One Flew Over the Cuckoo's Nest

How do you account for McMurphy's fatigue at the end of the fishing trip?

p216-218

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Last updated by jill d #170087
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"I don't think it is the trip that exhausts McMurphy. I think it was his increased responsibility for the mental health of the men, as well his issues of being dominated by a woman that wear on him. From his mother to Nurse Ratched, McMurphy is tired and insecure (note the life jacket as well!)."

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http://www.gradesaver.com/one-flew-over-the-cuckoos-nest/q-and-a/how-do-you-account-for-mcmurphys-fatigue-at-the-end-of-the-fishing-trip-122440/