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- In the Fall of 1963, a Korean War veteran and criminal pleads insanity and is admitted to a mental institution, where he rallies up the scared patients against the tyrannical nurse.
- Joe Pantoliano interviews Dr. Dean Brooks, the former Superintendent of the Oregon State Hospital from 1955 to 1981. Brooks participated in the film "One Flew Over The Cuckoo's Nest" when the producers cast him as Dr. Spivey and shot the film at the hospital in Salem, Oregon during the mid-1970's. Brooks talks about how he started in psychiatry, became involved with the film, and what he learned about acting from Jack Nicholson.
- A psychology professor returns to the Oregon State Hospital, the location of One Flew Over the Cuckoo's Nest, and recounts the stories of real patients who live in this famous hospital for the criminally insane. As patients and staff try to make sense of each juncture in the road, from getting arrested and surviving the wards to reentering the community, the stories tell a larger tale of broken lives and raggedy safety nets, and reveal the craziness of an American system where you have to commit a crime to get psychiatric help. The film movingly portrays the deeply complex dilemmas behind the insanity plea, and explores the world of a modern asylum from the perspectives of those locked inside the system.