Nurse Ratched at Her Worst
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- Опубліковано 22 чер 2024
- #doctorreacts #drelliott #oneflewover #psychiatrist #mentalhealth
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This is Part 2 of my series watching the incredible One Flew Over the Cuckoos Nest. This is one of the most influential films in the history of medicine and psychiatry and on this series, I cover a range of issues including the difference between various mental illnesses and personality disorder, the specialty of forensic psychiatry, the difference between being in hospital and being in prison, enforcing medications and the lobotomy.
Let me know what you think!
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Love this movie, thanks for the commentary. The movie is based on a book by Ken Kesey who wrote the book in order to "expose" what was happening inside these institutions which were heavily stigmatized and largely kept out of public view at the time. He wrote the book based on his experiences working the graveyard shift at a mental health facility in California.
A year ago I had a drug induced psychotic episode in hospital (they put me on way too many very strong things), and I tried to run away. Six security guards had to carry me back and, although I wasn't violent (I kept saying, really calmly, "OK, ok. There's no need to be tugging me. I'm not trying to resist"), they held me down and gave me a big injection of some sedative. It didn't affect me because that particular sedation doesn't work on me. I gave up though because I knew I blew my chance?
Tip of the iceberg though, the things I thought were happening and what I heard...
🎶✨Algorithm engagement ✨🎶
I'm in the USA and I've only ever gone into inpatient voluntarily. It's always on an emergency basis and essentially the goal is to medicate me and keep me safe until an outpatient program is available. Usually I'm in for no more than 4 days, I've been in for less than 2 on one trip.
The difference between voluntarily and involuntary patients is pretty stark. I've seen patients get tackled and given shots to subdue them, and most of the time they are agitated deaf patients who can't get an asl interpreter to help them communicate so they are manhandled to get them to cooperate until they blow a fuse. It's despicable.
It's kinda different in the US. I've been inpatient 20+ times, voluntary and involuntary. Ususally when I sign a voluntary it is switched to invountary basically. You can't leave or reject medication and don't have a say on how long you stay. I think people are hospitalized much more frequently here.
And of course I speak from a UK perspective knowing there will be stark differences between how we practice and how other countries do it
That’s messed up
@@DoctorElliottCarthy Of course, of course
Once had a neighbour in my building, in severe depths of psychosis and paranoia exacerbated by crack-cocaine use, who believed that I and several other tenants were attempting to poison him, "program" him, deliberately disturb his sleep cycles, etc. He attacked one of the other tenants with a knife one night, and was arrested. The police, understandably, took him over to hospital. He was released and returned, knife and all, the following afternoon. Lack of beds. Covid. Safety to self and others be damned.
They call that the Baker Act in FL. Usually a court order
About fifteen years ago I worked at the emergency room of a hospital with a ward devoted to the mentally ill. I saw similar behavior to the orderlies that you see in this movie, even in contemporary medicine. This isn't because the field of medicine does not know better. This is because many of the employees that are working in these hospitals are undertrained. The turnaround is often high for those positions and the employees often are just given a few options for how to respond to a situation. Over time it starts to become routine because they know how to restrain someone but they still aren't being trained in any other way.
Honestly as someone who's worked in the mental health sector for year. You really are amazing. Thank you for this
i love your channel and your analysis/reactions to psychiatry in media! i would love to see you cover Girl, Interrupted because it is focused around inpatient care and personality disorders. i have BPD so naturally Girl, Interrupted has a special place in my heart, along side Crazy Exgirlfriend and IASIP which you've covered before. keep up the good work!
I have a subject suggestion, Melvin Udall from As good as it gets, have not seen any video focus on that character, could be interesting.
Ever since I've begun studying psychology I've been fairly critical and sceptical about psychiatry because I saw it as pharmacologically centered and not humanistic enough, I guess. But you've helped me break the stigma and see that we all need to work together, and that we've come a long way from the image society has of psychiatry.
I would LOVE to see a similar reaction/analysis video on Girl, Interrupted! Prozac Nation isn't as good but also relevant. As a bipolar person who has been institutionalized, just wanted to say how much I appreciate this and your other videos
The cast of this movie is a veritable Who's Who! I didn't know DeVito was in this too.
I still love your view on this classic piece of a movie. Always gets under my skin.
