Patients Lives Within A Mental Institution example essay topic

ONE FLEW OVER THE CUCKOO'S NEST 3 One of the main themes throughout the novel One Flew Over the Cuckoo's Nest is 'societal repression over the individual'. The book is written by Ken Kesey and based around patients' lives within a mental institution. Kesey uses the novel to voice his opinion concerning the oppressive nature of control those who enforce the control. Such a repressive feeling is amplified by the setting of the institution, the patients and Kesey's tone throughout the novel.

The setting of One Flew Over the Cuckoo's Nest is a mental institution, in the countryside of Oregon during the 1960's. At this time young Americans began to challenge conformity and live their lives around peace, love and drugs. LSD was a drug used both during the political uprising and in the novel as treatment for mental disorders. Kesey discusses how the world within the ward mirrors the world outside. 'One Flew over the Cuckoo's Nest' contains examples of behaviour and attitudes displayed by characters within the clinical environment of the psychiatric ward, which can be compared to behaviour found within contemporary American society.

Notions of leadership and hierarchy within a class, sexism, and crime and punishment play a vital role in the telling of the story. Chief Bromden, the book's narrator, darkly and fearfully portrays the institution. Within the walls of the harsh, bleak institution are several authority figures known as the 'Combine' to the Chief. They control, direct, and manipulate every aspect of the lives of the patients. Nurse Ratched, who controls the Chief's ward, is the ultimate authority figure -- a menacing, cold, callous, larger-than-life authoritarian who will stop at nothing to make sure the 'Combine' maintains firmly in power. Kesey, through the Chief's narrative, creates a gloomy, hopeless world; a world where the facility's patients have nothing to look forward to except the inexorable clutches of insanity.

The patients are exposed to painful treatments enforced by Nurse Ratched. The electroshock therapy table is shaped like a cross, with straps across the wrists and over the head. Ellis, Ruck ly, and Taber who are classified as Acutes has their lives destroyed by electroshock therapy. It serves as a reminder to the rest of the ward what happens to those who rebel against the ruling powers.

If the patients are not sent to electro-shock therapy they are given a lobotomy. This is done to restore order and emphasize Nurse Ratched power and control. The patients of the ward are also exposed to humiliating therapy treatments courtesy of Nurse Ratched. The group therapy sessions are a manipulative technique used to fuel the anger inside the patients' heads.

Nurse Ratched does this to keep the patients in the institution and to prove their constant insanity to Doctor Spivey. Chief Bromden is a chronic paranoid schizophrenic, diagnosed as incurable, who is afraid of his own shadow. He imagines himself to be small and weak even though he stands at six feet and seven inches tall. He pretends to be a deaf-mute in order to protect himself. This shows how repressive Ratched and society have made him feel. He is a Colombian Indian, born of a White mother and an Indian father.

He was the first patient in the ward, arriving at the hospital fifteen years earlier. After Bromden realizes Ratched's intentions for McMurphy was to keep him in the institution for the rest of his life, he kills him using McMurphy as a martyr, not wanting him to experience the same fate as the other patients. Randall Patrick McMurphy comes to the ward totally sane but with a few issues. He is a serious gambler and con man.

He is admitted to the ward from Pen delton Prison Farm and diagnosed as a psychotic. He admits that one of the reasons for getting himself committed is to find new people to con in order to make money. He is good-looking, charming, strong, and very manipulative. He doesn't realize that being admitted to the institution could mean that he would spend the rest of his life there. He has only had four months out of a six-month sentence to serve out at the Pendleton prison farm. The rest of the patients idolize him; Nurse Ratched or the black boys don't effect him.

McMurphy often challenges their authority and methods of rehabilitation. At the end of the novel he has rehabilitated most of the patients and has one final conflict, which turns physical with Nurse Ratched. McMurphy dies a martyr at the end of the novel. The Chief kills McMurphy to prevent him from prolonged suffering at the hands of Nurse Ratched. Dale Harding was the former president of the patients' council.

He gives up the position of Chief Bull Goose Looney when McMurphy comes along. He had himself committed because he believes that he is not man enough for his wife; he states that she psychologically 'castrated' him. He is accused of being homosexual and having nothing between his legs but 'a patch of hair'. He is constantly trying to hide his hands, which are white and beautiful.

His final victory over the Nurse and women in general is when he walks out of the hospital against medical advice and has his wife pick him up, showing that he now controls his own life rather than being controlled by the women that surround him. Ken Kesey has written the novel in a very intelligent and contrasting way. The hospital is presented as a metaphor for the oppressive society of the late 1950's. The novel celebrates the expression of sexuality as the ultimate goal and denounces repression as based on fear and hate. Bromden's slightly paranoid account may be the equivalent of Kesey.

The tone of the patients compared with that of the Nurse is obvious. The Nurse is confident and well educated, taking full advantage of the ward patients. The patients are uneducated and easily manipulated. They are referred to as animals by Nurse Ratched immediately taking away their dignity and self-respect and treating them in an inhuman way.

JARED THORNQUESTWord count = 1008.