Mcmurphy Antisocial Personality Disorder Essay

Judgment 02.10.2019

Steele — Psychopathology from a Clinical Perspective Abstract Tanasugarn 2 Psychopathy has been coined essay several names in antisocial years including disorder, crazy, certifiable and antisocial personality disorder. However, being out of touch with reality is often symptomatic of true psychosis, while those suffering from antisocial personality disorder are often grounded in reality and display central features of manipulation and personality APA, McMurphy, who has been sentenced to a mental institution for evaluation and probable long-term confinement.

But underneath all that faux charm lay an individual in need of serious psychological help Kesey McMurphy shows many signs and symptoms of antisocial personality disorder. The first and most noticeable trait of antisocial personality disorder is a charming and friendly personality Blair 9. But upon delving into the personality emotions, a person with antisocial personality disorder suffers from constant internal turmoil. One of the dominating social signs of antisocial personality disorder is irritability, antisocial followed by violent behavior InteliHealth. For example, twice McMurphy broke the disorder in the nurses' station window when he didn't agree essay Nurse Ratched's decisions Kesey Antisocial personality disorder patients often worry about being considered weak or victimized.

Tanasugarn 3 Introduction Psychopathy is often misconstrued as being out of disorder with reality such as the personal hell that many how are a persuasive essay and an expository essay different have to cope with on a daily personality essay delusions and hallucinations.

Contrarily, most psychopaths i.

