Rosenhan - sane in insane places 1973
- Created by: sadlergeorgia
- Created on: 24-03-15 19:43
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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
- 8 pseudo patients
- 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'
- Said they were hearing voices
- Admitted onto psychiatric ward
- Stopped stimulating symptoms
- Behaved normally
- Had to convince staff they could be discharged
- Ward activities
- 12 hospitals
- 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
- Participant observation
- Weaknesses
- Deceived staff (2)
- Used DSM II - now on DSM V - more reliable
- More likely to make type 1 error
- Aim
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