classic study: rosenhan Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What year was the study conducted?

A

1973

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the study called?

A

Being SANE in INSANE places

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Background of the study

A

Rosenhan wanted to see whether people who posed as mentally ill would be detected as being sane.
He made sure the pseudo-patients he used had never been diagnosed with a mental illness, to see if they could be distinguished.
He also felt that there were issues with RELIABILITY and VALIDITY of the DSM II, as well as defining ‘abnormality’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What were the aims of the study?

A

Rosenhan wanted to investigate whether 8 people gaining admission to 12 different hospitals would be ‘found out’ as sane using DSM classification.
He wanted to see what the experience was like and what it feels like to be viewed as being ‘insane’.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does pseudo mean?

A

Fake, false, fraudulent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How many people did the sample consist of?

A

8 pseudo-patients = 3 women and 5 men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What were the pseudo-patients’ occupations?

A

3 psychologists, a paediatrician, psychiatrist, painter and housewife - AND ROSENHAN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who knew about Rosenhan in the hospital?

A

The hospital administrator and chief psychologist knew about Rosenhan, but nobody else did.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What happened to the patients employed in mental health?

A

They provided a different occupation to avoid being treated differently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What was the setting of the study?

A

They used a variety of hospitals to increase generalisability - 12 hospitals were used in 5 different USA states.
1 private hospital, the rest public.
Old/new, short-staffed/well-staffed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What was the procedure of the hospital admission?

A

The pseudo-patients called for an appointment and arrived at the administration office saying they were hearing voices.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What were the patients hearing voices of?

A

The voices were ‘unclear’, but they were hearing 3 words:
EMPTY
HOLLOW
THUD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

On admission the pseudo-patients gave a…

A

Different name and some personal history, including details of their own life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What happened once the pseudo-patients were admitted?

A

They stopped simulating symptoms of abnormality, behaving ‘normally’
When given medication, they did not swallow.
They responded to instructions from staff and chat to other patients.
Each pseudo-patient was told they would have to get out by convincing staff they were sane.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What were their tasks?

A

1) seek release by convincing staff they were sane
2) observe and record the experiences of the institutionalised mentally disordered patient (done covertly at first, but unnecessary)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Were the patients detected?

A

The pseudo-patients were never detected

17
Q

What were the pseudo-patients admitted with?

A

7/8 were admitted with a diagnosis of schizophrenia and one with manic depression

18
Q

What did the stay of the patients range from?

A

Stay in the hospital ranged from 7-52 days
Average stay was 19 days

19
Q

What were there no doubts of?

A

The authenticity of the patients, because there’s no records or behaviour by hospital staff doubting that.

20
Q

What happened at discharge?

A

Pseudo-patients were given a diagnosis of ‘schizophrenia in remission’

21
Q

What happened when the pseudo-patients were labelled schizophrenic?

A

The pseudo-patient was stuck with that label.

22
Q

What are some important notes?

A

The hospitals were considered good or excellent, and not to blame for the failure to recognise sanity
Visitors p/other patients felt they were sane. In the first 3 hospitals 35/118 patients on admission wards voiced suspicions.
“You’re not crazy.. you’re a journalist or professor” patients said as pseudo-patients were taking notes on the behaviour of the patients and hospital staff.
Doctors are more likely to err on the side of caution eg call healthy person sick and not sick person healthy.

23
Q

What happened in procedure 2?

A

Staff at the teaching hospital doubted the findings of the study, so Rosenhan told them that some time over the next 3 months, 1 or more pseudo-patients would attempt to be admitted.
The hospital staff were asked to rate patients presenting themselves, 1-10, to reflect the likelihood of them being pseudo-patient.

24
Q

What were the results of procedure 2?

A

Judgements were given on 193 patients admitted for psychiatric treatment
41/193 were judged with high confidence by at least 1 member of staff to be a pseudo-patient
23/193 considered to be suspect by at least 1 psychiatrist
19/193 judged to be a pseudo-patient by 1 psychiatrist and one other member of staff
NO PSEU-PATIENTS WERE SENT BY ROSENHAN