Who 's Crazy Here, Anyway?

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.

Diagnosing an individual with a mental illness balances on a fine line between giving a life-long label and misdiagnosing. Mental illness is best viewed on a continuum allowing for a varying degree of severity. In the field, mental health professionals are faced with determining what signifies the appropriateness of diagnosing a mental illness. A professional’s judgment is impacted by their personal perceptions and observations, societies views and norms, and the patient’s history. The film, “How Mad Are You? A Search for Insanity” demonstrates the difficulties in distinguishing those who are mentally ill from those seen as healthy ( ). I will explore my reactions and thoughts regarding the participants’ experience as well as the mental health professionals. Additionally, I will share how this information is applicable to my future career in the field of social work.

Nearly a century later in 1975, American psychologist David Rosenhan published a paper called "On Being Sane in Insane Places" detailing the experiment that he conducted on psychiatric institutions themselves. The first part of his experiment involved sending pseudopatients (a group of eight totally mentally sound associates, including David himself) to knock on institution doors and falsely report that they 'd been hearing voices. Once admitted, the fake patients abandoned their fake symptoms and behaved as they normally did, waiting for administrators to recognize them as mentally healthy.

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.

Mental illness becomes a bigger issue with a long lasting cultural stereotyped due to the manner in which it has long been labelled (Miles, 1988). Although mental illness is very much connected to instabilities in one’s mental health state, as previously mentioned, a person can be mentally healthy but still suffer from a mental illness. What is understood by mental illness is that it

* The imprecision of the diagnosis of schizophrenia, for example, is illustrated by a study done by thirteen psychology researchers where they all presented themselves at the doors of various mental hospitals telling them they heard voices, with the outcome of each being discharged with a diagnosis of schizophrenic on remission.

In the film, the mental health professionals acknowledged this irony, however they misdiagnosed three of the five participants with a mental illness. I valued the mental health professional’s credentials and felt their status would lead to a high percentage of proper diagnoses. The result of the professionals mislabeling two of the ten participants with a history of mental illness, made me aware that a certain amount of experience, education, or status does not prevent

Data can be collected on multiple ways, from the point of medical care and patient satisfaction. The scenario points to pressure ulcers and the use of restraints, in both situations I believe that there was a fundamental lack of knowledge by the staff and disconnect by management.

- 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.

Auditory hallucination is a fundamental presentation observed in patients suffering from schizophrenia. It is one of the frequently occurring symptoms considered to be disabling in schizophrenia, but despite vast and numerous organized studies undertaken in this area in order to comprehend the pathophysiology of auditory hallucination, little success has been realized, and it remains to be complex in research, understanding, and expressing the knowledge accrued (Kaprinis, 2008.) The auditory processing in schizophrenia seems to be different from that of normal individuals because patients inflicted with this mental illness complain of voices deep inside their heads. The voices are described as coming

Ethically there was concern, that the level of deception involved, could have caused detriment to future patients, since the embarrassment from the initial study had a direct affect on the judgements of genuine patients. The reliability of these results may be questioned, as the participant numbers were relatively small; however they were valid as the results showed a strong correlation from each of the hospitals investigated. Rosenhan’s studies have been a catalyst towards further research into schizophrenia, especially since they were ecologically valid.

The Rosenhan experiment was an experiment into the validity of psychiatric diagnosis, conducted by David Rosenhan in 1973. The study is considered an important and influential criticism of psychiatric diagnosis.

Schizophrenia is an incredible example of mental muddle which is exemplified by crumbling of thought processes and emotional receptiveness. It can be straightforwardly acknowledged by auditory hallucinations, paranoid or bizarre illusions, dislocated speech or thinking aptitude pursued by social or occupational dysfunction. The warning signs initiate untimely in the adulthood. The disease is recognized to affect about 1% of the human population with about 2 million patients from the United States unaided.

Today, mental illness has been the scapegoat for most crimes today. From mass shootings to bombings, most people have blamed mental illness for the cause of these crimes. Moreover, even some defense attorneys have even had cases in which they claimed their client had a mental illness in order to receive a lesser sentence. However, in order to truly understand mental illness, we must first look at the history of people studying the brain. The history of the study of the brain, psychology, dates back to ancient Greece. By using the scientific reasoning, Hippocrates speculated that human temperament can vary by a person's physical qualities, such as yellow bile or too much blood (Smith). Many philosophers during this time period might have only

Lastly, the assumption that mentally ill people are distinctly different from mentally well people can lead to labelling and prejudice against those defined as abnormal under the biological model. It also has practical implications such as institutionalisation