PATHOLOGICAL mourning is such an excessive, blocked, or distorted proc
ess that psychiatric signs and symptoms develop. Explanation of how an
d why these signs and symptoms form could deepen an understanding of b
oth normal and pathological mourning. Because many variables are invol
ved in such explanations, intensive case study is a desirable methodol
ogy because it permits a detailed look at how various factors interact
(Brewer and Hunter 1989; Luborsky and Mintz 1972; Luborsky and Spence
1971; Nessleroade and Ford 1985). While a patient may complain of sym
ptoms as experiences that endure or occur episodically over days and w
eeks, a clinician observes psychiatric signs in the here-and-now secon
ds and minutes of an interview. Relating signs and symptoms to each ot
her and to other variables in order to form a theoretical model of the
ir formation requires exploration of data across long and short time f
rames. It is important to understand how the here-and-now phenomena co
mbine to form patterns across longer periods of the individual's life.
Hence, we developed a combined macro- and microanalytic approach to i
ntensive case studies.