Rosenhan Faking Insane

Institutional care was condemned, as in many cases patients’ mental conditions deteriorated, and institutions were not able to treat the individual in a holistic manner. In many state institutions, patients numerously outnumbered the poorly trained staff. Many patients were boarded in these facilities for extensive periods of time without receiving any services. By 1963, the average stay for an individual with a diagnosis of schizophrenia was eleven years. As the media and newspapers publicized the inhumane conditions that existed in many psychiatric hospitals, awareness grew and there was much public pressure to create improved treatment options (Young Minds Advocacy, 2016). .

Rosenhans study ‘On Being Sane in Insane Places’ tests the hypothesis that ‘We cannot distinguish the sane from the insane in psychiatric hospitals’. (Rosenhan, 1973) This study is an influential criticism in testing the validity of psychiatric diagnoses, contextual factors in reaching these diagnoses, and what happens after a patient has been diagnostically labelled as ’psychologically abnormal’. The aim of Rosenhans study was to prove a positive hypothesis. During the study 8 participants of various

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.

After this episode a professor convinced her to go to the hospital and reluctantly she complied. This hospital did not take kindly to her psychosis and restrained her numerous times with straps. She had never been treated this way before and was confused and frightened. She later said for a hospital for the mentally ill it had been a brutal experience (157). She then was moved to a different hospital, memorial Unit 10 (MU10) where she was first diagnosed with “Schizophrenia with acute exacerbation” (167). Though she had finally gotten a diagnosis for her broken brain it seemed more like a death sentence than a diagnosis. She continued on with life in depression, psychosis, and denial.

The short documentary Crooked Beauty, directed by Ken Paul Rosenthal, narrates Jacks Ashley McNamara’s experience in a psychiatric ward and how her time in the facility shapes her new appreciation for her mental illness. One controversial issue has been trying to identify the true cause of mental illness. On the one hand, most people may think mental illness is simply a biological disorder that can be cured with a combination of medication and doctors demanding appropriate behavior until it sticks in the patient’s mind. On the other, McNamara contends that mental illness is a misconception with a patient’s oversensitivity, where it is harder for the patient to ignore certain events than “normal” people, and their doctor’s textbook knowledge. In McNamara’s mental institution, the psychiatrists simply trap her in a padded room and prescribe many different pills to suppress her mental illness instead of embracing her differences or showing her how to use those differences to her advantage. In attempt to prevent those who are mentally ill from feeling the same anger and frustration she felt, she demands a change in the line psychiatric treatment when she says:

The dangerous and suicidal patients were tied together with ropes to help isolate them from the rest (ch. 14). The nurses were very obnoxious and abusive. For example, they would tell the patients to shut up and that they would beat them if they talked (Bly, ch. 12). Throughout Bly’s experience she talked with other patients, which convinced her that some were as sane as she was. Ultimately, society could not determine who was actually insane or sane due to their lack of knowledge on mental illnesses.

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 original question of the study was: ‘If sanity and insanity exist, how shall we know them?’ but Rosenhan narrowed it down in order to make it easier to answer and less of a philosophical debate. ‘Do the salient characteristics that lead to diagnoses reside in the patients themselves or in the environments and contexts in which observers find them?’ The question was narrowed down to patients, referring to those declared unwell in mind by medical institutions, and wonders whether diagnoses are made based on the patients themselves or preconceived societal notions and the unique living situation within the hospital.

In her first journal entry Kaysen tells how the decision for her to go to McLean Hospital was based on a twenty minute conversation with a psychiatrist. Kaysen had been picking at her acne and been acting out in ways which would not be considered unusual for teens today, but at the time it was a sufficient excuse for commitment to an institution. In an interview, Kaysen further develops the idea that her illness was influenced by outside factors saying, “ [Her] retrospective account of her confinement at McLean Hospital makes a cultural intervention that challenges the notion that mental illness is rooted solely in the individual.” (Kaysan, 18). Being surrounded by girls with serious illnesses forced Kaysen to assume the role of a girl with a real mental illness. Society forced her to find something wrong with herself in an attempt to fit in. Kaysen questions what mental illness truly is. She asks,“Was everybody seeing this stuff and acting as though they weren't? Was insanity just a matter of dropping the act?” (Kaysen 41). Because Kaysen was labeled as being mentally ill although she was not, it became hard for her to tell what truly pronounced someone as mentally ill. Was everyone slightly crazy or were just some better at hiding it then others? Living in such an uptight society, people had no choice but to put on an act of perfection. When someone began to “drop 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

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).

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.

was truly crazy or not. Although, there are many deliberate acts of fabricated insanity repeated