Mental hospitals are typically secure facilities intended to provide a place for patients, whose symptoms range from minor to severe, to be secured and not be a danger to the rest of society while treatment is applied. The manner in which the patients are described in the story indicates that they are not severe mental cases but are those who are unable to function in society at large due to idiosyncrasies and minor hang-ups, yet they are housed in a ward where they are kept under lock and key, their movement is restricted to one day-room, and their activities are on a strictly regulated time-table. Most of the men have given up their physical freedom voluntarily with the expectation of treatment, mental healing and the eventual release back into society. McMurphy, on the other hand, was committed by the state and his sentence depends on the opinion of the Big Nurse, though he doesn’t realize this right away. Nurse Ratched does not resort to physical touch herself and instead uses the three ward aides to perform her physical brutality
Cited: Kesey, Ken. One Flew over the Cuckoo 's Nest, a Novel. New York: Viking, 1962. Print.