There seems to be little doubt that one must exercise extreme caution in writing case his- tories for presentation or publication in order to protect a patient's confidentiality. However, beyond that point, there is much In doubt, especially just how that is to be Accomplished. Somewhere between the poles Of presenting the clear and undisguised case Report and that of composing completely fic- Tionalised accounts, there are a number of Possible alternatives, all of which carry some Potentially undesirable features.
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