Evaluation of Rosenhan

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  • Rosenhan evaluation points
    • high ecological validity
      • conducted in a real psychiatric hospital
      • real psychiatrists making real diagnosis
    • reliability
      • illustrated reliability
        • all pseduo patients claimed to hear the same three words
          • empty, hollow and thud
      • low reliability
        • no control or standardisation of how the different psychiatrists conducted their consultations
      • all pseudo patients were  misdiagnosed as being mentally ill
    • ethics
      • hospital staff were deceived
        • thought the pseudo patients were real patients and lied to initially about hearing voices
        • in second study other hospitals were deceived into thinking pseudo patients would be sent to them
      • harm
        • when the staff realised their professional judgments were wrong
    • qualitative
      • pseudo patients kept notes in a diary of their experiences whilst hospitalised which were later analysed
    • quantitative
      • the duration of the pseudo patients stayed in the hospital varied from 7-52 days, with an average stay of 19
    • validity
      • Rosenhan's study questions the ability of diagnostic systems such as the DSM
        • suggests that they lack validity
      • only one symptom of serious psychiatric condition was involved
        • lower validity as diagnostic  systems may do better with other/more symptoms

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