“One Flew over the Cuckoo’s Nest” – the Ethics of Patient Treatment

Nurse Ratched confirms to the reader that she is infect insane by reacting in the way she did when the boys were enjoying themselves, being compared to Hitler, and her being heartless towards a young man who is suicidal, proving to the readers that she

Hospitals are meant to help some people heal physically and others mentally. In the novel One Who Flew Over the Cuckoo’s Nest by Ken Kesey published in 1962, readers are introduced to a mental hospital that has goals that do not align with helping people. Within the hospital, characters with varied personalities and opinions are intermixed with three main characters playing specific roles with supporting characters close by. With the characters’ motivations, themes develop such as the emasculation of the men in the hospital by an oppressive nurse. Symbols, such as laughter and the “combine”, are also pertinent to themes as the readers watch the men transitioning from being oppressed to being able to stand up for themselves causing change in hospital policy.

One Flew Over the Cuckoo’s Nest is a novel written by Ken Kesey during a time in our society when pressures of our modern world seemed at their greatest. Many people were, at this time, deemed by society’s standards to be insane and institutionalized. One Flew Over the Cuckoo’s Nest is set in a ward of a mental institution. The major conflict in the novel is that of power. Power is a recurring and overwhelming theme throughout the novel. Kesey shows the power of women who are associated with the patients, the power Nurse Ratched has, and also the power McMurphy fights to win. By default, he also shows how little power the patients have.

In Ken Kesey’s book, One Flew Over the Cuckoo’s Nest, there were two main characters that were in a battle to have the majority of control over the ward. Throughout the story, they engaged in different acts of stubbornness to see who could display the most power and which of the two could stand their ground the longest without giving in to the other. These two characters were: Randle McMurphy, a new patient who was determined to change the ways of the ward, and Nurse Ratched, the head nurse of the asylum who preferred to have complete control over everyone and everything.

Both Taber and the men view Nurse Ratched as a counselor of their decisions, a mother. In fact, he tells the others, “This is Miss Ratched. I chose this ward because it’s her ward. She’s, girls, just like a mother. Not that I mean age but you girls understand” (37). The way that Nurse Ratched’s ward functions is by her manipulation of the men through the use of pills and lobotomy as demonstrated on Taber. Thus, why he was dismissed, the men are set up to believe in conforming or are dehumanized enough to conform to Nurse Ratched’s authority in order to be prepared for the real world. However, Taber previously rejected her pills, “He still isn’t ready to swallow some-thing, he don’t know what is, not even just for her” (34). This action-made decision influences the progress the patients make as individuals as they follow his footsteps. The men realize they can follow their own decisions and although few are afraid of her authority some chose to rise against her along with McMurphy, “ dragging them out of the fog till there they stand, all twenty of them, raising not just for watching tv, but against the Big Nurse, against her trying to send McMurphy to Disturbed…” This is parallel to the attitude presented by Taber, when he refused to take the pills, and ignored the Nurse’s request, making him metaphorically influential of the

Other patients on the ward begin to stand up to Nurse Ratchet and her rules. For instance, Cheswick hollers “ Rules? Piss on your fucking rules, Miss Ratched!” (Forman One Flew Over The Cuckoo’s Nest Film). A momentary outburst from Cheswick is an indicator that McMurphy has been able to model a sense of indignance at all of their treatment, and this is now being emulated by other patients through their behaviour towards Nurse Ratched. Another instance of patients talking down to Ratchet is when Sefelt states “Maybe he'll just show Nurse Ratched his big thing and she'll open the door for him.” (Forman One Flew Over The Cuckoo’s Nest Film). In this statement the use of sexual language is about empowerment. This makes reference to the possibility that McMurphy holds the key to their liberation from Nurse Ratchet’s control through his capacity to dominate her both sexually and otherwise. His ability to stand up to her and challenge her has captured Sefelt’s

As a man who pretends to be deaf and mute, Bromden is considered to be a relatively unbiased character, yet he even displays strong feelings of hatred towards Nurse Ratched, proving just how evil she is. As Nurse Ratched enters the novel for the first time, she brings with her a noticeably ominous atmospheric change with, “A gust of cold,” (4) that represents her complete control over every aspect of the mental ward, even the weather. At the pinnacle of Kesey’s totalitarian society, Nurse Ratched represents the tendencies of an oppressive government or what Bromden calls, The Combine. For example, she suppresses the patients’ free will because regardless of the patients actual sanity, she is undeniably in control of their fates at the hospital. Besides McMurphy, the majority of the patients could leave on their own, but Nurse Ratched has been able to brainwash them into thinking that they are not suited to assimilate with others outside of the ward. Billy Bibbit says to McMurphy when he asks why they do not leave, “You think I wuh-wuh-wuh-want to stay in here? You think I wouldn’t like a con-convertible and a guh-guh-girl friend? But did you ever have people l-l-laughing at you? No, because you’re so b-big and so tough!” (162-163). Just like an oppressive government, Nurse Ratched convinces its people that they are worthless so they never feel powerful enough to retaliate. Like an alcoholic, Nurse Ratched needs her fix of power that makes her drunk and

