Analysis of single cases represents an essential strategy for developing our understanding of paradoxical outcome and illusory mental health. Based on findings from both practice-based and randomized controlled outcome studies, 35-40% of clients fail to improve over the course of psychotherapy.We examined the prevalence of failure cases in the Single Case Archive, a database that includes more than 3000 psychotherapy case studies from a variety of ISI-ranked journals. We found that only 4% of these studies describe any form of failure in treatment. Thematic analysis of the titles and abstracts of failure case studies revealed that the majority did not focus on investigating the nature or meaning of failure but were primarily interested in other theoretical and practical matters. We propose a number of explanations for this apparent publication bias in case study research and discuss implications for further research.
|Translated title of the contribution||The lack of failure reports in published psychotherapy case studies: Implications for dis-‘illusioning’ of research and practice|
|Number of pages||17|
|Journal||European Journal of Psychotherapy and Counselling|
|Publication status||Published - 2021|
Bibliographical noteFunding Information:
This study was supported by the Flanders Research Foundation (FWO, Belgium; grant number: AUGE/15/15 – G0H3116N).
© 2021 Informa UK Limited, trading as Taylor & Francis Group.