Click here to download

Writing a clinical case study: a methodological conundrum
Journal Title: RIVISTA SPERIMENTALE DI FRENIATRIA 
Author/s: Paolo Vistoli, Eleonora Montagner 
Year:  2015 Issue: Language: Italian 
Pages:  24 Pg. 67-90 FullText PDF:  261 KB
DOI:  10.3280/RSF2015-002007
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


Currently, quantitative research in psychiatry neglects clinical case studies in favour of large scale surveys based on impersonal descriptions. Moreover, clinical case studies, in qualitative psychiatry, tend to overemphasize the patients’ abnormal features and often present a caricatural and incomplete narrative. The authors reexamine the methodology employed to draft a clinical case study and highlight the heuristic and scientific relevance of clinical narratives in psychiatry. They then propose an innovative method for drafting a clinical case study - based on the preliminary analysis of some well-known clinical cases - that not only describes the patient’s acute pathological features, but also the person’s "background" context of life from which the pathological features surface. Their method is appraised presenting the study of a long-term psychotic patient in community psychiatry. The patient’s life experience is analysed through an extensive and longitudinal approach that brings to light the patient’s psychotic world, but also the person’s and environment’s "normal" traits: i.e. coping strategies, quality of life, meaningful relationships, and the feelings the patient arouses in others. The authors suggest that participant observation of long-term patients, in ever-changing healthcare environments and personnel, draws attention towards unusual courses of illness and calls for renewed descriptive tools to capture the more recent forms of subjectivity.
Keywords: Clinical case study, recovery, coping strategies, post-and-in-between Psychosis

