Nurse Ratched

Louise Fletcher as Nurse Ratched in the 1975 film.

Nurse Mildred Ratched is the primary antagonist from Ken Kesey's 1962 novel One Flew Over the Cuckoo's Nest, as well as the 1975 film. A cold, sociopathic tyrant, Nurse Ratched has become the stereotype of the nurse as a Battleaxe. She has also become a popular metaphor for the corrupting influence of power and authority in bureaucracies such as the mental institution in which the novel is set.

In the novel and film

Nurse Mildred Ratched is the head administrative nurse at the Salem, Oregon State Hospital, a mental institution where she exercises near-absolute power over the patients' access to medications, privileges, and basic necessities such as food and toiletries. She capriciously revokes these privileges whenever a patient displeases her. Her superiors turn blind eyes because she maintains order, keeping the patients from acting out, either through antipsychotic and anticonvulsant drugs or her own brand of "therapy", which consists mostly of humiliating patients into doing her bidding. Her greatest success is the stuttering, suicidal Billy Bibbit, who is so terrified of her that he does whatever she says.

When Randle McMurphy arrives at the hospital, however, her dictatorial rule is nearly toppled: he flouts her precious rules with impunity, and inspires other patients to follow. Her attempts to cow him into submission — at first with threats and mild punishments, then with shock therapy — are unsuccessful, serving only to fuel his defiance.

Eventually McMurphy sneaks his prostitute girlfriend into the asylum, and encourages her to relieve Billy of his virginity. Ratched threatens to tell Billy's mother about the transgression. Since Billy fears his mother as much or more than he fears Ratched, the threat frightens him into committing suicide. Enraged, McMurphy attacks Ratched, and nearly chokes her to death.

In retribution, Ratched has McMurphy lobotomized. Chief Bromden, another patient and the narrator of the book, later smothers McMurphy as a mercy killing. Although Ratched's main antagonist has been removed, her control over the other patients is gone due to the permanent damage of her vocal cords by McMurphy. She can no longer speak very well, and often must write notes to communicate.

Awards

Louise Fletcher won the Academy Award for Best Actress for her portrayal of Nurse Ratched in the film. Nurse Ratched was named the fifth greatest villain in film history by the American Film Institute in their series 100 Years... 100 Heroes & Villains.

References

• The Nurse Who Rules the 'Cuckoo's Nest' -a New York Times article.