The Great Pretender
The Undercover Mission That Changed Our Understanding of Madness
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Narrated by:
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Christie Moreau
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Susannah Cahalan
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By:
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Susannah Cahalan
About this listen
A Literary Hub Most Anticipated Books of 2019 Pick
From "one of America's most courageous young journalists" (NPR) comes a propulsive narrative history investigating the 50-year-old mystery behind a dramatic experiment that changed the course of modern medicine.
For centuries, doctors have struggled to define mental illness - how do you diagnose it, how do you treat it, how do you even know what it is? In search of an answer, in the 1970s a Stanford psychologist named David Rosenhan and seven other people - sane, normal, well-adjusted members of society - went undercover into asylums around America to test the legitimacy of psychiatry's labels. Forced to remain inside until they'd "proven" themselves sane, all eight emerged with alarming diagnoses and even more troubling stories of their treatment. Rosenhan's watershed study broke open the field of psychiatry, closing down institutions and changing mental health diagnosis forever.
But, as Cahalan's explosive new research shows, very little in this saga is exactly as it seems. What really happened behind those closed asylum doors, and what does it mean for our understanding of mental illness today?
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
©2019 Susannah Cahalan (P)2019 Hachette AudioListeners also enjoyed...
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Critic reviews
"Breathtaking! Cahalan's brilliant, timely, and important book reshaped my understanding of mental health, psychiatric hospitals, and the history of scientific research. A must-read for anyone who's ever been to therapy, taken a brain-altering drug, or wondered why mental patients were released in droves in the 1980s. And a thrilling, eye-opening read even for those who thought they weren't affected by the psychiatric world." (Ada Calhoun, author of St. Marks Is Dead and Wedding Toasts I'll Never Give)
"A well-told story fraught with both mystery and real-life aftershocks that set the psychiatric community on its ear." (Kirkus)
"Susannah Cahalan has written a wonderful book that reflects years of persistent and remarkable historical detective work. The Great Pretender is an extraordinary look at the life of a Stanford professor and a famous paper he published in 1973, one that dramatically transformed American psychiatry in ways that still echo today. The book is fast-paced and artfully constructed - an incredible story that constitutes a tribute to Cahalan's powers as both a writer and a sleuth." (Andrew Scull, author of Madness in Civilization: A Cultural History of Insanity)
"The Great Pretender is a tight, propulsive, true-life detective story which somehow also doubles as a sweeping history of our broken mental health-care system. Cahalan herself has experienced this system as both a patient and a reporter, and her background informs every fascinating page of this dogged investigative odyssey. It is an amazing achievement, and there is no question it will go down as the definitive account of one of the most influential psychology experiments of all time." (Luke Dittrich, New York Times best-selling author of Patient H.M.)
"Cahalan researched The Great Pretender over the course of five years, but the pages practically turn themselves. It's absorbing, sometimes sobering, sometimes seriously funny. Cahalan's narration makes the reading great fun, with an urgency occasionally akin to a thriller." (Shelf Awareness)
Editor's Pick
What is sanity?
"I loved Susannah Cahalan’s memoir, Brain on Fire, for both its unflinching firsthand portrayal of a young woman’s experience with a mysterious brain condition, as well as its detective-like exploration into her diagnosis. So I’m thrilled to see this brilliant writer tackling the topic of mental health once again in her latest release, The Great Pretender, which focuses on a groundbreaking experiment in which eight healthy individuals voluntarily went undercover into the asylums throughout the US. The outcome is at once a fascinating slice of history, a shocking expose, and an education into the field of psychiatry and mental health treatment—in other words, another captivating combo from Cahalan. I’m thrilled to have the chance to be in this writer’s brain once again."
—Sam D., Audible Editor
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By: Peter Stastny, and others
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Peace, Love & Healing
- Bodymind Communication & the Path to Self-Healing: An Exploration
- By: Bernie S. Siegel
- Narrated by: Bernie S. Siegel
- Length: 2 hrs and 56 mins
- Unabridged
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A classic of patient empowerment, Peace, Love & Healing offered the revolutionary message that we have an innate ability to heal ourselves. Now proven by numerous scientific studies, the connection between our minds and our bodies has been increasingly accepted as fact throughout the mainstream medical community. In a new introduction, Dr. Bernie Siegel highlights current research on the relationships among consciousness, psychosocial factors, attitude, and immune function.
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horrible horrible
- By Honestly on 02-09-15
By: Bernie S. Siegel
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The Gift of Adversity
- The Unexpected Benefits of Life's Difficulties, Setbacks, and Imperfections
- By: Norman E. Rosenthal M.D.
- Narrated by: Erik Synnestvedt
- Length: 10 hrs and 21 mins
- Unabridged
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The noted research psychiatrist explores how life's disappointments and difficulties provide us with the lessons we need to become better, bigger, and more resilient human beings. Adversity is an irreducible fact of life. Although we can and should learn from all experiences, both positive and negative best-selling author Dr. Norman E. Rosenthal believes that adversity is by far the best teacher most of us will ever encounter.
