---
product_id: 173411257
title: "The Great Pretender: The Undercover Mission That Changed Our Understanding of Madness"
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# The Great Pretender: The Undercover Mission That Changed Our Understanding of Madness

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The Great Pretender: The Undercover Mission That Changed Our Understanding of Madness - Kindle edition by Cahalan, Susannah. Download it once and read it on your Kindle device, PC, phones or tablets. Use features like bookmarks, note taking and highlighting while reading The Great Pretender: The Undercover Mission That Changed Our Understanding of Madness.

Review: This book asks the tough questions. - “‘Insanity haunts the human imagination. It fascinates and frightens all at once. Few are immune to its terrors,’ wrote sociologist Andrew Scull in his book Madness in Civilization. ‘It challenges our sense of the very limits of what it is to be human.’ It’s undeniable: There is something profoundly upsetting about a person who does not share our reality, even though science shows us that the mental maps we each create of our own worlds are wholly unique. Our brains interpret our surroundings in highly specific ways—your blue may not be my blue. Yet what we fear is the unpredictability of a mentally ill “other.” This fear emerges from the sneaking realization that, no matter how sane, healthy, or normal we may believe we are, our reality could be distorted, too.” In the 1970’s a Stanford psychologist, David Rosenhan, set out to show that anyone could get themselves admitted to an asylum by changing just a few of their answers on an evaluation, and to show how they were treated once admitted even if they acted completely “normal”. The results of his study had a broad impact on the world of psychiatry. But as the author looked deeper into his study, she found that not all may have been as it was presented. This book brings to light questions we should all be asking ourselves about psychiatry. About how patients are diagnosed and treated, and how we should all keep looking for solutions and answers rather than allowing the ones seeming to need treatment to disappear or remain on the outsides of society as other. I really would recommend this book to anyone. It was informative and interesting. It asks the tough questions. I give it 4.5 stars.
Review: Great investigation, but the anti-psychiatry beliefs left me puzzled - The author, Susannah Cahalan, spent five years trying to uncover the truth of psychologist David Rosenhan’s famous research paper. When she sticks to that story, which is only about half of the book, the book is riveting. The other half of the book discusses a wide range of topics that were a bit tangential and could have been handled differently. Cahalan had access to Rosenhan’s unpublished manuscript of a book, and his detailed notes of his own stay as a fake patient on a psychiatric ward in 1969. She tracked down two other fake patients. She uncovered numerous things that Rosenhan fabricated and lies he told. Much of Rosenhan’s famous paper could be neither supported nor discounted because many of the key players have passed away after more than 40 years, but Cahalan makes an interesting case that Rosenhan may have fabricated even more than what she was able to document. She uncovered the fascinating side story about psychiatrist Robert Spitzer, who was perhaps Rosenhan’s fiercest critic. Spitzer obtained a copy of Rosenhan’s hospital record and may have used it to his own advantage towards the development of the revolutionary Diagnostic and Statistical Manual, Third Edition (DSM-III). Weaknesses of the book include how Rosenhan described his experiences and the experiences of other fake patients as almost entirely negative because they felt bored, neglected, and dehumanized. He never seemed to be able to view it from the experiences of real patients who were helped by being hospitalized. The inability to view life from the perspectives of others, and Rosenhan’s know-it-all dismissiveness of other viewpoints, sounds like a narcissist. The author never seemed to question Rosenhan’s one-sided negative view of hospitals. This appears to view real patients as passively allowing themselves to be mistreated. The sections on her own medical illness that was mistaken briefly as a psychiatric illness, the history of insane asylums, and other history about psychiatry placed a focus on the history of psychiatry instead of on Rosenhan’s lies, which made the book feel like two different books. These topics might have been discussed more dispassionately in the context of how easy it is for nefarious things to happen when dealing with the human mind. Cahalan’s disparagement of the DSM is worthy of note. Her criticism of the DSM is naïve for repeating many of the criticisms about how it artificially creates categories, creates too many disorders, and how psychiatrists supposedly blindly embraced the DSM as a bible. Much could be said in response but I think the best response is that despite a lot of smart people criticizing the DSM for years, no one has proposed a better classification system. The DSM was never meant to provide a perfectly unassailable view of the human mind. Criticizing the DSM for not doing everything perfectly seems like criticizing a car because it can’t fly. If Cahalan had stuck to the facts of the Rosenhan story, I may have rated it five stars, but it felt like she could not remove her personal beliefs from the narrative. Cahalan writes well, and she did a good job of investigating and finding perhaps everything that was possible to find after more than 40 years. She found quite a lot. However, even though Rosenhan lied about the most central aspects of his study, the author still seems to find some validity in Rosenhan’s central premise that the doctors in his study were the ones who got it wrong. On her Today Show interview (Nov. 5, 2019), she said, “I still think there is a lot of validity in it (Rosenhan’s study) even though there are problems. He actually identified a lot of true things.” Like what?

