David L. Rosenhan, an American psychologist, conducted a set of two observations in which he took part in and included psychiatric institutions across America in 1973. This essay will discuss the purpose of Rosenhan’s study, theoretical principles, methodology, results, implications of the two experiments, applications of the study in real life, and critical analyses.
Rosenhan’s aims were: to determine the repercussions of misdiagnoses of mental disorders on patients, the problems with labelling, if the psychiatric hospital staff can differentiate between the ‘sane’ and ‘insane’, and whether the mentally ill patients’ traits are linked to the circumstances the patients are found in or if they have to do with the patients themselves.
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Fred M. Hunter (1973) argued in a letter he wrote that usage of the word “normal” in Rosenhan’s study was problematic because the pseudo-patients were not acting normally when they were admitted in the wards. Anthony Clare (1976) asserted that Rosenhan was “theorizing in the absence of sufficient data.” Seymour S. Kety (1974-1975) demonstrated that a professional’s duty is to solely diagnose; “the professional’s job is to diagnose, they do not expect an ‘actor’ as such to test them.” In Kety’s opinion, “On Being Sane in Insane Places” cannot be seen damaging to mental health professionals’ image, but rather cruel and the effects of labelling and expectations will always be unavoidable. Robert Spitzer described Rosenhan’s study as a “pseudo-science presented as science.” He said that psychiatrists and other mental health experts are not instructed to spot ‘malingerers’—unfair study. Spitzer says that this study is a “logic in remission” and that it has no place in the scientific world. Lilienfeld et al. (1994) claim it is a myth that “psychiatric labels cause harm by stigmatising …show more content…
The study was deceptive towards the mental health professionals as it breached several ethical guidelines. Rosenhan’s participants were put in very uncomfortable situations; the pseudo-patients faced a number of implications due to the way experiment 1 was conducted. These implications were: there was little to no personal privacy for them, patients’ history was available to all staff members in the institutions, they were deprived of legal rights, they felt a sense of powerlessness and depersonalization, patients were not able to contact the staff, and their freedom of movement was compromised. For instance, the staff abused (other) patients both verbally and physically. Patients even refused to take medication; the pseudo-patients noticed that when they went to the toilets to flush down their pills, the genuine patients did the same exact thing as
During the 1960’s, America’s solution to the growing population of mentally ill citizens was to relocate these individuals into mental state institutions. While the thought of isolating mentally ill patients from the rest of society in order to focus on their treatment and rehabilitation sounded like a smart idea, the outcome only left patients more traumatized. These mental hospitals and state institutions were largely filled with corrupt, unknowledgeable, and abusive staff members in an unregulated environment. The story of Lucy Winer, a woman who personally endured these horrors during her time at Long Island’s Kings Park State Hospital, explores the terrific legacy of the mental state hospital system. Ultimately, Lucy’s documentary, Kings
Those who were affected by the testing in hospitals, prisons, and mental health institutions were the patients/inmates as well as their families, Henrietta Lacks, the doctors performing the research and procedures, the actual institutions in which research was being held, and the human/health sciences field as a whole. Many ethical principles can be applied to these dilemmas: Reliance on Scientific Knowledge (1.01), Boundaries of Competence (1.02), Integrity (1.04), Professional and Scientific Relationships (1.05), Exploitative Relationships (1.07, a), Responsibility (2.02), Rights and Prerogatives of Clients (2.05), Maintaining Confidentiality (2.06), Maintaining Records (2.07), Disclosures (2.08), Treatment/Intervention Efficacy (2.09), Involving Clients in Planning and Consent (4.02), Promoting an Ethical Culture (7.01), Ethical Violations by Others and Risk of Harm (7.02), Avoiding False or Deceptive Statements (8.01), Conforming with Laws and Regulations (9.01), Characteristics of Responsible Research (9.02), Informed Consent (9.03), and Using Confidential Information for Didactic or Instructive Purposes (9.04), and Debriefing (9.05). These particular dilemmas were not really handled until much later when laws were passed that regulated the way human subjects could be used for research. Patients
In the book “The Mad Among Us-A History of the Care of American’s Mentally Ill,” the author Gerald Grob, tells a very detailed accounting of how our mental health system in the United States has struggled to understand and treat the mentally ill population. It covers the many different approaches that leaders in the field of mental health at the time used but reading it was like trying to read a food label. It is regurgitated in a manner that while all of the facts are there, it lacks any sense humanity. While this may be more of a comment on the author or the style of the author, it also is telling of the method in which much of the policy and practice has come to be. It is hard to put together without some sense of a story to support the action.
As medical advances are being made, it makes the treating of diseases easier and easier. Mental hospitals have changed the way the treat a patient’s illness considerably compared to the hospital described in One Flew Over the Cuckoo’s Nest.
Forcing someone to take medication or be hospitalized against their will seems contrary to an individual’s right to refuse medical treatment, however, the issue becomes complicated when it involves individuals suffering from a mental illness. What should be done when a person has lost their grasp on reality, or if they are at a risk of harming themselves or others? Would that justify denying individuals the right to refuse treatment and issuing involuntary treatment? Numerous books and articles have been written which debates this issue and presents the recommendations of assorted experts.
