Revision - Psychology/sociology , core study, rosenhan
BackIndervidual differences Aim To illustrate experimentally the problems involved in particular the poor reliability of the diagnostic classification system (and its validity) the conserquenses of being diagnosed as abnormal and the effects of intitutionalistaiont. Method Participant obsevation Feil experiment Attempted to gain admission to 12 different hospitals in 5 differnt states in the USA Participants - The 12 hospitals and hospital staff Confederates Eight sane people, a graduate student, three psychologystis, a peadiatrion, a painter, a housewife (three women five male) Procedure - study one Conferderates gained accsess to a psycatric hospital complaining of hearing voices, the voices said things like 'thud' after they got admited they stopped pretending thy had any syptoms and actd perfectly sane. They took part in ward activities and spent time writing notes they had to get out by convincing the staff they were sane. Study 2 The hosptial staff where told that psdopaitants would be entering the hospital and they had to try and spot them Results - Study one All but one confederate was admited to the hospital with a diagnosis of sschizophrenia they raimaing in hospital for 7 to 52 days eventually realised with the label 'schizophrenia in remision' They were not deteched by any staff however some of the paitents become suspisios. General observaions Lack of monertering - nurses in office 90% of the time Distortion of behaviour - 'Paitain angages with writing activities' and when they qued up early for lunch becuase they were boreed they sai 'paitaint has oral acisitive syndrom' Lack of interation - 71% of psychatrists and 88% of nurses avertedtheir gaze when walking past when asked a simple question Depersonalisation and powerlessness - lack of privacy Medication - a total of 2100 tablets given to all confederates. Study 2 Doctors spotted 41 out of 193 paitants as psdopaitants when in fact they were all real paitaince. Conclusion Confirms rosenhans inital hhypothosis: it is the setting as much as the inderviduals behaviour that leads to diagnosis. we cannot distingush sanity from insanity in psycratric hospitals Strengths Good echological validity Low demand charicteristings Weaknesses Lack of control Difficult to replicate Difficult to generalise (USA only) Difficulties of recoding accurate and prompt details whist participating. Ethics Deception of hospital staff No right to withdraw No informed consent Psychological halm (as attention was drwn to inability staff to diagnose abnormality) Alternitave Self reports from real paitants would improve the EV and remove the biased opinion of the pseudopatiants.
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Uploaded: April 25th, 2008 @ 10:09 am
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