Plot Overview
Chief Bromden, the half-Indian narrator of One Flew Over the Cuckoo’s Nest, has been a patient in an Oregon psychiatric hospital for ten years. His paranoia is evident from the first lines of the book, and he suffers from hallucinations and delusions. Bromden’s worldview is dominated by his fear of what he calls the Combine, a huge conglomeration that controls society and forces people into conformity. Bromden pretends to be deaf and dumb and tries to go unnoticed, even though he is six feet seven inches tall.
The mental patients, all male, are divided into Acutes, who can be cured, and Chronics, who cannot be cured. They are ruled by Nurse Ratched, a former army nurse who runs the ward with harsh, mechanical precision. During daily Group Meetings, she encourages the Acutes to attack each other in their most vulnerable places, shaming them into submission. If a patient rebels, he is sent to receive electroshock treatments and sometimes a lobotomy, even though both practices have fallen out of favor with the medical community.
When Randle McMurphy arrives as a transfer from the Pendleton Work Farm, Bromden senses that something is different about him. McMurphy swaggers into the ward and introduces himself as a gambling man with a zest for women and cards. After McMurphy experiences his first Group Meeting, he tells the patients that Nurse Ratched is a ball-cutter. The other patients tell him that there is no defying her, because in their eyes she is an all-powerful force. McMurphy makes a bet that he can make Ratched lose her temper within a week.
At first, the confrontations between Ratched and McMurphy provide entertainment for the other patients. McMurphy’s insubordination, however, soon stimulates the rest of them into rebellion. The success of his bet hinges on a failed vote to change the television schedule to show the World Series, which is on during the time allotted for cleaning chores. McMurphy stages a