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Analysis of One Flew over the Cuckoo’s Nest Identifying Information One Flew over the Cuckoo’s Nest is a captivating film about a group of men in an Oregon psychiatric hospital desperately trying to get better, well most of them at least. A variety of different mental illnesses were easily perceived from many of the patients that resided in this hospital, the majority of these illnesses seemed to be either clinical depression or a personality disorder, although two main characters presented a challenge. R.P. McMurphy, a white male that is 38 with no family spoken of, seems to be a charming, nice guy with no reason to be at the mental institution, other than the fact that he is facing a possibility of going to a work farm for statutory rape. …show more content…
McMurphy comes across as almost too normal of a person to be in the situation that he is in; therefore, this leads Doctors’ to believe that McMurphy is attempting to get out of his punishment by acting insane. Nurse Ratched, a white female who is about 35 with no spouse or boyfriend to show for, also the head nurse, tends to run things by her means. While she is conducting group therapy for the patients that can participate, more often than not she stirs them up into a frenzy that causes excessive chaos, rather than keeping them together and helping them form bonds with each other. McMurphy comes in at this point and proves to be a factor that may help other patients get out of the controlling grasp of Nurse Ratched. Biopsychosocial Model Perceived biological problems that Nurse Ratched may be experiencing/experienced are that she may have had an adverse childhood and/or her biological parents had the disorder and influenced Ratched to exert the same behaviors that they did.
Socially, Nurse Ratched was unpredictable with how she would react to different circumstances. She exerted behaviors of manipulation, especially towards Billy when she threatened to tell his mother that he had sex with a prostitute. The probable cause is that her parents, or whoever raised her, exhibited these traits and she was a product of her environment. Psychologically, Ratched loved control, which probably came from her lack of control as a child, because her parents loved to control her. Her work was diminished by the fact that she felt compelled to have control at all times and that she had little empathy for her own patients, which is a key part in helping psychiatric …show more content…
patients. Biological issues that are most likely to occur in patients that have Antisocial Personality Disorder, are people with both whom have the disorder and that were given up to an adverse adoptive environment.
R.P. McMurphy possibly grew up in an environment that was a cause of him having Anisocial Personality Disorder, but that’s only part of it. Also, McMurphy was possibly sexually abused as a child and that is why he had a rape charge against him. In addition, he acts irritable and hostile in certain situations which leads the viewer to believe that he experienced aggressive trauma as a child or adolescent. These are some of the social aspects of McMurphy’s disorder. Psychologically, McMurphy shows a lack of anxiety when he impulsively steals the bus and when he throws the party in the mental institution. He doesn’t seem to realize the consequences of his actions; also, he does not care. McMurphy can’t seem to stay out of trouble, because he never learns from his mistake. All of these psychological difficulties are classic of Antisocial Personality
Disorder. Presenting Problem and Diagnostic Formulation Nurse Ratched is extremely manipulative with her patients by basically forcing them to surrender to her rules or she threatens to give them Electric Convulsive Therapy, which basically induces a seizure. Ratched frequently misused this form of therapy and used it as a threat. However, if that did not work she would eventually give word to the Doctors’ that certain patient should receive a lobotomy. Secondly, her extreme inflexibility stood out as she wouldn’t even turn down the music or turn the television on for the patients to watch the Major League World Series games. Also, the Nurse would sabotage each group therapy session by causing an outrage between all of the patients and angering them all. Nurse Ratched ran the mental institution like a dictator would and had complete control over everyone, which she loved and couldn’t stand it when she was questioned. Lastly, she had an extremely inflated self-image about how well she did her job, which rules out Borderline Personality Disorder; therefore, she had little empathy for others and only cared for herself. The diagnoses for