Classic Study: Rosenham (1973) Flashcards

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1
Q

What was rosenhams aim

A

Test reliability of mental health diagnosis to see if profetionals can tell the sane from insane.

Wanted to investigate the effect of labeling on medical diagnosis

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2
Q

What was the IV and DV

A

No iv or dv as it was an observation

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3
Q

What was the sample in this study

A

12 psychiatric hospitals in the US
5 different states

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4
Q

What was the procedure

A

8 pseudopatients went to clinical interviews and reported symptoms

  • The hospitals head were informed of pseudopatients but staff didn’t know
  • As soon as pseudopatients were admitted they started acting normally and asked to be discharged
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5
Q

How many psuedo patients were men and female

A

3 - female
5 - men

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6
Q

What were some of the words pseudopatients reported hearing

A
  • Empty
  • Hollow
  • Thud
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7
Q

What were some things pseudopatients took record of

A
  • how many patients voiced suspition on pseudopatients
  • how staff treated them
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8
Q

Results: What were all the patients diagnosed with

A

11 hospitals diagnosed the pseudopatients with schizophrenia and the private hospital diagnosed pseudopatients with manic-depression.

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9
Q

Results: how long did it take for psuedopatients to be released and what was the avarage stay

A

7-52 days
Avarage of 19 days

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10
Q

Results: What was the % of patients that voiced concerns of the psuedopatients

A

30%

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11
Q

Results: What were some of the observations that psuedopatients witnessed

A
  1. Staff abusing patients
  2. Patients refusing medication
  3. Depersonalisation and powerlessness
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12
Q

Example of staff abusing patients

A

Observed other patients being verbally or physically abused by staff. Staff shouting “Come on you motherfuckers, out of bed!”

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13
Q

Example of patients refusing medication

A

Patients would often copy psuedopatients in disposing pills down the toilet

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14
Q

What did Rosenham conclude

A

That we cannot distinguish the sane from insane in psychiatric hospital.

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15
Q

What did he say about what the hospital environment leads to

A

situational factors which lead to depersonalisation and segregation, led to people being seen as insane.

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16
Q

EVALUATION

A

EVALUATION

17
Q

What is a weakness of the generalisabiity of this study

A

Cannot be generalised to todays psychiatric diagnosis.

18
Q

Why cant it be generalised into todays psychiatric diagnosis

A

because the results are time locked, due to the advancements of mental health since the 70s.

19
Q

Give an example that shows why it can’t be generalised to todays diagnosis

A

In the study, DSM-II was used, in todays time the DSM-V would be used

20
Q

What is a weakness of the reliability of the study

A

Not all pseudopatients followed Rosenhams instructions.

21
Q

Give some examples of the pseudopatients not following orders

A
  • a graduate participant asked his wife to bring in his homework, revealing his identity.
  • 1 pseudopatient had a romantic relatioship with a nurse
  • 9th pseudopatients results were not included because he did not follow procedure at all.
22
Q

What did this mean for the results

A

They weren’t as optimal as they could have been

23
Q

What is a strength of the external validity

A

Hospitals did not know they were being observed by pseudopatients. Meaning they were treated the same way. Also it was a real environment where regular patients would be in.

24
Q

What is a strength of the application

A

It had a huge impact on health care

25
Q

What are some examples of how health care improved as a result of rosenhams study

A

Led to a reform of the DSM system and caused psychiatric hospitals to review admission procedures and how they trained staff.

26
Q

How did the DSM system change as a result

A

went from DSM-II to DSM-III, now defining mental illness much more carefully with clearer guidlines when diagnosing.

27
Q

What were some ethical issues of the study

A

Contributed to a crisis in public confidence of the American mental health system.

28
Q

What could this crisis result into

A

As a result is could lead to people who do need help not trusting the system, and therefore not seeking professional help