What Is Rosenhan's Perception Of Psychiatric Hospital?

In the article ‘Who’s Crazy Here, Anyway?’, Rosenhan’s reason for research was because Rosenhan doubted whether the characteristics that lead to psychological diagnoses reside in the patients themselves or in the situations and contexts in which the observers find the patients. The hypothesis generated by Rosenhan was, that the staff will recognize the sanity of the patients, question their diagnosis and follow to release them. The objective was to observe whether personal or environmental factors dictate mental health diagnosis and professional treatment. Rosenhan recruited eight subjects which consisted of three women and five men, one graduate student, three psychologists, one pediatrician, one psychiatrist, one painter, and one homemaker.

In 1973, psychologist David Rosenhan published “On Being Sane in Insane Places” which documents the results of studies he and his confederates conducted at 12 different psychiatric hospitals across the United States. The studies were an examination into the reliability of psychiatric diagnosis methods. Rosenhan’s research focused on testing the hypothesis of whether or not psychiatrists and medical staff can distinguish the sane from the insane and if the characteristics that lead to diagnoses relate more to the patient or to the environment and context in which they’re being assessed. (Rosenhan, 1973) The study was divided into two main parts. Participant observations and comparative information studies were noted as well as they gave valuable insight into the treatment of psychiatric patients, conditions in psychiatric hospitals, and the effect that diagnostic labels had on how patients were perceived by staff. Ultimately, the study discovered that psychiatrists could not reliably distinguish the sane from the insane and insight was gained into how diagnostic labels and environmental context play a strong role in the perception of behavior.

Hippocrates was the first to recognize that mental illness was due to ‘disturbed physiology’ as opposed to ‘displeasure of the gods or evidence of demonic possession’. It was not until about one thousand years later that the first place designated for the mentally ill came to be in 15th century Spain. Before the 15th century, it was largely up to individual’s families to care for them. By the 17th century, society was ‘often housing them with handicapped people, vagrants, and delinquents. Those considered insane are increasingly treated inhumanely, often chained to walls and kept in dungeons’. There are great strides for the medical treatments for the mentally

In this book written by Ken Kesey, the main character is a man named R.P. McMurphy who tricks people into thinking that he is a psychopath. To McMurphy, the asylum is a get out of jail free card, which quickly turns out to be something else entirely. However, one vital aspect of this book is the way in which it addresses and provides insight upon several contemporary issues relating to the American healthcare system, by illustrating the ways in which our modern healthcare system has improved and grown in the last five decades. This includes the following areas of healthcare: the need for a healthcare reform, the lack of healthy doctor-patient relationships, and the murky definition of mental illness.

The memoir Brain on Fire, written by author Susannah Cahalan, describes the journey she lived through with an undiagnosed disease. Susannah goes from being a New York Times journalist to being a person who couldn’t control herself and had to be strapped down to the hospital bed, in other words she was becoming psychotic. She did not choose to become the person she was in the hospital, someone who had no control over her body, someone who was lost. This got to a the point to where nurses no longer wanted to treat her and lost their patience because she was not being cooperative and was becoming more violent.The reason as to why she became this person was due to the misdiagnosing, doctors not taking time to do further test and family not thinking her symptoms were serious enough to have an actual disease. The signs were there but no one thought anything about it, as they thought she was over exaggerating. It wasn’t until she had her first seizure and the fact that she was hospitalized that her family, friends and even the doctors finally realized there was something wrong.

The men believed they were receiving medical care from the government, not participation in an experimental research study. The doctors and nurse Evers failed to explain important information such as the purpose, the risks and benefits, alternative procedures, and a statement that offered the individuals opportunity to ask questions of concern and their ability to withdraw at any time during the experiment. Comprehension and understanding of the words of the procedures were changed (spinal taps --- back shots) to make the therapies they were receiving seem less harmful, but instead more

Randle picks up a woman who in her first greeting asks the patients if they are all “crazy” and they respond by nodding their heads. This shows that these individuals have come to adopt being “crazy” as part of their identity, because of being institutionalized and given that label. Further suggestion of this idea is in the scene where Nurse Ratched reveals to Randle that many of the in-patients are at the psychiatric hospital on a voluntary basis, and only few of them are committed, showing their internalization of their identity as mentally ill patients. Another point that can be drawn from the film is the way, which Nurse Ratched conducts the group therapy sessions. The sessions did not appear as beneficial or therapeutic to the individuals participating in them. It is evident that Nurse Ratched, an individual in a position of power, manipulates the patients into confinement in the hospital through her group therapy sessions. She consistently revisits past traumas and difficulties for the patients, which reinforces the symptoms they believe they suffer from which causes them to feel unstable and unable to leave the hospital. Thus, through these examples in the film, it is suggested that individuals admitted to psychiatric hospitals have come to adopt their mental illness as a defining feature of their identity.

