rosenhan 1973 Flashcards

1
Q

aim?

A

to see whether 8 sane people could be admitted to 12 different hospitals and then be found to be sane.

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2
Q

sample?

A

pseudo patients - 8 people mainly students, one of them being Rosenhan. (3 woman 5 men)

participants were the nurses and doctors from 12 different hospitals in America - all of which varied, there was private, public, small or big.

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3
Q

what was the first thing the pseudo patients did?

A

they rang the hospital asking for an appointment and asked to come for a fact - face interveiw.

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4
Q

what did the pseudo patients say during their face-face interview?

A

they acted normally apart from informing the clinician that they were hearing voices saying “thud, hollow or empty” - these words were chosen as they seemed to place emphasis on a persons life.

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5
Q

did the pseudo patients lie about anything other than the voices.

A

they gave fake names to protect their identity, but apart from that they told the truth and acted normally.

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6
Q

what happened after the interview?

A

all 8 were admitted into hospitals where from then on they were instructed to act normally and the only way of getting out was convincing staff they were sane.

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7
Q

what did the pseudo patients do once they were inside the hospitals?

A

they made notes, at first in private, but soon they realised that the nurses were oblivious and weren’t paying attention. - they stopped displaying any signs of abnormality however some were a little nervous.

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8
Q

how did the other patients react to their presence?

A

they were sure that they were sane, 35 out of 118 patients voiced their suspicions, such as “you’re not crazy. You’re a journalist or a professor.”

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9
Q

how long on average did the participants stay in the hospital?

A

19 days, but varied between 7-52.

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10
Q

what were they diagnosed with?

A

all but one was diagnosed with schizophrenia, the other with bipolar depression.

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11
Q

how were they discharged?

A

schizophrenia in remission.

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12
Q

were the pseudo patients ever detected?

A

no, and there was no hospital records of staff feeling suspicious of their behaviour.

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13
Q

what conclusions can be made from this study?

A

the failure to detect sanity may be because doctors are more favourable to type 2 errors, meaning they are more likely to diagnose a healthy person as sick than a sick person as healthy (type 1.) -due to it being less dangerous to do so.

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14
Q

what was the aim of Rosenhan’s second study?

A

to investigate whether the tendency towards diagnosing the sane as insane could be reversed.

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15
Q

what caused Rosenhan to try this second study?

A

another hospital heard the findings of the first study and did not believe it to be true. Rosenhan told them that 1 or more pseudo patients would be coming to the hospital in the next 3 months.

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16
Q

how many people tried to gain admission over the 3 months?

A

193 (none of which were pseudo patients) rosenhan didn’t send anyone.

17
Q

what were the staff asked to do in the second study?

A

rate each patient on a scale of 1-10 on how certain they were that they were fake. 1 being 100% certainty.

18
Q

what were the results of the 2nd study?

A

out of 139 patients 41 were judged as fake by at least a 1 staff member and 23 were suspected.

19
Q

what can we conclude from the second study?

A

the results demonstrate the problems with reliability and validity of diagnosis.