As science has evolved, so have treatments for mental illnesses have over time. The medical model is described as the view that psychological disorders are medical diseases with a biological origin (King, 2010, pg. 413). Abnormal behavior that categorizes some disorders can be impacted by biological factors such as genes, psychological factors such as childhood experiences, and even sociocultural factors such as gender and race (King, 2010). Treatments such as psychosurgery (lobotomy) , drug therapy (pharmaceuticals), electroconclusive therapy, and psychoanalysis are used to treat a wide range of psychological disorders. Back then, the public’s negative views on mental illnesses also went as far to associate with the people who treated it; psychiatrists. “Nunnally (1961) found that the public evaluated professionals who treated mental disorders significantly more negatively than those who treat physical disorders,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). People back then didn’t see the point in “paying to be told that they were crazy”. However, in today’s society, it is now acceptable to seek help from psychiatric professionals; we are seeing more and more people seek mental health treatment. “In terms of facility-based records of utilization (Manderscheid and Henderson 1998), the data suggest that the rate of utilization of professional mental health services has at least doubled and maybe tripled, between the 1950’s and today,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). In the 1950’s, neuroleptic drugs like Thorazine were introduced to treat the symptoms of schizophrenia. These drugs block a neurotransmitter called dopamine from getting to the brain, which in turn reduce schizophrenic symptoms, however there are some side effects such as substantial twitching of the neck, arms, and legs, and even dysphoria or lack of pleasure. (King, 2010, pg.
Mental illness has been around as long as people have been. However, the movement really started in the 19th century during industrialization. The Western countries saw an immense increase in the number and size of insane asylums, during what was known as “the great confinement” or the “asylum era” (Torrey, Stieber, Ezekiel, Wolfe, Sharfstein, Noble, Flynn Criminalizing the Seriously Mentally Ill). Laws were starting to be made to pressure authorities to face the people who were deemed insane by family members and hospital administrators. Because of the overpopulation in the institutions, treatment became more impersonal and had a complex mix of mental and social-economic problems. During this time the term “psychiatry” was identified as the medical specialty for the people who had the job as asylum superintendents. These superintendents assumed managerial roles in asylums for people who were considered “alienated” from society; people with less serious conditions wer...
The Modified Labelling Theory, created by Link et al., (1989) hypothesized that individuals who were labeled as mentally ill, would manage the stigma they faced through three coping mechanisms; education, withdrawal and secrecy (as cited in Ray & Brooks Dollar, 2014). The Modified Labelling Theory is a credible theory that has been used to approach not only the repercussions of stigma in mental illness, but also to explain behaviours of those who smoke, live with HIV/AIDS, or have a child with a disability (Ray & Brooks Dollar,
Star,S.A.(1955). The public’s ideas about mental illness. Paper presented at the annual meeting of the National Association for Mental Health.
Moreover, the labeling perspective on mental illness... was first formulated decades ago, when mental hospitals were the predominant type of care for persons with mental health problems… Patients were described as undergoing a moral career, which involved the loss of all previous roles because of the way mental health care was structured, and which finally lead to a so-called spoiled identity, the result being that reintegration in society was very difficult, if not impossible (Verhaeghe et al.
How is that even possible? The dictionary definition of the word insanity is the state of being seriously, mentally ill (“Definition of the Word Insanity”). Insanity is also classified as a medical diagnosis. Insanity came from the Latin word insanitatem (“History of the Word Insanity”). People started using this word in the 1580’s. The Latins interpreted insanity as unhealthy Modern day society uses the word insanity too loosely. Although the dictionary definition of insanity is not wrong, several cases that prove having “insanity” does not always mean “being seriously mentally ill” has came to surface.
Doward, J. (2013), Medicine's big new battleground: does mental illness really exist? The Observer 12 May.
History shows that signs of mental illness and abnormal behavior have been documented as far back as the early Greeks however, it was not viewed the same as it is today. The mentally ill were previously referred to as mad, insane, lunatics, or maniacs. W.B. Maher and B.A. Maher (1985) note how many of the terms use had roots in old English words that meant emotionally deranged, hurt, unhealthy, or diseased. Although early explanations were not accurate, the characteristics of the mentally ill have remained the same and these characteristics are used to diagnose disorders to date. Cultural norms have always been used to assess and define abnormal behavior. Currently, we have a decent understanding of the correlates and influences of mental illness. Although we do not have complete knowledge, psychopathologists have better resources, technology, and overall research skills than those in ancient times.
Mental illnesses were acted upon with neglect, restraint, and punishment, but doctors began to realize how unhelpful many of those things are. Medicine was not to be used as a primary control, while kindness combined with firmness, fresh air, healthy occupation, good food, well-ventilated dwellings, and attention to general health, became a paramount importance (Ernst 542). It was a huge turn for psychology and treatment when actual humane care began to give actual help to the mentally ill in contrast from evil care. Treatment was beginning to take course into a better environment within mental hospitals, as well as gender roles began to take a toll of equality in these
Koocher, G.P., & Keith-Spiegel, P. (2008). Ethics in psychology and the mental health professions. New York, NY: Oxford University Press.