part 4, chapter 4
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The confrontation between the two characters finally becomes both violent and sexual, having been set up as sexual by the confrontation between Nurse Ratched and Billy Bibbit over the prostitute. Nurse Ratched has used repressive sexuality as a weapon against Billy Bibbit, instilling in him a sense of shame that stems from both religious sexual guilt and his domineering mother. Harding even makes a religious allusion to Jezebel that underscores the religious idea of certain kinds of sexuality as sinful. Yet it is when Nurse Ratched uses Billy Bibbit’s mother to instill a sense of shame that she drives him to suicide, showing with unerring finality the cause of Billy’s problems.