title: Emergence and preservation of a chronically sick building.
abstract: OBJECTIVE
  To investigate the merits of case studies as complementary methodological approaches in the study of the sick building syndrome.
  
  
  METHODS
  A Swedish office building with longstanding health problems, and its inhabitants.
  
  
  METHODS
  This paper is a case study based both on historical and present, quantitative as well as qualitative, documentary material, produced over the years by distinct parties, and on semi-structured interviews.
  
  
  RESULTS
  Long drawn conflictive processes within the building were identified. It was revealed that the organisation for dealing with environmental problems was split, and ineffective with poor patterns of communication. It was suggested that this generated a situation of chronic stress leading to the persistence of symptoms.
  
  
  CONCLUSIONS
  By their capacity to identify internal processes within building contexts, case study methodology can contribute to a better understanding and management of sick building syndrome. The results of this study suggest that psychosocial factors, among them organisational structures and communication patterns, should be given close attention.
authors.affiliation: Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Stockholm, Sweden and Yrkesmedicinska Enheten, Bodens Sjukhus, Boden, Sweden. ake.thorn@nll.se
authors.forename: A
authors.initials: A
authors.lastname: Thörn
mesh_terms: D000328:Adult; D016902:Air Pollution, Indoor / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000209:etiology* / Q000517:prevention & control; D018877:Sick Building Syndrome / Q000175:diagnosis / Q000209:etiology*; D013548:Sweden; D014691:Ventilation; D017132:Workplace / Q000523:psychology / Q000592:standards