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[Perspectives] in the 21st century

If Sigmund Freud were to submit his Fragment of an Analysis of a Case of Hysteria (“Dora”) of 1905 to a reputable medical journal in 2015, it probably wouldn’t get past a first read. Interventional case reports with an n of 1 are regarded with suspicion; an attentive editor might look at the 5-year gap between data-gathering and publication, and wonder why the paper had taken so long to write up, or indeed if the manuscript had dallied with other journals before landing on her desk; and the author’s attitude to consent for publication would have been found seriously wanting.