Running head: ROLE OF CASE MANAGERS Role of Case Managers Carlos Michael Padilla BSHS 402: Case Management Sammye Williams-Hitchye April 13, 2009 Role of Case Managers In the Milos Forman film, One Flew Over the Cuckoo’s Nest (1975), Randle Patrick McMurphy (Jack Nicholson), a recidivist criminal serving a short prison term is transferred to a mental institution due to behavioral problems. It is in that institution that McMurphy meets Nurse Ratchet (Louise Fletcher), a bullish, controlling nurse who has cowed the patients into dejected submission and who has the power to keep McMurphy institutionalized indefinitely. A battle for control ensues between the two characters which Ratchet views as a personal affront and …show more content…
According to the test I am skilled in writing, warm friendly, social, open and a good conversationalist. I have the ability to listen to others while making people feel at home. I am conscious of other people’s feelings and emotions and generally have no problem admitting the existence of problems, which I do not usually allow to grow into a depressive state. These are all positive qualities within the make up of my personality that would serve me well as a Case Manager seeking to empower a client while assisting him or her with moving forward in his or her life. The negative aspects of my personality are that life tends to become frivolous and superficial and that I find it difficult to settle into one place or position. Not settling into one place or position has often been a reoccurring problem for me in the past. It wasn’t until I enrolled with the University of Phoenix that I came within reach of starting what I finished and meeting one of several goals. Understanding these negatives to my personality will assist me as a Case Manager in understanding the strengths and weaknesses of my own humanity and my clients, thus allowing me to advocate professionally on the clients behalf. My professional experiences in office administration and customer service lends me the skills necessary to be empathic and a good listener with the agencies clients. That, along with my personal experiences with
1. Randle Patrick McMurphy charges into the Mental Hospital and challenges Nurse Ratched also known as the “Big Nurse” in attempts to topple what she has established. In “One Flew Over the Cuckoo’s Nest” emptiness, placement, and apathy loom in the beginning of the novel, however once Randle Patrick McMurphy arrives the order of combines takes a drastic turn… for the good! McMurphy is a complex character because he can be seen either as a negative influence or as a positive influence because of his actions in the story. However, McMurphy a positive influence because of his actions within the novel.
In Ken Kesey’s One Flew Over the Cuckoo’s Nest, a power play is presented between an unsuspected hero and a ruthless and control obsessed nurse in a mental hospital. The tragic ending makes the reader ponder if the selfless, and sacrificial hero, McMurphy, truly wins against the evil Nurse Ratched. Although Nurse Ratched is a powerful and unyielding force against the boys, good ultimately triumphs over evil because McMurphy shows the patients their own power and how they can stand up for themselves, sacrificing himself to save the others.
One Flew Over the Cuckoo’s Nest is a novel written by Ken Kesey during a time in our society when pressures of our modern world seemed at their greatest. Many people were, at this time, deemed by society’s standards to be insane and institutionalized. One Flew Over the Cuckoo’s Nest is set in a ward of a mental institution. The major conflict in the novel is that of power. Power is a recurring and overwhelming theme throughout the novel. Kesey shows the power of women who are associated with the patients, the power Nurse Ratched has, and also the power McMurphy fights to win. By default, he also shows how little power the patients have.
The case management process consists of five parts: assessment, treatment planning, linking, advocacy, and monitoring. It is not a linear process and does not follow the order it is written up. There may be some back and forth and returning to certain points.
I know how to listen, be persistent, trust worthy, and open minded. I also have had plenty of experiences that can help me to relate to other clients I may come in contact with. This will allow me to be more effective as a counselor. I have many goals as a young aspiring counselor. I think that the standards and goals I have for myself will allow me to uphold high standards for all my clients, which will show them that I believe in them. I have the personality, drive, and want to help people and this is why I chose the counseling profession. It will not always be easy, but it will always be rewarding knowing I did help someone, or at least tried to. It takes one person to make a positive impact and change someone’s life. I want to be that
Other patients on the ward begin to stand up to Nurse Ratchet and her rules. For instance, Cheswick hollers “ Rules? Piss on your fucking rules, Miss Ratched!” (Forman One Flew Over The Cuckoo’s Nest Film). A momentary outburst from Cheswick is an indicator that McMurphy has been able to model a sense of indignance at all of their treatment, and this is now being emulated by other patients through their behaviour towards Nurse Ratched. Another instance of patients talking down to Ratchet is when Sefelt states “Maybe he'll just show Nurse Ratched his big thing and she'll open the door for him.” (Forman One Flew Over The Cuckoo’s Nest Film). In this statement the use of sexual language is about empowerment. This makes reference to the possibility that McMurphy holds the key to their liberation from Nurse Ratchet’s control through his capacity to dominate her both sexually and otherwise. His ability to stand up to her and challenge her has captured Sefelt’s
In Ken Kesey’s book, One Flew Over the Cuckoo’s Nest, there were two main characters that were in a battle to have the majority of control over the ward. Throughout the story, they engaged in different acts of stubbornness to see who could display the most power and which of the two could stand their ground the longest without giving in to the other. These two characters were: Randle McMurphy, a new patient who was determined to change the ways of the ward, and Nurse Ratched, the head nurse of the asylum who preferred to have complete control over everyone and everything.