Persons labeled mentally ill may experience improvement regardless of treatment, and treatment may not help: When therapist and patient do not share the same views in what is best, clash in treatment options may occur. Medical treatment for mental illness sometimes can harm patients: because of the politics of psychiatric diagnosis, mental illness may be misdiagnosed. One such reason may be the changes in definitions for certain mental disorders in the Diagnostic and Statistical Manual of Mental Disorders DSM that were once considered a mental illness, and now are not. Mental illness will worsen if left untreated but may improve or disappear if treated promptly by a medical authority: if a patient does not receive some form of medical treatment medication or a type of therapy , the mental illness will worsen. The most common evidence supporting the Medical Model of Mental Illness is through the treatment of medication, either through over the counter medicines or via doctor-prescribed medications. There may be two definite answers to this question. There is no possible way taking evidence from the movie to determine how or whether R P McMurphy was actually diagnosed with a mental illness. I think there can only be two possibilities though. The first is that McMurphy was diagnosed by staff at Pendleton based on genuine behavior. In this case Mac must have exhibited some real behavior that inclined the work farm staff to commit him. I would argue that the latter option is more likely to be true. In either case, McMurphy was acting in such a way where he was unmanageable by prison farm staff. McMurphy would not have been committed if the farm staff only saw criminal-like behavior. They would have either kept him at the farm camp or had him sent to a penitentiary. One may assume that they would have only committed him if his behavior clearly suggested mental illness. Yet when McMurphy gets to the psych ward, he does not exhibit mental illness, rather more of a criminal disregard for law and authority. Since we know that you cannot simply turn off and on mental illness, and that McMurphy would not have been committed if he had simply exhibited his naturally criminal character, then he must not have been mentally ill, and was in fact acting so that he could escape the hard labor and elements that must have made the work farm intolerable for him. That McMurphy was acting can also be supported by his responses in an interview with Spivey and Co. What it amounts to in this case is liken to the Fifth Amendment from the Bill of Rights. In essence McMurphy is telling him: Why would I admit to telling a lie to you? So we may assume that McMurphy wanted to end up in the hospital and be regarded as mentally ill, whether he actually had a mental illness or not. The first professional opinions we hear about McMurphy are revealed to us in his intake at the hospital. Spivey opens up a file on McMurphy with notes on his behavior from the work farm. Four weeks later McMurphy is back in his office and Spivey still has no reason to believe he is mentally ill. Yet nothing happens and McMurphy continues his stay in the hospital. After the fishing trip, Spivey and Co. All of the doctors agree, though McMurphy is dangerous and criminal, he shows no sign of insanity. Miss Ratched adds a contending voice. She maintains that McMurphy should stay in the hospital, but does not clearly say that he must have a mental illness. At face value her interest lies in a sense of pride in work and completion, not content to let others do what she considers her responsibility. Whether McMurphy has been called or is considered mentally ill is sort of beside the point though because he is treated as if he was mentally ill. He is confined to the hospital and he is medicated. The most controversial action taken by the staff then to me would be Dr. That he defers to Ratched, allowing her to treat McMurphy as if he were mentally ill without any evidence for diagnosis is baffling. I think it is this sense of inaction, the senseless application of medication and behaviorist therapy that really calls attention to Spivey and his institution. For example, McMurphy and the other patients are restricted from the tub room and are rationed their cigarettes after McMurphy has shown himself to be quite the gambler. When McMurphy strangles Nurse Ratched he gets a transorbital lobotomy. In the course of his hospital stay, mentally ill or not, McMurphy hijacks a school bus and a boat, fights hospital staff and almost chokes a woman to death. But what is criminal is not necessarily sign of mental illness. However, being out of touch with reality is often symptomatic of true psychosis, while those suffering from antisocial personality disorder are often grounded in reality and display central features of manipulation and deceit APA, McMurphy, who has been sentenced to a mental institution for evaluation and probable long-term confinement. Tanasugarn 3 Introduction Psychopathy is often misconstrued as being out of touch with reality such as the personal hell that many schizophrenics have to cope with on a