GenevaBookClub: Set in an Oregon psychiatric hospital, the narrative serves as a study of the institutional process and the human mind as well as a critique of Behaviorism and a celebration of humanistic principles. The story, narrated by the gigantic but docile half-Native American inmate "Chief" Bromden, focuses on the antics of the rebellious Randle Patrick McMurphy, who faked insanity to serve out his prison sentence, for statutory rape, in the hospital. The head administrative nurse, Mildred Ratched, rules the ward with a mailed fist and with little medical oversight. She is assisted by her three black day-shift orderlies, and her assistant doctors.