NPR

'The Great Pretender' Seeks The Truth About 'On Being Sane In Insane Places'

Journalist and Brain on Fire author Susannah Cahalan writes in an urgent, personal book that the '70s study by David Rosenhan had an outsized effect on psychiatry — and may have been fatally flawed.

In 1973, psychologist and Stanford University professor David Rosenhan published a journal article that shook the world of psychiatry to its core.

"On Being Sane in Insane Places" was the result of a study in which eight people without mental illness got themselves admitted to psychiatric institutions — Rosenhan wanted to see whether mental health professionals could actually distinguish between psychologically well people and those with mental illnesses.

They could not, Rosenhan claimed. All of the "pseudopatients" were diagnosed with illnesses like schizophrenia, Rosenhan's study had an outsized effect on psychiatry; it was "cited to further movements as disparate as the biocentric model of mental illness, deinstitutionalization, anti-psychiatry, and the push for mental health patient rights." The study was undoubtedly influential. Unfortunately, Cahalan claims, it was also likely fatally flawed.

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