This paper is on the topic of "evaluation and clinical evidence" and its relevance to the Italian context of mental health services. The subject is discussed based on the method of "clinical case construction," which is being developed at the School of Specialization in Psychiatry of the University of Milan. The practice of presenting and discussing cases is a way of evaluating the quality of these services. It is also proof that an evaluation tool can be developed which includes the singularity of the symptom as the axis of clinical work.
Psychoanalysis; evaluation; clinical case; mental health