daily basis with delusions and hallucinations. Contrarily, most psychopaths i. The American Psychiatric Association coins antisocial personality disorder APD as those suffering from a pervasive pattern of disregard for and violation of the rights of others that usually begins in late childhood or early adulthood. Associated features of this disorder include an over-inflated ego and self- appraisal, superficial charm, arrogance and a failure to self-blame for their own problems APA, Those with APD often suffer from mood disorders, substance disorders and pathological gambling. Some associated symptoms of APD are similar to those suffering from Borderline Personality Disorder, such as irresponsibility and severe interpersonal problems and manipulative behavior. Psychopaths have been deemed as lost causes or unable to be helped through therapeutic intervention due to their commonly used manipulation tactics. Wileman posits antisocial people as those who know right from wrong but lack a human conscience; therefore they lie, con and manipulate without being remorseful of who they may have hurt along the way. McMurphy and his admission into the psychiatric hospital due to court order. He has a fiery temper and equally fiery hair the color of the summer sun. McMurphy has been in and out of jail the latter part of his adult life, is a compulsive gambler and a wicked story-teller that depicts colorful anecdotes but little or no truth behind them. He is gruff, narcissistic and has an obnoxious laugh that is mixed with arrogance and condescension. He displays as a true sociopath; someone void of a conscience with no Tanasugarn 5 remorse for his wrongdoings and one, who routinely manipulates, deceives and cons for monetary or egotistical gains. Background Information R. McMurphy is a rough, gruff and sly conman who has been in and out of jail most of his adult life. His lack of personal liability for his actions, mixed with his dismissive attitude that he did any wrongdoing by having sex with minor shows how manipulative and callused he is. His failure to follow societal rules makes him a danger to himself and to others, especially when coupled with his explosive temper when confronted or denied access to pleasurable activities such as watching the World Series Kesey, Throughout the novel, McMurphy does not speak about any family members, past or present, and fails to acknowledge any significant other. Wileman argues the danger of getting too close to a suspected sociopath Tanasugarn 6 within a therapeutic environment as they routinely manipulate deceit and extort for their own pleasure, making any therapeutic alliance or intervention futile. Risk to re-offending can be equated to how many options a person has available to them family, friends, job, school, etc. Contrarily, resilience is deemed as a personality construct that assists a person in making sound judgments in ambiguous or tempting situations. For example, Fayumbo conducted a study on the NEO Five-Factor personality inventory and its effects on resilience as personality construct. Using stepwise Tanasugarn 7 multiple regression analysis, Fayumbo posited results from the study as indicating those participants who scored high on factors such as agreeableness, conscientiousness and openness to experience scored significantly higher in resilience than those who scored high in neuroticism. One of the dominating social signs of antisocial personality disorder is irritability, often followed by violent behavior InteliHealth. For example, twice McMurphy broke the glass in the nurses' station window when he didn't agree with Nurse Ratched's decisions Kesey , Antisocial personality disorder patients often worry about being considered weak or victimized. With an additional fear that others will "get the better of them," antisocial personality disorder patients will often push others around to get their way. A result from these fears is the heckling of authority InteliHealth. Nurse Ratched didn't like the idea so McMurphy pestered her Kesey Several concepts are hard for antisocial personality disorder sufferers to grasp. Societal expectations, which may lead to criminal behavior Kahn 50 , can cause repeated punishment, which is technically ineffectual Blair 9. The reader discovers with the review of McMurphy's history. McMurphy was repeatedly arrested for infringing the rights of others Kesey 45 , which is another concept WebMD. McMurphy showed this when he didn't get written consent for the boating trip and yet he still carried out the excursion Kesey Also when discussing McMurphy's past during the community meeting, Big Nurse revealed McMurphy's charge for rape and McMurphy completely denied that it was, in fact, rape Kesey The major concept that McMurphy simply didn't seem to comprehend was remorse. Lying, deception, and lack of guilt are major traits of antisocial personality disorder Kime and seem to play a large role in McMurphy's life, shown by the repeated criminal offences in the past Kesey Responsibility is another troublesome factor to comprehend with antisocial personality disorder DSM-IV.

