The lack of research on processes in psychoanalytic child psychotherapy is evident (Fonagy, Target, Cottrell, Phillips & Kurtz, 2002; Kazdin, 2004; Kennedy 2004; Midgley, Anderson, Grainger, Nesic & Urwin, 2009). This is particularly true regarding qualitative research (Carlberg, Eresund & Boalt Boëthius, 2009; Fonagy, 2003; Kennedy & Midgley, 2007; Midgley, 2004). In this chapter I will present some thoughts concerning the obstructive factors which underlie this lack of research. I also wish to present and exemplify a way of undertaking research with the aim of deepening our knowledge of change processes in individual psychodynamic child psychotherapy. What I have recognized as "focused systematic case studies" has turned out to be a fruitful approach and one which has captured the interest of psychotherapists. The latter is important as we try to link clinical work and research.