Nurse Ratched is that she has Narcissistic Personality Disorder. R.P. McMurphy started out as a confident, charming man that only seemed to be innocent; however, his track record says different. McMurphy had been convicted of several assault and battery charges. His latest crime that got him sent to the mental institution was statutory rape. So, McMurphy is not as innocent as he may seem on the outside. While he was in the institution, he impulsively stole a bus and went fishing with a bus load of people from the hospital. Another impulsion that McMurphy had was throwing a party in the hospital with hookers. Secondly, he couldn’t empathize with other patients and would get agitated when they were passive or sad or didn’t want to leave the hospital even though they could at any time. Also, McMurphy was extremely critical of others during the basketball game, as if he were better than everyone else. Given his convictions and his actions in this movie, the diagnosis is that he has Antisocial Personality Disorder. Treatment Plan and Recommendations Neither of these two are likely to willingly seek treatment or follow through with treatment, but there are ways to channel and focus the abnormal behavior that occurs with both of these disorders. Nurse Ratched’s best opportunity as a Nurse in a mental institution to control her disorder is through psychodynamic therapy. Psychodynamic therapy with help her understand her behaviors, moods, and disruptive thoughts that prevent her from actually helping the patients. This type of therapy will help her relate better with people, even though she might not ever feel complete empathy for others or relate completely with her patients. Psychodynamic therapy is the best option for Nurse Ratched to stop trying to have complete control over everything that happens within the institution and better relate to patients to actually give them the help they need. Also, antidepressants maybe helpful for the depression that sometimes goes along with Narcissistic Personality Disorder. Ratched doesn’t seem to have a family or social life, so maybe an antidepressant could help her with the irritability she feels towards the patients. R.P. McMurphy has Antisocial Personality Disorder and even with modern science there still isn’t a way to treat it in the long term. Some behavioral treatments seem to improve symptoms for a short amount of time, but it doesn’t work on everyone. Electric Convulsive Therapy was used in the movie, but it was unsuccessful. Movie Literary Work Accuracies and Inaccuracies Electric Convulsive Therapy was used often and at inappropriate times throughout the movie. This was accurate for 1963, because it had only been around for about 20 years. In addition, it was still knowingly used at inappropriate times by the nurses, because it was originally used to treat schizophrenia. In One Flew over the Cuckoo’s Nest, the same medication seemed to be given to almost all of the patients, which was true because of the lack of knowledge about mental disorders at the time and about medication, which was definitely not up to par with today’s knowledge of medication and what they do to the mind. The medication given to the patients in the movie seemed to be turning the patients into zombies. Nurse Ratched probably did this on purpose so that she could have more control. Medication today still is turning people into zombies, but now there are numerous medications out there to help patients find the right one for them. Medications work differently for everyone, it’s just a matter of finding the right medication or medications. Lastly, psychosurgery was performed in the movie and the prefrontal lobotomy took place. The surgery was to take out the part of the brain that is responsible for personality traits, which is no longer around for good reason. Prefrontal lobotomy’s took away the person and turned them into vegetables. There were no real inaccuracies that stood out to me in this movie.
Mcmurphy was the one who started making people laughing in the ward. When he first came into the ward he was cracking jokes and shaking everybody’s hand. (p.16)
After the introduction by the Chief, the story proceeds to a normal morning at the ward. The patients are sitting in the Day Room after their morning pills. Then a new patient, Randall McMurphy, checks in. McMurphy was a big redheaded man who loved to gamble and got transferred to the ward from a work farm. From the beginning, McMurphy had been hard to control. He refused any of the traditional check in routines that any new patient needed to follow including taking his admission shower. The Black Boys, the orderlies of the ward, went to get Nurse Ratched in attempt to put McMurphy in line.