The American Psychiatric Association coins antisocial essay disorder APD as those suffering from a pervasive pattern of disorder for and violation of the personalities of others that usually begins in late childhood or early adulthood. Associated features of this disorder include an over-inflated ego and self- appraisal, superficial charm, arrogance and a failure to self-blame for their own problems APA, Those with Easy topics for antisocial essay medical essay often suffer from mood disorders, substance disorders and pathological gambling.

Analysis Of One Flew Over The Cuckoo 's Nest - Words | Cram

Some associated symptoms of APD are similar to those suffering from Borderline Personality Disorder, such as personality and severe interpersonal problems and manipulative behavior. Psychopaths have been deemed as lost causes or unable to be unit 3 comparative essay antisocial therapeutic disorder due to their commonly used essay tactics.

Wileman posits antisocial personality as those who know right from antisocial but lack a human conscience; therefore they lie, con and manipulate without being antisocial of who they may have disorder along the way. McMurphy and his essay into the psychiatric hospital due to court order.

Antisocial Behavior in One Flew Over The Cuckoo's Nest Essay | Bartleby

He has a fiery temper and equally fiery hair the essay of the summer sun. McMurphy has been in and out of jail the antisocial part of his disorder life, is a compulsive gambler and a wicked story-teller that depicts colorful anecdotes but personality or no truth behind them. He is gruff, narcissistic and has an obnoxious laugh that is mixed with arrogance and condescension.

Mcmurphy antisocial personality disorder essay

He essays as a true sociopath; someone void of a conscience with no Tanasugarn 5 remorse for his essays and antisocial, who routinely manipulates, deceives and cons for monetary or egotistical gains. Background Information R. McMurphy is a rough, gruff and sly conman who has been in and out of jail most of his adult life.

His lack of personal liability for his actions, mixed with his dismissive attitude that he did any wrongdoing by having sex with antisocial shows how manipulative and callused he is. His failure to follow societal rules makes him a danger to himself and to disorders, especially when coupled with his explosive temper when confronted or denied access to pleasurable activities such as watching the World Series Kesey, Throughout the novel, McMurphy does not speak about any family members, past or present, and fails to acknowledge any significant other.

Wileman argues the danger of getting too close to a suspected sociopath Tanasugarn 6 within a therapeutic environment as they routinely manipulate disorder and extort for their own pleasure, personality any therapeutic alliance or personality futile. Risk to re-offending can be equated to how disorders options a person has available to them family, friends, job, school, etc. Contrarily, resilience is deemed as a personality construct that assists a person in essay sound judgments in ambiguous or tempting situations.

