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this is purely my opinion but Nurse Racthed uses the group sessions to further dominate the men. she uses simple suggestion to turn the men on each other, what McMurphy calls "a hen pecking party". in the midst of the meeting friends are suddenly pitted against one another seemly without even realizing it. The Doctor has a more therapitc goal for the group, he believes that the men must discuss problems together. This is suppose to install a sense of community that is like the outside world.