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The Folklore of Deinstitutionalization: Popular Film and the Death of the Asylum, 1973–1979
Published online by Cambridge University Press: 22 April 2019
Abstract
The demise of America's state mental hospital system, or “deinstitutionalization,” has received much attention from sociologists and historians of medicine. Less understood is the manner in which the public experienced and came to terms with it. Using elements of folklore and horror studies, I will examine how popular films accommodated audiences to institutional decline and confirmed popular antistatist pessimism. The Exorcist (1973), One Flew over the Cuckoo's Nest (1975), Halloween (1978), and When a Stranger Calls (1979) helped weave a tapestry of distrust. By endorsing popular conceptions of institutional failure and presenting mythical narratives of individualist triumph, these films helped pave a path towards the conservative Reagan era to come.
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References
1 See Sandbrook, Dominic, Mad as Hell: The Crisis of the 1970s and the Rise of the Populist Right (New York: Knopf, 2011)Google Scholar.
2 Rex Reed, “Movies: One Flew Over the Cuckoo's Nest,” Vogue, 1 Feb. 1976, 80.
3 Johnson, Ann Braden, Out of Bedlam: The Truth about Deinstitutionalization (New York: Basic Books, 1990), 70, 73–75, 78, 89, 96Google Scholar; Levine, Murray, The History and Politics of Community Mental Health (New York: Oxford University Press, 1981), 40Google Scholar; Grob, Gerald N., From Asylum to Community: Mental Health Policy in Modern America (Princeton, NJ: Princeton University Press, 1991)CrossRefGoogle Scholar; Frank, Richard G. and Glied, Sherry A., Better But Not Well: Mental Health Policy in the United States since 1950 (Baltimore: Johns Hopkins University Press, 2006), 54–55, 59–60Google ScholarPubMed; Isaac, Rael Jean and Armat, Virginia C., Madness in the Streets: How Psychiatry and the Law Abandoned the Mentally Ill (New York: The Free Press, 1990), chapter 4Google Scholar; Torrey, E. Fuller, American Psychosis: How the Federal Government Destroyed the Mental Illness Treatment System (New York: Oxford University Press, 2014)Google Scholar; Grob, Gerald N., “Government and Mental Health Policy: A Structural Analysis,” Milbank Quarterly, 72, 3 (1994), 471–500CrossRefGoogle ScholarPubMed. For a useful overview with links see “Timeline: Deinstitutionalization and Its Consequences,” Mother Jones, 19 April 2013, at www.motherjones.com/politics/2013/04/timeline-mental-health-america, accessed 11 Oct. 2018.
4 On the history of anti-psychiatry see Dain, Norman, “Psychiatry and Anti-psychiatry in the United States,” in Miscale, Mark S. and Porter, Roy, eds., Discovering the History of Psychiatry (Oxford: Oxford University Press, 1994), 415–44Google Scholar.
5 Atkinson, Michael, Ghosts in the Machine: Speculating on the Dark Heart of Pop Cinema (New York: Limelight, 1999), 4–5Google Scholar.
6 Bird, S. Elizabeth, “Cultural Studies as Confluence: The Convergence of Folklore and Media Studies,” in Hinds, Harold E. Jr., Motz, Marilyn F., and Nelson, Angela F. S., Popular Culture Theory and Methodology (Madison: The University of Wisconsin Press, 2006), 344–55, 349–50Google Scholar.
7 Darnton, Robert, “Peasants Tell Tales: The Meaning of Mother Goose,” in Darnton, The Great Cat Massacre and Other Episodes in French Cultural History (New York: Vintage Books, 1984), 9–72Google Scholar.
8 Carroll, Noël, The Philosophy of Horror; or, Paradoxes of the Heart (New York: Routledge, 1990), 18Google Scholar.
9 For an analysis and definition of the slasher film see Clover, Carol J., Men, Women, and Chain Saws: Gender in the Modern Horror Film, updated edn (Princeton, NJ: Princeton University Press, 2015), chapter 1CrossRefGoogle Scholar.
10 Danielson, Larry, “Folklore and Film: Some Thoughts on Baughman Z500–599,” Western Folklore, 38, 3 (July 1979), 209–19CrossRefGoogle Scholar.
11 Zinoman, Jason, Shock Value: How a Few Eccentric Outsiders Gave Us Nightmares, Conquered Hollywood, and Invented Modern Horror (New York: The Penguin Press, 2011), 75Google Scholar.
12 Darnton, 65; Aristotle, “From The Poetics, ‘Plot,’” in McQuillan, Martin, ed., The Narrative Reader (London: Routledge, 2000), 39–44, 40Google Scholar.
13 Vincent Canby, “Why the Devil Do They Dig ‘The Exorcist?’,” New York Times, 13 Jan. 1974, A1.
14 Schechter, Harold, “The Bosom Serpent: Folklore as Popular Art,” Georgia Review, 39,1 (Spring 1985), 93–108, 93Google Scholar.
