One Flew Over the Cuckoo's Nest

by Ken Kesey

  All the other Acutes leave what they've been doing and ease up close to see what new sort this fellow is. Nobody like him's ever been on the ward before. They're asking him where he's from and what his business is in a way I've never seen them do before. He says he's a dedicated man. He says he was just a wanderer and logging bum before the Army took him and taught him what his natural bent was; just like they taught some men to goldbrick and some men to goof off, he says, they taught him to play poker. Since then he's settled down and devoted himself to gambling on all levels. Just play poker and stay single and live where and how he wants to, if people would let him, he says, "but you know how society persecutes a dedicated man. Ever since I found my callin' I done time in so many small-town jails I could write a brochure. They say I'm a habitual hassler. Like I fight some. Sheeut. They didn't mind so much when I was a dumb logger and got into a hassle; that's excusable, they say, that's a hard-workin' feller blowing off steam, they say. But if you're a gambler, if they know you to get up a back-room game now and then, all you have to do is spit slantwise and you're a goddamned criminal. Hooee, it was breaking up the budget drivin' me to and from the pokey for a while there."

  He shakes his head and puffs out his cheeks.

  "But that was just for a period of time. I learned the ropes. To tell the truth, this 'sault and battery I was doing in Pendleton was the first hitch in close to a year. That's why I got busted. I was outa practice; this guy was able to get up off the floor and get to the cops before I left town. A very tough individual ..."

  He laughs again and shakes hands and sits down to arm wrestle every time that black boy gets too near him with the thermometer, till he's met everybody on the Acute side. And when he finishes shaking hands with the last Acute he comes right on over to the Chronics, like we aren't no different. You can't tell if he's really this friendly or if he's got some gambler's reason for trying to get acquainted with guys so far gone a lot of them don't even know their names.

  He's there pulling Ellis's hand off the wall and shaking it just like he was a politician running for something and Ellis's vote was good as anybody's. "Buddy," he says to Ellis in a solemn voice, "my name is R. P. McMurphy and I don't like to see a full-grown man sloshin' around in his own water. Whyn't you go get dried up?"

  Ellis looks down at the puddle around his feet in pure surprise. "Why, I thank you," he says and even moves off a few steps toward the latrine before the nails pull his hands back to the wall.

  McMurphy comes down the line of Chronics, shakes hands with Colonel Matterson and with Ruckly and with Old Pete. He shakes the hands of Wheelers and Walkers and Vegetables, shakes hands that he has to pick up out of laps like picking up dead birds, mechanical birds, wonders of tiny bones and wires that have run down and fallen. Shakes hands with everybody he comes to except Big George the water freak, who grins and shies back from that unsanitary hand, so McMurphy just salutes him and says to his own right hand as he walks away, "Hand, how do you suppose that old fellow knew all the evil you been into?"

  Nobody can make out what he's driving at, or why he's making such a fuss with meeting everybody, but it's better'n mixing jigsaw puzzles. He keeps saying it's a necessary thing to get around and meet the men he'll be dealing with, part of a gambler's job. But he must know he ain't going to be dealing with no eighty-year-old organic who couldn't do any more with a playing card than put it in his mouth and gum it awhile. Yet he looks like he's enjoying himself, like he's the sort of guy that gets a laugh out of people.

  I'm the last one. Still strapped in the chair in the corner. McMurphy stops when he gets to me and hooks his thumbs in his pockets again and leans back to laugh, like he sees something funnier about me than about anybody else. All of a sudden I was scared he was laughing because he knew the way I was sitting there with my knees pulled up and my arms wrapped around them, staring straight ahead as though I couldn't hear a thing, was all an act.

  "Hooeee," he said, "look what we got here."

  I remember all this part real clear. I remember the way he closed one eye and tipped his head back and looked down across that healing wine-colored scar on his nose, laughing at me. I thought at first that he was laughing because of how funny it looked, an Indian's face and black, oily Indian's hair on somebody like me. I thought maybe he was laughing at how weak I looked. But then's when I remember thinking that he was laughing because he wasn't fooled for one minute by my deaf-and-dumb act; it didn't make any difference how cagey the act was, he was onto me and was laughing and winking to let me know it.