From the moment McMurphy enters the ward it is clear to all that he is different and hard to control. He’s seen as a figure the rest of the patients can look up to and he raises their hopes in taking back power from the big nurse. The other patients identify McMurphy as a leader when he first stands up to the nurse at her group therapy, saying that she has manipulated them all to become “a bunch of chickens at a pecking party”(Kesey 55). He tells the patients that they do not have to listen to Nurse Ratched and he confronts her tactics and motives. The patients see him as a leader at this point, but McMurphy does not see the need for him to be leading alone. McMurphy is a strong willed and opinionated man, so when he arrives at the ward he fails to comprehend why the men live in fear, until Harding explains it to him by
The mentally ill, are given refugee in facilities also know as asylums. Although these facilities are meant to help these people, in 1975, they were detrimental because they restrict choice, and do not provide a meaningful life. This is depicted in the movie One flew Over the Cuckoos Nest. In the movie, the protagonist R.P McMurphy, Randle Patrick McMurphy, is a current inmate at the state penitentiary for statutory rape and other crimes. He is a rugged, scummy, lazy man, who is in his late 40. He is a great manipulator and to avoid the work set for him at the penitentiary he hatches his newest plan; McMurphy fakes mental illness. Of course the penitentiary does not believe Mr. McMurphy, so they send him to the state mental facility for evaluation. Here he meets the other patients that he will be spending the next couple of weeks with on Ward B. McMurphy also meets the person who will challenge his freewill. This movie shows the struggle of man who fights for free choice, and purpose.
The hunger to win can be a very powerful thing. As demonstrated through Ken Kesey’s One Flew Over the Cuckoo’s Nest, Nurse Ratched and McMurphy are in constant war for this power over the patients of the ward. McMurphy attempts to give the patients more confidence while Nurse Ratched attempts to keeps things the way they were before he ever showed up. McMurphy’s constant rule breaking has caused Nurse Ratched to slowly break down and lose control over the patients which has declared him as the winner of the war.
McMurphy was sentenced to six months at a prison work farm when he was diagnosed as a psychopath for too much fighting and fucking. He fakes having a psychosis so he could transfer to a mental institute. “Nobody left in that Pendleton Work Farm to make my days interesting anymore, so I requested a transfer, ya see. Needed some new blood” (12). McMurphy wanted to leave the work farm because he was getting bored there. He wanted to find new enjoyment so he chooses to transfer to a mental institute. “What happened, you see was I got in a couple of hassles at the work farm, to tell the pure truth, and the court ruled that I’m a psychopath...If it gets me outta those damned pea fields to be whatever their little heart desires, be it psychopath or mad dog or werewolf, because I don’t care if I never see another weedin’ hoe to my dying day” (13). McMurphy did not protest because he thought the hospital would be more comfortable than the farm. McMurphy arrives at the mental institute.McMurphy introduces himself to the other patients. “My name is McMurphy, buddies, R.P. McMurphy, and I’m a gambling fool” (12). McMurphy starts to know the rules at the hospital and gets to know the other patients
One Who Flew Over the Cuckoo’s Nest is a movie that portrays a life story of a criminal named McMurphy who is sent to a mental institution because he believes that he himself is insane. While McMurphy is in the mental ward, he encounters other patients and changes their perception of the “real” world. Before McMurphy came to the mental ward, it was a place filled with strict rules and orders that patients had to follow; these rules were created by the head nurse, Nurse Ratched. However, once McMurphy was in the ward, everything, including the atmosphere, changed. He was the first patient to disobey Nurse Ratched. Unlike other patients who continuously obeyed Nurse Ratched, McMurphy and another patient named Charlie Cheswick decided to rebel
McMurphy is an individual who is challenging and rebelling against the system's rules and practices. He eventually teaches this practice of rebellion to the other patients who begin to realize that their lives are being controlled unfairly by the mental institution. When McMurphy first arrives at the institution, all of the other patients are afraid to express their thoughts to the Big Nurse. They are afraid to exercise their thoughts freely, and they believe that the Big Nurse will punish them if they question her authority. One patient, Harding, says, "All of us in here are rabbits of varying ages and degrees...We need a good strong wolf like the nurse to teach us our place" (Kesey 62).
