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The group therapy sessions are a manipulative technique used to fuel the anger inside the patients' heads. Nurse Ratched does this to keep the patients in the institution and to prove their constant insanity to Doctor Spivey.

Chief Bromden is a chronic paranoid schizophrenic, diagnosed as incurable, who is afraid of his own shadow...

He imagines himself to be small and weak even though he stands at six feet and seven inches tall. He pretends to be a deaf-mute in order to protect himself. This shows how repressive Ratched and society have made him feel. He is a Colombian Indian, born of a White mother and an Indian father. He was the first patient in the ward, arriving at the hospital fifteen years earlier...

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