One Flew Over the Cuckoo's Nest (novel)

One Flew Over the Cuckoo's Nest is a novel by Ken Kesey published in 1962. Set in an Oregon psychiatric hospital, the narrative serves as a study of institutional processes and the human mind, including a critique of psychiatry and a tribute to individualistic principles. It was adapted into the Broadway (and later off-Broadway) play "One Flew Over the Cuckoo's Nest" by Dale Wasserman in 1963. Bo Goldman adapted the novel into a 1975 film of the same name directed by Miloš Forman, which won five Academy Awards.
"Time" magazine included the novel in its "100 Best English-language Novels from 1923 to 2005" list. In 2003 the book was listed on the BBC's The Big Read poll of the UK's 200 "best-loved novels."
Plot.
The book is narrated by "Chief" Bromden, a gigantic yet docile half-Native American patient at a psychiatric hospital, who presents himself as deaf and mute. Bromden's tale focuses mainly on the antics of the rebellious Randle Patrick McMurphy, who faked insanity to serve his sentence for battery and gambling in the hospital rather than at a prison work farm. The head administrative nurse, Nurse Ratched, rules the ward with absolute authority and little medical oversight. She is assisted by her three day-shift orderlies and her assistant doctors and nurses.
McMurphy constantly antagonizes Nurse Ratched and upsets the routines of the ward, leading to endless power struggles between the inmate and the nurse. He runs a card table, captains the ward's basketball team, comments on Nurse Ratched's figure, incites the other patients to conduct a vote about watching the World Series on television, and organizes a deep-sea fishing trip wherein the patients were going to be "supervised" by prostitutes. After claiming to be able, and subsequently failing, to lift a heavy control panel in the defunct hydrotherapy room (referred to as the "tub room"), his response—"But at least I tried"—gives the men incentive to try to stand up for themselves, instead of allowing Nurse Ratched to take control of every aspect of their lives. The Chief opens up to McMurphy, revealing late one night that he can speak and hear. A violent disturbance after the fishing trip results in McMurphy and the Chief being sent for electroshock therapy sessions, but such punishment does nothing to curb McMurphy's rambunctious behavior.
One night, after bribing the night orderly, McMurphy smuggles two prostitute girlfriends with liquor onto the ward and breaks into the pharmacy for codeine cough syrup and unnamed psychiatric medications. McMurphy, having noticed on the fishing trip that Billy Bibbit—a timid, boyish patient with a stutter and little experience with women—had a crush on the prostitute named Candy, primarily arranged this break-in so that Billy could lose his virginity and, to a slightly lesser extent so that McMurphy and other patients could throw an unsanctioned party. Although McMurphy agrees before the end of the night to a plan involving his escaping before the morning shift starts, he and the other patients instead fall asleep without cleaning up the mess of the group's antics, and the morning staff discovers the ward in complete disarray. Nurse Ratched finds Billy and the prostitute in each other's arms, partially dressed, and admonishes him. Billy asserts himself for the first time, answering Nurse Ratched without stuttering. Ratched calmly threatens to tell Billy's mother what she has seen. Billy has an emotional breakdown, regressing immediately back to a boyish state, and, upon being left alone in the doctor's office, takes his life by cutting his own throat. Nurse Ratched blames McMurphy for the loss of Billy's life. Enraged at what she has done to Billy, McMurphy attacks Ratched by ripping her shirt open and attempting to strangle her to death. McMurphy is physically restrained and moved to the Disturbed ward.
Nurse Ratched misses a week of work due to her injuries, during which time many of the patients either transfer to other wards or check out of the hospital forever. When she returns, she cannot speak and is thus deprived of her most potent tool to keep the men in line. With Bromden, Martini, and Scanlon the only patients who attended the boat trip left on the ward, McMurphy is brought back in. He has received a lobotomy, and is now in a vegetative state, rendering him silent and motionless. The Chief smothers McMurphy with a pillow during the night in an act of mercy before lifting the tub room control panel that McMurphy could not lift earlier, throwing it through a window and escaping the hospital, thus being the "one" who "flew over the cuckoo's nest".
Background.
"One Flew Over the Cuckoo's Nest" was written in 1959 and published in 1962 in the midst of the Civil Rights Movement and deep changes to the way psychology and psychiatry were being approached in America. The 1960s began the controversial movement towards deinstitutionalization, an act that would have affected the characters in Kesey's novel. The novel is a direct product of Kesey's time working the graveyard shift as an orderly at a mental health facility in Menlo Park, California. Not only did he speak to the patients and witness the workings of the institution, he also voluntarily took psychoactive drugs, including mescaline and LSD, as part of Project MKUltra.
In addition to his work with Project MKUltra, Kesey took LSD recreationally; advocating for drug use as a path to individual freedom.
The novel constantly refers to different authorities that control individuals through subtle and coercive methods. The novel's narrator, the Chief, combines these authorities in his mind, calling them "The Combine" in reference to the mechanistic way they manipulate and process individuals. The authority of The Combine is most often personified in the character of Nurse Ratched who controls the inhabitants of the novel's mental ward through a combination of rewards and subtle shame. Although she does not normally resort to conventionally harsh discipline, her actions are portrayed as more insidious than those of a conventional prison administrator. This is because the subtlety of her actions prevents her prisoners from understanding they are being controlled at all. The Chief also sees the Combine in the damming of the wild Columbia River at Celilo Falls, where his Native American ancestors hunted, and in the broader conformity of post-war American consumer society. The novel's critique of the mental ward as an instrument of oppression comparable to the prison mirrored many of the claims that French intellectual Michel Foucault was making at the same time. Similarly, Foucault argued that invisible forms of discipline oppressed individuals on a broad societal scale, encouraging them to censor aspects of themselves and their actions. The novel also criticizes the emasculation of men in society, particularly in the character of Billy Bibbit, the stuttering Acute patient who is domineered by both Nurse Ratched and his mother.
Title.
The title of the book is a line from a nursery rhyme:
&lt;poem style="margin-left:2em;"&gt;
Vintery, mintery, cutery, corn,
Apple seed and apple thorn,
Wire, briar, limber lock
Three geese in a flock
One flew East
One flew West
And one flew over the cuckoo's nest
&lt;/poem&gt;
Chief Bromden's grandmother sang a version of this song to him when he was a child, a fact revealed in the story when the Chief received yet another ECT treatment after he assisted McMurphy with defending George, a patient being abused by the ward's aides.
Main characters.
Acutes.
The acutes are patients who officials believe can still be cured. With few exceptions, they are there voluntarily, a fact that angers McMurphy when he first learns of it, then later causes him to feel further pity for the patients, thus further inspiring him to prove to them they can still be strong despite their seeming willingness to be weak.
Chronics.
The chronics are patients who will never be cured. Many of the chronics are elderly and/or in vegetative states.
Controversy.
"One Flew Over the Cuckoo's Nest" is one of America's most challenged and banned novels.
Adaptations.
The novel was adapted into a 1963 play, starring Kirk Douglas (who purchased the rights to produce it for the stage and motion pictures) as McMurphy and Gene Wilder as Billy Bibbit. A film adaptation, starring Jack Nicholson and co-produced by Michael Douglas, was released in 1975. The film won five Academy Awards.
The characters of Nurse Ratched and Chief Bromden appear as recurring characters in ABC's "Once Upon a Time", where they are portrayed by Ingrid Torrance and Peter Marcin.
Netflix and Ryan Murphy produced a prequel series titled "Ratched" which follows Sarah Paulson as a younger version of Nurse Ratched. The first of the two-season order was released on September 18, 2020.