  1. [35] Berger P. The problem of multiple realities: Alfred Schutz and Robert Musil. Evanston: Northwestern University Press; 1970.
  2. [1] Laing R D. L’io diviso, Torino: Einaudi; 2010 (1955).
  3. [2] Rossi Monti M. La psicopatologia del presente, Milano: Franco Angeli; 2012.
  4. [3] Van den Berg JH. (1955). Fenomenologia e psichiatria, Milano; Bompiani 1971.
  5. [4] Canguilhelm G. (1943, réédition 1966) Il normale e il patologico. Torino: Einaudi; 1998.
  6. [5] Van Der Win L. Un legame materno non si recupera più? Autobiografia di una schizofrenica guarita. Milano: Mimesis; 2010.
  7. [6] Steele K. E venne il giorno in cui le voci tacquero, Milano: Mimesis; 2005.
  8. [7] Charon R. Narrative Medicine: Honoring the Stories of Illness. New York: Oxford University Press; 2006.
  9. [8] Coppo P. Le ragioni del dolore. Etnopsichiatria della depressione. Torino: Bollati Boringhieri; 2005.
  10. [36] Berger P , Berger B, Kellner H. The homeless Mind. Harmondsworth: Penguin Books; 1973.
  11. [37] Bleuler E. (1911). Dementia praecox o il gruppo delle schizofrenie. Roma: La Nuova Italia Scientifica; 1985.
  12. [9] Hobfoll S, Jackson A, Hobfoll I, Pierce C, Young S. The impact of Communal-Mastery Versus Self-Mastery on Emotional Outcomes During Stressful Conditions: A Prospective Study of Native American Women. American Journal of Community Psychology 2002; XXX, 6 : 853-71., DOI: 10.1023/a:102020922021
  13. [10] Kopp M, Skrabski A, Szedmak S. Psychosocial Risk Factors, Inequality and Selfrated Morbility in a Changing Society. Social Science & Medicine 2000; LI:1351-61., DOI: 10.1016/s0277-9536(00)00097-6
  14. [11] Hillmann J. (1983). Le storie che curano: Freud, Jung, Adler. Milano: Raffaello Cortina;1984.
  15. [12] Grandin T. (1995). Pensare in immagini. Trento: Edizioni Erickson; 2001.
  16. [13] Nordgaard J, Sass L, Parnas J. The psychiatric interview: validity, structure, and subjectivity. European Archives of Psychiatry Clinical Neuroscience 2012; 263: 353-364., DOI: 10.1007/s00406-012-0366-z
  17. [14] Migone P. La “filosofia” della diagnosi psichiatrica. Aut-Aut 2013; 357: 77-97., DOI: 10.3280/PU2013-00400
  18. [15] Deleuze G. (1968) Differenza e Ripetizione. Milano: Raffaello Cortina; 1997.
  19. [16] Deleuze G. Due regimi di folli e altri scritti. Torino: Einaudi; 2010, p. 248-250.
  20. [17] Costa V, Franzini E, Spinicci P. La Fenomenologia. Torino: Einaudi; 2002.
  21. [18] G. Charbonneau. Introduction à la psychopathologie phénoménologique. Paris: MJW Fédition; 2010.
  22. [19] Nabokov W. (1941). La vera vita di Sebastian Knight. Milano: Adelphi; 1992.
  23. [20] Muscatello CF, Spigonardo V, Scudellari P.Cosa può chiedere oggi la psicopatologia alla filosofia? Psichiatria Generale e dell’Età Evolutiva 2009; 3-4: p. 157-165.
  24. [21] Barthes R. (1977). Frammenti di un discorso amoroso. Torino: Einaudi; 1979.
  25. [22] Fuchs T. Psychotherapy of the lived space: a phenomenological and ecological concept. American Journal of Psychotherapy 2007; 61, 4: 423., DOI: 10.1080/02668730601181119
  26. [23] Muscatello C F, Scudellari P. Le figure del narcisismo. La metafora del fiore e le sue metamorfosi grafiche in un caso di anoressia mentale. Ca strovillari(CS): Teda Edizioni; 1993.
  27. [24] Stanghellini G. La stanza tatuata (prologo). In: Stanghellini G. Psicopatologia del senso comune. Milano: Cortina; 2006.
  28. [25] Baron-Cohen S. (2011). La scienza del male. L’empatia e le origini della crudeltà. Milano: Cortina; 2012.
  29. [26] Athens L. The Creation of Dangerous Violent Criminals. Chicago: University of Illinois Press;1992.
  30. [27] Sass L. Schizofrenia, Autocoscienza e mente moderna. In: Rossi Monti M, Stanghellini G. Psicopatologia della schizofrenia. Milano: Raffaello Cortina Editore; 1999.
  31. [28] Cornia U. La bellezza delle vite singolari. In: Gianolio A. Vite sbobinate ed altre vite. Sassuolo: Incontri Editrice; 2007.
  32. [29] Szymborska W. (1986). Scrivere il curriculum. Opere. Milano: Adelphi; 2008.
  33. [30] Ricoeur P.(1990). Sé come un altro. Milano: Jaka Book ; 1992.
  34. [31] Spence D. (1982). Verità narrativa e Verità storica. Significato e interpretazione in psicoanalisi. Firenze: Martinelli; 1987. [32] Alazraki J. En brusca del unicorno. Los cuentos de Julio Cortazar: elementos para una poetica delo neofantastico. Madrid: Gredos; 1983.
  35. [33] Cortazar J. L’altro lato delle cose. Intervista a cura di T. Menegazzi. Milano: Mimesis; 2014.
  36. [34] Schutz A. Sulle realtà multiple. In: Schutz A. Saggi sociologici. Torino: Utet; 1979.
  37. [38] Warner R. Recovery from schizophrenia. Psychiatry and political economy. London: Routledge and Kegan Paul; 1985 (Trad. it. Schizofrenia e guarigione. Psichiatria ed economia politica. Feltrinelli: Milano; 1991).
  38. [39] Deegan PE. Recovery: the lived experience of rehabilitation. Ps ychosocial Rehabilitation Journal 1988; 11:11-19., DOI: 10.1037/h0099565
  39. [40] Anthony WA. Recovery from mental illness: the guiding vision of the mental health service system in the 1990’s. Psychosocial Rehabilitation Journal 1993; 16:11-23., DOI: 10.1037/h009565
  40. [41] Ballerini A, Rossi Monti M. Dopo la schizofrenia. Milano: Feltrinelli; 1983.
  41. [42] Ruggeri M, Lasalvia A. L’esito della schizofrenia. Torino: Centro Scientifico Editore; 2003.
  42. [43] Sturloni N. Niente di speciale. Modena: Rosa bianca; 2013.
  43. [44] Nacht S, Racamier PC. (1971). Teoria psicoanalitica del delirio. In: Guarire con Freud. Roma: Newton Compton Editori; 1973.
  44. [45] Inghilleri P, Terranova-Cecchini R. Avanzamenti in psicologia transculturale. Milano: Franco Angeli; 1991.
  45. [46] Musil R. L’uomo senza qualità. Torino: Einaudi; 1957.

Paolo Vistoli, Eleonora Montagner, Writing a clinical case study: a methodological conundrum in "RIVISTA SPERIMENTALE DI FRENIATRIA" 2/2015, pp. 67-90, DOI:10.3280/RSF2015-002007

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content