Textbook fail: Rosenhan’s classic “On Being Sane In Insane Places” covered without criticism

Back in the 1970s, eight mentally well people, including psychologist David Rosenhan, presented themselves at psychiatric hospitals, where they showed signs of mild anxiety and complained of auditory hallucinations, specifically words like “empty” and “hollow”. All were admitted and either diagnosed with schizophrenia or, in one case, manic depression, and, despite acting “normal” after arrival, they were kept in hospital for an average of 19 days. On discharge all were described as having schizophrenia (or depression) “in remission”.

This was Rosenhan’s classic study “On Being Sane in Insane Places” which he claimed showed the stigmatising power of psychiatric labels and the inability of psychiatric staff to distinguish normality from supposed abnormality, as have many others since.

But from a methodological perspective, the study was problematic for a number of reasons and Rosenhan’s interpretation has been hotly disputed. In their highly regarded book on psychology myths, Scott Lilienfeld and his co-authors discuss the problem with Rosenhan’s study at length, such as the fact that in the 70s “in remission” was a very rare discharge diagnosis that actually showed psychiatric staff had realised the “pseudo patients” were mentally well.

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This is really interesting. Thanks for sharing! I remember learning about this in school, but we didn’t go in depth.

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