On being sane in insane places

  title={On being sane in insane places},
  author={David L. Rosenhan},
  journal={Clinical Social Work Journal},
  • D. Rosenhan
  • Published 19 January 1973
  • Psychology
  • Clinical Social Work Journal
It is clear that we cannot distinguish the sane from the insane in psychiatric hospitals. The hospital itself imposes a special environment in which the meanings of behavior can easily be misunderstood. The consequences to patients hospitalized in such an environment—the powerlessness, depersonalization, segregation, mortification, and self-labeling—seem undoubtedly countertherapeutic. I do not, even now, understand this problem well enough to perceive solutions. But two matters seem to have… 

On being sane in insane places: A supplemental report

Rosenhan (1973) reported controversial data for eight pseudopatients who deliberately feigned symptoms of psychosis and were admitted to a total of 12 psychiatric institutions, concluded that "sanity" and "insanity" cannot be distinguished within the context of the psychiatric hospital, and argued that psychiatric labeling is in itself a pernicious process and should be avoided.

"On being sane in insane places": a comment from England.

  • S. Crown
  • Psychology, Medicine
    Journal of abnormal psychology
  • 1975
Three aspects of Rosenhan's diagnostic challenge are commented on. First, psychiatric diagnosis, particularly of schizophrenia , is culture bound rather than absolute and depends on the interaction

On Being Insane in Medico-Legal Places: The Importance of Taking a Complete History in Forensic Mental Health Assessment

Rosenhan's experiment (1973) showed that it is not difficult to simulate symptoms of psychiatric illness. A Parliamentary Committee in New South Wales and research from overseas have shown that, in

On treating the insane in sane places.

The results of a longitudinal research study designed to assess the viability of the private home as an alternative to hospitalization are presented, particularly as they bear on the negative effects of hospitalization as described by Rosenhan.

Seclusion In Psychiatry : Nurses ’ and Patients ’ Point of View

While expert therapeutic interventions were described by clinicians, they are contextualized within a framework of power and control a framework that stands in stark contrast to contemporary philosophies of nursing care, providing impetus for a reconsideration of the use of constraining practices in the care of mentally ill people.

Boundaries of Psychiatry

  • R. Mulder
  • Psychology, Medicine
    Perspectives in biology and medicine
  • 1992
Since the First World War much psychiatric practice has shifted from madness to other forms of behavioral disturbance and personal distress, and it is this relatively new social vocation of psychiatry that will be focussed on.

Caretakers and the rights of the insane : an historical sociology.

This research suggests that 'caretakers' might be a more suitable title for such workers with the insane, and shows that both those who cared for the insane and the insane themselves have been subjected to changes brought about by mental health legislation since 1890.

Once the Wheels Are in Motion: Involuntary Hospitalization and Forced Medicating

  • B. Seitler
  • Psychology, Political Science
    Ethical Human Psychology and Psychiatry
  • 2008
In the wake of the recent killings at Virginia Tech, this article expresses a fear that laymen and professionals alike may overly react toward someone who seems somehow odd or different by regarding

Are conflicts of interests endemic to psychiatric consultation?




The Mental Patient Comes Home

The authors found that, contrary to their expectation, the place of role theory in explaining deviant posthospital behavior was disappointing, and a correlation between successful community tenure and levels of social and work performance was disappointing.

Symptoms in relation to psychiatric diagnosis and treatment.

This investigation was to determine whether, within the broad groups of psychoneurotic, depressive, and schizophrenic patients, those showing a good therapeutic response and those show a poor one differed to a statistically significant degree in their psychiatric symptomatology prior to treatment.

Rejection: A Possible Consequence of Seeking Help for Mental Disorders

The findings indicate that individuals described as exhibiting identical behavior are increasingly rejected as they are described as utilizing no help, utilizing a clergyman, a physician, a psychiatrist, or a mental hospital.

Social Class and Mental Illness: A Community Study.

The ten-year collaborative research directed by Hollingshead and Redlich has already produced some twenty-five papers; and the general drift of their work is very well known, but in "Social Class and Mental Illness" most of the major data are given for the first time in detail.

The reliability of psychiatric diagnosis.

No observation can be incorporated satisfactorily in a body of knowledge unless its reliability, however defined, is also known. In psychiatry, the concept of reliability has in great measure been

Classification of the behavior disorders.

  • J. Zubin
  • Medicine
    Annual review of psychology
  • 1967
An essential step for clarifying a field that is as confused as the clas­ sification of behavior disorders is to provide some specific definitions for the terms to be used and to define the goals, the universe of discourse, and the subcategories according to which classification is made.

Methods of Madness: The Mental Hospital as a Last Resort.

This methods of madness the mental hospital as a last resort by braginsky, it will really give you the good idea to be successful.

Being mentally ill : a sociological theory

Part 1 Introduction: labelling theory and biopsychiatry -reviewing the record individual and social systems in deviance, and research: decisions in medicine two studies of the societal reaction negotiating reality.

Societal reaction as an explanation of mental illness: an evaluation.

  • W. Gove
  • Psychology
    American sociological review
  • 1970
The adolescent in his group in its setting and an event-structure approach to social power and to the problem of power comparability are studied.

Reactions to Deviance: A Critical Assessment

  • E. Schur
  • Sociology, Law
    American Journal of Sociology
  • 1969
A critical analysis is presented of that recent body of work which focuses attention on social reactions as key determinants of deviant behavior and deviance situations, and its strong grounding in traditional sociological perspectives suggests that it has great promise in advancing theoretical integration in the area of deviance analysis.