It seemed as if these subjects were expendable to the researchers, and they were only after the goal of making a scientific breakthrough (even though it was concluded that nothing of real scientific merit came out of the study). They did not take into account the consequences for their subjects. The researchers took away the right of the participants to choose if they wanted treatment or not because they lied about what was actually going on in the experiment. They were deceitful (saying the spinal tap was a free, special treatment) and vague (telling the subjects they were being treated for “bad blood”). After the invention of penicillin and indisputable evidence that men in the study were dying, they still chose not to administer penicillin or let their subjects receive treatment elsewhere. Even after 40 years, they continued to hold onto the idea that the damage had already been done and there wasn’t much that could be done, so why tell the patients at all. This shows that the scientist were only concerned with their own self-interests, and not at all with the interests of the

In the Article “On Being Sane In Insane Places,” Rosenhan describes an experiment were eight mentally sane individuals enter 12 different hospitals. The objective of the study was to see how

In America, one in five adults has a mental health condition, a staggering statistic. Appreciatively, recovery is the goal in the mental health centers of 2017. Nevertheless, in the 1950s, patients were provided with inhumane treatments such as lobotomies. Ken Kesey’s novel, One Flew Over the Cuckoo’s Nest, provides an accurate portrayal of a psychiatric ward in the 1950s. The antagonist, Nurse Ratched, hopes her patients will not recover and manipulates them to gain authority. In contrast with the past, Nurses of the present day treat individuals with respect. Conduct towards mentally ill patients has changed since the 1950s in ways such as public attitude, medication, and

What comes to mind when you hear the words “insane asylum”? Do such terms as lunatic, crazy, scary, or even haunted come to mind? More than likely these are the terminology that most of us would use to describe our perception of insane asylums. However, those in history that had a heart’s desire to treat the mentally ill compassionately and humanely had a different viewpoint. Insane asylums were known for their horrendous treatment of the mentally ill, but the ultimate purpose in the reformation of insane asylums in the nineteenth century was to improve the treatment for the mentally ill by providing a humane and caring environment for them to reside.

Unfortunately, asylum founders could only guess at the causes of insanity. Patient after patient was admitted into the state hospitals, but the cause of their disturbance was often a mystery. Many were inflicted with various organic diseases, like dementia, Huntington’s disease, brain tumors, and many were in the third stage of syphilis. With no treatments available, providing humane care was all that could be done. In the years following the civil war American cities boomed and the asylum began struggling to keep up. Soldiers, freed slaves, and immigrants were stranded in a strange land. The asylum became organized more like a factory or small town. There were upper and lower classman, bosses and workers, patients with nothing, and patients with privileges. Sarah Burrows, a schizophrenic and daughter of a wealthy doctor had a ten bedroom house that was built for her on the hospital grounds. Burrows home was just a stone’s throw away from the hospital’s west wing, where over sixty black women slept side by side. (Asylum: A History of the Mental Institution in America). The hospital began to rely on the free labor the patients provided. However, isolating the hospital from the community meant there was no way of knowing what was happening inside the asylum. The asylum became a world apart. In the 1870’s, Elizabeth Packard, a former patient of St. Elizabeth’s, wrote about her mistreatment and abuse

“Both the book and the movie are insightful views into societal problems such as stereotypes about the people who have mental disorders. But the film is largely out of date in terms of depicting hospital staff as manipulative or evil. From what I saw when I worked in a similar institution, mental hospitals are a calm, healing environments—as they should be” (Wind Goodfriend, 2012).

Eight sane people were admitted into twelve different hospitals, where their diagnostic experiences would be part of the data of the first part of the article, while the rest will be devoted to a description of their experiences in psychiatric institutions. The patients were all very different from each other, three were women and five were men. Among them were three psychologists, one psychology graduate, a pediatrician, a housewife, a psychiatrist, and a painter. The ones that were in the mental health field were given a different occupation in order to avoid special attentions that might be given by the staff, as a matter of courtesy or caution. No one knew about the presence of the pseudopatients and the nature of the program was not known to any of the hospital staff. The settings were different as well. The hospitals were in five different states on the West and East coasts. Some were considered old and shabby and some were

During their initial psychiatric assessment, they claimed to be hearing voices of the same sex as the patient which were often unclear, but which seemed to pronounce the words "empty", "hollow", "thud" and nothing else. These words were chosen as they vaguely suggest some sort of existential crisis and for the lack of any published literature referencing them as psychoticsymptoms. No other psychiatric symptoms were claimed. If admitted, the pseudopatients were instructed to "act normally", reporting that they felt fine and no longer heard voices. Hospital records obtained after the experiment indicate that all pseudopatients were characterized as friendly and cooperative by staff.