  "What's your story, Big Chief? You look like Sittin' Bull on a sit-down strike." He looked over to the Acutes to see if they might laugh about his joke; when they just sniggered he looked back to me and winked again. "What's your name, Chief?"

  Billy Bibbit called across the room. "His n-n-name is Bromden. Chief Bromden. Everybody calls him Chief Buh-Broom, though, because the aides have him sweeping a l-large part of the time. There's not m-much else he can do, I guess. He's deaf." Billy put his chin in hands. "If I was d-d-deaf"--he sighed--"I would kill myself."

  McMurphy kept looking at me. "He gets his growth, he'll be pretty good-sized, won't he? I wonder how tall he is."

  "I think somebody m-m-measured him once at s-six feet seven; but even if he is big, he's scared of his own sh-sh-shadow. Just a bi-big deaf Indian."

  "When I saw him sittin' here I thought he looked some Indian. But Bromden ain't an Indian name. What tribe is he?"

  "I don't know," Billy said. "He was here wh-when I c-came."

  "I have information from the doctor," Harding said, "that he is only half Indian, a Columbia Indian, I believe. That's a defunct Columbia Gorge tribe. The doctor said his father was the tribal leader, hence this fellow's title, 'Chief.' As to the 'Bromden' part of the name, I'm afraid my knowledge in Indian lore doesn't cover that."

  McMurphy leaned his head down near mine where I had to look at him. "Is that right? You deef, Chief?"

  "He's de-de-deef and dumb."

  McMurphy puckered his lips and looked at my face a long time. Then he straightened back up and stuck his hand out.

  "Well, what the hell, he can shake hands can't he? Deef or whatever. By God, Chief, you may be big, but you shake my hand or I'll consider it an insult. And it's not a good idea to insult the new bull goose loony of the hospital."

  When he said that he looked back over to Harding and Billy and made a face, but he left that hand in front of me, big as a dinner plate.

  I remember real clear the way that hand looked: there was carbon under the fingernails where he'd worked once in a garage; there was an anchor tattooed back from the knuckles; there was a dirty Band-Aid on the middle knuckle, peeling up at the edge. All the rest of the knuckles were covered with scars and cuts, old and new. I remember the palm was smooth and hard as bone from hefting the wooden handles of axes and hoes, not the hand you'd think could deal cards. The palm was callused, and the calluses were cracked, and dirt was worked in the cracks. A road map of his travels up and down the West. That palm made a scuffing sound against my hand. I remember the fingers were thick and strong closing over mine, and my hand commenced to feel peculiar and went to swelling up out there on my stick of an arm, like he was transmitting his own blood into it. It rang with blood and power. It blowed up near as big as his, I remember....

  "Mr. McMurry."

  It's the Big Nurse.

  "Mr. McMurry, could you come here please?"

  It's the Big Nurse. That black boy with the thermometer has gone and got her. She stands there tapping that thermometer against her wrist watch, eyes whirring while she tries to gauge this new man. Her lips are in that triangle shape, like a doll's lips ready for a fake nipple.

  "Aide Williams tells me, Mr. McMurry, that you've been somewhat difficult about your admission shower. Is this true? Please understand, I appreciate the way you've taken it upon yourself to orient with the other patients on the ward, but everything in its own good time, Mr. McMurry. I'm sorry
to interrupt you and Mr. Bromden, but you do understand: everyone ... must follow the rules."

  He tips his head back and gives that wink that she isn't fooling him any more than I did, that he's onto her. He looks up at her with one eye for a minute.

  "Ya know, ma'am," he says, "ya know--that is the ex-act thing somebody always tells me about the rules ..."

  He grins. They both smile back and forth at each other, sizing each other up.

  "... just when they figure I'm about to do the dead opposite." Then he lets go my hand.

  IN THE GLASS STATION the Big Nurse has opened a package from a foreign address and is sucking into hypodermic needles the grass-and-milk liquid that came in vials in the package. One of the little nurses, a girl with one wandering eye that always keeps looking worried over her shoulder while the other one goes about its usual business, picks up the little tray of filled needles but doesn't carry them away just yet.

