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Mental health assessment Relfection
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“On Being Sane In Insane Places” by David L. Rosenhan examines different experiments on whether or not someone can be mistreated due to the fact that they are labeled sane or insane. There is normality and abnormality, but is there really sane and insane? According to Rosenhan, he conducted an experiment with a few others who pretended to have schizophrenia. They were admitted to a mental hospital, and were asked to do various tasks to keep an eye on them. One of these tasks was writing inside a notebook to keep track of what they were thinking, and what went on inside their head. To “normal” people, writing in a notebook can be a habit of boredom or creativity. However, since Rosenhan was thought to have schizophrenia, his writings were …show more content…
The way the pseudo patients put themselves through weeks of constant medical examination was something I found to be rather shocking. There is no way I’d ever check myself into a mental institution willingly, especially after reading this article. I really enjoyed how dedicated Dr. Rosenhan and his team were, mainly because it seemed so necessary at the time this experiment had taken place. One thing I didn’t enjoy, however, was the fact that they had to actually pretend to have these symptoms, when there were real patients within the hospital who actually suffer from the real thing. I could only imagine the anger they had towards the researchers, because it would almost seem as if they were mocking them. If Dr. Rosenhan were to do this study again in today’s society, I would love to see the reaction. Not only would people most likely hate him, he would probably be so infamous that he’d lose his job. The only way he could possibly conduct such an experiment today, would be for him to study real patients, and examine how they’re being treated within the …show more content…
Why would the hospital discharge the pseudo patients with “schizophrenia in remission” without any further examination? Wouldn’t that be considered malpractice?
2) The words sane and insane are used quite often throughout the text. Why is our definition of sanity and insanity different from those who live in remote islands around the world? Is cannibalism considered to be insanity across the world?
3) On page 217, Dr. Rosenhan talks about the overlying cause of labeling. Why can some people be labeled as depressed or bipolar, but others aren’t allowed to be labeled as
" This improved the treatment of patients but the mentally ill that weren't in this asylum may have
We, being members of society do not have the authority to judge whether people are sane or insane. Some may say that others are insane but we are all a little bit crazy. One Flew Over the Cuckoo's Nest, a novel written by Ken Kesey deals with these topics and is a well-written piece of literature that will be enjoyed by generations to come. It will become a timeless classic simply because of the great combination of the setting and the characters and how they both support the themes found throughout the story. The setting of One Flew Over the Cuckoo's Nest is a backdrop which makes it easy to see the wickedness of the world and people in general. The hospital, Dr. Spivey says, "is a little world inside that is a made-to-scale prototype of the big world outside." Most of the action in the novel takes place in a world that is indeed limited and specific. It is but one ward of one hospital in Oregon. The world of the Cuckoo's Nest is in many ways a cartoon world that is filled with colorful characters and laughs, in which good and evil are clearly defined. Far from being a place of healing, the hospital is a place of fear where patients do not laugh and fear the consequences of anything they speak of. The setting of this novel allows the characters to develop freely and they are even a little off the wall which is a good attribute that will be admired by future readers. McMurphy teaches the rest of the patients how to be sane. Above all, this sanity consists of the ability to laugh, to laugh both at your self and at the world that is often ludicrous and cruel. Chief Bromden says, " He knows you have to laugh at the things that hurt you just to keep yourself in balance, just to k...
Rosenhan’s article On Being Sane in Insane Places brings up many important aspects professionals in the mental health field, and society as a whole, need to consider when treating those who experience mental illness. One of the important key concepts of this article illustrates the difficulty of determining who is “sane” and who is “insane”. This article mentions that those who are diagnosed with a mental illness are not encouraged to fully recover, but rather live in remission and become labeled in a very permanent manner. This type of labeling leads institutions and the professional staff who work for these institutions to consciously and unconsciously distance themselves from the patients (or in some case behave abusively
Up to the 1600s, people with psychotic disorders were sent off in "ships of fools", locked in cages, "flogged into reason", or killed. The care for the insane at this time was the responsibility of nuns and monks (Noll, xviii).
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.
David Rosenhans experiment contained two parts; the first was admitting pseudo-patients into psychiatric hospitals without the doctors or nurses knowledge. David Rosenhan and his participants all willingly committed themselves to the psychiatric hospital. “8 people without any history of psychiatric illness presented themselves at various mental hospitals. Each of these pseudo-patients arrived at the admissions office complaining of a single (feigned) symptom: vague auditory hallucinations” (Scribner). All of the participants came from a different background and were admitted into several different hospitals.
Much of my skepticism over the insanity defense is how this act of crime has been shifted from a medical condition to coming under legal governance. The word "insane" is now a legal term. A nuerological illness described by doctors and psychiatrists to a jury may explain a person's reason and behavior. It however seldom excuses it. The most widely known rule in...
Insanity, by its dictionary definition, is the derangement of the mind. (Dictionary.com) It is used in everyday context, when people say “You are insane for not doing your homework” or “ That traffic getting out of the game was insane last night!”. However the real definition, written by Columbia University Press states that “The term insanity is used chiefly in criminal law, to denote mental aberrations of defects that may relieve a person from the legal consequences of his or her acts” (Columbia University, Press). This issue is very important because many people try to get out of their true consequences of their actions, and by using this plea, sometimes they get away with it. The Insanity Plea has been used again and again in the US courts, but it should be disproved because of the true legal definition, because many people try to fake insanity, and because of how the social concept of insanity is different than the actual mental illness.
Insanity seems to be the question in the courtroom today. What defines if a person is mentally stable or if he is sick? The government and court system has been trying to find the definite line, but there are still varying beliefs for and against whether people should be allowed to plead insanity. The definition of insanity is, “the state of being mentally ill; madness” (Oxford Dictionary). The definition of mentally ill is “psychiatric disorder that results in a disruption in a person’s thinking, feeling, moods, and ability to relate to others” (worldiQ.com). That being said, ponder these two situations.
When someone commits a crime, he or she may use mental illness as a defense. This is called an insanity plea or insanity defense. What the insanity defense does is try to give the alleged perpetrator a fair trial. At least in extreme cases, society agrees with this principle. The problem is where do we draw the line. Under what circumstances is a person considered insane, and when are they not? The trouble with the insanity defense in recent years is the assumption that virtually all criminals have some sort of mental problem. One important point is that the crime itself, no matter how appalling, does not demonstrate insanity. Today, the insanity defense has become a major issue within the legal system. If the defendant is clearly out of touch with reality, the police and district attorney ordinarily agree to bypass the trial and let the defendant enter a mental hospital.
Insanity is a legal, not a medical definition. This makes mental illness and insanity correlate with each other, only some mental illnesses are consider as inanity. Insanity includes not only the mental, illness but also mental deficiencies. There are major problems in exactly how to apply a medical theory to legal matters. Every crime involves a physical and mental act and the non-physical cause of behavior. The mens rea is the mental element that would be required for a crime, if it is absent it excuses the criminal from criminal responsibility...
According to Kyziridis (2005), Signs of Schizophrenia can be traced in written documents as far the days of Pharaonic Egyp...
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.
Winslade, William J, Ph.D, and Judith Wilson Ross, The Insanity Plea: The Users & Abusers of the Insanity Defense, New York
impossible to tell the sane from the insane, the ability to reason ultimately becomes the