach has resulted in many poor case studies, leaving it open to criticism, especially from the quantitative field of research. This article argues that there is a particular need in case studies to be explicit about the methodological choices one makes. This implies discussing the wide range of decisions concerned with design requirements, data collection procedures, data analysis, and validity and reliability. The approach here is to illustrate these decisions through a particular case study of two mergers in the financial industry in Norway.

In the past few years, a number of books have been published that give useful guidance in conducting qualitative studies (Gummesson 1988; Cassell & Symon 1994; Miles & Huberman 1994; Creswell 1998; Flick 1998; Rossman & Rallis 1998; Bryman & Burgess 1999; Marshall & Rossman 1999; Denzin & Lincoln 2000). One approach often mentioned is the case study (Yin 1989). Case studies are widely used in organizational studies in the social science disciplines of sociology, industrial relations, and anthropology (Hartley 1994). Such a study consists of detailed investigation of one or more organizations, or groups within organizations, with a view to providing an analysis of the context and processes involved in the phenomenon under study.

As opposed to other qualitative or quantitative research strategies, such as grounded theory (Glaser and Strauss 1967) or surveys (Nachmias & Nachmias 1981), there are virtually no specific requirements guiding case research. Yin (1989) and Eisenhardt (1989) give useful insights into the case study as a research strategy, but leave most of the design decisions on the table. This is both the strength and the weakness of this approach. It is a strength because it allows tailoring the design and data collection procedures to the research questions. On the other hand, this approach has resulted in many poor case studies, leaving it open to criticism, especially from the quantitative field of research (Cook and Campbell 1979). The fact that the case study is a rather loose design implies that there are a number of choices that need to be addressed in a principled way.

Although case studies have become a common research strategy, the scope of methodology sections in articles published in journals is far too limited to give the readers a detailed and comprehensive view of the decisions taken in the particular studies, and, given the format of methodology sections, will remain so. The few books (Yin 1989, 1993; Hamel, Dufour, & Fortin 1993; Stake 1995) and book chapters on case studies (Hartley 1994; Silverman 2000) are, on the other hand, mainly normative and span a broad range of different kinds of case studies. One exception is Pettigrew (1990, 1992), who places the case study in the context of a research tradition (the Warwick process research).

Given the contextual nature of the case study and its strength in addressing contemporary phenomena in real-life contexts, I believe that there is a need for articles that provide a comprehensive overview of the case study process from the researcher’s perspective, emphasizing methodological considerations. This implies addressing the whole range of choices concerning specific design requirements, data collection procedures, data analysis, and validity and reliability.

WHY A CASE STUDY?

Case studies are tailor-made for exploring new processes or behaviors or ones that are little understood (Hartley 1994). Hence, the approach is particularly useful for responding to how and why questions about a contemporary set of events (Leonard-Barton 1990). Moreover, researchers have argued that certain kinds of information can be difficult or even impossible to tackle by means other than qualitative approaches such as the case study (Sykes 1990). Gummesson (1988:76) argues that an important advantage of case study research is the opportunity for a holistic view of the process: “The detailed observations entailed in the case study method enable us to study many different aspects, examine them in relation to each other, view the process within its total environment and also use the researchers’ capacity for ‘verstehen.’ ”

The contextual nature of the case study is illustrated in Yin’s (1993:59) definition of a case study as an empirical inquiry that “investigates a contemporary phenomenon within its real-life context and addresses a situation in which the boundaries between phenomenon and context are not clearly evident.”

The key difference between the case study and other qualitative designs such as grounded theory and ethnography (Glaser & Strauss 1967; Strauss & Corbin 1990; Gioia & Chittipeddi 1991) is that the case study is open to the use of theory or conceptual categories that guide the research and analysis of data. In contrast, grounded theory or ethnography presupposes that theoretical perspectives are grounded in and emerge from firsthand data. Hartley (1994) argues that without a theoretical framework, the researcher is in severe danger of providing description without meaning. Gummesson (1988) says that a lack of preunderstanding will cause the researcher to spend considerable time gathering basic information. This preunderstanding may arise from general knowledge such as theories, models, and concepts or from specific knowledge of institutional conditions and social patterns. According to Gummesson, the key is not to require researchers to have split but dual personalities: “Those who are able to balance on a razor’s edge using their pre-understanding without being its slave” (p. 58).

DESCRIPTION OF THE ILLUSTRATIVE STUDY

The study that will be used for illustrative purposes is a comparative and longitudinal case study of organizational integration in mergers and acquisitions taking place in Norway. The study had two purposes: (1) to identify contextual factors and features of integration that facilitated or impeded organizational integration, and (2) to study how the three dimensions of organizational integration (integration of tasks, unification of power, and integration of cultures and identities) interrelated and evolved over time. Examples of contextual factors were relative power, degree of friendliness, and economic climate. Integration features included factors such as participation, communication, and allocation of positions and functions.

Mergers and acquisitions are inherently complex. Researchers in the field have suggested that managers continuously underestimate the task of integrating the merging organizations in the postintegration process (Haspeslaph & Jemison 1991). The process of organizational integration can lead to sharp interorganizational conflict as the different top management styles, organizational and work unit cultures, systems, and other aspects of organizational life come into contact (Blake & Mounton 1985; Schweiger & Walsh 1990; Cartwright & Cooper 1993). Furthermore, cultural change in mergers and acquisitions is compounded by additional uncertainties, ambiguities, and stress inherent in the combination process (Buono & Bowditch 1989).

I focused on two combinations: one merger and one acquisition. The first case was a merger between two major Norwegian banks, Bergen Bank and DnC (to be named DnB), that started in the late 1980s. The second case was a study of a major acquisition in the insurance industry (i.e., Gjensidige’s acquisition of Forenede), that started in the early 1990s. Both combinations aimed to realize operational synergies though merging the two organizations into one entity. This implied disruption of organizational boundaries and threat to the existing power distribution and organizational cultures.

The study of integration processes in mergers and acquisitions illustrates the need to find a design that opens for exploration of sensitive issues such as power struggles between the two merging organizations. Furthermore, the inherent complexity in the integration process, involving integration of tasks, unification of power, and cultural integration stressed the need for in-depth study of the phenomenon over time. To understand the cultural integration process, the design also had to be linked to the past history of the two organizations.

DESIGN DECISIONS

In the introduction, I stressed that a case is a rather loose design that requires that a number of design choices be made. In this section, I go through the most important choices I faced in the study of organizational integration in mergers and acquisitions. These include: (1) selection of cases; (2) sampling time; (3) choosing business areas, divisions, and sites; and (4) selection of and choices regarding data collection procedures, interviews, documents, and observation.

Selection of Cases

There are several choices involved in selecting cases. First, there is the question of how many cases to include. Second, one must sample cases and decide on a unit of analysis. I will explore these issues subsequently.

Single or Multiple Cases

Case studies can involve single or multiple cases. The problem of single cases is limitations in generalizability and several information-processing biases (Eisenhardt 1989).

One way to respond to these biases is by applying a multi-case approach (Leonard-Barton 1990). Multiple cases augment external validity and help guard against observer biases. Moreover, multi-case sampling adds confidence to findings. By looking at a range of similar and contrasting cases, we can understand a single-case finding, grounding it by specifying how and where and, if possible, why it behaves as it does. (Miles & Huberman 1994)

Given these limitations of the single case study, it is desirable to include more than one case study in the study. However, the desire for depth and a pluralist perspective and tracking the cases over time implies that the number of cases must be fairly few. I chose two cases, which clearly does not support generalizability any more than does one case, but allows for comparison and contrast between the cases as well as a deeper and richer look at each case.

Originally, I planned to include a third case in the study. Due to changes in management during the initial integration process, my access to the case was limited and I left this case entirely. However, a positive side effect was that it allowed a deeper investigation of the two original cases and in hindsight turned out to be a good decision.

Sampling Cases

The logic of sampling cases is fundamentally different from statistical sampling. The logic in case studies involves theoretical sampling, in which the goal is to choose cases that are likely to replicate or extend the emergent theory or to fill theoretical categories and provide examples for polar types (Eisenhardt 1989). Hence, whereas quantitative sampling concerns itself with representativeness, qualitative sampling seeks information richness and selects the cases purposefully rather than randomly (Crabtree and Miller 1992).

The choice of cases was guided by George (1979) and Pettigrew’s (1990) recommendations. The aim was to find cases that matched the three dimensions in the dependent variable and provided variation in the contextual factors, thus representing polar cases.

To match the choice of outcome variable, organizational integration, I chose cases in which the purpose was to fully consolidate the merging parties’ operations. A full consolidation would imply considerable disruption in the organizational boundaries and would be expected to affect the task-related, political, and cultural features of the organizations. As for the contextual factors, the two cases varied in contextual factors such as relative power, friendliness, and economic climate. The DnB merger was a friendly combination between two equal partners in an unfriendly economic climate. Gjensidige’s acquisition of Forenede was, in contrast, an unfriendly and unbalanced acquisition in a friendly economic climate.

Unit of Analysis

Another way to respond to researchers’ and respondents’ biases is to have more than one unit of analysis in each case (Yin 1993). This implies that, in addition to developing contrasts between the cases, researchers can focus on contrasts within the cases (Hartley 1994). In case studies, there is a choice of a holistic or embedded design (Yin 1989). A holistic design examines the global nature of the phenomenon, whereas an embedded design also pays attention to subunit(s).

I used an embedded design to analyze the cases (i.e., within each case, I also gave attention to subunits and subprocesses). In both cases, I compared the combination processes in the various divisions and local networks. Moreover, I compared three distinct change processes in DnB: before the merger, during the initial combination, and two years after the merger. The overall and most important unit of analysis in the two cases was, however, the integration process.

Sampling Time

According to Pettigrew (1990), time sets a reference for what changes can be seen and how those changes are explained. When conducting a case study, there are several important issues to decide when sampling time. The first regards how many times data should be collected, while the second concerns when to enter the organizations. There is also a need to decide whether to collect data on a continuous basis or in distinct periods.

Number of data collections. I studied the process by collecting real time and retrospective data at two points in time, with one-and-a-half- and two-year intervals in the two cases. Collecting data twice had some interesting implications for the interpretations of the data. During the first data collection in the DnB study, for example, I collected retrospective data about the premerger and initial combination phase and real-time data about the second step in the combination process.

Although I gained a picture of how the employees experienced the second stage of the combination process, it was too early to assess the effects of this process at that stage. I entered the organization two years later and found interesting effects that I had not anticipated the first time. Moreover, it was interesting to observe how people’s attitudes toward the merger processes changed over time to be more positive and less emotional.

When to enter the organizations. It would be desirable to have had the opportunity to collect data in the precombination processes. However, researchers are rarely given access in this period due to secrecy. The emphasis in this study was to focus on the postcombination process. As such, the precombination events were classified as contextual factors. This implied that it was most important to collect real-time data after the parties had been given government approval to merge or acquire. What would have been desirable was to gain access earlier in the postcombination process. This was not possible because access had to be negotiated. Due to the change of CEO in the middle of the merger process and the need for renegotiating access, this took longer than expected.

Regarding the second case, I was restricted by the time frame of the study. In essence, I had to choose between entering the combination process as soon as governmental approval was given, or entering the organization at a later stage. In light of the previous studies in the field that have failed to go beyond the initial two years, and given the need to collect data about the cultural integration process, I chose the latter strategy. And I decided to enter the organizations at two distinct periods of time rather than on a continuous basis.

