Deinstitutionalization and Uniqueness

THE MOVIE

One Flew Over the Cuckoo’s Nest (1975) by Miloš Forman

DIFFICULTY

THE QUESTION

Why doesn’t McMurphy escape?

WHAT WE LEARN

Decoding the process of identification.

Warning SPOILERS ahead

PLOT:

The story is set in a psychiatric hospital in the 1960s. Randle Patrick McMurphy, a rebellious criminal, is transferred there from a prison to avoid forced labor, pretending to be mentally ill. Once admitted, he clashes with the cold and authoritarian Nurse Ratched, who maintains control over the patients through fear and psychological manipulation.

McMurphy befriends some of the patients, including Billy Bibbit, a shy and insecure young man, and the enormous Chief Bromden, who appears deaf and mute. With his rebellious spirit, he seeks to shake the ward’s apathy: he organizes a basketball game, convinces the patients to watch a baseball game, and takes the group on an illicit fishing boat trip.

The conflict between McMurphy and Nurse Ratched escalates. After a nighttime party in which Billy loses his virginity with a prostitute, Nurse Ratched publicly humiliates him, driving him to suicide. Enraged, McMurphy attacks her, trying to strangle her, but he is stopped and subjected to a lobotomy, reducing him to a vegetative state.

Chief Bromden, seeing his friend in that condition, decides to suffocate him in his sleep to free him from his suffering. He then escapes from the hospital, breaking a window with a heavy sink, symbolizing his regained freedom.

INTERPRETIVE KEY:

Watching the film One Flew Over the Cuckoo’s Nest leaves the viewer deeply affected, especially in front of McMurphy’s lobotomy.

Can we think that the viewer identifies with the protagonist, who, as emerges from the initial dialogue between McMurphy and the doctor, is a rapist? Before trying to answer this question, let’s see how the process of identification can occur.

Identification in cognitive psychology
When we listen to or watch a story, our brain processes the characters and events through mechanisms of mental simulation. This allows us to empathize with the protagonists and indirectly experience their experiences. Some key processes:

  • Theory of mind: our brain tries to understand the thoughts and emotions of the characters, attributing intentions and motivations to them.
  • Narrative empathy: we activate the same brain areas we would use if we were actually living those situations (mirror neurons).
  • Narrative transportation: we become emotionally immersed in the story, reducing our awareness of the real world.

In general, strong identification occurs with the main character. In the case of One Flew Over the Cuckoo’s Nest, it is particularly important to know that in the eponymous novel by Ken Kesey (published in 1962), from which the film is adapted, the story is narrated in the first person by Chief Bromden, and it is a subjective and hallucinatory narration: the Chief is not a reliable narrator because he perceives reality in a distorted way, influenced by his paranoia and hallucinations. The reader experiences the events filtered through the Chief’s mind, which offers an intimate view of the patients’ progressive transformation thanks to McMurphy’s influence, while the mental hospital becomes a metaphor for social control, and Nurse Ratched is seen almost as an omnipotent evil entity.

The cinematic adaptation by Bo Goldman and Lawrence Hauben, which earned them the Oscar for Best Adapted Screenplay, abandons the narrative voice and focuses the story on McMurphy.

Once this choice was made by the screenwriters, if reading the novel the reader identifies with the Chief, watching the film the viewer seeks to identify with McMurphy despite him being a rogue. This is neither strange nor impossible. Recall Humbert Humbert, the pedophile protagonist of Nabokov’s Lolita. Humbert is irresistible, and the reader cannot help but be with him from beginning to end (see Yale lectures).

Similarly, there is something in McMurphy that attracts identification, such as his rebelliousness, nonconformity, exuberant vitality, and especially his being all this within a 1960s psychiatric hospital, where repressive measures were applied to all those considered “different,” non-uniform, not conforming to the principles of standardized “normality.”

Following this path, McMurphy positions himself as the rebel, a revolutionary against the oppressive reality of psychiatric hospitals, which, it should be remembered, would soon be legally abolished in favor of deinstitutionalization, aimed at reducing dependence on closed hospital facilities and promoting patients’ integration into the community.

For the identification process to be complete, given these premises, McMurphy must embody the figure of the trickster, a deceiver or jester, an archetype that appears in many cultural and mythological traditions and is closely linked to the concept of the joker in popular culture. The trickster is a complex character who challenges social conventions, breaks rules, and destabilizes the established order, often with a purpose beyond mere chaos: he can also lead to transformation, reveal hidden truths, and drive change.

Where does McMurphy fail? Where does he disappoint us because we realize he is not truly a trickster? The first time is when he takes the group on a clandestine fishing boat trip—and doesn’t escape, doesn’t try to flee.

The second time is after attacking Nurse Ratched. The two prostitutes McMurphy had brought for the nighttime party have escaped through the window and call him from the street. The hospital attendants have intervened, McMurphy will certainly be punished, he stares at the open window and… doesn’t run.

If we retrace the story backward, we notice other details. For example, Nurse Ratched and her young assistant sitting in front of the group of patients, composed like schoolgirls, dressed in white with skirts above the knee revealing legs covered by immaculate white stockings: why did McMurphy, a rapist, never try to put his hands there?

At this point, the viewer’s narrative empathy truly kicks in.

McMurphy is not there to show us how a charismatic joker—whose charisma is amplified by Jack Nicholson’s Oscar-winning performance—will subvert the system. McMurphy doesn’t escape because outside, in the free world, he is a misfit and would end up in jail. He cannot manage outside, and the psychiatric hospital, despite everything, represents a safe zone, a refuge, an anesthetic against the difficulties of living in society—and this is precisely its function: a place to confine those who diverge.

Throughout the story, McMurphy discovers that many patients in the hospital are not forced to stay; they are free to return to the outside world but choose not to. At first, he doesn’t understand them and mocks them, but then, when faced with the open window, he doesn’t escape. He believes he is smarter than the others, that he has outwitted the system to avoid jail, but it turns out that the psychiatric hospital is precisely the place where the system prefers to put people like him: away from others, sedated, under control, and out of the game.

On this point, Michel Foucault, in History of Madness in the Classical Age, illustrates how psychiatric hospitals are not simply places of care but instruments of social control and discipline. His critique profoundly influenced movements for the deinstitutionalization of psychiatry, such as the Basaglia Law in Italy, which led to the closure of asylums.

At this stage, the viewer’s identification definitively abandons McMurphy as a figure to embrace the concept he represents: freedom—the right to freedom, in this case expressed as the right to be oneself, unique, and, by being unique, different and nonconformist.

When Chief Bromden realizes that McMurphy has been lobotomized, he grants him the only escape now possible: death. He lifts the heavy water hydrant (which McMurphy had previously tried in vain to lift, symbolizing that escape was impossible for him) and hurls it through a window, thereby managing to flee.

RIFERIMENTI:

Amy Hungerford, Three Lectures on Nabokov’s Lolita delivered for the course The American Novel Since 1945 in the 2008/2009 academic year at Yale
https://www.youtube.com/watch?v=Z_8toD2CFlg
https://www.youtube.com/watch?v=QPnxLNFzA8s
https://www.youtube.com/watch?v=YZyIQM073rc

Michel Foucault. Storia della follia nell’età classica, Rizzoli, Milano 1976

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