RT Journal Article SR Electronic T1 Do studies of the nature of cases mislead about the reality of cases? A response to Pattison et al. JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 47 OP 50 DO 10.1136/jme.25.1.47 VO 25 IS 1 A1 R Higgs YR 1999 UL http://jme.bmj.com/content/25/1/47.abstract AB This article questions whether many are misled by current case studies. Three broad types of style of case study are described. A stark style, based on medical case studies, a fictionalised style in reaction, and a personal statement made in discussion groups by an original protagonist. Only the second type fits Pattison's category. Language remains an important issue, but to be examined as the case is lived in discussion rather than as a potentially reductionist study of the case as text.