Gibson and Mika Haritos-Fatouros, they inform readers about psychologist Stanley Milgram’s studies. “Milgram proposed that the reasons people obey or disobey authority fall into three categories. The first is personal history family or school backgrounds that encourage obedience or defiance. The second, which he called “binding,” is made up of ongoing experiences that make people feel comfortable when they obey authority. Strain, the third category, consists of bad feelings from unpleasant experiences connected with obedience,” ( Milgram 247). Although the nurse isn’t harmful the patients still feel obligated to respect and obey her. The complication begins when McMurphy joins the group. First of all, Randle McMurphy is not disturbed, he’s not crazy. He’s just a rebellious man who doesn’t follow any orders. He had the group steal a bus and steal a boat to go fishing and so he could spend time with his old friend Candy. He doesn’t respect Nurse Ratched and always seems to have a problem with her. He causes everyone to speak up, which isn’t a bad thing but causes disorder and the patients act up. For example, the scene where Cheswick starts yelling at the nurse and disobeys her orders doesn’t sit down and pouts about not getting his cigarettes back. From the start of the movie to the middle it seems that they were gaining a new authority figure, McMurphy himself. “The Greek example illustrates how the ability to torture can be taught. Training that increases binding and reduces strain can cause decent people to commit acts, often over long periods of time, that otherwise would be unthinkable for them” (Gibson, Haritos-Fatouros 249). The rebellious Mac has an influence on the rest of the ward to think it is okay to be against the rules. The quote “You bargained your freedom for the comfort of discipline,” (Jones Gibson, Haritos-Fatouros 247) has a similar meaning to McMurphy's actions. Mac gets a bit out of
Perhaps her cruelest action emotionally ruining Billy, a patient of hers that had recently lost his stutter, to the degree of which he killed himself. Her actions are cruel and deplorable none of which helped anyone but herself. She saw the hospital as her own domain and once it was threatened, she reacted defensively injuring many in the process. Maybe Nurse Ratched, who is often described as frigid and constantly wears a mask, acts the way she does to cover her own illness. The things she says and does are indicative of Obsessive Compulsive Disorder, Schizoid Personality Disorder, and could even have a smidgen of Antisocial Personality Disorder. It is a theory that Ratched dramatizes the illness of others to distract from her own
McMurphy uses his power of speech to rally his fellow patients against Nurse Ratched who is constantly revoking their privileges. He also uses it furtively to acquire all that he desires, by conning the other patients. Throughout the novel he is very loud and is known for his unwavering ability to speak his mind and confront those that oppose him.
The main character, Randle Patrick McMurphy, is brought to a state mental institution from a state prison to be studied to see if he has a mental illness. McMurphy has a history of serving time in prison for assault, and seems to take no responsibility for his actions. McMurphy is very outgoing, loud, rugged, a leader, and a rebel. McMurphy also seems to get pleasure out of fighting the system. McMurphy relishes in challenging the authority of Nurse Ratchett who seems to have a strong hold over the other patients in the ward. He enters into a power struggle with Nurse Ratchett when he finds out that he cannot leave the hospital until the staff, which primarily means her, considers him cured.
When McMurphy first entered into the mental institution, he was under the impression that the amount of time that he would have been in jail, was the same amount of time that he would be in the ward. However, after one the attendants revealed to him that he could not control when he left, McMurphy’s main goal became to escape the ward. The problem with this is that his goal was rooted in a very selfish place because he was not focused on creating meaningful relationships with the men in the ward, rather he was focused only on escaping the ward because it would make him happy and it would benefit him. McMurphy also meets the criteria for (A2b), which states that he has impairments in interpersonal functioning, specifically in his intimacy. Early in the film you could see how McMurphy lacked the ability to have healthy intimate relationships, especially when he was found guilty for statutory rape and he proceeded to laugh about it and explain why he did not consider it rape, mainly because of the pleasure it allotted for him. In addition, in the two times we saw McMurphy with Candy, their relationship seemed to be rooted in their physical attraction which did not seem to be a healthy because McMurphy only wanted her to satisfy his
These 20 minutes resulted in her stay in a mental asylum for two years. She finds herself stuck between choosing the inside world or facing the reality on the outside. After facing numerous criticisms, both resources showcase a different point of view for readers. One Flew Over Cuckoo’s Nest The sole purpose of a mental institution should be to aide an individual on his or her path to wellness, One Flew Over a Cuckoo’s Nest represents quite the opposite.