There were several reasons for this approach, some methodological and some practical. First, data collection on a continuous basis would have required use of extensive observation that I didn’t have access to, and getting access to two data collections in DnB was difficult in itself. Second, I had a stay abroad between the first and second data collection in Gjensidige. Collecting data on a continuous basis would probably have allowed for better mapping of the ongoing integration process, but the contrasts between the two different stages in the integration process that I wanted to elaborate would probably be more difficult to detect. In Table 1 I have listed the periods of time in which I collected data in the two combinations.

Sampling Business Areas, Divisions, and Sites

Even when the cases for a study have been chosen, it is often necessary to make further choices within each case to make the cases researchable. The most important criteria that set the boundaries for the study are importance or criticality, relevance, and representativeness. At the time of the data collection, my criteria for making these decisions were not as conscious as they may appear here. Rather, being restricted by time and my own capacity as a researcher, I had to limit the sites and act instinctively. In both cases, I decided to concentrate on the core businesses (criticality criterion) and left out the business units that were only mildly affected by the integration process (relevance criterion). In the choice of regional offices, I used the representativeness criterion as the number of offices widely exceeded the number of sites possible to study. In making these choices, I relied on key informants in the organizations.

SELECTION OF DATA COLLECTION PROCEDURES

The choice of data collection procedures should be guided by the research question and the choice of design. The case study approach typically combines data collection methods such as archives, interviews, questionnaires, and observations (Yin 1989). This triangulated methodology provides stronger substantiation of constructs and hypotheses. However, the choice of data collection methods is also subject to constraints in time, financial resources, and access.

I chose a combination of interviews, archives, and observation, with main emphasis on the first two. Conducting a survey was inappropriate due to the lack of established concepts and indicators. The reason for limited observation, on the other hand, was due to problems in obtaining access early in the study and time and resource constraints. In addition to choosing among several different data collection methods, there are a number of choices to be made for each individual method.

When relying on interviews as the primary data collection method, the issue of building trust between the researcher and the interviewees becomes very important. I addressed this issue by several means. First, I established a procedure of how to approach the interviewees. In most cases, I called them first, then sent out a letter explaining the key features of the project and outlining the broad issues to be addressed in the interview. In this letter, the support from the institution’s top management was also communicated. In most cases, the top management’s support of the project was an important prerequisite for the respondent’s input. Some interviewees did, however, fear that their input would be open to the top management without disguising the information source. Hence, it became important to communicate how I intended to use and store the information.

To establish trust, I also actively used my preunderstanding of the context in the first case and the phenomenon in the second case. As I built up an understanding of the cases, I used this information to gain confidence. The active use of my preunderstanding did, however, pose important challenges in not revealing too much of the research hypotheses and in balancing between asking open-ended questions and appearing knowledgeable.

There are two choices involved in conducting interviews. The first concerns the sampling of interviewees. The second is that you must decide on issues such as the structure of the interviews, use of tape recorder, and involvement of other researchers.

Sampling Interviewees

Following the desire for detailed knowledge of each case and for grasping different participant’s views the aim was, in line with Pettigrew (1990), to apply a pluralist view by describing and analyzing competing versions of reality as seen by actors in the combination processes.

I used four criteria for sampling informants. First, I drew informants from populations representing multiple perspectives. The first data collection in DnB was primarily focused on the top management level. Moreover, most middle managers in the first data collection were employed at the head offices, either in Bergen or Oslo. In the second data collection, I compensated for this skew by including eight local middle managers in the sample. The difference between the number of employees interviewed in DnB and Gjensidige was primarily due to the fact that Gjensidige has three unions, whereas DnB only has one. The distribution of interviewees is outlined in Table 2 .

The second criterion was to use multiple informants. According to Glick et al. (1990), an important advantage of using multiple informants is that the validity of information provided by one informant can be checked against that provided by other informants. Moreover, the validity of the data used by the researcher can be enhanced by resolving the discrepancies among different informants’ reports. Hence, I selected multiple respondents from each perspective.

Third, I focused on key informants who were expected to be knowledgeable about the combination process. These people included top management members, managers, and employees involved in the integration project. To validate the information from these informants, I also used a fourth criterion by selecting managers and employees who had been affected by the process but who were not involved in the project groups.

Structured versus unstructured. In line with the explorative nature of the study, the goal of the interviews was to see the research topic from the perspective of the interviewee, and to understand why he or she came to have this particular perspective. To meet this goal, King (1994:15) recommends that one have “a low degree of structure imposed on the interviewer, a preponderance of open questions, a focus on specific situations and action sequences in the world of the interviewee rather than abstractions and general opinions.” In line with these recommendations, the collection of primary data in this study consists of unstructured interviews.

Using tape recorders and involving other researchers. The majority of the interviews were tape-recorded, and I could thus concentrate fully on asking questions and responding to the interviewees’ answers. In the few interviews that were not tape-recorded, most of which were conducted in the first phase of the DnB-study, two researchers were present. This was useful as we were both able to discuss the interviews later and had feedback on the role of an interviewer.

In hindsight, however, I wish that these interviews had been tape-recorded to maintain the level of accuracy and richness of data. Hence, in the next phases of data collection, I tape-recorded all interviews, with two exceptions (people who strongly opposed the use of this device). All interviews that were tape-recorded were transcribed by me in full, which gave me closeness and a good grasp of the data.

When organizations merge or make acquisitions, there are often a vast number of documents to choose from to build up an understanding of what has happened and to use in the analyses. Furthermore, when firms make acquisitions or merge, they often hire external consultants, each of whom produces more documents. Due to time constraints, it is seldom possible to collect and analyze all these documents, and thus the researcher has to make a selection.

The choice of documentation was guided by my previous experience with merger and acquisition processes and the research question. Hence, obtaining information on the postintegration process was more important than gaining access to the due-diligence analysis. As I learned about the process, I obtained more documents on specific issues. I did not, however, gain access to all the documents I asked for, and, in some cases, documents had been lost or shredded.

The documents were helpful in a number of ways. First, and most important, they were used as inputs to the interview guide and saved me time, because I did not have to ask for facts in the interviews. They were also useful for tracing the history of the organizations and statements made by key people in the organizations. Third, the documents were helpful in counteracting the biases of the interviews. A list of the documents used in writing the cases is shown in Table 3 .

Observation

The major strength of direct observation is that it is unobtrusive and does not require direct interaction with participants (Adler and Adler 1994). Observation produces rigor when it is combined with other methods. When the researcher has access to group processes, direct observation can illuminate the discrepancies between what people said in the interviews and casual conversations and what they actually do (Pettigrew 1990).

As with interviews, there are a number of choices involved in conducting observations. Although I did some observations in the study, I used interviews as the key data collection source. Discussion in this article about observations will thus be somewhat limited. Nevertheless, I faced a number of choices in conducting observations, including type of observation, when to enter, how much observation to conduct, and which groups to observe.

The are four ways in which an observer may gather data: (1) the complete participant who operates covertly, concealing any intention to observe the setting; (2) the participant-as-observer, who forms relationships and participates in activities, but makes no secret of his or her intentions to observe events; (3) the observer-as-participant, who maintains only superficial contact with the people being studied; and (4) the complete observer, who merely stands back and eavesdrops on the proceedings (Waddington 1994).

In this study, I used the second and third ways of observing. The use of the participant-as-observer mode, on which much ethnographic research is based, was rather limited in the study. There were two reasons for this. First, I had limited time available for collecting data, and in my view interviews made more effective use of this limited time than extensive participant observation. Second, people were rather reluctant to let me observe these political and sensitive processes until they knew me better and felt I could be trusted. Indeed, I was dependent on starting the data collection before having built sufficient trust to observe key groups in the integration process. Nevertheless, Gjensidige allowed me to study two employee seminars to acquaint me with the organization. Here I admitted my role as an observer but participated fully in the activities. To achieve variation, I chose two seminars representing polar groups of employees.

As observer-as-participant, I attended a top management meeting at the end of the first data collection in Gjensidige and observed the respondents during interviews and in more informal meetings, such as lunches. All these observations gave me an opportunity to validate the data from the interviews. Observing the top management group was by far the most interesting and rewarding in terms of input.

Both DnB and Gjensidige started to open up for more extensive observation when I was about to finish the data collection. By then, I had built up the trust needed to undertake this approach. Unfortunately, this came a little late for me to take advantage of it.

DATA ANALYSIS

Published studies generally describe research sites and data-collection methods, but give little space to discuss the analysis (Eisenhardt 1989). Thus, one cannot follow how a researcher arrives at the final conclusions from a large volume of field notes (Miles and Huberman 1994).

In this study, I went through the stages by which the data were reduced and analyzed. This involved establishing the chronology, coding, writing up the data according to phases and themes, introducing organizational integration into the analysis, comparing the cases, and applying the theory. I will discuss these phases accordingly.

The first step in the analysis was to establish the chronology of the cases. To do this, I used internal and external documents. I wrote the chronologies up and included appendices in the final report.

The next step was to code the data into phases and themes reflecting the contextual factors and features of integration. For the interviews, this implied marking the text with a specific phase and a theme, and grouping the paragraphs on the same theme and phase together. I followed the same procedure in organizing the documents.

I then wrote up the cases using phases and themes to structure them. Before starting to write up the cases, I scanned the information on each theme, built up the facts and filled in with perceptions and reactions that were illustrative and representative of the data.

The documents were primarily useful in establishing the facts, but they also provided me with some perceptions and reactions that were validated in the interviews. The documents used included internal letters and newsletters as well as articles from the press. The interviews were less factual, as intended, and gave me input to assess perceptions and reactions. The limited observation was useful to validate the data from the interviews. The result of this step was two descriptive cases.

To make each case more analytical, I introduced the three dimensions of organizational integration—integration of tasks, unification of power, and cultural integration—into the analysis. This helped to focus the case and to develop a framework that could be used to compare the cases. The cases were thus structured according to phases, organizational integration, and themes reflecting the factors and features in the study.

I took all these steps to become more familiar with each case as an individual entity. According to Eisenhardt (1989:540), this is a process that “allows the unique patterns of each case to emerge before the investigators push to generalise patterns across cases. In addition it gives investigators a rich familiarity with each case which, in turn, accelerates cross-case comparison.”

The comparison between the cases constituted the next step in the analysis. Here, I used the categories from the case chapters, filled in the features and factors, and compared and contrasted the findings. The idea behind cross-case searching tactics is to force investigators to go beyond initial impressions, especially through the use of structural and diverse lenses on the data. These tactics improve the likelihood of accurate and reliable theory, that is, theory with a close fit to the data (Eisenhardt 1989).

As a result, I had a number of overall themes, concepts, and relationships that had emerged from the within-case analysis and cross-case comparisons. The next step was to compare these emergent findings with theory from the organizational field of mergers and acquisitions, as well as other relevant perspectives.

This method of generalization is known as analytical generalization. In this approach, a previously developed theory is used as a template with which to compare the empirical results of the case study (Yin 1989). This comparison of emergent concepts, theory, or hypotheses with the extant literature involves asking what it is similar to, what it contradicts, and why. The key to this process is to consider a broad range of theory (Eisenhardt 1989). On the whole, linking emergent theory to existent literature enhances the internal validity, generalizability, and theoretical level of theory-building from case research.

According to Eisenhardt (1989), examining literature that conflicts with the emergent literature is important for two reasons. First, the chance of neglecting conflicting findings is reduced. Second, “conflicting results forces researchers into a more creative, frame-breaking mode of thinking than they might otherwise be able to achieve” (p. 544). Similarly, Eisenhardt (1989) claims that literature discussing similar findings is important because it ties together underlying similarities in phenomena not normally associated with each other. The result is often a theory with a stronger internal validity, wider generalizability, and a higher conceptual level.

