Rosenhan - sane in insane places 1973

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  • Rosenhan - sane in insane places 1973
    • Aim
      • To see whether the sane can be distinguished from the insane
    • Sample
      • 8 pseudo patients
        • 5 men
        • 3 women
      • Gave false names and jobs
    • Procedure 1
      • 12 hospitals
        • 5 different states USA
      • Pseudo patient rang and asked for appointment
        • Said they were hearing voices
          • Unfamiliar
          • Same sex
          • 'Hollow', 'empty', 'thud'
      • Admitted onto psychiatric ward
        • Stopped stimulating symptoms
        • Behaved normally
          • Had to convince staff they could be discharged
      • Ward activities
    • Results 1
      • 0 pseudo patients detected
      • All disliked experience
      • 7/8 admitted with diagnosis of schizophrenia and discharged with diagnosis of schizophrenia in remission
      • Stayed from 7 - 52 days
        • Average = 19 days
      • Other patients suspected sanity
      • Normal behaviours seen as part of illness
      • Overlap in behaviours of sane and insane
      • Hospitalisation causes depersonalisation and powerlessness
      • 2100 tablets given
        • only 2 swallowed
        • rest put in pocket or flushed down toilet
      • Nurses in ward offices 90% of time
      • On average, spent 7 minutes a day with psychiatrist
    • Procedure 2
      • Staff in teaching hospital who were aware of first procedure
      • Falsely informed that in next 3 months, 1 or more pseudo patient will attempt to be admitted
      • Rate on 10 point scale likelihood of patients being fake
    • Results 2
      • Many patients judged to be fake
      • 10% of regular intake thought to be pseudo patients
    • Conclusion
      • Cannot reliably tell difference in sane and insane
      • Failure to detect sanity (1) and insanity (2)
      • Psychiatric labels stick
    • Strengths
      • Participant observation
        • experience setting
      • Confidential
      • Ecologically valid
      • Controlled behaviours
      • Generalisable
    • Weaknesses
      • Deceived staff (2)
      • Used DSM II - now on DSM V - more reliable
      • More likely to make type 1 error

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