I can speak only for Luxembourgish (mostly) and German psychological wards , concerning personal belongings, even when in the ward voluntarily, some may get taken away from you and stored out of your reach. On my last and very recent hospitalisation, they took and stored some items, in general those that could potentially be used to harm oneself (or others, but that actually happens very rarely. But it includes the possibility that a self-harming patient could try to steal it from you even if you are not at risk for such behaviour. But I sadly am). I understand that they will take razors, scissors, needles and metallic nail files, but I was surprised that they took even the charging device for my mobile phone (for "risk of strangualtion". Same reason why drips are not allowed, which might be a problem for me should I have to go back soon, which is not clear yet (because I'm very torn...), because I still am hypokalemic and usually in hospital non-psych wards, they cure it by drips...). Another item I had to hand over that surprised me at first, but really is justified at second view was my pencil sharpener. I mean, it HAS blades in it, so I understand, but that did not make it less annoying. I like to draw, it can really soothe me, occupy me and forget the chaos in my head for a while. But without the sharpener, it was just not well possible. Of course I could go to the nurses room and ask for it, and IF they had time (and the mood) they could hand it to me and I could use it under their watch to sharpen a pencil. But it was annyoing and totally disruptive to have to pause my flow for every need of sharpening any crayon (and likely not even finding a nurse or getting the "come back later" answer)... Knowing that I got myself a pop-up pencil now. I could still color later or make pencil drawings. Just have to be prepared as good as I can.
About the cigarettes, patients could keep them. Since I don't smoke, I'm sot sure about the lighters, but I think there was a device for that fixed on the wall inside the smoking room. Because obviously free fire would not be safe. For the other wards I remember less, but for a psychosomatic clinic in Germany (about 20 years ago) patients had cigarettes with them.
About the differents sorts of nurses and which treatmeants with patients I have witnessed and experienced myself, there is so much I could tell (for the good and the bad).
That would just go to far, and I wrote so much already.
Sorry for that...
But thank you for your video. I'm waiting for part 3.
Always love your videos, entertaining and informative!
Louise Fletcher turned in the performance of a lifetime.
I'm really enjoying your analysis of this movie, excited for the next installment!
Would you consider reacting to any of the Dispatches documentaries there have recently been about mental health services in the UK? My Trust was featured on one (not in the area I work in) and I'd be interested to hear your take. Understand if not though as I imagine it could be sticky for you as an NHS doctor.
Brilliant insight, thank you! 💖💖
Can you look at Titicut Follies?
Love your breakdowns. Although often it seems some patients are in voluntarily until they try to leave and then they are placed under section. And although I agree outpatient is preferable under some instances the lack of bed spaces has put families and universities under increasing stress and pressure when released prematurely. Which is often in my experience.
I work in a MH ward in Australia up untill June last year we had an outdoor smoking courtyard now that we've gone smoke free it's a complete nightmare
Your videos relax me so much, I was too sick to finish my degree etc in Psychology (still am, it's infuriating and I feel ashamed), so I understand what you're saying other than the legal stuff but you explain it so well! So it feels like venting when you say it for me. Same as how I feel watching House!
Don't feel ashamed for being unable to finish it 💖 It's alright to not get to do what you would've wanted, but keep it as an objective for the future, take it easy, focus on yourself and on getting through, and someday it will all be better again.
@Ana Kraljić Ohhhh ❤️🩹 Thank you you're so kind! Xx
@@NoudlePipW I mean it 💘 We're all here to help eachother
@Ana Kraljić You're an absolute darling, and yes we are all here to help each other! I wish there were more people like you who understood this!
I hope you're doing so so well!
Xx
Just some feedback: on the mobile UA-cam app the „part 2“ isn’t visible in the thumbnail. The length of the video is in the way
This gives me shivers thinking back when I was in hospital and they carried me to bright white room, strapped me down, had cameras watching me, and sedated me. 0/10 don't recommend.
Have you seen the series Ratchet? The story of Nurse Ratchet before this movie? Her youth & such. It's so good, I highly recommend it! Sarah Paulson is amazing in the role! I believe it's still on Nerflix.
He has, Dr Carthy reacted to the first 3 episodes.
Holy shit, Sarah Paulson! It goes on my list!!!! Thats
Love the videos!