The analytical generalization in the study included exploring and developing the concepts and examining the relationships between the constructs. In carrying out this analytical generalization, I acted on Eisenhardt’s (1989) recommendation to use a broad range of theory. First, I compared and contrasted the findings with the organizational stream on mergers and acquisition literature. Then I discussed other relevant literatures, including strategic change, power and politics, social justice, and social identity theory to explore how these perspectives could contribute to the understanding of the findings. Finally, I discussed the findings that could not be explained either by the merger and acquisition literature or the four theoretical perspectives.

In every scientific study, questions are raised about whether the study is valid and reliable. The issues of validity and reliability in case studies are just as important as for more deductive designs, but the application is fundamentally different.

VALIDITY AND RELIABILITY

The problems of validity in qualitative studies are related to the fact that most qualitative researchers work alone in the field, they focus on the findings rather than describe how the results were reached, and they are limited in processing information (Miles and Huberman 1994).

Researchers writing about qualitative methods have questioned whether the same criteria can be used for qualitative and quantitative studies (Kirk & Miller 1986; Sykes 1990; Maxwell 1992). The problem with the validity criteria suggested in qualitative research is that there is little consistency across the articles as each author suggests a new set of criteria.

One approach in examining validity and reliability is to apply the criteria used in quantitative research. Hence, the criteria to be examined here are objectivity/intersubjectivity, construct validity, internal validity, external validity, and reliability.

Objectivity/Intersubjectivity

The basic issue of objectivity can be framed as one of relative neutrality and reasonable freedom from unacknowledged research biases (Miles & Huberman 1994). In a real-time longitudinal study, the researcher is in danger of losing objectivity and of becoming too involved with the organization, the people, and the process. Hence, Leonard-Barton (1990) claims that one may be perceived as, and may even become, an advocate rather than an observer.

According to King (1994), however, qualitative research, in seeking to describe and make sense of the world, does not require researchers to strive for objectivity and distance themselves from research participants. Indeed, to do so would make good qualitative research impossible, as the interviewer’s sensitivity to subjective aspects of his or her relationship with the interviewee is an essential part of the research process (King 1994:31).

This does not imply, however, that the issue of possible research bias can be ignored. It is just as important as in a structured quantitative interview that the findings are not simply the product of the researcher’s prejudices and prior experience. One way to guard against this bias is for the researcher to explicitly recognize his or her presuppositions and to make a conscious effort to set these aside in the analysis (Gummesson 1988). Furthermore, rival conclusions should be considered (Miles & Huberman 1994).

My experience from the first phase of the DnB study was that it was difficult to focus the questions and the analysis of the data when the research questions were too vague and broad. As such, developing a framework before collecting the data for the study was useful in guiding the collection and analysis of data. Nevertheless, it was important to be open-minded and receptive to new and surprising data. In the DnB study, for example, the positive effect of the reorganization process on the integration of cultures came as a complete surprise to me and thus needed further elaboration.

I also consciously searched for negative evidence and problems by interviewing outliers (Miles & Huberman 1994) and asking problem-oriented questions. In Gjensidige, the first interviews with the top management revealed a much more positive perception of the cultural integration process than I had expected. To explore whether this was a result of overreliance on elite informants, I continued posing problem-oriented questions to outliers and people at lower levels in the organization. Moreover, I told them about the DnB study to be explicit about my presuppositions.

Another important issue when assessing objectivity is whether other researchers can trace the interpretations made in the case studies, or what is called intersubjectivity. To deal with this issue, Miles & Huberman (1994) suggest that: (1) the study’s general methods and procedures should be described in detail, (2) one should be able to follow the process of analysis, (3) conclusions should be explicitly linked with exhibits of displayed data, and (4) the data from the study should be made available for reanalysis by others.

In response to these requirements, I described the study’s data collection procedures and processing in detail. Then, the primary data were displayed in the written report in the form of quotations and extracts from documents to support and illustrate the interpretations of the data. Because the study was written up in English, I included the Norwegian text in a separate appendix. Finally, all the primary data from the study were accessible for a small group of distinguished researchers.

Construct Validity

Construct validity refers to whether there is substantial evidence that the theoretical paradigm correctly corresponds to observation (Kirk & Miller 1986). In this form of validity, the issue is the legitimacy of the application of a given concept or theory to established facts.

The strength of qualitative research lies in the flexible and responsive interaction between the interviewer and the respondents (Sykes 1990). Thus, meaning can be probed, topics covered easily from a number of angles, and questions made clear for respondents. This is an advantage for exploring the concepts (construct or theoretical validity) and the relationships between them (internal validity). Similarly, Hakim (1987) says the great strength of qualitative research is the validity of data obtained because individuals are interviewed in sufficient detail for the results to be taken as true, correct, and believable reports of their views and experiences.

Construct validity can be strengthened by applying a longitudinal multicase approach, triangulation, and use of feedback loops. The advantage of applying a longitudinal approach is that one gets the opportunity to test sensitivity of construct measures to the passage of time. Leonard-Barton (1990), for example, found that one of her main constructs, communicability, varied across time and relative to different groups of users. Thus, the longitudinal study aided in defining the construct more precisely. By using more than one case study, one can validate stability of construct across situations (Leonard-Barton 1990). Since my study only consists of two case studies, the opportunity to test stability of constructs across cases is somewhat limited. However, the use of more than one unit of analysis helps to overcome this limitation.

Construct validity is strengthened by the use of multiple sources of evidence to build construct measures, which define the construct and distinguish it from other constructs. These multiple sources of evidence can include multiple viewpoints within and across the data sources. My study responds to these requirements in its sampling of interviewees and uses of multiple data sources.

Use of feedback loops implies returning to interviewees with interpretations and developing theory and actively seeking contradictions in data (Crabtree & Miller 1992; King 1994). In DnB, the written report had to be approved by the bank’s top management after the first data collection. Apart from one minor correction, the bank had no objections to the established facts. In their comments on my analysis, some of the top managers expressed the view that the political process had been overemphasized, and that the CEO’s role in initiating a strategic process was undervalued. Hence, an important objective in the second data collection was to explore these comments further. Moreover, the report was not as positive as the management had hoped for, and negotiations had to be conducted to publish the report. The result of these negotiations was that publication of the report was postponed one-and-a-half years.

The experiences from the first data collection in the DnB had some consequences. I was more cautious and brought up the problems of confidentiality and the need to publish at the outset of the Gjensidige study. Also, I had to struggle to get access to the DnB case for the second data collection and some of the information I asked for was not released. At Gjensidige, I sent a preliminary draft of the case chapter to the corporation’s top management for comments, in addition to having second interviews with a small number of people. Beside testing out the factual description, these sessions gave me the opportunity to test out the theoretical categories established as a result of the within-case analysis.

Internal Validity

Internal validity concerns the validity of the postulated relationships among the concepts. The main problem of internal validity as a criterion in qualitative research is that it is often not open to scrutiny. According to Sykes (1990), the researcher can always provide a plausible account and, with careful editing, may ensure its coherence. Recognition of this problem has led to calls for better documentation of the processes of data collection, the data itself, and the interpretative contribution of the researcher. The discussion of how I met these requirements was outlined in the section on objectivity/subjectivity above.

However, there are some advantages in using qualitative methods, too. First, the flexible and responsive methods of data collection allow cross-checking and amplification of information from individual units as it is generated. Respondents’ opinions and understandings can be thoroughly explored. The internal validity results from strategies that eliminate ambiguity and contradiction, filling in detail and establishing strong connections in data.

Second, the longitudinal study enables one to track cause and effect. Moreover, it can make one aware of intervening variables (Leonard-Barton 1990). Eisenhardt (1989:542) states, “Just as hypothesis testing research an apparent relationship may simply be a spurious correlation or may reflect the impact of some third variable on each of the other two. Therefore, it is important to discover the underlying reasons for why the relationship exists.”

Generalizability

According to Mitchell (1983), case studies are not based on statistical inference. Quite the contrary, the inferring process turns exclusively on the theoretically necessary links among the features in the case study. The validity of the extrapolation depends not on the typicality or representativeness of the case but on the cogency of the theoretical reasoning. Hartley (1994:225) claims, “The detailed knowledge of the organization and especially the knowledge about the processes underlying the behaviour and its context can help to specify the conditions under which behaviour can be expected to occur. In other words, the generalisation is about theoretical propositions not about populations.”

Generalizability is normally based on the assumption that this theory may be useful in making sense of similar persons or situations (Maxwell 1992). One way to increase the generalizability is to apply a multicase approach (Leonard-Barton 1990). The advantage of this approach is that one can replicate the findings from one case study to another. This replication logic is similar to that used on multiple experiments (Yin 1993).

Given the choice of two case studies, the generalizability criterion is not supported in this study. Through the discussion of my choices, I have tried to show that I had to strike a balance between the need for depth and mapping changes over time and the number of cases. In doing so, I deliberately chose to provide a deeper and richer look at each case, allowing the reader to make judgments about the applicability rather than making a case for generalizability.

Reliability

Reliability focuses on whether the process of the study is consistent and reasonably stable over time and across researchers and methods (Miles & Huberman 1994). In the context of qualitative research, reliability is concerned with two questions (Sykes 1990): Could the same study carried out by two researchers produce the same findings? and Could a study be repeated using the same researcher and respondents to yield the same findings?

The problem of reliability in qualitative research is that differences between replicated studies using different researchers are to be expected. However, while it may not be surprising that different researchers generate different findings and reach different conclusions, controlling for reliability may still be relevant. Kirk and Miller’s (1986:311) definition takes into account the particular relationship between the researcher’s orientation, the generation of data, and its interpretation:

For reliability to be calculated, it is incumbent on the scientific investigator to document his or her procedure. This must be accomplished at such a level of abstraction that the loci of decisions internal to the project are made apparent. The curious public deserves to know how the qualitative researcher prepares him or herself for the endeavour, and how the data is collected and analysed.

The study addresses these requirements by discussing my point of departure regarding experience and framework, the sampling and data collection procedures, and data analysis.

Case studies often lack academic rigor and are, as such, regarded as inferior to more rigorous methods where there are more specific guidelines for collecting and analyzing data. These criticisms stress that there is a need to be very explicit about the choices one makes and the need to justify them.

One reason why case studies are criticized may be that researchers disagree about the definition and the purpose of carrying out case studies. Case studies have been regarded as a design (Cook and Campbell 1979), as a qualitative methodology (Cassell and Symon 1994), as a particular data collection procedure (Andersen 1997), and as a research strategy (Yin 1989). Furthermore, the purpose for carrying out case studies is unclear. Some regard case studies as supplements to more rigorous qualitative studies to be carried out in the early stage of the research process; others claim that it can be used for multiple purposes and as a research strategy in its own right (Gummesson 1988; Yin 1989). Given this unclear status, researchers need to be very clear about their interpretation of the case study and the purpose of carrying out the study.

This article has taken Yin’s (1989) definition of the case study as a research strategy as a starting point and argued that the choice of the case study should be guided by the research question(s). In the illustrative study, I used a case study strategy because of a need to explore sensitive, ill-defined concepts in depth, over time, taking into account the context and history of the mergers and the existing knowledge about the phenomenon. However, the choice of a case study strategy extended rather than limited the number of decisions to be made. In Schramm’s (1971, cited in Yin 1989:22–23) words, “The essence of a case study, the central tendency among all types of case study, is that it tries to illuminate a decision or set of decisions, why they were taken, how they were implemented, and with what result.”