“…She’s somethin’ of a cunt, ain’t she Doc?” Although Milos Foreman’s character, Randle McMurphy (Jack Nicholson), put his opinion of Nurse Ratched (Louise Fletcher) in the most vulgar of terms, he was not so far from the truth. In the movie One Flew Over the Cuckoo’s Nest (1975), Nurse Ratched’s treatment and care of the patients was unethical when compared to the standards one would expect of a health care administrator. She used control over her patients to ensure order, without regard to the feelings and concerns of the patients. This issue is presented by the director, Milos Foreman, through symbolism, characterization and scenes. This, in turn, determines how the director wants us, as viewers, to feel about the issue.
In the book One Flew Over the Cuckoo’s Nest by Ken Kesey, the lead protagonist, Randle McMurphy, changes over the course of the novel because of the characters that he meets and the effects they have on him. Originally, McMurphy was selfish, disrespectful, and inconsiderate, but then he forms closer bonds with the other characters and they change him and the way he views other people. The characters in the mental hospital struggle with conforming to the dictator in the ward, Nurse Ratched. McMurphy comes into the hospital as a way out of a prison sentence and tries to teach the patients that they need to stand up for themselves and do what they believe is right.
When norms of society are unfair and seem set in stone, rebellion is bound to occur, ultimately bringing about change in the community. Ken Kesey's One Flew Over the Cuckoo's Nest demonstrates the conflict of individuals who have to survive in an environment where they are pressured to cooperate. The hospital's atmosphere suppresses the patients' individuality through authority figures that mold the patients into their visions of perfection. The ward staff's ability to overpower the patients' free will is not questioned until a man named Randal McMurphy is committed to the mental institute. He rebels against what he perceives as a rigid, dehumanizing, and uncompassionate
This report is the second half of a two part study called Solving My People Puzzle. This exercise is used to help the student describe, develop, and manage their personality. Best fit strategies are discussed and examined with each of the four main Disc styles of personality, a predetermined care-seeker from the case study Crossroads: A story of forgiveness, and a chosen mentor’s Disc Profile and M-BTI personality test results. Developing a common behavioral language with each of these personality examples is the goal. It is with expectation and hope that these exercises will expand the relational style development of this student-author.
the personality assessment and reflection assignment in the FYE 105 class helped to put my personality traits, and type into perspective with the given definitions and examples throughout the project. I discovered that my personality type was “the Defender”, and my top strengths are being loyal, hardworking, practical, and supportive. Conversely, my top weaknesses are taking things to personally, overloading myself, repressing my feelings, and being shy. With this information in my “mental toolbox” I will be able to focus on and utilize my strengths to ensure success while at the same time working to build up my weaknesses and reduce their impact. Having this information and consistently working to improve myself by utilizing what I have learned about my personality will allow me to align individual and professional goals in a productive way to achieve my career pathway, and personal
One Flew Over the Cuckoo’s Nest is a controversial novel that has left parents and school authorities debating about its influence on students since its publication in 1962. The novel describes the inner workings of a mental institution, how the patients are emasculated and mistreated by the terrifying Nurse Ratched, who will go to any length to control them. But in comes McMurphy, a criminal who chose to go to an asylum rather than serve physical labor; he disrupts the order of the hospital with his big personality and loud opinions, undermining the authority of Nurse Ratched and encouraging the patients to live their own lives, until he too, is silenced forever by authority. With his novel, Ken Kesey paints society as an oppressive
society, as well as sanity vs. insanity are greatly expressed through the characters actions and events in the novel, as seen from a patients eyes. Randle McMurphy, the main character of the novel portrays the theme of the individual against society through his dealings with Nurse Ratched and the hospital. “The main action of One Flew Over the Cuckoo's Nest consists of McMurphy's struggles against Nurse Ratched. Her ward at the hospital is a society in itself. McMurphy challenges the rules from the beginning” (Malin 224). The effects of the battle between McMurphy and Nurse Ratched is expressed in the reactions of both characters, as well as the changes brought to the ward. “But she stops. She was flustered for a second there. Some of the acutes hide grins, and McMurphy takes a huge stretch, yawns, winks at Harding” (Keasey 45). The individual vs. society theme is clearly displayed here though McMurphy's struggle against the rules of the asylum, and against the rule of Nurse Ratched. This represents a a man, or individual, fighting for his own rights when faced with the views and obstacles forced upon him by a tyrannical society with strict guidelines. The second major theme in this novel, tied to the individual vs. society, is the theme of insanity vs. sanity. “Sanity vs. insanity is a topic that is established by society itself, set by public values and rules on what normalcy should be and what insane should be qualified
This assessment shows its strength by the fact that I feel as though it matches with my life. Through this, I have gain insight to the fact that I could be helpful but almost to the degree in which I could be harmful to me. While reading the description, I was proud at some parts and discourage at others. However, I do have the understanding that every personality-type as a flaw. This assessment was useful in terms of gaining insight to my motivation, strengths and weakness of my personality. This can be a useful tool to use with clients.