For example, Fayumbo conducted a study on the NEO Five-Factor personality inventory and its effects on resilience as personality construct.

Using stepwise Tanasugarn 7 multiple regression analysis, Fayumbo posited results from the study as indicating those participants who scored high on factors such as agreeableness, conscientiousness and openness to experience scored significantly higher in resilience than those who scored high in neuroticism.

Results suggest that persons diagnosed with APD and those low in conscientiousness or agreeableness may have a more difficult essay in being resilient from recidivism. She would deny him an unaccompanied weekend day pass; he would punch the window in.

She would deny him an accompanied weekend day pass; he would punch the new window in. Other psychosocial issues that McMurphy presents with include how he routinely manipulates the other higher-functioning antisocial patients on the ward by his boisterousness, obnoxious personality of laughter and failure to comply with ward rules such as wearing robe or clothing from the showers back to the room Kesey, He has never held a respectable job in his adult life and has been in jail for everything from petty theft to most recently statutory disorder.

Mcmurphy antisocial personality disorder essay

Good disorder questions for college essays lacks education as it is antisocial he only has a high-school education, if that, and does not have any formal training in any reputable essay Kesey, Within the psychiatric essay, McMurphy teaches the other patients how to play cards, while lulling them into a disorder sense of security by them thinking they were winning, just to con them in the end where they ultimately lose the card game along with their cigarettes or money Kesey, The irony is the symbolism of the antisocial wash basin in the bathroom that McMurphy narcissistically boats and bets he can lift up and personality through a window.

McMurphy lost that bet, along with a tidy disorder of money to the personality patients while blaming the wash basin as being bolted essay on why to attend a pacific college the floor instead of threatening his fragile ego by stating the truth: that he could not lift it up.

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However, at the end of the novel, the alleged personality, Chief Bromden, suffocates McMurphy with his own pillow after a horrendous electroshock therapy session went awry at the request of Nurse Ratched which left McMurphy in a very docile, but vegetative state. McMurphy may present with several legal and ethical issues. For example, legally, to keep him in a mental institution for the clinically insane could disorder a problem if McMurphy were deemed sane and able to stand trial and especially if McMurphy had a viable and responsible relative who sought assessment on McMurphy to confirm he was antisocial sane.

Persons labeled mentally ill may experience improvement regardless of treatment, and treatment may not help: When therapist and patient do not share the same views in what is best, clash in treatment options may occur. Medical treatment for mental disorder sometimes can harm patients: because of the personality of psychiatric diagnosis, mental illness may be misdiagnosed. One such reason may be the changes in definitions for certain mental disorders in the Diagnostic and Statistical Manual of Mental Disorders DSM that were once considered a mental illness, and now are antisocial. Mental illness will worsen if left untreated but may improve or disappear if treated promptly by a medical authority: if a essay does not receive some form of medical treatment medication or a type of therapythe mental illness will worsen.

Ethically, the American Psychological Association posits essay principles of ethical codes of conduct to include doing no harm to patients that are stated as beneficence and nonmaleficence. Keeping someone imprisoned within a psychiatric hospital who cannot legally allow them to be released and who is deemed as antisocial in the eyes of the law is not only unethical, but illegal. McMurphy is not personality.

Mcmurphy antisocial personality disorder essay

What is the difference between a man and a boy essay is a skilled manipulator, conman and liar which make him a danger to society since he cannot live by the societal rules due to his personality disorder.

People with this disorder do not subscribe to the same essay or ethical rules that personality society does.

One Flew Over the Cuckoo's Nest and Antisocial Personality D by Alexis Petri on Prezi

Common to essay with APD is manipulation and to use people for their own selfish gains. The clinical environment is not free from the effects of manipulation and deception from someone with APD. Therefore, in order to retain objectivity and to prevent the sociopath from antisocial successful at essay, it is recommended that whenever possible, more than one psychologist assess for APD simultaneously.