Hence, the purpose of this article has been to illustrate the wide range of decisions that need to be made in the context of a particular case study and to discuss the methodological considerations linked to these decisions. I argue that there is a particular need in case studies to be explicit about the methodological choices one makes and that these choices can be best illustrated through a case study of the case study strategy.

As in all case studies, however, there are limitations to the generalizability of using one particular case study for illustrative purposes. As such, the strength of linking the methodological considerations to a specific context and phenomenon also becomes a weakness. However, I would argue that the questions raised in this article are applicable to many case studies, but that the answers are very likely to vary. The design choices are shown in Table 4 . Hence, researchers choosing a longitudinal, comparative case study need to address the same set of questions with regard to design, data collection procedures, and analysis, but they are likely to come up with other conclusions, given their different research questions.

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Christine Benedichte Meyer is an associate professor in the Department of Strategy and Management in the Norwegian School of Economics and Business Administration, Bergen-Sandviken, Norway. Her research interests are mergers and acquisitions, strategic change, and qualitative research. Recent publications include: “Allocation Processes in Mergers and Acquisitions: An Organisational Justice Perspective” (British Journal of Management 2001) and “Motives for Acquisitions in the Norwegian Financial Industry” (CEMS Business Review 1997).

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White, R.E., Cooper, K. (2022). Case Study Research. In: Qualitative Research in the Post-Modern Era. Springer, Cham. https://doi.org/10.1007/978-3-030-85124-8_7

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Organizing Your Social Sciences Research Assignments

• Annotated Bibliography
• Analyzing a Scholarly Journal Article
• Group Presentations
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• Types of Structured Group Activities
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A case study research paper examines a person, place, event, condition, phenomenon, or other type of subject of analysis in order to extrapolate  key themes and results that help predict future trends, illuminate previously hidden issues that can be applied to practice, and/or provide a means for understanding an important research problem with greater clarity. A case study research paper usually examines a single subject of analysis, but case study papers can also be designed as a comparative investigation that shows relationships between two or more subjects. The methods used to study a case can rest within a quantitative, qualitative, or mixed-method investigative paradigm.

Case Studies. Writing@CSU. Colorado State University; Mills, Albert J. , Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010 ; “What is a Case Study?” In Swanborn, Peter G. Case Study Research: What, Why and How? London: SAGE, 2010.

How to Approach Writing a Case Study Research Paper

General information about how to choose a topic to investigate can be found under the " Choosing a Research Problem " tab in the Organizing Your Social Sciences Research Paper writing guide. Review this page because it may help you identify a subject of analysis that can be investigated using a case study design.

However, identifying a case to investigate involves more than choosing the research problem . A case study encompasses a problem contextualized around the application of in-depth analysis, interpretation, and discussion, often resulting in specific recommendations for action or for improving existing conditions. As Seawright and Gerring note, practical considerations such as time and access to information can influence case selection, but these issues should not be the sole factors used in describing the methodological justification for identifying a particular case to study. Given this, selecting a case includes considering the following:

• The case represents an unusual or atypical example of a research problem that requires more in-depth analysis? Cases often represent a topic that rests on the fringes of prior investigations because the case may provide new ways of understanding the research problem. For example, if the research problem is to identify strategies to improve policies that support girl's access to secondary education in predominantly Muslim nations, you could consider using Azerbaijan as a case study rather than selecting a more obvious nation in the Middle East. Doing so may reveal important new insights into recommending how governments in other predominantly Muslim nations can formulate policies that support improved access to education for girls.
• The case provides important insight or illuminate a previously hidden problem? In-depth analysis of a case can be based on the hypothesis that the case study will reveal trends or issues that have not been exposed in prior research or will reveal new and important implications for practice. For example, anecdotal evidence may suggest drug use among homeless veterans is related to their patterns of travel throughout the day. Assuming prior studies have not looked at individual travel choices as a way to study access to illicit drug use, a case study that observes a homeless veteran could reveal how issues of personal mobility choices facilitate regular access to illicit drugs. Note that it is important to conduct a thorough literature review to ensure that your assumption about the need to reveal new insights or previously hidden problems is valid and evidence-based.
• The case challenges and offers a counter-point to prevailing assumptions? Over time, research on any given topic can fall into a trap of developing assumptions based on outdated studies that are still applied to new or changing conditions or the idea that something should simply be accepted as "common sense," even though the issue has not been thoroughly tested in current practice. A case study analysis may offer an opportunity to gather evidence that challenges prevailing assumptions about a research problem and provide a new set of recommendations applied to practice that have not been tested previously. For example, perhaps there has been a long practice among scholars to apply a particular theory in explaining the relationship between two subjects of analysis. Your case could challenge this assumption by applying an innovative theoretical framework [perhaps borrowed from another discipline] to explore whether this approach offers new ways of understanding the research problem. Taking a contrarian stance is one of the most important ways that new knowledge and understanding develops from existing literature.
• The case provides an opportunity to pursue action leading to the resolution of a problem? Another way to think about choosing a case to study is to consider how the results from investigating a particular case may result in findings that reveal ways in which to resolve an existing or emerging problem. For example, studying the case of an unforeseen incident, such as a fatal accident at a railroad crossing, can reveal hidden issues that could be applied to preventative measures that contribute to reducing the chance of accidents in the future. In this example, a case study investigating the accident could lead to a better understanding of where to strategically locate additional signals at other railroad crossings so as to better warn drivers of an approaching train, particularly when visibility is hindered by heavy rain, fog, or at night.
• The case offers a new direction in future research? A case study can be used as a tool for an exploratory investigation that highlights the need for further research about the problem. A case can be used when there are few studies that help predict an outcome or that establish a clear understanding about how best to proceed in addressing a problem. For example, after conducting a thorough literature review [very important!], you discover that little research exists showing the ways in which women contribute to promoting water conservation in rural communities of east central Africa. A case study of how women contribute to saving water in a rural village of Uganda can lay the foundation for understanding the need for more thorough research that documents how women in their roles as cooks and family caregivers think about water as a valuable resource within their community. This example of a case study could also point to the need for scholars to build new theoretical frameworks around the topic [e.g., applying feminist theories of work and family to the issue of water conservation].

Eisenhardt, Kathleen M. “Building Theories from Case Study Research.” Academy of Management Review 14 (October 1989): 532-550; Emmel, Nick. Sampling and Choosing Cases in Qualitative Research: A Realist Approach . Thousand Oaks, CA: SAGE Publications, 2013; Gerring, John. “What Is a Case Study and What Is It Good for?” American Political Science Review 98 (May 2004): 341-354; Mills, Albert J. , Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010; Seawright, Jason and John Gerring. "Case Selection Techniques in Case Study Research." Political Research Quarterly 61 (June 2008): 294-308.

Structure and Writing Style

The purpose of a paper in the social sciences designed around a case study is to thoroughly investigate a subject of analysis in order to reveal a new understanding about the research problem and, in so doing, contributing new knowledge to what is already known from previous studies. In applied social sciences disciplines [e.g., education, social work, public administration, etc.], case studies may also be used to reveal best practices, highlight key programs, or investigate interesting aspects of professional work.

In general, the structure of a case study research paper is not all that different from a standard college-level research paper. However, there are subtle differences you should be aware of. Here are the key elements to organizing and writing a case study research paper.

I.  Introduction

As with any research paper, your introduction should serve as a roadmap for your readers to ascertain the scope and purpose of your study . The introduction to a case study research paper, however, should not only describe the research problem and its significance, but you should also succinctly describe why the case is being used and how it relates to addressing the problem. The two elements should be linked. With this in mind, a good introduction answers these four questions:

• What is being studied? Describe the research problem and describe the subject of analysis [the case] you have chosen to address the problem. Explain how they are linked and what elements of the case will help to expand knowledge and understanding about the problem.
• Why is this topic important to investigate? Describe the significance of the research problem and state why a case study design and the subject of analysis that the paper is designed around is appropriate in addressing the problem.
• What did we know about this topic before I did this study? Provide background that helps lead the reader into the more in-depth literature review to follow. If applicable, summarize prior case study research applied to the research problem and why it fails to adequately address the problem. Describe why your case will be useful. If no prior case studies have been used to address the research problem, explain why you have selected this subject of analysis.
• How will this study advance new knowledge or new ways of understanding? Explain why your case study will be suitable in helping to expand knowledge and understanding about the research problem.

Each of these questions should be addressed in no more than a few paragraphs. Exceptions to this can be when you are addressing a complex research problem or subject of analysis that requires more in-depth background information.

II.  Literature Review

The literature review for a case study research paper is generally structured the same as it is for any college-level research paper. The difference, however, is that the literature review is focused on providing background information and  enabling historical interpretation of the subject of analysis in relation to the research problem the case is intended to address . This includes synthesizing studies that help to:

• Place relevant works in the context of their contribution to understanding the case study being investigated . This would involve summarizing studies that have used a similar subject of analysis to investigate the research problem. If there is literature using the same or a very similar case to study, you need to explain why duplicating past research is important [e.g., conditions have changed; prior studies were conducted long ago, etc.].
• Describe the relationship each work has to the others under consideration that informs the reader why this case is applicable . Your literature review should include a description of any works that support using the case to investigate the research problem and the underlying research questions.
• Identify new ways to interpret prior research using the case study . If applicable, review any research that has examined the research problem using a different research design. Explain how your use of a case study design may reveal new knowledge or a new perspective or that can redirect research in an important new direction.
• Resolve conflicts amongst seemingly contradictory previous studies . This refers to synthesizing any literature that points to unresolved issues of concern about the research problem and describing how the subject of analysis that forms the case study can help resolve these existing contradictions.
• Point the way in fulfilling a need for additional research . Your review should examine any literature that lays a foundation for understanding why your case study design and the subject of analysis around which you have designed your study may reveal a new way of approaching the research problem or offer a perspective that points to the need for additional research.
• Expose any gaps that exist in the literature that the case study could help to fill . Summarize any literature that not only shows how your subject of analysis contributes to understanding the research problem, but how your case contributes to a new way of understanding the problem that prior research has failed to do.
• Locate your own research within the context of existing literature [very important!] . Collectively, your literature review should always place your case study within the larger domain of prior research about the problem. The overarching purpose of reviewing pertinent literature in a case study paper is to demonstrate that you have thoroughly identified and synthesized prior studies in relation to explaining the relevance of the case in addressing the research problem.

III.  Method

In this section, you explain why you selected a particular case [i.e., subject of analysis] and the strategy you used to identify and ultimately decide that your case was appropriate in addressing the research problem. The way you describe the methods used varies depending on the type of subject of analysis that constitutes your case study.

If your subject of analysis is an incident or event . In the social and behavioral sciences, the event or incident that represents the case to be studied is usually bounded by time and place, with a clear beginning and end and with an identifiable location or position relative to its surroundings. The subject of analysis can be a rare or critical event or it can focus on a typical or regular event. The purpose of studying a rare event is to illuminate new ways of thinking about the broader research problem or to test a hypothesis. Critical incident case studies must describe the method by which you identified the event and explain the process by which you determined the validity of this case to inform broader perspectives about the research problem or to reveal new findings. However, the event does not have to be a rare or uniquely significant to support new thinking about the research problem or to challenge an existing hypothesis. For example, Walo, Bull, and Breen conducted a case study to identify and evaluate the direct and indirect economic benefits and costs of a local sports event in the City of Lismore, New South Wales, Australia. The purpose of their study was to provide new insights from measuring the impact of a typical local sports event that prior studies could not measure well because they focused on large "mega-events." Whether the event is rare or not, the methods section should include an explanation of the following characteristics of the event: a) when did it take place; b) what were the underlying circumstances leading to the event; and, c) what were the consequences of the event in relation to the research problem.

