One Flew Over the Cuckoo's Nest

how much control do the characters have over their own destinies

I don't think its that much but I just wanted to confirm

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Last updated by Aslan
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Most of the characters lack control over their destinies. The male patients are emasculated under the iron fist of Nurse Ratched. Even Nurse Retched has made herself into a sexless authoritarian who cannot redefine herself.