Nurse Ratched, the ward supervisor, personifies the forces that seek to control the individual by subduing their right to think and act for themselves. She acts as a dictator who is constantly manipulating her patients to gain an advantage over them. Because Nurse Ratched supervises a mental hospital, she is expected to tell her patients what to do, but “the novel suggests that Nurse Ratched goes beyond mere supervision and instead seeks to rule all elements of the patients lives” (“Oppression in One Flew Over the Cuckoo's Nest”). Nurse Ratched and her staff dehumanize the patients, and this eventually causes the patients to become broken inside.

Regarding Miss Ratched, she seems to show signs of passive-aggressive behavior throughout the book. This behavior adds to her manipulative ways and contributed to the decrease of the patients’ progress (mental/physical state). Passive-aggressive behavior is used to maintain control and power because it’s a way for her to not display any signs of weakness. Miss Ratched, also known as the Big Nurse to the patients, fights hard to remain as the top authority figure in the Ward due to her thirst for power. To maintain the control over the men, she emasculates them, stripping them of their masculinity, in various ways to prevent the chance of an uproar against her. For instance, after a group meeting regarding Harding’s problem with his wife’s breasts, the patients attack Harding. In response, McMurphy provides an analogy of a pecking party to the current

A mans pride is precious and it takes a lot to strip them of it, which is exactly what Nurse Ratched did. In the book ,One Flew Over The Cuckoo's Nest, Nurse Ratched completely emasculates the patients and turns them into former shells of them self. Nurse Ratched keeps a firm hand on the Ward by being the dominant figure in the ward and never showing them her mistakes, making her seem perfect. This act of emasculation is an important theme to this story because it shows just how corrupt the Big Nurse can be and how the men fear anything but the safety of the suffocating ward.

Through time, the relationships in the ward blossomed into brotherhood. An alliance against Miss Ratched was formed, so that they could all protect themselves from her wrath and punishments. McMurphy uses his masculinity and his sexuality to overcome her dominance over the ward. By pushing her temper to it’s limits, the patients become more confident and outgoing, they ultimately learn to become men. “So she really lets herself go and her painted smile twists, stretches to an open snarl, and she blows up bigger and bigger, big as a tractor, so big I can smell the machinery inside the way you smell a motor pulling too big a load” (Kesey 5).

That’s the one time the other patients thought Mac was crazy for believing that he could do such a thing.

“It’s a sad but common aspect of human dynamics. Some people feel better diminishing someone else.” - Betty Tijerina. There are bullies everywhere. You can’t escape them. Some are more harsh than others. Some don’t realize they are being bullies when they really are. In the book One Flew Over the Cuckoo’s Nest By Ken Kesey, there are actually two bullies; McMurphy and Nurse Ratched. But the real question is who is the bigger bully? Even though Nurse Ratched treats the patients unjustly at times by giving them EST’s and Lobotomies when they aren’t necessary McMurphy is the true bully due to all the pain and hurt he caused in the book.

In Kesey’s 1950s novel ‘One Flew Over The Cuckoos Nest’ Nurse Ratched’s relationship with male patients is based upon differences they hold about gender and identity. Nurse Ratched is portrayed as a masculine misandrist figure that gains power from emasculation. She carries “no compact or lipstick or woman stuff, she’s got that bag full of a thousand parts she aims to use in her duties” . This implies nothing womanly about her as she prioritises her “duties”, suggesting that she aims to control her male patients by ridding her feminine qualities. In addition, she is shown in robotic with a chilling aura. This is evident when she slid “through the door with a gust of cold and locks the door behind her” . This indicates that as a power figure her only concern is controlling her male patients, making sure they are obedient and abiding by her rules. “Gust of cold” implies that by doing so she wholly ruins her relationship with the males due to her “cold” and callous methods. Daniel J. Vitkus states she is “the Big Nurse, an evil mother who wishes to keep and control her little boys (the men on the ward) under her system of mechanical surveillance and mind control.” Yet, can be argued that she is fulfilling her role of working as a Nurse within a mental institution. However Vitkus’s critique is similar to when McMurphy says “Mother Ratched, a ball-cutter?” McMurphy is a hyper masculine force against Ratched’s emasculating norms. Their relationship is essentially a power

Recently in class we have been reading the book "One flew over the cuckoo's nest". Honestly at first I hated the book. I thought it was the worst, most boring book in the world, but over time I have learned to love it. It might not sound like the most appealing book at first but as the plot develops it gets more intriguing. The main point in the book is the battle for power between McMurphy and Nurse Ratched. McMurphy is a new patient in the ward who is used to getting everything his way, but Nurse Ratched is used to having everything in control the way she