If your subject of analysis is a person. Explain why you selected this particular individual to be studied and describe what experiences they have had that provide an opportunity to advance new understandings about the research problem. Mention any background about this person which might help the reader understand the significance of their experiences that make them worthy of study. This includes describing the relationships this person has had with other people, institutions, and/or events that support using them as the subject for a case study research paper. It is particularly important to differentiate the person as the subject of analysis from others and to succinctly explain how the person relates to examining the research problem [e.g., why is one politician in a particular local election used to show an increase in voter turnout from any other candidate running in the election]. Note that these issues apply to a specific group of people used as a case study unit of analysis [e.g., a classroom of students].

If your subject of analysis is a place. In general, a case study that investigates a place suggests a subject of analysis that is unique or special in some way and that this uniqueness can be used to build new understanding or knowledge about the research problem. A case study of a place must not only describe its various attributes relevant to the research problem [e.g., physical, social, historical, cultural, economic, political], but you must state the method by which you determined that this place will illuminate new understandings about the research problem. It is also important to articulate why a particular place as the case for study is being used if similar places also exist [i.e., if you are studying patterns of homeless encampments of veterans in open spaces, explain why you are studying Echo Park in Los Angeles rather than Griffith Park?]. If applicable, describe what type of human activity involving this place makes it a good choice to study [e.g., prior research suggests Echo Park has more homeless veterans].

If your subject of analysis is a phenomenon. A phenomenon refers to a fact, occurrence, or circumstance that can be studied or observed but with the cause or explanation to be in question. In this sense, a phenomenon that forms your subject of analysis can encompass anything that can be observed or presumed to exist but is not fully understood. In the social and behavioral sciences, the case usually focuses on human interaction within a complex physical, social, economic, cultural, or political system. For example, the phenomenon could be the observation that many vehicles used by ISIS fighters are small trucks with English language advertisements on them. The research problem could be that ISIS fighters are difficult to combat because they are highly mobile. The research questions could be how and by what means are these vehicles used by ISIS being supplied to the militants and how might supply lines to these vehicles be cut off? How might knowing the suppliers of these trucks reveal larger networks of collaborators and financial support? A case study of a phenomenon most often encompasses an in-depth analysis of a cause and effect that is grounded in an interactive relationship between people and their environment in some way.

NOTE:   The choice of the case or set of cases to study cannot appear random. Evidence that supports the method by which you identified and chose your subject of analysis should clearly support investigation of the research problem and linked to key findings from your literature review. Be sure to cite any studies that helped you determine that the case you chose was appropriate for examining the problem.

IV.  Discussion

The main elements of your discussion section are generally the same as any research paper, but centered around interpreting and drawing conclusions about the key findings from your analysis of the case study. Note that a general social sciences research paper may contain a separate section to report findings. However, in a paper designed around a case study, it is common to combine a description of the results with the discussion about their implications. The objectives of your discussion section should include the following:

Reiterate the Research Problem/State the Major Findings Briefly reiterate the research problem you are investigating and explain why the subject of analysis around which you designed the case study were used. You should then describe the findings revealed from your study of the case using direct, declarative, and succinct proclamation of the study results. Highlight any findings that were unexpected or especially profound.

Explain the Meaning of the Findings and Why They are Important Systematically explain the meaning of your case study findings and why you believe they are important. Begin this part of the section by repeating what you consider to be your most important or surprising finding first, then systematically review each finding. Be sure to thoroughly extrapolate what your analysis of the case can tell the reader about situations or conditions beyond the actual case that was studied while, at the same time, being careful not to misconstrue or conflate a finding that undermines the external validity of your conclusions.

Relate the Findings to Similar Studies No study in the social sciences is so novel or possesses such a restricted focus that it has absolutely no relation to previously published research. The discussion section should relate your case study results to those found in other studies, particularly if questions raised from prior studies served as the motivation for choosing your subject of analysis. This is important because comparing and contrasting the findings of other studies helps support the overall importance of your results and it highlights how and in what ways your case study design and the subject of analysis differs from prior research about the topic.

Consider Alternative Explanations of the Findings Remember that the purpose of social science research is to discover and not to prove. When writing the discussion section, you should carefully consider all possible explanations revealed by the case study results, rather than just those that fit your hypothesis or prior assumptions and biases. Be alert to what the in-depth analysis of the case may reveal about the research problem, including offering a contrarian perspective to what scholars have stated in prior research if that is how the findings can be interpreted from your case.

Acknowledge the Study's Limitations You can state the study's limitations in the conclusion section of your paper but describing the limitations of your subject of analysis in the discussion section provides an opportunity to identify the limitations and explain why they are not significant. This part of the discussion section should also note any unanswered questions or issues your case study could not address. More detailed information about how to document any limitations to your research can be found here .

Suggest Areas for Further Research Although your case study may offer important insights about the research problem, there are likely additional questions related to the problem that remain unanswered or findings that unexpectedly revealed themselves as a result of your in-depth analysis of the case. Be sure that the recommendations for further research are linked to the research problem and that you explain why your recommendations are valid in other contexts and based on the original assumptions of your study.

V.  Conclusion

As with any research paper, you should summarize your conclusion in clear, simple language; emphasize how the findings from your case study differs from or supports prior research and why. Do not simply reiterate the discussion section. Provide a synthesis of key findings presented in the paper to show how these converge to address the research problem. If you haven't already done so in the discussion section, be sure to document the limitations of your case study and any need for further research.

The function of your paper's conclusion is to: 1) reiterate the main argument supported by the findings from your case study; 2) state clearly the context, background, and necessity of pursuing the research problem using a case study design in relation to an issue, controversy, or a gap found from reviewing the literature; and, 3) provide a place to persuasively and succinctly restate the significance of your research problem, given that the reader has now been presented with in-depth information about the topic.

Consider the following points to help ensure your conclusion is appropriate:

• If the argument or purpose of your paper is complex, you may need to summarize these points for your reader.
• If prior to your conclusion, you have not yet explained the significance of your findings or if you are proceeding inductively, use the conclusion of your paper to describe your main points and explain their significance.
• Move from a detailed to a general level of consideration of the case study's findings that returns the topic to the context provided by the introduction or within a new context that emerges from your case study findings.

Note that, depending on the discipline you are writing in or the preferences of your professor, the concluding paragraph may contain your final reflections on the evidence presented as it applies to practice or on the essay's central research problem. However, the nature of being introspective about the subject of analysis you have investigated will depend on whether you are explicitly asked to express your observations in this way.

Problems to Avoid

Overgeneralization One of the goals of a case study is to lay a foundation for understanding broader trends and issues applied to similar circumstances. However, be careful when drawing conclusions from your case study. They must be evidence-based and grounded in the results of the study; otherwise, it is merely speculation. Looking at a prior example, it would be incorrect to state that a factor in improving girls access to education in Azerbaijan and the policy implications this may have for improving access in other Muslim nations is due to girls access to social media if there is no documentary evidence from your case study to indicate this. There may be anecdotal evidence that retention rates were better for girls who were engaged with social media, but this observation would only point to the need for further research and would not be a definitive finding if this was not a part of your original research agenda.

Failure to Document Limitations No case is going to reveal all that needs to be understood about a research problem. Therefore, just as you have to clearly state the limitations of a general research study , you must describe the specific limitations inherent in the subject of analysis. For example, the case of studying how women conceptualize the need for water conservation in a village in Uganda could have limited application in other cultural contexts or in areas where fresh water from rivers or lakes is plentiful and, therefore, conservation is understood more in terms of managing access rather than preserving access to a scarce resource.

Failure to Extrapolate All Possible Implications Just as you don't want to over-generalize from your case study findings, you also have to be thorough in the consideration of all possible outcomes or recommendations derived from your findings. If you do not, your reader may question the validity of your analysis, particularly if you failed to document an obvious outcome from your case study research. For example, in the case of studying the accident at the railroad crossing to evaluate where and what types of warning signals should be located, you failed to take into consideration speed limit signage as well as warning signals. When designing your case study, be sure you have thoroughly addressed all aspects of the problem and do not leave gaps in your analysis that leave the reader questioning the results.

Case Studies. Writing@CSU. Colorado State University; Gerring, John. Case Study Research: Principles and Practices . New York: Cambridge University Press, 2007; Merriam, Sharan B. Qualitative Research and Case Study Applications in Education . Rev. ed. San Francisco, CA: Jossey-Bass, 1998; Miller, Lisa L. “The Use of Case Studies in Law and Social Science Research.” Annual Review of Law and Social Science 14 (2018): TBD; Mills, Albert J., Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010; Putney, LeAnn Grogan. "Case Study." In Encyclopedia of Research Design , Neil J. Salkind, editor. (Thousand Oaks, CA: SAGE Publications, 2010), pp. 116-120; Simons, Helen. Case Study Research in Practice . London: SAGE Publications, 2009;  Kratochwill,  Thomas R. and Joel R. Levin, editors. Single-Case Research Design and Analysis: New Development for Psychology and Education .  Hilldsale, NJ: Lawrence Erlbaum Associates, 1992; Swanborn, Peter G. Case Study Research: What, Why and How? London : SAGE, 2010; Yin, Robert K. Case Study Research: Design and Methods . 6th edition. Los Angeles, CA, SAGE Publications, 2014; Walo, Maree, Adrian Bull, and Helen Breen. “Achieving Economic Benefits at Local Events: A Case Study of a Local Sports Event.” Festival Management and Event Tourism 4 (1996): 95-106.

Writing Tip

At Least Five Misconceptions about Case Study Research

Social science case studies are often perceived as limited in their ability to create new knowledge because they are not randomly selected and findings cannot be generalized to larger populations. Flyvbjerg examines five misunderstandings about case study research and systematically "corrects" each one. To quote, these are:

Misunderstanding 1 :  General, theoretical [context-independent] knowledge is more valuable than concrete, practical [context-dependent] knowledge. Misunderstanding 2 :  One cannot generalize on the basis of an individual case; therefore, the case study cannot contribute to scientific development. Misunderstanding 3 :  The case study is most useful for generating hypotheses; that is, in the first stage of a total research process, whereas other methods are more suitable for hypotheses testing and theory building. Misunderstanding 4 :  The case study contains a bias toward verification, that is, a tendency to confirm the researcher’s preconceived notions. Misunderstanding 5 :  It is often difficult to summarize and develop general propositions and theories on the basis of specific case studies [p. 221].

While writing your paper, think introspectively about how you addressed these misconceptions because to do so can help you strengthen the validity and reliability of your research by clarifying issues of case selection, the testing and challenging of existing assumptions, the interpretation of key findings, and the summation of case outcomes. Think of a case study research paper as a complete, in-depth narrative about the specific properties and key characteristics of your subject of analysis applied to the research problem.

Flyvbjerg, Bent. “Five Misunderstandings About Case-Study Research.” Qualitative Inquiry 12 (April 2006): 219-245.

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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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Olivia Guy-Evans, MSc

Associate Editor for Simply Psychology

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

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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Home » Case Study – Methods, Examples and Guide

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.

About the author

Muhammad Hassan

Researcher, Academic Writer, Web developer

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What Is a Case Study and Why You Should Use Them

Case studies can provide more insights into your business while helping you conduct further research with robust qualitative data analysis to learn more.

If you're in charge of running a company, then you're likely always looking for new ways to run your business more efficiently and increase your customer base while streamlining as many processes as possible.