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Book ruined by the narrator
- By David C. on 12-07-22
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The Good Death
- An Exploration of Dying in America
- By: Ann Neumann
- Narrated by: Suzanne Toren
- Length: 8 hrs and 44 mins
- Unabridged
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Following the death of her father, journalist and hospice volunteer Ann Neumann sets out to examine what it means to die well in the United States. When Ann Neumann's father was diagnosed with non-Hodgkin's lymphoma, she left her job and moved back to her hometown of Lancaster, Pennsylvania. She became his full-time caregiver - cooking, cleaning, and administering medications. When her father died, she was undone by the experience, by grief and the visceral quality of dying.
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Ugh, so boring
- By Maranto on 05-13-19
By: Ann Neumann
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Changing the Way We Die
- Compassionate End-of-Life Care and the Hospice Movement
- By: Sheila Himmel, Fran Smith
- Narrated by: Coleen Marlo
- Length: 6 hrs and 49 mins
- Unabridged
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There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care - nearly 44 percent of all deaths - and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape.
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Sadly, not very engaging.
- By Debra S. Long on 06-16-18
By: Sheila Himmel, and others
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Everything in Its Place
- First Loves and Last Tales
- By: Oliver Sacks
- Narrated by: Dan Woren
- Length: 8 hrs and 28 mins
- Unabridged
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From the best-selling author of Gratitude and On the Move, a final volume of essays that showcase Sacks's broad range of interests - from his passion for ferns, swimming, and horsetails, to his final case histories exploring schizophrenia, dementia, and Alzheimer's.
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Missing Sacks
- By Brandy on 12-02-19
By: Oliver Sacks
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In Pain
- A Bioethicist’s Personal Struggle with Opioids
- By: Travis Rieder
- Narrated by: Travis Rieder
- Length: 8 hrs and 56 mins
- Unabridged
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A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal - a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic.
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An essential read in a time of crisis
- By Kelly Heuer on 06-25-19
By: Travis Rieder
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Asperger's Children
- The Origins of Autism in Nazi Vienna
- By: Edith Sheffer
- Narrated by: Christa Lewis
- Length: 9 hrs and 33 mins
- Unabridged
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In 1930s and 1940s Vienna, child psychiatrist Hans Asperger sought to define autism as a diagnostic category, aiming to treat those children, usually boys, he deemed capable of participating fully in society. Depicted as a compassionate and devoted researcher, Asperger was in fact deeply influenced by Nazi psychiatry. Although he did offer individualized care to children he deemed promising, he also prescribed harsh institutionalization and even transfer to Spiegelgrund for children with greater disabilities, who, he held, could not integrate into the community.
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Powerful but partial analysis
- By Mira Krishnan on 12-17-20
By: Edith Sheffer
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One Nation Under Therapy
- How the Helping Culture is Eroding Self-Reliance
- By: Christina Hoff Sommers, Sally Satel
- Narrated by: Dianna Dorman
- Length: 8 hrs and 30 mins
- Unabridged
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Americans have traditionally placed great value on self-reliance and fortitude. Recent decades, however, have seen the rise of a therapeutic ethic that views Americans as emotionally underdeveloped, requiring the ministrations of mental-health professionals to cope with life's vicissitudes. Today, having a book for every ailment, a counselor for every crisis, a lawsuit for every grievance, and a TV show for every problem degrades one's native ability to cope with life's challenges.
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If you want another perspective
- By Kurt on 03-07-09
By: Christina Hoff Sommers, and others
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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
- Unabridged
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Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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The Woman Who Fooled the World
- By: Beau Donelly, Nick Toscano
- Narrated by: James Saunders
- Length: 10 hrs
- Unabridged
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Belle Gibson convinced the world she had healed herself from terminal brain cancer with a healthy diet. She built a global business based upon her claims. There was just one problem: she'd never had cancer. In 2015, journalists uncovered the truth: this hero of the wellness world, with over 200,000 followers, international book deals and a best-selling smartphone app, was a fraud.
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Must listen
- By NutriGal on 02-10-18
By: Beau Donelly, and others
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The Naked Lady Who Stood on Her Head
- A Psychiatrist's Stories of His Most Bizarre Cases
- By: Gary Small M.D., Gigi Vorgan
- Narrated by: Marc Cashman
- Length: 9 hrs and 46 mins
- Unabridged
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True stories are more bizarre than any fiction, and Dr. Gary Small knows this best. After 30 distinguished years of psychiatry and groundbreaking research on the human brain, Dr. Small has seen it all - now he is ready to open his office doors for the first time and tell all about the most mysterious, intriguing, and bizarre patients of his career. The Naked Lady Who Stood on Her Head is a spellbinding record of the doctor's most bewildering cases.
