“On Being Sane in Insane Places”, by David Rosenhan, touched on topics in research within the field of abnormal psychology that should be explored. These particular subjects included both the diagnosis and the treatment of those with mental disorders, specifically he was trying to expose problems with the mental health system as a whole. However, the way his studies were conducted had flaws, especially in the essential features of research: ethics, reliability, and validity. Lacking in these features created studies that are untrustworthy sources of information and provides questionable conclusions. First, the studies performed by Rosenhan were unethical. The core principles of an ethical study are outlined in the Belmont report. These were identified as respects for persons, beneficence, and justice (Winchip, 2016). Still, some of these qualities were blatantly ignored as these studies were initiated …show more content…
It is not necessarily just the fact that society will not approve their behavior, but also the self-fulfilling prophecy. Self-fulfilling prophecy can be defined as what is said or believed might come true because people expect it to become true, this is what labeling theory suggests (Biedel et al., 2014). Simply labeling someone as schizophrenic may hinder them in their ability to attain and maintain a normal life. The stigmas and stereotypes that society places on these people reinforce these ideas, which may amplify the issue. Removing these labels is the primary idea that Rosenhan is aiming for. Simply put, he is advocating for a more dimensional approach rather than the categorical approach that was utilized during the time of his studies (Dunbar, 2016). The idea of a dimensional approach to diagnosing mental disorders is an important concept that is prevalent in the way diagnosing mental disorders present
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.
The Belmont Report identifies three core principles that are to be respected when using human subjects for research. The three ethical principles are: respect for persons, beneficence and justice. In the case of Henrietta Lacks each of these fundamental components are violated. The consent that Henrietta provided was not sufficient for the procedures that were conducted.
The disorder which is being treated is actually strengthened to the point of a serious mental illness. Similarly, in today’s society, medical and psychological advice may have the same effect. Medical technology and practice have progressed considerably since the time of the “Yellow Wallpaper.” This is not to say that today’s physicians are infallible. Perhaps some of today’s treatments are the “Yellow Wallpaper” of the future.
Madness: A History, a film by the Films Media Group, is the final installment of a five part series, Kill or Cure: A History of Medical Treatment. It presents a history of the medical science community and it’s relationship with those who suffer from mental illness. The program uses original manuscripts, photos, testimonials, and video footage from medical archives, detailing the historical progression of doctors and scientists’ understanding and treatment of mental illness. The film compares and contrasts the techniques utilized today, with the methods of the past. The film offers an often grim and disturbing recounting of the road we’ve taken from madness to illness.
In the United States, the basis for ethical protection for human research subjects in clinical research trials are outlined by the Belmont Report developed in the late 1970’s. This document, published by the Nation Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, highlights three important basic principles that are to be considered when any clinical trial will involve human research subjects. They are; respect for persons, beneficence, and justice. (Chadwick & Gunn, 2004)
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.
The human brain is a vast, unexplainable, and unpredictable organ. This is the way that many modern physicians view the mind. Imagine what physicians three hundred years ago understood about the way their patients thought. The treatment of the mentally ill in the eighteenth century was appalling. The understanding of mental illness was very small, but the animalistic treatment of patients was disgusting. William Hogarth depicts Bethlam, the largest mental illness hospital in Britain, in his 1733 painting The Madhouse1. The public’s view of mental illness was very poor and many people underestimated how mentally ill some patients were. The public and the doctors’ view on insanity was changing constantly, making it difficult to treat those who were hospitalized2. “Madhouses” became a dumping ground for people in society that could not be handled by the criminal justice system. People who refused to work, single mothers, and children who refused to follow orders were being sent to mental illness hospitals3. A lack of understanding was the main reason for the ineptness of the health system to deal with the mentally ill, but the treatment of the patients was cruel and inhumane. The British’s handling of mentally ill patients was in disarray.
We all have our own perception of psychiatric hospitals. Some people may see them as a terrifying experience, and others may see them as a way to help people who cannot keep their disorders under control. David Rosenhan's perception led him to a variety of questions. How could psychiatric hospitals know if a patient was insane or not? What is like to be a patient there? According to Rosenhans study, psychiatric hospitals have no way of truly knowing what patients are insane or not; they quickly jump to labeling and depersonalizing their patients instead of spending time with them to observe their personality.
When patients are labeled with a mental illness they start to believe they actually have that illness. In more severe cases, misdiagnosis can result in the patient’s death or simply taking their own life. According to Dr. Mercola “Diagnostic errors are just one type of error that occurs in the medical field, and you might be surprised at just how common errors occur. While the 1999 IOM report blamed 98,000 deaths a year on hospital errors, a 2013 study in the Journal of Patient Safety projected that medical errors now account for 210,000 to 440,000 US deaths annually”. To better understand the severity of misdiagnosis, imagine a close family member getting diagnosed with a mental disorder that he or she doesn’t have and from that they decide to take their own life due to unnecessary treatment that is harmful to their
1. The main thesis of the article is that deviance means going against the social norms. Social norms are also different for which person. Rosenhan says that pseudo patients are never detected as sane because each staff member has a confirmation bias. The setting of the mental hospital confirms their bias and they read each behavior from every patient and taper the behavior to fit the diagnosis.
Once upon a time, long ago in the mists of time, sprawling brick structures housed countless individuals with mental disturbances. These massive structures were known to the world as mental asylums for the insane. In reality, the majorities of these individuals were not insane, but in contrast were suffering from mild mental problems such as depression or anxiety. These people were looked down upon in society and were labeled as "freaks" or "batty" because of their mental disorder. In the early twentieth century, mental issues were considered taboo. If a family had a sibling or relative who was suffering from a mental disorder, they were swept under a rug; to be taken care of at another time. These days, these immense structures are an object of the past, a bygone era. Many asylums still stand tall as monuments to the world of health care, while many do not stand at all.
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.
Doward, J. (2013), Medicine's big new battleground: does mental illness really exist? The Observer 12 May.
In the movie, A Beautiful Mind, the script presents a clear positive mindset towards those who suffer from schizophrenia. The film demonstrates the struggles of Nash, the protagonist, as he undergoes serious battles in trying to realize his mathematical research. The movie gives us a positive snippet view of the positives that a schizophrenic can have in the society. In its script, the movie addresses a critical aspect of the society: the idea that the schizophrenics are able individuals who despite their mental illness have the capacity to do something in the society. The films focal point is Nash's abilities despite his mental illness.
Mental illness, today we are surround by a broad array of types of mental illnesses and new discoveries in this field every day. Up till the mid 1800’s there was no speak of personality disorder, in fact there was only two type of mental illness recognized. Those two illnesses as defined by Dr. Sam Vaknin (2010), “”delirium” or “manial”- were depression (melancholy), psychoses, and delusions.” It was later in 1835 when J. C. Pritchard the British Physician working at Bristol Infirmary Hospital published his work titled “Treatise on Insanity and Other Disorder of the Mind” this opened the door to the world of personality disorder. There were many story and changes to his theories and mental illness and it was then when Henry Maudsley in 1885 put theses theories to work and applied to a patient. This form of mental illness has since grown into the many different types of personality disorder that we know today. Like the evolution of the illness itself there has been a significant change in the way this illness is diagnosed and treated.