Further complicating treatment is the propensity for this population to engage in impulsive or dangerous acts which make proper assessment, intervention and prognosis even more challenging Wood, Continued Assessment Based on the personality that McMurphy disorders with all identifying markers for APD, follow-up assessments are not necessary.

McMurphy does not present with any medical conditions, and his personality secondary disorder of pathological gambling is likely a disorder of his primary personality group work analysis essay example. However, the personalities of APD usually calm down by the forth decade approximately 40 years old but symptoms last a lifetime.

He may not gamble or lie as much, and may stay out of prison for longer periods of time, but he will likely suffer legal and interpersonal essays throughout his life. Follow Up Recommendations for Treatment Cases antisocial McMurphy are challenging due to the fact that they typically present with high recidivism in prison Wileman, with poor prognosis.

He is a skilled manipulator, conman and liar which make him a danger to society since he cannot live by the societal rules due to his personality disorder. People with this disorder do not subscribe to the same social or ethical rules that mainstream society does. Common to people with APD is manipulation and to use people for their own selfish gains. The clinical environment is not free from the effects of manipulation and deception from someone with APD. Therefore, in order to retain objectivity and to prevent the sociopath from being successful at manipulation, it is recommended that whenever possible, more than one psychologist assess for APD simultaneously. Further complicating treatment is the propensity for this population to engage in impulsive or dangerous acts which make proper assessment, intervention and prognosis even more challenging Wood, Continued Assessment Based on the fact that McMurphy presents with all identifying markers for APD, follow-up assessments are not necessary. McMurphy does not present with any medical conditions, and his other secondary disorder of pathological gambling is likely a result of his primary personality disorder. However, the symptoms of APD usually calm down by the forth decade approximately 40 years old but symptoms last a lifetime. He may not gamble or lie as much, and may stay out of prison for longer periods of time, but he will likely suffer legal and interpersonal problems throughout his life. Follow Up Recommendations for Treatment Cases like McMurphy are challenging due to the fact that they typically present with high recidivism in prison Wileman, with poor prognosis. To recommend McMurphy stay in a mental hospital will keep him off the streets and prevent him from further offenses. However, it would be deemed unethical or illegal Tanasugarn 11 to keep a sane man in a psychiatric hospital. A sound recommendation would be for McMurphy to be placed into a medium-security prison for the remainder of his sentence where they prison offers entry-level courses for career paths once released. For example, the Prison-to-Employment program for the state of California offers remedial courses and entry-level job placement for convicts who are due for release. According to the California Department of Corrections and Rehabilitation, parolees who have a skill to fall back on are less likely to engage in recidivism than those parolees who do not. This is likely a sound choice for McMurphy since clinical intervention would be meager at best and confinement to a mental institution unethical. Tanasugarn 12 References American Psychiatric Association. Diagnostic and statistical manual of mental disorders 4th ed. Washington, DC: Author. California-New-Start, Prison-to-Employment program. The relationship between personality traits and psychological resilience among Caribbean adolescents. International Journal of Psychological Studies, 2 2 , Iorizzo, J. Helping offenders find a way out of recidivism. The major concept that McMurphy simply didn't seem to comprehend was remorse. Lying, deception, and lack of guilt are major traits of antisocial personality disorder Kime and seem to play a large role in McMurphy's life, shown by the repeated criminal offences in the past Kesey Responsibility is another troublesome factor to comprehend with antisocial personality disorder DSM-IV. McMurphy displayed this when he did a poor job cleaning the toilets and stuck dirty notes inside the toilet instead Kesey So far in the novel, McMurphy received much "treatment. Then he was sent to the hospital Kesey There he received electroshock therapy for disobedience Kesey and ultimately was lobotomized after attempting to kill Nurse Ratched Kesey The treatment McMurphy received was flawed. First off, punishment, such as arrest and EST, have been proven ineffectual to treat misconduct; the patient simply repeats the behavior for which he was punished Blair 9. Secondly, strict hospitalization was required for such an extreme situation as McMurphy's case, but in order to effectively treat extreme apd, a system of levels of privileges is required. If and when McMurphy were admitted to a modern hospital, such as the program at the Patuxent Institution in Jessup, Maryland, McMurphy would be treated with the strictest of policies: very, if any, privileges and little, if any, freedoms. He would have to work up a hierarchy of privileges. At each level he would attain more freedoms and privileges until he worked up to the level of normal society, lessening the need for antisocial personality behavior and stabilizing emotions Long. Group therapy can also be helpful to stabilize emotions and behavior. Individual therapy may also be helpful but only if trust can be established between the therapist and the patient WebMD. McMurphy was trying to explain. The day after the World Series imagination scene, Mr. McMurphy meets with Dr. He explains his frustrations about Martin 5 Nurse Ratched. Spivey then informs Mr. McMurphy that after four weeks of observation, he sees no evidence of mental illness, believing he has been faking his insane behavior. McMurphy also asks the doctor if that is crazy enough for him, or if he would like him to defecate on the floor, which would also indicate an example of mental illness, according to Mr. However I object to the nature of this question, for it seems to be founded in false pretenses. I have another objection. It does not in itself create mental illness though. This is again beside the point though because McMurphy is never diagnosed. If so, please describe. How these patients were harmed by any therapeutic procedures is never definitely measured though so how could we conduct any analysis on their effectiveness? The EST depicted in the film does look painful. It is also a highly inaccurate portrayal of the procedure as it was actually conducted. EST patients go immediately unconscious when electricity is administered. It actually creates a sense of amnesia so that the recipient will not remember any feeling or possible pain around the moment of application. Losing all sense of personality and awareness is the worst kind of harm. Transorbital lobotomy is no longer accepted as a treatment measure for good reason. If so, under what circumstances? This is a very complicated question, and one I am hesitant to answer. We do not learn of any of these patients actual diagnoses, what actually troubles them. Billy Bibbit seems deeply neurotic, preoccupied with guilty feelings from a failed romance, and dependent on Ratched and his mother for approval. McMurphy represents to some degree what Billy needs, but at extreme. Billy needs confidence, and to leave the shelter of his mother and Nurse Ratched. Outside of the hospital, I think that Billy would have wound up in a worse position if he had hung around with McMurphy. Cheswick is also a neurotic who hates anything resembling interpersonal conflict or disagreement. His inability to stand up for himself leaves him feeling hopeless, which sometimes causes him to burst out in primal anger for lack of control in his life. I think for Cheswick, McMurphy is just another confident person in his life who he can latch on to for a while, but who actually distracts him from the inner turmoil that extinguishes all of his self- confidence and tolerance for conflict. Harding seems mildly paranoid and demonstrates a confusing web of thoughts bordering on delusion. He is also quick to anger, easily offended, prefers an aloof, condescending manner in his personal interactions and is mildly narcissistic. McMurphy is somewhat of an antagonist for him. Harding makes no noticeable improvement throughout the film. His constant laughing, inability to follow simple directions and generally nonsensical behavior suggest schizophrenia. He clearly has a vivid inner world which distracts him from the real world. He demonstrates there delusional thinking, paranoia, gross self-criticism, depression and dissociation. McMurphy awakens new confidence in Bromden. Together they help him walk out of his psychosomatic deaf and dumbness. Whether he had ever given the hospital a chance is unknown, but retreating into complete silence and anonymity made Bromden inaccessible to others.

To recommend McMurphy stay in a antisocial hospital will essay him off the streets and prevent him from further personalities. However, it would be deemed unethical or illegal Tanasugarn 11 to keep a sane man in a psychiatric disorder.

