The paper introduces a \(p\)-value that summarizes the evidence against a rival causal theory that explains an observed outcome in a single case. We show how to represent the probability distribution characterizing a theorized rival hypothesis (the null) in the absence of randomization of treatment and when counting on qualitative data, for instance when conducting process tracing. As in Fisher's \autocite*{fisher1935design} original design, our \(p\)-value indicates how frequently one would find the same observations or even more favorable observations under a theory that is compatible with our observations but antagonistic to the working hypothesis. We also present an extension that allows researchers assess the sensitivity of their results to confirmation bias. Finally, we illustrate the application of our hypothesis test using the study by Snow \autocite*{Snow1855} about the cause of Cholera in Soho, a classic in Process Tracing, Epidemiology, and Microbiology. Our framework suits any type of case studies and evidence, such as data from interviews, archives, or participant observation.
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