  "What, Miss Ratched, is your opinion of this new patient? I mean, gee, he's good-looking and friendly and everything, but in my humble opinion he certainly takes over."

  The Big Nurse tests a needle against her fingertip. "I'm afraid"--she stabs the needle down in the rubber-capped vial and lifts the plunger--"that is exactly what the new patient is planning: to take over. He is what we call a 'manipulator,' Miss Flinn, a man who will use everyone and everything to his own ends."

  "Oh. But. I mean, in a mental hospital? What could his ends be?"

  "Any number of things." She's calm, smiling, lost in the work of loading the needles. "Comfort and an easy life, for instance; the feeling of power and respect, perhaps; monetary gain--perhaps all of these things. Sometimes a manipulator's own ends are simply the actual disruption of the ward for the sake of disruption. There are such people in our society. A manipulator can influence the other patients and disrupt them to such an extent that it may take months to get everything running smooth once more. With the present permissive philosophy in mental hospitals, it's easy for them to get away with it. Some years back it was quite different. I recall some years back we had a man, a Mr. Taber, on the ward, and he was an intolerable Ward Manipulator. For a while." She looks up from her work, needle half filled in front of her face like a little wand. Her eyes get far-off and pleased with the memory. "Mistur Tay-bur," she says.

  "But, gee," the other nurse says, "what on earth would make a man want to do something like disrupt the ward for, Miss Ratched? What possible motive ...?"

  She cuts the little nurse off by jabbing the needle back into the vial's rubber top, fills it, jerks it out, and lays it on the tray. I watch her hand reach for another empty needle, watch it dart out, hinge over it, drop.

  "You seem to forget, Miss Flinn, that this is an institution for the insane."

  The Big Nurse tends to get real put out if something keeps her outfit from running like a smooth, accurate, precision-made machine. The slightest thing messy or out of kilter or in the way ties her into a little white knot of tight-smiled fury. She walks around with that same doll smile crimped between her chin and her nose and that same calm whir coming from her eyes, but down inside of her she's tense as steel. I know, I can feel it. And she don't relax a hair till she gets the nuisance attended to--what she calls "adjusted to surroundings."

  Under her rule the ward Inside is almost completely adjusted to surroundings. But the thing is she can't be on the ward all the time. She's got to spend some time Outside. So she works with an eye to adjusting the Outside world too. Working alongside others like her who I call the "Combine," which is a huge organization that aims to adjust the Outside as well as she has the Inside, has made her a real veteran at adjusting things. She was already the Big Nurse in the old place when I came in from the Outside so long back, and she'd been dedicating herself to adjustment for God knows how long.

  And I've watched her get more and more skillful over the years. Practice has steadied and strengthened her until now she wields a sure power that extends in all directions on hairlike wires too small for anybody's eye but mine; I see her sit in the center of this web of wires like a watchful robot, tend her network with mechanical insect skill, know every second which wire runs where and just what current to send up to get the results she wants. I was an electrician's assistant in training camp before the Army shipped me to Germany and I had some electronics in my year in college is how I learned about the way these things can be rigged.

  What she dreams of there in the center of those wires is a world of precision efficiency and tidiness like a pocket watch with a glass back, a place where the schedule is unbreakable and all the patients who aren't Outside, obedient under her beam, are wheelchair Chronics with catheter tubes run direct from every pantleg to the sewer under the floor. Year by year she accumulates her ideal staff: doctors, all ages and types, come and rise up in front of her with ideas of their own about the way a ward should be run, some with backbone enough to stand behind their ideas, and she fixes these doctors with dry-ice eyes day in, day out, until they retreat with unnatural chills. "I tell you I don't know what it is," they tell the guy in charge of personnel. "Since I started on that ward with that woman I feel like my veins are running ammonia. I shiver all the time, my kids won't sit in my lap, my wife won't sleep with me. I insist on a transfer--neurology bin, the alky tank, pediatrics, I just don't care!"