Unfortunately, it can sometimes be difficult to determine how to go about implementing the proper program in order to be successful. This is why many business owners opt to conduct a case study, which can help significantly. Whether you've been struggling with brand consistency or some other problem, the right case study can identify why your problem exists as well as provide a way to rectify it.

A case study is a great tool that many businesses aren't even aware exists, and there are marketing experts like Mailchimp who can provide you with step-by-step assistance with implementing a plan with a case study. Many companies discover that not only do they need to start a blog in order to improve business, but they also need to create specific and relevant blog titles.

If your company already has a blog, then optimizing your blog posts may be helpful. Regardless of the obstacles that are preventing you from achieving all your professional goals, a case study can work wonders in helping you reverse this issue.

What is a case study?

A case study is a comprehensive report of the results of theory testing or examining emerging themes of a business in real life context. Case studies are also often used in the healthcare industry, conducting health services research with primary research interest around routinely collected healthcare data.

However, for businesses, the purpose of a case study is to help small business owners or company leaders identify the issues and conduct further research into what may be preventing success through information collection, client or customer interviews, and in-depth data analysis.

Knowing the case study definition is crucial for any business owner. By identifying the issues that are hindering a company from achieving all its goals, it's easier to make the necessary corrections to promote success through influenced data collection.

Why are case studies important?

Now that we've answered the questions, "what is a case study?" Why are case studies important? Some of the top reasons why case studies are important include:

• Understand complex issues: Even after you conduct a significant amount of market research , you might have a difficult time understanding exactly what it means. While you might have the basics down, conducting a case study can help you see how that information is applied. Then, when you see how the information can make a difference in business decisions, it could make it easier to understand complex issues.
• Collect data: A case study can also help with data tracking . A case study is a data collection method that can help you describe the information that you have available to you. Then, you can present that information in a way the reader can understand.
• Conduct evaluations: As you learn more about how to write a case study, remember that you can also use a case study to conduct evaluations of a specific situation. A case study is a great way to learn more about complex situations, and you can evaluate how various people responded in that situation. By conducting a case study evaluation, you can learn more about what has worked well, what has not, and what you might want to change in the future.
• Identify potential solutions: A case study can also help you identify solutions to potential problems. If you have an issue in your business that you are trying to solve, you may be able to take a look at a case study where someone has dealt with a similar situation in the past. For example, you may uncover data bias in a specific solution that you would like to address when you tackle the issue on your own. If you need help solving a difficult problem, a case study may be able to help you.

Remember that you can also use case studies to target your audience . If you want to show your audience that you have a significant level of expertise in a field, you may want to publish some case studies that you have handled in the past. Then, when your audience sees that you have had success in a specific area, they may be more likely to provide you with their business. In essence, case studies can be looked at as the original method of social proof, showcasing exactly how you can help someone solve their problems.

What are the benefits of writing a business case study?

Although writing a case study can seem like a tedious task, there are many benefits to conducting one through an in depth qualitative research process.

• Industry understanding: First of all, a case study can give you an in-depth understanding of your industry through a particular conceptual framework and help you identify hidden problems that are preventing you from transcending into the business world.
• Develop theories: If you decide to write a business case study, it provides you with an opportunity to develop new theories. You might have a theory about how to solve a specific problem, but you need to write a business case study to see exactly how that theory has unfolded in the past. Then, you can figure out if you want to apply your theory to a similar issue in the future.
• Evaluate interventions: When you write a business case study that focuses on a specific situation you have been through in the past, you can uncover whether that intervention was truly helpful. This can make it easier to figure out whether you want to use the same intervention in a similar situation in the future.
• Identify best practices: If you want to stay on top of the best practices in your field, conducting case studies can help by allowing you to identify patterns and trends and develop a new list of best practices that you can follow in the future.
• Versatility: Writing a case study also provides you with more versatility. If you want to expand your business applications, you need to figure out how you respond to various problems. When you run a business case study, you open the door to new opportunities, new applications, and new techniques that could help you make a difference in your business down the road.
• Solve problems: Writing a great case study can dramatically improve your chances of reversing your problem and improving your business.
• These are just a few of the biggest benefits you might experience if you decide to publish your case studies. They can be an effective tool for learning, showcasing your talents, and teaching some of your other employees. If you want to grow your audience , you may want to consider publishing some case studies.

What are the limitations of case studies?

Case studies can be a wonderful tool for any business of any size to use to gain an in-depth understanding of their clients, products, customers, or services, but there are limitations.

One limitation of case studies is the fact that, unless there are other recently published examples, there is nothing to compare them to since, most of the time, you are conducting a single, not multiple, case studies.

Another limitation is the fact that most case studies can lack scientific evidence.

Types of case studies

There are specific types of case studies to choose from, and each specific type will yield different results. Some case study types even overlap, which is sometimes more favorable, as they provide even more pertinent data.

Here are overviews of the different types of case studies, each with its own theoretical framework, so you can determine which type would be most effective for helping you meet your goals.

Explanatory case studies

Explanatory case studies are pretty straightforward, as they're not difficult to interpret. This type of case study is best if there aren't many variables involved because explanatory case studies can easily answer questions like "how" and "why" through theory development.

Exploratory case studies

An exploratory case study does exactly what its name implies: it goes into specific detail about the topic at hand in a natural, real-life context with qualitative research.

The benefits of exploratory case studies are limitless, with the main one being that it offers a great deal of flexibility. Having flexibility when writing a case study is important because you can't always predict what obstacles might arise during the qualitative research process.

Collective case studies

Collective case studies require you to study many different individuals in order to obtain usable data.

Case studies that involve an investigation of people will involve many different variables, all of which can't be predicted. Despite this fact, there are many benefits of collective case studies, including the fact that it allows an ongoing analysis of the data collected.

Intrinsic case studies

This type of study differs from the others as it focuses on the inquiry of one specific instance among many possibilities.

Many people prefer these types of case studies because it allows them to learn about the particular instance that they wish to investigate further.

Instrumental case studies

An instrumental case study is similar to an intrinsic one, as it focuses on a particular instance, whether it's a person, organization, or something different.

One thing that differentiates instrumental case studies from intrinsic ones is the fact that instrumental case studies aren't chosen merely because a person is interested in learning about a specific instance.

Tips for writing a case study

If you have decided to write case studies for your company, then you may be unsure of where to start or which type to conduct.

However, it doesn't have to be difficult or confusing to begin conducting a case study that will help you identify ways to improve your business.

Here are some helpful tips for writing your case studies:

1. Your case study must be written in the proper format

When writing a case study, the format that you should be similar to this:

Administrative summary

The executive summary is an overview of what your report will contain, written in a concise manner while providing real-life context.

Despite the fact that the executive summary should appear at the beginning of your case studies, it shouldn't be written until you've completed the entire report because if you write it before you finish the report, this summary may not be completely accurate.

Key problem statement

In this section of your case study, you will briefly describe the problem that you hope to solve by conducting the study. You will have the opportunity to elaborate on the problem that you're focusing on as you get into the breadth of the report.

Problem exploration

This part of the case study isn't as brief as the other two, and it goes into more detail about the problem at hand. Your problem exploration must include why the identified problem needs to be solved as well as the urgency of solving it.

Additionally, it must include justification for conducting the problem-solving, as the benefits must outweigh the efforts and costs.

Proposed resolution

This case study section will also be lengthier than the first two. It must include how you propose going about rectifying the problem. The "recommended solution" section must also include potential obstacles that you might experience, as well as how these will be managed.

Furthermore, you will need to list alternative solutions and explain the reason the chosen solution is best. Charts can enhance your report and make it easier to read, and provide as much proof to substantiate your claim as possible.

Overview of monetary consideration

An overview of monetary consideration is essential for all case studies, as it will be used to convince all involved parties why your project should be funded. You must successfully convince them that the cost is worth the investment it will require. It's important that you stress the necessity for this particular case study and explain the expected outcome.

Execution timeline

In the execution times of case studies, you explain how long you predict it will take to implement your study. The shorter the time it will take to implement your plan, the more apt it is to be approved. However, be sure to provide a reasonable timeline, taking into consideration any additional time that might be needed due to obstacles.

Always include a conclusion in your case study. This is where you will briefly wrap up your entire proposal, stressing the benefits of completing the data collection and data analysis in order to rectify your problem.

2. Make it clear and comprehensive

You want to write your case studies with as much clarity as possible so that every aspect of the report is understood. Be sure to double-check your grammar, spelling, punctuation, and more, as you don't want to submit a poorly-written document.

Not only would a poorly-written case study fail to prove that what you are trying to achieve is important, but it would also increase the chances that your report will be tossed aside and not taken seriously.

3. Don't rush through the process

Writing the perfect case study takes time and patience. Rushing could result in your forgetting to include information that is crucial to your entire study. Don't waste your time creating a study that simply isn't ready. Take the necessary time to perform all the research necessary to write the best case study possible.

Depending on the case study, conducting case study research could mean using qualitative methods, quantitative methods, or both. Qualitative research questions focus on non-numerical data, such as how people feel, their beliefs, their experiences, and so on.

Meanwhile, quantitative research questions focus on numerical or statistical data collection to explain causal links or get an in-depth picture.

It is also important to collect insightful and constructive feedback. This will help you better understand the outcome as well as any changes you need to make to future case studies. Consider using formal and informal ways to collect feedback to ensure that you get a range of opinions and perspectives.

4. Be confident in your theory development

While writing your case study or conducting your formal experimental investigation, you should have confidence in yourself and what you're proposing in your report. If you took the time to gather all the pertinent data collected to complete the report, don't second-guess yourself or doubt your abilities. If you believe your report will be amazing, then it likely will be.

5. Case studies and all qualitative research are long

It's expected that multiple case studies are going to be incredibly boring, and there is no way around this. However, it doesn't mean you can choose your language carefully in order to keep your audience as engaged as possible.

If your audience loses interest in your case study at the beginning, for whatever reason, then this increases the likelihood that your case study will not be funded.

Case study examples

If you want to learn more about how to write a case study, it might be beneficial to take a look at a few case study examples. Below are a few interesting case study examples you may want to take a closer look at.

• Phineas Gage by John Martin Marlow : One of the most famous case studies comes from the medical field, and it is about the story of Phineas Gage, a man who had a railroad spike driven through his head in 1848. As he was working on a railroad, an explosive charge went off prematurely, sending a railroad rod through his head. Even though he survived this incident, he lost his left eye. However, Phineas Gage was studied extensively over the years because his experiences had a significant, lasting impact on his personality. This served as a case study because his injury showed different parts of the brain have different functions.
• Kitty Genovese and the bystander effect : This is a tragic case study that discusses the murder of Kitty Genovese, a woman attacked and murdered in Queens, New York City. Shockingly, while numerous neighbors watched the scene, nobody called for help because they assumed someone else would. This case study helped to define the bystander effect, which is when a person fails to intervene during an emergency because other people are around.
• Henry Molaison and the study of memory : Henry Molaison lost his memory and suffered from debilitating amnesia. He suffered from childhood epilepsy, and medical professionals attempted to remove the part of his brain that was causing his seizures. He had a portion of his brain removed, but it completely took away his ability to hold memories. Even though he went on to live until the age of 82, he was always forced to live in the present moment, as he was completely unable to form new memories.

Case study FAQs

When should you do a case study.

There are several scenarios when conducting a case study can be beneficial. Case studies are often used when there's a "why" or "how" question that needs to be answered. Case studies are also beneficial when trying to understand a complex phenomenon, there's limited research on a topic, or when you're looking for practical solutions to a problem.

How can case study results be used to make business decisions?