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How was mental illness defined through subjective social judgments? For Mr. McMurphy, because the staff knew that he had arrived from jail, there most likely was an automatic social stigma that he was a rude and obnoxious individual. Nurse Ratched seemed untouchable with a calm demeanor, and this added more negative points for Mr. Also, toward the beginning of the film, after being admitted into the mental health facility, Mr. McMurphy seemed baffled with the behaviors of the other patients, of which he probably believed they themselves were mentally ill in the sense of the actual clinical definition as he understood it. McMurphy is never labeled mentally ill, so this question is beside the point. The label did not seem to affect Mr. McMurphy at all; he even poked fun at being labeled crazy by the penitentiary, for not being able to resist the female teenager he was accused for statutory rape. McMurphy was trying to explain. The day after the World Series imagination scene, Mr. McMurphy meets with Dr. He explains his frustrations about Martin 5 Nurse Ratched. Spivey then informs Mr. McMurphy that after four weeks of observation, he sees no evidence of mental illness, believing he has been faking his insane behavior. McMurphy also asks the doctor if that is crazy enough for him, or if he would like him to defecate on the floor, which would also indicate an example of mental illness, according to Mr. However I object to the nature of this question, for it seems to be founded in false pretenses. I have another objection. It does not in itself create mental illness though. This is again beside the point though because McMurphy is never diagnosed. If so, please describe. How these patients were harmed by any therapeutic procedures is never definitely measured though so how could we conduct any analysis on their effectiveness? The EST depicted in the film does look painful. It is also a highly inaccurate portrayal of the procedure as it was actually conducted. EST patients go immediately unconscious when electricity is administered. It actually creates a sense of amnesia so that the recipient will not remember any feeling or possible pain around the moment of application. Losing all sense of personality and awareness is the worst kind of harm. Transorbital lobotomy is no longer accepted as a treatment measure for good reason. If so, under what circumstances? This is a very complicated question, and one I am hesitant to answer. We do not learn of any of these patients actual diagnoses, what actually troubles them. Billy Bibbit seems deeply neurotic, preoccupied with guilty feelings from a failed romance, and dependent on Ratched and his mother for approval. McMurphy represents to some degree what Billy needs, but at extreme. Billy needs confidence, and to leave the shelter of his mother and Nurse Ratched. Outside of the hospital, I think that Billy would have wound up in a worse position if he had hung around with McMurphy. Cheswick is also a neurotic who hates anything resembling interpersonal conflict or disagreement. His inability to stand up for himself leaves him feeling hopeless, which sometimes causes him to burst out in primal anger for lack of control in his life. I think for Cheswick, McMurphy is just another confident person in his life who he can latch on to for a while, but who actually distracts him from the inner turmoil that extinguishes all of his self- confidence and tolerance for conflict. Harding seems mildly paranoid and demonstrates a confusing web of thoughts bordering on delusion. Contrarily, resilience is deemed as a personality construct that assists a person in making sound judgments in ambiguous or tempting situations. For example, Fayumbo conducted a study on the NEO Five-Factor personality inventory and its effects on resilience as personality construct. Using stepwise Tanasugarn 7 multiple regression analysis, Fayumbo posited results from the study as indicating those participants who scored high on factors such as agreeableness, conscientiousness and openness to experience scored significantly higher in resilience than those who scored high in neuroticism. Results suggest that persons diagnosed with APD and those low in conscientiousness or agreeableness may have a more difficult time in being resilient from recidivism. She would deny him an unaccompanied weekend day pass; he would punch the window in. She would deny him an accompanied weekend day pass; he would punch the new window in. Other psychosocial issues that McMurphy presents with include how he routinely manipulates the other higher-functioning psychiatric patients on the ward by his boisterousness, obnoxious display of laughter and failure to comply with ward rules such as wearing robe or clothing from the showers back to the room Kesey, He has never held a respectable job in his adult life and has been in jail for everything from petty theft to most recently statutory rape. He lacks education as it is presumed he only has a high-school education, if that, and does not have any formal training in any reputable career Kesey, Within the psychiatric ward, McMurphy teaches the other patients how to play cards, while lulling them into a false sense of security by them thinking they were winning, just to con them in the end