Abstract
Single-case designs refer to a methodological approach that can be used to-investigate the efficacy of treatment with the individual patient. The designs permit scientifically valid inferences to be drawn about the effects of treatment and hence offer advantages over alternative strategies such as the uncontrolled case study or open study that are used with the individual case. The present article discusses the need for and utility and requirements of single-case designs in clinical child psychiatry. The underlying rationale and essential characteristics are presented and illustrated in several clinical cases. The feasibility of integrating assesment and design requirements of single-case research into clinical practice, the ethical issues such an integration may raise, and generality of findings from research on the single-case are also discussed.
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