You can use the results from a case study to make future business decisions if you find yourself in a similar situation. As you assess the results of a case study, you can identify best practices, evaluate the effectiveness of an intervention, generate new and creative ideas, or get a better understanding of customer needs.

How are case studies different from other research methodologies?

When compared to other research methodologies, such as experimental or qualitative research methodology, a case study does not require a representative sample. For example, if you are performing quantitative research, you have a lot of subjects that expand your sample size. If you are performing experimental research, you may have a random sample in front of you. A case study is usually designed to deliberately focus on unusual situations, which allows it to shed new light on a specific business research problem.

Writing multiple case studies for your business

If you're feeling overwhelmed by the idea of writing a case study and it seems completely foreign, then you aren't alone. Writing a case study for a business is a very big deal, but fortunately, there is help available because an example of a case study doesn't always help.

Mailchimp, a well-known marketing company that provides comprehensive marketing support for all sorts of businesses, can assist you with your case study, or you can review one of their own recently published examples.

Mailchimp can assist you with developing the most effective content strategy to increase your chances of being as successful as possible. Mailchimp's content studio is a great tool that can help your business immensely.

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What is Scientific Research and How Can it be Done?

Scientific researches are studies that should be systematically planned before performing them. In this review, classification and description of scientific studies, planning stage randomisation and bias are explained.

Research conducted for the purpose of contributing towards science by the systematic collection, interpretation and evaluation of data and that, too, in a planned manner is called scientific research: a researcher is the one who conducts this research. The results obtained from a small group through scientific studies are socialised, and new information is revealed with respect to diagnosis, treatment and reliability of applications. The purpose of this review is to provide information about the definition, classification and methodology of scientific research.

Before beginning the scientific research, the researcher should determine the subject, do planning and specify the methodology. In the Declaration of Helsinki, it is stated that ‘the primary purpose of medical researches on volunteers is to understand the reasons, development and effects of diseases and develop protective, diagnostic and therapeutic interventions (method, operation and therapies). Even the best proven interventions should be evaluated continuously by investigations with regard to reliability, effectiveness, efficiency, accessibility and quality’ ( 1 ).

The questions, methods of response to questions and difficulties in scientific research may vary, but the design and structure are generally the same ( 2 ).

Classification of Scientific Research

Scientific research can be classified in several ways. Classification can be made according to the data collection techniques based on causality, relationship with time and the medium through which they are applied.

• Observational
• Experimental
• Descriptive
• Retrospective
• Prospective
• Cross-sectional
• Social descriptive research ( 3 )

Another method is to classify the research according to its descriptive or analytical features. This review is written according to this classification method.

I. Descriptive research

• Case series
• Surveillance studies

II. Analytical research

• Observational studies: cohort, case control and cross- sectional research
• Interventional research: quasi-experimental and clinical research
• Case Report: it is the most common type of descriptive study. It is the examination of a single case having a different quality in the society, e.g. conducting general anaesthesia in a pregnant patient with mucopolysaccharidosis.
• Case Series: it is the description of repetitive cases having common features. For instance; case series involving interscapular pain related to neuraxial labour analgesia. Interestingly, malignant hyperthermia cases are not accepted as case series since they are rarely seen during historical development.
• Surveillance Studies: these are the results obtained from the databases that follow and record a health problem for a certain time, e.g. the surveillance of cross-infections during anaesthesia in the intensive care unit.

Moreover, some studies may be experimental. After the researcher intervenes, the researcher waits for the result, observes and obtains data. Experimental studies are, more often, in the form of clinical trials or laboratory animal trials ( 2 ).

Analytical observational research can be classified as cohort, case-control and cross-sectional studies.

Firstly, the participants are controlled with regard to the disease under investigation. Patients are excluded from the study. Healthy participants are evaluated with regard to the exposure to the effect. Then, the group (cohort) is followed-up for a sufficient period of time with respect to the occurrence of disease, and the progress of disease is studied. The risk of the healthy participants getting sick is considered an incident. In cohort studies, the risk of disease between the groups exposed and not exposed to the effect is calculated and rated. This rate is called relative risk. Relative risk indicates the strength of exposure to the effect on the disease.

Cohort research may be observational and experimental. The follow-up of patients prospectively is called a prospective cohort study . The results are obtained after the research starts. The researcher’s following-up of cohort subjects from a certain point towards the past is called a retrospective cohort study . Prospective cohort studies are more valuable than retrospective cohort studies: this is because in the former, the researcher observes and records the data. The researcher plans the study before the research and determines what data will be used. On the other hand, in retrospective studies, the research is made on recorded data: no new data can be added.

In fact, retrospective and prospective studies are not observational. They determine the relationship between the date on which the researcher has begun the study and the disease development period. The most critical disadvantage of this type of research is that if the follow-up period is long, participants may leave the study at their own behest or due to physical conditions. Cohort studies that begin after exposure and before disease development are called ambidirectional studies . Public healthcare studies generally fall within this group, e.g. lung cancer development in smokers.

• Case-Control Studies: these studies are retrospective cohort studies. They examine the cause and effect relationship from the effect to the cause. The detection or determination of data depends on the information recorded in the past. The researcher has no control over the data ( 2 ).

Cross-sectional studies are advantageous since they can be concluded relatively quickly. It may be difficult to obtain a reliable result from such studies for rare diseases ( 2 ).

Cross-sectional studies are characterised by timing. In such studies, the exposure and result are simultaneously evaluated. While cross-sectional studies are restrictedly used in studies involving anaesthesia (since the process of exposure is limited), they can be used in studies conducted in intensive care units.

• Quasi-Experimental Research: they are conducted in cases in which a quick result is requested and the participants or research areas cannot be randomised, e.g. giving hand-wash training and comparing the frequency of nosocomial infections before and after hand wash.
• Clinical Research: they are prospective studies carried out with a control group for the purpose of comparing the effect and value of an intervention in a clinical case. Clinical study and research have the same meaning. Drugs, invasive interventions, medical devices and operations, diets, physical therapy and diagnostic tools are relevant in this context ( 6 ).

Clinical studies are conducted by a responsible researcher, generally a physician. In the research team, there may be other healthcare staff besides physicians. Clinical studies may be financed by healthcare institutes, drug companies, academic medical centres, volunteer groups, physicians, healthcare service providers and other individuals. They may be conducted in several places including hospitals, universities, physicians’ offices and community clinics based on the researcher’s requirements. The participants are made aware of the duration of the study before their inclusion. Clinical studies should include the evaluation of recommendations (drug, device and surgical) for the treatment of a disease, syndrome or a comparison of one or more applications; finding different ways for recognition of a disease or case and prevention of their recurrence ( 7 ).

Clinical Research

In this review, clinical research is explained in more detail since it is the most valuable study in scientific research.

Clinical research starts with forming a hypothesis. A hypothesis can be defined as a claim put forward about the value of a population parameter based on sampling. There are two types of hypotheses in statistics.

• H 0 hypothesis is called a control or null hypothesis. It is the hypothesis put forward in research, which implies that there is no difference between the groups under consideration. If this hypothesis is rejected at the end of the study, it indicates that a difference exists between the two treatments under consideration.
• H 1 hypothesis is called an alternative hypothesis. It is hypothesised against a null hypothesis, which implies that a difference exists between the groups under consideration. For example, consider the following hypothesis: drug A has an analgesic effect. Control or null hypothesis (H 0 ): there is no difference between drug A and placebo with regard to the analgesic effect. The alternative hypothesis (H 1 ) is applicable if a difference exists between drug A and placebo with regard to the analgesic effect.

The planning phase comes after the determination of a hypothesis. A clinical research plan is called a protocol . In a protocol, the reasons for research, number and qualities of participants, tests to be applied, study duration and what information to be gathered from the participants should be found and conformity criteria should be developed.

The selection of participant groups to be included in the study is important. Inclusion and exclusion criteria of the study for the participants should be determined. Inclusion criteria should be defined in the form of demographic characteristics (age, gender, etc.) of the participant group and the exclusion criteria as the diseases that may influence the study, age ranges, cases involving pregnancy and lactation, continuously used drugs and participants’ cooperation.

The next stage is methodology. Methodology can be grouped under subheadings, namely, the calculation of number of subjects, blinding (masking), randomisation, selection of operation to be applied, use of placebo and criteria for stopping and changing the treatment.

I. Calculation of the Number of Subjects

The entire source from which the data are obtained is called a universe or population . A small group selected from a certain universe based on certain rules and which is accepted to highly represent the universe from which it is selected is called a sample and the characteristics of the population from which the data are collected are called variables. If data is collected from the entire population, such an instance is called a parameter . Conducting a study on the sample rather than the entire population is easier and less costly. Many factors influence the determination of the sample size. Firstly, the type of variable should be determined. Variables are classified as categorical (qualitative, non-numerical) or numerical (quantitative). Individuals in categorical variables are classified according to their characteristics. Categorical variables are indicated as nominal and ordinal (ordered). In nominal variables, the application of a category depends on the researcher’s preference. For instance, a female participant can be considered first and then the male participant, or vice versa. An ordinal (ordered) variable is ordered from small to large or vice versa (e.g. ordering obese patients based on their weights-from the lightest to the heaviest or vice versa). A categorical variable may have more than one characteristic: such variables are called binary or dichotomous (e.g. a participant may be both female and obese).

If the variable has numerical (quantitative) characteristics and these characteristics cannot be categorised, then it is called a numerical variable. Numerical variables are either discrete or continuous. For example, the number of operations with spinal anaesthesia represents a discrete variable. The haemoglobin value or height represents a continuous variable.

Statistical analyses that need to be employed depend on the type of variable. The determination of variables is necessary for selecting the statistical method as well as software in SPSS. While categorical variables are presented as numbers and percentages, numerical variables are represented using measures such as mean and standard deviation. It may be necessary to use mean in categorising some cases such as the following: even though the variable is categorical (qualitative, non-numerical) when Visual Analogue Scale (VAS) is used (since a numerical value is obtained), it is classified as a numerical variable: such variables are averaged.

Clinical research is carried out on the sample and generalised to the population. Accordingly, the number of samples should be correctly determined. Different sample size formulas are used on the basis of the statistical method to be used. When the sample size increases, error probability decreases. The sample size is calculated based on the primary hypothesis. The determination of a sample size before beginning the research specifies the power of the study. Power analysis enables the acquisition of realistic results in the research, and it is used for comparing two or more clinical research methods.

Because of the difference in the formulas used in calculating power analysis and number of samples for clinical research, it facilitates the use of computer programs for making calculations.

It is necessary to know certain parameters in order to calculate the number of samples by power analysis.

• Type-I (α) and type-II (β) error levels
• Difference between groups (d-difference) and effect size (ES)
• Distribution ratio of groups
• Direction of research hypothesis (H1)

a. Type-I (α) and Type-II (β) Error (β) Levels

Two types of errors can be made while accepting or rejecting H 0 hypothesis in a hypothesis test. Type-I error (α) level is the probability of finding a difference at the end of the research when there is no difference between the two applications. In other words, it is the rejection of the hypothesis when H 0 is actually correct and it is known as α error or p value. For instance, when the size is determined, type-I error level is accepted as 0.05 or 0.01.

Another error that can be made during a hypothesis test is a type-II error. It is the acceptance of a wrongly hypothesised H 0 hypothesis. In fact, it is the probability of failing to find a difference when there is a difference between the two applications. The power of a test is the ability of that test to find a difference that actually exists. Therefore, it is related to the type-II error level.