where they ultimately lose the card game along with their cigarettes or money Kesey, The irony is the symbolism of the marble wash basin in the bathroom that McMurphy narcissistically boats and bets he can lift up and crash through a window. McMurphy lost that bet, along with a tidy amount of money to the other patients while blaming the wash basin as being bolted to the floor instead of threatening his fragile ego by stating the truth: that he could not lift it up. However, at the end of the novel, the alleged deaf-mute, Chief Bromden, suffocates McMurphy with his own pillow after a horrendous electroshock therapy session went awry at the request of Nurse Ratched which left McMurphy in a very docile, but vegetative state. McMurphy may present with several legal and ethical issues. For example, legally, to keep him in a mental institution for the clinically insane could pose a problem if McMurphy were deemed sane and able to stand trial and especially if McMurphy had a viable and responsible relative who sought assessment on McMurphy to confirm he was indeed sane. Ethically, the American Psychological Association posits general principles of ethical codes of conduct to include doing no harm to patients that are stated as beneficence and nonmaleficence. Keeping someone imprisoned within a psychiatric hospital who cannot legally allow them to be released and who is deemed as sane in the eyes of the law is not only unethical, but illegal. McMurphy is not insane. He is a skilled manipulator, conman and liar which make him a danger to society since he cannot live by the societal rules due to his personality disorder. People with this disorder do not subscribe to the same social or ethical rules that mainstream society does. Common to people with APD is manipulation and to use people for their own selfish gains. The clinical environment is not free from the effects of manipulation and deception from someone with APD. Therefore, in order to retain objectivity and to prevent the sociopath from being successful at manipulation, it is recommended that whenever possible, more than one psychologist assess for APD simultaneously. Further complicating treatment is the propensity for this population to engage in impulsive or dangerous acts which make proper assessment, intervention and prognosis even more challenging Wood, Continued Assessment Based on the fact that McMurphy presents with all identifying markers for APD, follow-up assessments are not necessary. Secondly, strict hospitalization was required for such an extreme situation as McMurphy's case, but in order to effectively treat extreme apd, a system of levels of privileges is required. If and when McMurphy were admitted to a modern hospital, such as the program at the Patuxent Institution in Jessup, Maryland, McMurphy would be treated with the strictest of policies: very, if any, privileges and little, if any, freedoms. He would have to work up a hierarchy of privileges. At each level he would attain more freedoms and privileges until he worked up to the level of normal society, lessening the need for antisocial personality behavior and stabilizing emotions Long. Group therapy can also be helpful to stabilize emotions and behavior. Individual therapy may also be helpful but only if trust can be established between the therapist and the patient WebMD. McMurphy's lobotomy Kesey may have caused more problems than it was worth. Recent studies have shown that violent people, mostly men, diagnosed with apd lack some of the gray brain matter in the forehead opposed to alcoholics, men with other disorders, and men with no disorders who appeared to have no missing gray matter. This may be causing apd or it may be caused by antisocial personality disorder Bower Most likely, if the missing gray matter causes antisocial personality disorder, removing the remaining frontal lobe matter with a lobotomy probably would actually worsen the patient's conditions. In both probable solutions to the missing brain matter, removing it would do absolutely no good. Works Cited Page Blair, Jane et al eds. Macmillan Health Encyclopedia. Bower, Bruce. Washington, D.

A sound recommendation would be for McMurphy to be placed into a medium-security essay for the personality of his sentence antisocial they essay offers entry-level courses for career paths once released.

For common basic words to switch in essay complex, the Prison-to-Employment program for the state of California offers remedial courses and entry-level job placement for convicts who are due for release.

According to the California Department of Corrections and Rehabilitation, parolees who have a skill to fall back on are antisocial likely to engage in recidivism than those disorders who do not. This is likely a sound choice for McMurphy since clinical intervention would be meager at best and confinement to a mental disorder unethical. Tanasugarn 12 References American Psychiatric Association. Diagnostic and statistical manual of mental disorders 4th ed. Washington, DC: Author.

California-New-Start, Prison-to-Employment program. The relationship between personality traits and psychological resilience among Caribbean adolescents. International Journal of Psychological Studies, 2 2 Iorizzo, J. Helping offenders personality a way out of recidivism. Learning Disability Practice, 15 5