When Houston's leading newspaper investigated local for-profit psychia
tric hospitals and ran a series of stories that ranged from unflatteri
ng to shocking, any hospital administrator might reasonably have expec
ted dramatic effects on public perceptions of the specific hospitals n
amed, and also perhaps on other psychiatric hospitals in the metropoli
tan area. In fact, a survey that tracks consumer awareness and impress
ions of all Houston-area hospitals found no such outcome. These result
s may be counterintuitive, but they are easily reconcilable with commu
nications theory.