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8/3/2019 Class Discussion Ethics Final
http://slidepdf.com/reader/full/class-discussion-ethics-final 1/3
Kenyon Stanley
COMM 614
10 November 2010
Outline for discussion leader
I. Summary
a. Randall Patrick McMurphy is a convict serving a short sentence in the prison
system his noncompliant behavior leads him to the state mental hospital for
evaluation. With less than 90 days left on his sentence, McMurphy simply wants
to do his time and become a free man. However, after befriending several fellow
mental patients, McMurphy becomes disgusted with the hospital¶s methods of
exacting compliance and then begins to antagonize the most prolific abuser of
power, Nurse Mildred Ratched. The movie is a compelling argument against the
unethical treatment of the mentally ill during the 1970¶s.
II. Scene
a. After failing to gain a majority vote to change policy and watch the World Series,
McMurphy attempts to rally the patients during a therapy session.
b. Nurse Ratched¶s nonverbal reveal her disgust with McMurphy¶s attempts to
circumvent her authority.
c. Nurse Ratched¶s response to McMurphy¶s successful campaign reveals that she
values control and compliance over care.
i. The end of the movie highlights the potential evil that unethical policies
(written or unwritten) can have on the marginalized.III. Health Care Communication Ethics (Chapter 11)
a. According to Christopher Lasch (1991), hope and responsiveness are mutually
inclusive entities in health care communication (p. 192).
b. Nurse Ratched could care less about the patient¶s hopes and dreams. Instead she
relishes as master of her little world of power and dominance.
c. According to R.C. Arnett, J.M. Harden Fritz & L.M. Bell (2009),
³Responsiveness points to the way we engage others and ourselves in times of
health-related need.
i. How does Nurse Ratched engage the group when her patients challenge
her?ii. What do her nonverbal cues suggest?
iii. When McMurphy ultimately constructs a new game, how does Nurse
Ratched react?
iv. Based on this scene, what are your impressions of McMurphy and Nurse
Ratched?
v. Does anyone have any stories about the treatment of the mentally ill?
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IV. From the 70¶s to today.
a. Although the current philosophy of exacting compliance over providing care is
less prevalent, now it seems that the mentally ill are left to fend for themselves on
the streets.
i. 25-30% of the residents at the men¶s shelter have severe mental illness.
ii. There is not one person clinically trained to diagnose and treat mentally ill
patients at the shelter.
iii. This practice of forgetting the forgotten is commonplace across the United
States.
V. How is our responsiveness?
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References
Arnett, R.C., Harden Fritz, J.M. & Bell, L.M. (2009) Communication Ethics Literacy. Thousand
Oaks, CA: Sage Publications.
Producers Zaentz, S. & Douglas, M. (Producers), & Director, M. Forman (Director). (1975). One
flew over the cuckoo¶s nest. [Motion picture]. United States of America: Fantasy Films.