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Being Sane in Insane Places

Eight healthy people faked one voice and were kept in psychiatric hospitals for up to 52 days.

Chapter 1

Three Words

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In the early 1970s, a Stanford psychologist named David Rosenhan set out to answer a blunt question. What follows is the study as Rosenhan reported it. Decades later, as we'll see, much of it came into doubt. Could the professionals who ran psychiatric hospitals tell the sane from the insane? To test it, he and seven other healthy volunteers prepared to go undercover. Three were women and five were men, including a painter, a housewife and three psychologists. Each would ask to be admitted to a hospital and report a single symptom, a voice. It said only three words: thud, empty, hollow. Rosenhan picked them because they suggested an existential crisis but matched nothing in the psychiatric literature. After admission, the instruction was just as simple. Stop faking. Behave normally. To protect their careers, the volunteers gave false names and jobs, but told the truth about the rest of their lives.

Frequently Asked Questions

What was the Rosenhan experiment?

Stanford psychologist David Rosenhan sent eight healthy volunteers to psychiatric hospitals, each claiming to hear a voice saying 'thud', 'empty' and 'hollow'. All were admitted, then acted normally. None was ever declared sane, and nearly all were released with a diagnosis of schizophrenia in remission.

Why did the staff think normal behavior was a symptom?

Once a patient carried a diagnosis, staff read everything through it. A volunteer taking notes was charted as showing 'writing behavior', and boredom-driven pacing was read as a sign of anxiety. Rosenhan argued that a diagnosis acts as a label that colors every other behavior.

Is the Rosenhan experiment still considered reliable?

Journalist Susannah Cahalan's 2019 book The Great Pretender cast serious doubt on it. She could confirm only two of the eight volunteers, and found that Rosenhan's records contained symptoms he said he never reported. She and historian Andrew Scull suggested the study was partly scientific fraud, though it helped start reform.

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