  She keeps this up for years. The doctors last three weeks, three months. Until she finally settles for a little man with a big wide forehead and wide jowly cheeks and squeezed narrow across his tiny eyes like he once wore glasses that were way too small, wore them for so long they crimped his face in the middle, so now he has glasses on a string to his collar button; they teeter on the purple bridge of his little nose and they are always slipping one side or the other so he'll tip his head when he talks just to keep his glasses level. That's her doctor.

  Her three daytime black boys she acquires after more years of testing and rejecting thousands. They come at her in a long black row of sulky, big-nosed masks, hating her and her chalk doll whiteness from the first look they get. She appraises them and their hate for a month or so, then lets them go because they don't hate enough. When she finally gets the three she wants--gets them one at a time over a number of years, weaving them into her plan and her network--she's damn positive they hate enough to be capable.

  The first one she gets five years after I been on the ward, a twisted sinewy dwarf the color of cold asphalt. His mother was raped in Georgia while his papa stood by tied to the hot iron stove with plow traces, blood streaming into his shoes. The boy watched from a closet, five years old and squinting his eye to peep out the crack between the door and the jamb, and he never grew an inch after. Now his eyelids hang loose and thin from his brow like he's got a bat perched on the bridge of his nose. Eyelids like thin gray leather, he lifts them up just a bit whenever a new white man comes on the ward, peeks out from under them and studies the man up and down and nods just once like he's oh yes made positive certain of something he was already sure of. He wanted to carry a sock full of birdshot when he first came on the job, to work the patients into shape, but she told him they didn't do it that way anymore, made him leave the sap at home and taught him her own technique; taught him not to show his hate and to be calm and wait, wait for a little advantage, a little slack, then twist the rope and keep the pressure steady. All the time. That's the way you get them into shape, she taught him.

  The other two black boys come two years later, coming to work only about a month apart and both looking so much alike I think she had a replica made of the one who came first. They are tall and sharp and bony and their faces are chipped into expressions that never change, like flint arrowheads. Their eyes come to points. If you brush against their hair it rasps the hide right off you.

  All of them black as telephones. The blacker they are, she learned from that long dark row that came before them, the more time they are likely to devote to cleaning and scrubbing and keeping the ward in order. For instance, all t
hree of these boys' uniforms are always spotless as snow. White and cold and stiff as her own.

  All three wear starched snow-white pants and white shirts with metal snaps down one side and white shoes polished like ice, and the shoes have red rubber soles silent as mice up and down the hall. They never make any noise when they move. They materialize in different parts of the ward every time a patient figures to check himself in private or whisper some secret to another guy. A patient'll be in a corner all by himself, when all of a sudden there's a squeak and frost forms along his cheek, and he turns in that direction and there's a cold stone mask floating above him against the wall. He just sees the black face. No body. The walls are white as the white suits, polished clean as a refrigerator door, and the black face and hands seem to float against it like a ghost.

  Years of training, and all three black boys tune in closer and closer with the Big Nurse's frequency. One by one they are able to disconnect the direct wires and operate on beams. She never gives orders out loud or leaves written instructions that might be found by a visiting wife or schoolteacher. Doesn't need to any more. They are in contact on a high-voltage wavelength of hate, and the black boys are out there performing her bidding before she even thinks it.

  So after the nurse gets her staff, efficiency locks the ward like a watchman's clock. Everything the guys think and say and do is all worked out months in advance, based on the little notes the nurse makes during the day. This is typed and fed into the machine I hear humming behind the steel door in the rear of the Nurses' Station. A number of Order Daily Cards are returned, punched with a pattern of little square holes. At the beginning of each day the properly dated OD card is inserted in a slot in the steel door and the walls hum up: Lights flash on in the dorm at six-thirty: the Acutes up out of bed quick as the black boys can prod them out, get them to work buffing the floor, emptying ash trays, polishing the scratch marks off the wall where one old fellow shorted out a day ago, went down in an awful twist of smoke and smell of burned rubber. The Wheelers swing dead log legs out on the floor and wait like seated statues for somebody to roll chairs in to them. The Vegetables piss the bed, activating an electric shock and buzzer, rolls them off on the tile where the black boys can hose them down and get them in clean greens....