The case history approach has an impressive record of success in a variety of disciplines. Collections of case histories, casebooks, are now widely used in all sorts of specialties other than in their familiar appli cation to law and medicine. The case method had its formal beginning at Harvard in 1871 when Christopher Lagdell developed it as a means of teaching. It was so successful in teaching law that it was soon adopted in medical education, and the collection of cases provided the raw material for research on various diseases. Subsequently, the case history approach spread to such varied...