The term "experience-near" has become associated with a variety of alternatives to mainstream clinical research. These alternatives converge on one basic methodological goal-faithfulness to clinical phenomena as lived. This article presents one approach to lived clinical phenomena that I term multiple-case depth research or MCDR. MCDR is a novel and highly sensitive methodology that combines both in-depth case investigation with experiential therapeutic principles. To illustrate the power of MCDR, I present a hypothetical process and outcome study involving three client cohorts (those who undergo respectively cognitive-behavioral therapy, intersubjective psychoanalytic therapy, and existential-humanistic therapy). I detail the structure of this hypothetical study, the steps by which it proceeds, and the yield that it portends. I conclude that, if conducted properly, MCDR can provide rich, valid, and unprecedented insight into effective psychotherapy.
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http://dx.doi.org/10.1002/(sici)1097-4679(199912)55:12<1531::aid-jclp10>3.0.co;2-f | DOI Listing |
Qual Health Res
December 2024
Department of Industrial and Organisational Psychology, University of South Africa (UNISA), Pretoria, South Africa.
With the escalating number of people diagnosed with chronic disease globally, research aimed at supporting their adjustment and coping is invaluable. Reconstructing a sense of self is core to the psychosocial adjustment of people with chronic disease (PwCD), and meaning making is central to their coping with the diagnosis. Despite the growing number of PwCD living productive lives, their identity work is underexplored.
View Article and Find Full Text PDFClin Obes
December 2024
Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
In 2021, the UK Government announced additional funding in England for Adult Weight Management Services (AWMS); it was specified that the extra funding must be used to commission or extend existing tier 2 services. The Office for Health Improvement and Disparities encouraged commissioners to prioritise services for higher-risk groups such as those with learning disabilities, severe mental illness, people from minority ethnic groups, those living in deprived areas and men. To better understand the findings from previous survey work and to explore the implementation of targeted services in greater depth, we undertook a multiple case study comprising eight tier 2 adult weight management service providers and 35 individual stakeholder interviewees.
View Article and Find Full Text PDFTidsskr Nor Laegeforen
November 2024
Nasjonalt senter for distriktsmedisin (NSDM), Institutt for samfunnsmedisin, UiT Norges arktiske universitet.
Background: A number of municipalities have introduced work-leave rotation (aka 'North Sea shift') for general practitioners, whereby the doctors alternate between periods of work and leave over the year. We have investigated the reasons for this type of work schedule, its prevalence and scope, and experiences with this form of working.
Material And Method: We have undertaken a multiple-case study using data from Statistics Norway, the GP register, municipal documents, brief telephone interviews with doctors working a rotating schedule and in-depth interviews with healthcare leaders.
Brain Sci
November 2024
Division of Neurology, Department of Clinical Medicine, Federal University of Ceará, Fortaleza 60430-372, Ceara, Brazil.
Cerebrotendinous xanthomatosis (CTX) is a rare metabolic disorder caused by mutations in the gene, leading to cholestanol accumulation in various tissues, including peripheral nerves. Polyneuropathy is an underrecognized feature with considerable variability in clinical presentation and neurophysiological findings in CTX. This review assesses the prevalence, clinical manifestations, and diagnostic methodologies of polyneuropathy in CTX, exploring its underlying mechanisms and potential treatment outcomes.
View Article and Find Full Text PDFPLOS Glob Public Health
November 2024
School of Health Studies, Arthur and Sonia Labatt Health Sciences Building, Western University, London, Ontario, Canada.
Background: Despite growing literature, few studies have explored the implementation of policy interventions to reduce maternal and perinatal mortality in low- and middle-income countries (LMICs). Even fewer studies explicitly articulate the theoretical approaches used to understand contextual influences on policy implementation. This under-use of theory may account for the limited understanding of the variations in implementation processes and outcomes.
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