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Clinical Perspective
Clinical perspective, or clinical inquiry/research (C/R), can be defined as gathering data while helping a client solve problems. The word clinical in this context implies two things: (1) that a client has asked a helper for some help, and (2) that the helping process is geared to solving some problem that the client has defined. The major premise is that useful data can be gathered in situations that are not initiated by the researcher. Gathering data, building concepts, and developing theory are the result of a research attitude, a desire to clarify what is going on and communicate that clarification to other researchers. Some of the best opportunities for such inquiry actually arise in situations in which the setting is created by someone who wants help, not by the researcher deciding what to study.
This kind of inquiry/research is important to the development of knowledge even if the researcher has not initiated or defined it because (1) during the helping process important data are usually revealed about the state of the system being worked with, and (2) the fact that the client has initiated the process and asks for help legitimizes the asking of questions that would normally be considered out of bounds because they would involve private information that a research subject might normally wish to hide from the researcher.
This type of data gathering is most relevant in the early stages of trying to understand the dynamics of a complex system because it is very likely to reveal the variables that are the most important drivers in the system. Once those drivers are identified through the clinical process, one can move to more formal empirical research with operational definitions and hypothesis testing. The development of relevant variables and theoretical models is therefore often the result of clinical inquiry. The prime data for such theories are case studies and comparative analyses of multiple cases.
Conceptual Overview
Basic Characteristics of C/R
C/R is Client Driven
Most research models assume that the researcher chooses a topic and then seeks out situations in which that topic can be studied. Research subjects are recruited, permission to get into organizations is sought, and contracts are made to get the informed consent of the people who will be studied. C/R is dependent on a client seeking a helper. The helper then has the opportunity not only to help but also to observe and inquire as part of the helping process. The assumption of this method is that the helper will provide better help when he or she takes an “inquiry” stance and, at the same time, will acquire data that will be useful in enhancing knowledge of the system in which the help is taking place.
C/R is Problem Driven
Most research models, especially ethnographic qualitative methods, assume that the state of the system being studied should be minimally perturbed by the research process. The assumption is that if one perturbs the system, one will not see how it actually functions.
C/R by way of contrast starts with Kurt Lewin's famous dictum, “You cannot really understand a system until you try to change it.” It is in the process of helping a client that important forces are revealed—forces that might never surface in the traditional observation, interview, or survey process of the more traditional research methods.
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