Since the type-II error risk is expressed as β, the power of the test is defined as 1–β. When a type-II error is 0.20, the power of the test is 0.80. Type-I (α) and type-II (β) errors can be intentional. The reason to intentionally make such an error is the necessity to look at the events from the opposite perspective.

b. Difference between Groups and ES

ES is defined as the state in which statistical difference also has clinically significance: ES≥0.5 is desirable. The difference between groups is the absolute difference between the groups compared in clinical research.

c. Allocation Ratio of Groups

The allocation ratio of groups is effective in determining the number of samples. If the number of samples is desired to be determined at the lowest level, the rate should be kept as 1/1.

d. Direction of Hypothesis (H1)

The direction of hypothesis in clinical research may be one-sided or two-sided. While one-sided hypotheses hypothesis test differences in the direction of size, two-sided hypotheses hypothesis test differences without direction. The power of the test in two-sided hypotheses is lower than one-sided hypotheses.

After these four variables are determined, they are entered in the appropriate computer program and the number of samples is calculated. Statistical packaged software programs such as Statistica, NCSS and G-Power may be used for power analysis and calculating the number of samples. When the samples size is calculated, if there is a decrease in α, difference between groups, ES and number of samples, then the standard deviation increases and power decreases. The power in two-sided hypothesis is lower. It is ethically appropriate to consider the determination of sample size, particularly in animal experiments, at the beginning of the study. The phase of the study is also important in the determination of number of subjects to be included in drug studies. Usually, phase-I studies are used to determine the safety profile of a drug or product, and they are generally conducted on a few healthy volunteers. If no unacceptable toxicity is detected during phase-I studies, phase-II studies may be carried out. Phase-II studies are proof-of-concept studies conducted on a larger number (100–500) of volunteer patients. When the effectiveness of the drug or product is evident in phase-II studies, phase-III studies can be initiated. These are randomised, double-blinded, placebo or standard treatment-controlled studies. Volunteer patients are periodically followed-up with respect to the effectiveness and side effects of the drug. It can generally last 1–4 years and is valuable during licensing and releasing the drug to the general market. Then, phase-IV studies begin in which long-term safety is investigated (indication, dose, mode of application, safety, effectiveness, etc.) on thousands of volunteer patients.

II. Blinding (Masking) and Randomisation Methods

When the methodology of clinical research is prepared, precautions should be taken to prevent taking sides. For this reason, techniques such as randomisation and blinding (masking) are used. Comparative studies are the most ideal ones in clinical research.

Blinding Method

A case in which the treatments applied to participants of clinical research should be kept unknown is called the blinding method . If the participant does not know what it receives, it is called a single-blind study; if even the researcher does not know, it is called a double-blind study. When there is a probability of knowing which drug is given in the order of application, when uninformed staff administers the drug, it is called in-house blinding. In case the study drug is known in its pharmaceutical form, a double-dummy blinding test is conducted. Intravenous drug is given to one group and a placebo tablet is given to the comparison group; then, the placebo tablet is given to the group that received the intravenous drug and intravenous drug in addition to placebo tablet is given to the comparison group. In this manner, each group receives both the intravenous and tablet forms of the drug. In case a third party interested in the study is involved and it also does not know about the drug (along with the statistician), it is called third-party blinding.

Randomisation Method

The selection of patients for the study groups should be random. Randomisation methods are used for such selection, which prevent conscious or unconscious manipulations in the selection of patients ( 8 ).

No factor pertaining to the patient should provide preference of one treatment to the other during randomisation. This characteristic is the most important difference separating randomised clinical studies from prospective and synchronous studies with experimental groups. Randomisation strengthens the study design and enables the determination of reliable scientific knowledge ( 2 ).

The easiest method is simple randomisation, e.g. determination of the type of anaesthesia to be administered to a patient by tossing a coin. In this method, when the number of samples is kept high, a balanced distribution is created. When the number of samples is low, there will be an imbalance between the groups. In this case, stratification and blocking have to be added to randomisation. Stratification is the classification of patients one or more times according to prognostic features determined by the researcher and blocking is the selection of a certain number of patients for each stratification process. The number of stratification processes should be determined at the beginning of the study.

As the number of stratification processes increases, performing the study and balancing the groups become difficult. For this reason, stratification characteristics and limitations should be effectively determined at the beginning of the study. It is not mandatory for the stratifications to have equal intervals. Despite all the precautions, an imbalance might occur between the groups before beginning the research. In such circumstances, post-stratification or restandardisation may be conducted according to the prognostic factors.

The main characteristic of applying blinding (masking) and randomisation is the prevention of bias. Therefore, it is worthwhile to comprehensively examine bias at this stage.

Bias and Chicanery

While conducting clinical research, errors can be introduced voluntarily or involuntarily at a number of stages, such as design, population selection, calculating the number of samples, non-compliance with study protocol, data entry and selection of statistical method. Bias is taking sides of individuals in line with their own decisions, views and ideological preferences ( 9 ). In order for an error to lead to bias, it has to be a systematic error. Systematic errors in controlled studies generally cause the results of one group to move in a different direction as compared to the other. It has to be understood that scientific research is generally prone to errors. However, random errors (or, in other words, ‘the luck factor’-in which bias is unintended-do not lead to bias ( 10 ).

Another issue, which is different from bias, is chicanery. It is defined as voluntarily changing the interventions, results and data of patients in an unethical manner or copying data from other studies. Comparatively, bias may not be done consciously.

In case unexpected results or outliers are found while the study is analysed, if possible, such data should be re-included into the study since the complete exclusion of data from a study endangers its reliability. In such a case, evaluation needs to be made with and without outliers. It is insignificant if no difference is found. However, if there is a difference, the results with outliers are re-evaluated. If there is no error, then the outlier is included in the study (as the outlier may be a result). It should be noted that re-evaluation of data in anaesthesiology is not possible.

Statistical evaluation methods should be determined at the design stage so as not to encounter unexpected results in clinical research. The data should be evaluated before the end of the study and without entering into details in research that are time-consuming and involve several samples. This is called an interim analysis . The date of interim analysis should be determined at the beginning of the study. The purpose of making interim analysis is to prevent unnecessary cost and effort since it may be necessary to conclude the research after the interim analysis, e.g. studies in which there is no possibility to validate the hypothesis at the end or the occurrence of different side effects of the drug to be used. The accuracy of the hypothesis and number of samples are compared. Statistical significance levels in interim analysis are very important. If the data level is significant, the hypothesis is validated even if the result turns out to be insignificant after the date of the analysis.

Another important point to be considered is the necessity to conclude the participants’ treatment within the period specified in the study protocol. When the result of the study is achieved earlier and unexpected situations develop, the treatment is concluded earlier. Moreover, the participant may quit the study at its own behest, may die or unpredictable situations (e.g. pregnancy) may develop. The participant can also quit the study whenever it wants, even if the study has not ended ( 7 ).

In case the results of a study are contrary to already known or expected results, the expected quality level of the study suggesting the contradiction may be higher than the studies supporting what is known in that subject. This type of bias is called confirmation bias. The presence of well-known mechanisms and logical inference from them may create problems in the evaluation of data. This is called plausibility bias.

Another type of bias is expectation bias. If a result different from the known results has been achieved and it is against the editor’s will, it can be challenged. Bias may be introduced during the publication of studies, such as publishing only positive results, selection of study results in a way to support a view or prevention of their publication. Some editors may only publish research that extols only the positive results or results that they desire.

Bias may be introduced for advertisement or economic reasons. Economic pressure may be applied on the editor, particularly in the cases of studies involving drugs and new medical devices. This is called commercial bias.

In recent years, before beginning a study, it has been recommended to record it on the Web site www.clinicaltrials.gov for the purpose of facilitating systematic interpretation and analysis in scientific research, informing other researchers, preventing bias, provision of writing in a standard format, enhancing contribution of research results to the general literature and enabling early intervention of an institution for support. This Web site is a service of the US National Institutes of Health.

The last stage in the methodology of clinical studies is the selection of intervention to be conducted. Placebo use assumes an important place in interventions. In Latin, placebo means ‘I will be fine’. In medical literature, it refers to substances that are not curative, do not have active ingredients and have various pharmaceutical forms. Although placebos do not have active drug characteristic, they have shown effective analgesic characteristics, particularly in algology applications; further, its use prevents bias in comparative studies. If a placebo has a positive impact on a participant, it is called the placebo effect ; on the contrary, if it has a negative impact, it is called the nocebo effect . Another type of therapy that can be used in clinical research is sham application. Although a researcher does not cure the patient, the researcher may compare those who receive therapy and undergo sham. It has been seen that sham therapies also exhibit a placebo effect. In particular, sham therapies are used in acupuncture applications ( 11 ). While placebo is a substance, sham is a type of clinical application.

Ethically, the patient has to receive appropriate therapy. For this reason, if its use prevents effective treatment, it causes great problem with regard to patient health and legalities.

Before medical research is conducted with human subjects, predictable risks, drawbacks and benefits must be evaluated for individuals or groups participating in the study. Precautions must be taken for reducing the risk to a minimum level. The risks during the study should be followed, evaluated and recorded by the researcher ( 1 ).

After the methodology for a clinical study is determined, dealing with the ‘Ethics Committee’ forms the next stage. The purpose of the ethics committee is to protect the rights, safety and well-being of volunteers taking part in the clinical research, considering the scientific method and concerns of society. The ethics committee examines the studies presented in time, comprehensively and independently, with regard to ethics and science; in line with the Declaration of Helsinki and following national and international standards concerning ‘Good Clinical Practice’. The method to be followed in the formation of the ethics committee should be developed without any kind of prejudice and to examine the applications with regard to ethics and science within the framework of the ethics committee, Regulation on Clinical Trials and Good Clinical Practice ( www.iku.com ). The necessary documents to be presented to the ethics committee are research protocol, volunteer consent form, budget contract, Declaration of Helsinki, curriculum vitae of researchers, similar or explanatory literature samples, supporting institution approval certificate and patient follow-up form.

Only one sister/brother, mother, father, son/daughter and wife/husband can take charge in the same ethics committee. A rector, vice rector, dean, deputy dean, provincial healthcare director and chief physician cannot be members of the ethics committee.

Members of the ethics committee can work as researchers or coordinators in clinical research. However, during research meetings in which members of the ethics committee are researchers or coordinators, they must leave the session and they cannot sign-off on decisions. If the number of members in the ethics committee for a particular research is so high that it is impossible to take a decision, the clinical research is presented to another ethics committee in the same province. If there is no ethics committee in the same province, an ethics committee in the closest settlement is found.

Thereafter, researchers need to inform the participants using an informed consent form. This form should explain the content of clinical study, potential benefits of the study, alternatives and risks (if any). It should be easy, comprehensible, conforming to spelling rules and written in plain language understandable by the participant.

This form assists the participants in taking a decision regarding participation in the study. It should aim to protect the participants. The participant should be included in the study only after it signs the informed consent form; the participant can quit the study whenever required, even when the study has not ended ( 7 ).

Peer-review: Externally peer-reviewed.

Author Contributions: Concept - C.Ö.Ç., A.D.; Design - C.Ö.Ç.; Supervision - A.D.; Resource - C.Ö.Ç., A.D.; Materials - C.Ö.Ç., A.D.; Analysis and/or Interpretation - C.Ö.Ç., A.D.; Literature Search - C.Ö.Ç.; Writing Manuscript - C.Ö.Ç.; Critical Review - A.D.; Other - C.Ö.Ç., A.D.

Conflict of Interest: No conflict of interest was declared by the authors.

Financial Disclosure: The authors declared that this study has received no financial support.