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90% Useless Information
- By Think B4 Eating on 10-01-10
By: Gary Small M.D., and others
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How to Be Sad
- Everything I’ve Learned About Getting Happier by Being Sad
- By: Helen Russell
- Narrated by: Helen Russell
- Length: 10 hrs and 28 mins
- Unabridged
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Helen Russell has researched sadness from the inside out for her entire life. Her earliest memory is of the day her sister died. Her parents divorced soon after, and her mother didn’t receive the help she needed to grieve. Coping with her own emotional turmoil — including struggles with body image and infertility — she’s endured professional and personal setbacks as well as relationships that have imploded in truly spectacular ways. Even the things that brought her the greatest joy — like eventually becoming a parent — are fraught with challenges.
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More an self biography
- By Jaime Murillo on 04-27-24
By: Helen Russell
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Asleep
- The Forgotten Epidemic That Became Medicine’s Greatest Mystery
- By: Molly Caldwell Crosby
- Narrated by: Christian Rummel
- Length: 6 hrs and 31 mins
- Unabridged
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In 1918, a world war raged, and a lethal strain of influenza circled the globe. In the midst of all this death, a bizarre disease appeared in Europe. Eventually known as encephalitis lethargica, or sleeping sickness, it spread worldwide, leaving millions dead or locked in institutions. Then, in 1927, it disappeared as suddenly as it had arrived. Asleep, set in 1920s and '30s New York, follows a group of neurologists through hospitals and asylums as they try to solve this epidemic and treat its victims - who learned the worst fate was not dying of it, but surviving it.
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Scary, and still unsolved, medical mystery
- By joyce on 12-14-14
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How to Survive a Plague
- The Inside Story of How Citizens and Science Tamed AIDS
- By: David France
- Narrated by: Rory O'Malley
- Length: 24 hrs and 28 mins
- Unabridged
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A riveting, powerful telling of the story of the grassroots movement of activists, many of them in a life-or-death struggle, who seized upon scientific research to help develop the drugs that turned HIV from a mostly fatal infection to a manageable disease. Ignored by public officials, religious leaders, and the nation at large, and confronted with shame and hatred, this small group of men and women chose to fight for their right to live by educating themselves and demanding to become full partners in the race for effective treatments.
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Read This Book!
- By Kay M Hawklee on 05-30-17
By: David France
What listeners say about The Great Pretender
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Run Darren run!
- 01-19-20
Slow going but got better.
I was excited to read this because I tore through Brain on Fire so fast. I knew this was going to be different but I had high hopes.it was slow going and boring at first but it got more interesting after the first few chapters. The story telling is great and I get why people say it reads like a mystery but at times it gets boring going off on tangents and statistics and lost interest.
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5 people found this helpful
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- susan mcdonough
- 12-06-19
I’m thrilled people are talking about mental health
I loved Susannah Cahalan’s first book And while this one is more technical. The world needs to start reading and researching and finding answers to why some people are touched with mental illness and why some are not. Is it the inability to process folic acid, Is it a slight swelling in the brain due to immune issues, is it Harmons?? I am so hopeful that we are closer to understanding. I praise Susannah For her dedication to this topic. She was the right person to be touched with insanity and recover from it. Thank you.
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3 people found this helpful
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- Shellie Mach
- 01-27-20
Enlightening
Anyone interested in mental health should read this book. Mental health is such an important issue in our society today.
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- Valerie
- 09-02-21
What’s the Takeaway?
Imagine being a passenger in a car and the driver is talking to you about New York the whole ride, so you assume that’s where you’re headed. But then just as you’re about to reach New York he hops off the highway and turns toward Pennsylvania, and it turns out you’re actually going there… Or maybe not. Hard to know because the car just kind of slows to a stop in the middle of nowhere.
I’m just not sure what I was supposed to gain from this when all was said and done. The message seemed crystal clear for the first ~75-80% of the book, and then took a turn in an entirely different direction. It’s like okay, interesting twist, but where does it leave things?
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9 people found this helpful
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- Samantha
- 03-20-20
Take it all with a grain of salt.
The beginning and the middle were top notch, and I was absolutely fascinated until the last couple chapters of the book. You took a perfectly good book and just... YEETED IT OUT THE WINDOW. The theory that Rosenhan outright made up parts of his study and that America should reopen it's asylums are two ideas that I, AS A MENTALLY ILL PERSON, find disgusting and outright insulting.
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- Amazon Customer
- 12-10-19
pretty boring
struggled to finish, she repeats herself over and over and doesn't really have a clear path or plot.
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5 people found this helpful
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- CmSt3ampunk
- 09-08-21
Second half much more interesting than the first
wish the second portion of the book was more fleshed out, it went quite a few direcrions before finding what I felt was the most interesting topic.
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- Amazon Customer
- 11-27-19
Thought provoking
Irresistible, moving unbiased information delivered with unwavering honesty. A must read for psychiatric community, families, caregivers and all touched with the day to day grappling of what we call mental illness.
Highly recommend
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3 people found this helpful
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- Junkal
- 03-06-20
A great book for any professional of the mind
Read this book if you are in any way related to psychology, psychiatry or even medicine. It will open your eyes.
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- Tunt Bailey
- 06-10-22
interesting listen
very interesting topic. I always wondered. how people got inside views of people in asylum
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