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Term Paper
The Exploration of ethics and the institutionalized mental health patient past and present in literature.
Michele Tussey
University of Washington
Medical and Ethical Issues in Literature and Culture
THLTH 325
Nicole Blair, PhD; Denise Drevdahl, RN, PhD
May 03, 2011

Ethics and the institutionalized mental health patient past and present.
The purpose of this paper is to explore the topic of the institutionalized mental health patient and whether he or she are still treated the same way ethically as those individuals who have not been deemed mentally ill. The ethics chosen to be studied are autonomy, beneficence, Nonmaleficence and justice. This topic will exemplify the understanding of the medical issue as it is reflected within literature using research to support and illustrate this concept. In the course of studying the issues facing the mentally ill person, many ethical issues have come to surface which will be highlighted in this paper with a specific light focused on the literature chosen, One Flew Over The Cuckoo’s Nest by Ken Kesey. The medical texts and journals I have chosen to examine in the course of studying this subject are as follows: Foundations of Psychiatric Mental Health Nursing by Elizabeth M. Varcarolis, New Perspectives in Health Care by Rosemarie Tong, Ethics and Issues in Contemporary Nursing by Margaret A. Burkhardt and Alvita K. Nathaniel and several medical journals that are applicable to this paper.
One Flew Over The Cuckoo’s Nest by Ken Kesey is a book about a group of people in a mental health institution. The narrator of the story is a man by the name of Chief Bromden. He is the son of a Native American man and a white woman. The book leads the reader to believe he is pretending to be insane and deaf, but at times he does suffer from hallucinations. In the book, the chief appears to suffer from schizophrenia. He believes the evil is from the “combine” and attributes machine like proponents to people and things. Others in the

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