## Technical Specifications

| Specification | Value |
|---------------|-------|
| Best Sellers Rank | #325,462 in Kindle Store ( See Top 100 in Kindle Store ) #5 in Medical Psychology History #7 in Popular Psychology History #92 in Medical History |

## Images

![The Great Pretender: The Undercover Mission That Changed Our Understanding of Madness - Image 1](https://m.media-amazon.com/images/I/81f7ii2FyXL.jpg)

## Customer Reviews

### ⭐⭐⭐⭐⭐ This book asks the tough questions.
*by M***R on July 3, 2021*

“‘Insanity haunts the human imagination. It fascinates and frightens all at once. Few are immune to its terrors,’ wrote sociologist Andrew Scull in his book Madness in Civilization. ‘It challenges our sense of the very limits of what it is to be human.’ It’s undeniable: There is something profoundly upsetting about a person who does not share our reality, even though science shows us that the mental maps we each create of our own worlds are wholly unique. Our brains interpret our surroundings in highly specific ways—your blue may not be my blue. Yet what we fear is the unpredictability of a mentally ill “other.” This fear emerges from the sneaking realization that, no matter how sane, healthy, or normal we may believe we are, our reality could be distorted, too.” In the 1970’s a Stanford psychologist, David Rosenhan, set out to show that anyone could get themselves admitted to an asylum by changing just a few of their answers on an evaluation, and to show how they were treated once admitted even if they acted completely “normal”. The results of his study had a broad impact on the world of psychiatry. But as the author looked deeper into his study, she found that not all may have been as it was presented. This book brings to light questions we should all be asking ourselves about psychiatry. About how patients are diagnosed and treated, and how we should all keep looking for solutions and answers rather than allowing the ones seeming to need treatment to disappear or remain on the outsides of society as other. I really would recommend this book to anyone. It was informative and interesting. It asks the tough questions. I give it 4.5 stars.

### ⭐⭐⭐⭐ Great investigation, but the anti-psychiatry beliefs left me puzzled
*by M***A on February 16, 2020*

The author, Susannah Cahalan, spent five years trying to uncover the truth of psychologist David Rosenhan’s famous research paper. When she sticks to that story, which is only about half of the book, the book is riveting. The other half of the book discusses a wide range of topics that were a bit tangential and could have been handled differently. Cahalan had access to Rosenhan’s unpublished manuscript of a book, and his detailed notes of his own stay as a fake patient on a psychiatric ward in 1969. She tracked down two other fake patients. She uncovered numerous things that Rosenhan fabricated and lies he told. Much of Rosenhan’s famous paper could be neither supported nor discounted because many of the key players have passed away after more than 40 years, but Cahalan makes an interesting case that Rosenhan may have fabricated even more than what she was able to document. She uncovered the fascinating side story about psychiatrist Robert Spitzer, who was perhaps Rosenhan’s fiercest critic. Spitzer obtained a copy of Rosenhan’s hospital record and may have used it to his own advantage towards the development of the revolutionary Diagnostic and Statistical Manual, Third Edition (DSM-III). Weaknesses of the book include how Rosenhan described his experiences and the experiences of other fake patients as almost entirely negative because they felt bored, neglected, and dehumanized. He never seemed to be able to view it from the experiences of real patients who were helped by being hospitalized. The inability to view life from the perspectives of others, and Rosenhan’s know-it-all dismissiveness of other viewpoints, sounds like a narcissist. The author never seemed to question Rosenhan’s one-sided negative view of hospitals. This appears to view real patients as passively allowing themselves to be mistreated. The sections on her own medical illness that was mistaken briefly as a psychiatric illness, the history of insane asylums, and other history about psychiatry placed a focus on the history of psychiatry instead of on Rosenhan’s lies, which made the book feel like two different books. These topics might have been discussed more dispassionately in the context of how easy it is for nefarious things to happen when dealing with the human mind. Cahalan’s disparagement of the DSM is worthy of note. Her criticism of the DSM is naïve for repeating many of the criticisms about how it artificially creates categories, creates too many disorders, and how psychiatrists supposedly blindly embraced the DSM as a bible. Much could be said in response but I think the best response is that despite a lot of smart people criticizing the DSM for years, no one has proposed a better classification system. The DSM was never meant to provide a perfectly unassailable view of the human mind. Criticizing the DSM for not doing everything perfectly seems like criticizing a car because it can’t fly. If Cahalan had stuck to the facts of the Rosenhan story, I may have rated it five stars, but it felt like she could not remove her personal beliefs from the narrative. Cahalan writes well, and she did a good job of investigating and finding perhaps everything that was possible to find after more than 40 years. She found quite a lot. However, even though Rosenhan lied about the most central aspects of his study, the author still seems to find some validity in Rosenhan’s central premise that the doctors in his study were the ones who got it wrong. On her Today Show interview (Nov. 5, 2019), she said, “I still think there is a lot of validity in it (Rosenhan’s study) even though there are problems. He actually identified a lot of true things.” Like what?

### ⭐⭐⭐⭐⭐ Excellent, informative, and interesting!
*by C***N on August 14, 2025*

Great book! Thought provoking and interesting!

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*Product available on Desertcart South Africa*
*Store origin: ZA*
*Last updated: 2026-04-24*