Maybe it's different in the UK, but as of 2012 this movie is pretty accurate. Got my dumbass 51-50'd by talking to a shrink, just to watch them tackle and tie a girl to a bed because she threatened to cut herself. Not that she actually had anything to do it with. But they knew that because they strip search you when you arrive.
When one stay for long periods in any institution there can be consequences for their mental health. While we need locals of reference for treatment of our mental health I personally find interesting the work of Franco Basaglia, I believe many are familiar with what he did in Italy. Anyway, great job!
Not sure if I missed a comment about it, but... dude freaked out because the lit cigarette fell in the cuff of his pants.... the nurses didn't listen... which often happens.... especially, in childbirth
I saw the play, never the movie. I liked it.
I enjoyed my time at the mental hospital, they have come a long way. I found it to be a pleasant, but a little boring time. Everyone else enjoyed it too, for the most part. We too have a shortage of beds. I had to stay in the ICU for an extra day waiting for a bed to open. I had to fight to get there it was for my own safety. I refused to leave and threatened the staff that I would hurt myself more. I know they wanted to help me there just was not space so they would have let me go if I had not refused to leave. I do not want to go back, but I remember my time there positively.
So… practically there is a diagnose for everything, even the lil “dummy” things, in result… we all are crazy; therapists included! lol Just Kiddin’ !
I'd love to see a video on Lisa in girl interrupted
Another fantastic movie, this might sound a little strange but aren't we all crazy to some degree, I mean as a kid and a young man even though I'm getting old, we push people till they crack, an when they do crack it can be really crazy, just because we think it funny, an I always had the impression that we're all crazy to some degree.
C Lloyd goes berserk because the other guy's ciggie fell in his pantscuff, burning him. It was not just random.
Thank you for being an advocate for mental health. I don't like the way people were treated back then. I don't know what they mean by chronixx. Chronically ill1. I was in a Community Mental Health Center for depression and anxiety it wasn't for psychosis. Mental health seems worse in the United states. 7:11 at least in Pennsylvania it's terrible.
I could argue that only diagnosing ASPD after someone has already committed several violent crimes is a bit too late. I understand that it's not that easy, but...
Isn't it interesting though that we don't like to treat patients for....what I'd say purely medical reasons in hospital either. The word completely escapes me...its like...desensitised but...not? * Edit: deconditioned! That's the one* like there are reasons to stay in hospital a long time...but its such a balance because it happens so quickly that if you aren't doing your normal routine and in your own environment....you lose muscle mass, you're lying down too much, you get pneumonia....its bad. It happens so quickly to some people with high risk factors. But a big risk is just lack of resources. I swear if they hired people just to chat to patients, move their legs and arms in normal range of movement (some more than others) I think you would get way better patient outcomes and less medical staff burnout.
Dr could you please analyze the Grey Gardens dynamics? Big Edie and Little Edie.. The movie is called Grey Gardens with Drew Barrymore Blessings and happy thoughts! 😇🙏🎥🎭🎼🎵🎶🎞️
I'm a big fan of exmachina and was wondering if an AI can pass the Turin test,could they get our mental illnesses.
I love it!
but . . .but we didn't finish the movie 😢
The guy is not displaying enough mental illness for them and they are critical of him about it, as if accusing him of feigning or malingering, but at no point did he claim to be suffering from any particular mental illness. It’s an absurd accusation of malingering because feigning any mental illness deliberately to get committed to a mental hospital is itself a sign of mental illness, not of some kind of crime or character flaw where the patient is the perpetrator and the staff of institution the victim, and behavior of an insufficiently mental ill nature is not in and of itself a false claim of being mentally I’ll.
I have the minority opinion that Nurse Ratched isnt actually a film villain. After looking back on my practice in psychiatry over the past 20 years I kind of see her as a victim of the expected practice of the day, as institutionalised as her patients
I agree with staff institutionalisation being a real thing too. Most people that do bad things don't think they're doing bad things
love your videos. Do you have girl interrupted and the beginning of Patch Adams (hes in an institution at the start of the film) on your list?
Little Eddieeeee
You probably should have added "Part 2" or something in the title of this video, just so we know it's not the same video as the last one. :)
🥰🥰🥰
So… practically there is a diagnose for everything, even the lil “dummy” things, in result… we all are crazy; therapists included! lol Just Kiddin’ !