15 It is unclear whether she is possessed by the demon Pazuzu or the Devil himself, or perhaps legions of demons. Father Merrin seems to like the word “demon.” See Blatty, William Peter, The Exorcist (New York: Harpertorch, 1971), 337Google Scholar. The Exorcist, dir. William Friedkin (1973).
16 On the idea that Blatty is giving us a tale about invasion from the Middle Eastern Other, see Simpson, Philip L., “Fear of the Assimilation of the Foreign Other in The Exorcist,” in Szumskyj, Benjamin, ed., American Exorcist: Critical Essays on William Peter Blatty (Jefferson, NC: McFarland and Company, Inc., 2008), 25–43Google Scholar.
17 Blatty, 59.
18 Ibid., 60, 119, 148.
19 Ibid., 218.
20 Ibid., 236.
21 Albert Q. Maisel, “Bedlam 1946,” Life, 6 May 1946, 102–10, 112, 115–16, 118; The Snake Pit, dir. Anatole Litvak (1948); Suddenly, Last Summer, dir. Joseph L. Mankiewicz (1959); The Caretakers, dir. Hal Bartlett (1963); Willowbrook: The Last Great Disgrace, dir. Geraldo Rivera (1972). This negative narrative about the “asylum” goes much further back, at least as far as Edgar Allen Poe's 1845 story “The System of Dr. Tarr and Prof. Fether.”
22 The Exorcist, dir. Friedkin. In the book, we get a near identical flashback: “I'm not about to put her in a goddam asylum!” Blatty, 191.
23 Creed, Barbara, “Woman as Abject Monster,” in Olson, Daniel, ed., Studies in the Horror Film The Exorcist (Lakewood, CO: Centipede Press, 2011), 195–212, 208Google Scholar.
24 Koven, Mikel J., Film, Folklore, and Urban Legends (Lanham, MD: The Scarecrow Press, 2008), 11Google Scholar.
25 Tim Appelo, “‘Exorcist’ Director: It Worked Because ‘I Made That Film as a Believer’,” Hollywood Reporter 29 March 2014, at www.hollywoodreporter.com/news/exorcist-director-worked-because-i-692092, accessed 4 Oct. 2018.
26 Maisel, 102. One might also note that the 1968 Rosemary's Baby also prepared the 1970s for the penetration of demonic forces into a modern setting medically unequipped to handle it.
27 Darnton, “Peasants Tell Tales,” 34.
28 Canby, “Why the Devil Do they Dig ‘The Exorcist?’.”
29 As Life magazine explained it, Kesey “makes the tired old subject of life in a mental hospital into an absorbing Orwellian microcosm of all humanity.” Quoted in Cottrell, Robert C., Sex, Drugs, and Rock ’n’ Roll: The Rise of America's 1960s Counterculture (Lanham, MD: Rowman and Littlefield, 2015), 93Google Scholar.
30 Howard Taubman, “Theater: ‘Cuckoo's Nest,’ New York Times, 14 Nov. 1963,” 38.
31 Douglas, Kirk, The Ragman's Son: An Autobiography (New York: Simon and Shuster, 1988), 364–68, 385Google Scholar; Eliot, Marc, Michael Douglas: A Biography (New York: Crown Archetype, 2012), 62Google Scholar. Also see Safer, Elaine B., “‘It's the Truth Even if It Didn't Happen’: Ken Kesey's One Flew Over the Cuckoo's Nest,” Literature/Film Quarterly, 5, 2 (Spring 1977), 132–41, 132Google Scholar.
32 Eliot, 81.
33 Douglas, 390–91; Completely Cuckoo, dir. Charles Kiselyak (1997); Sturhahn, Larry, “Interview with Milos Forman,” Filmmakers Newsletter, 9, 2 (Dec. 1975), 26–31, 26Google Scholar. Quoted in McCreadie, Marsha, “One Flew Over the Cuckoo's Nest: Some Reasons for One Happy Adaptation,” Literature/Film Quarterly, 5, 2 (Spring 1977), 125–31, 131Google Scholar. Forman, Milos and Novak, Jan, Turnaround: A Memoir (New York: Villard Books, 1994), 112, 273Google Scholar. Forman's first American film, Taking Off, was loved by critics but was not financially successful.
34 Milos Forman, Commentary, One Flew Over the Cuckoo's Nest, dir. Milos Forman (2010 edition); “One Flew Over The Cuckoo's Nest Trivia,” Milosforman.com, at https://milosforman.com/en/movies/one-flew-over-the-cuckoos-nest, accessed 28 May 2017.
35 Forman, Commentary; Forman and Novak, 125. In an even more postmodern twist, Forman would learn that many of the patients had read Kesey's novel themselves and liked it. See Fiona Lewis, “‘The Cuckoo's Nest’ from Forman's Perch,” Los Angeles Times, 1 Feb. 1976.
36 Goffman, Erving, Asylums: Essays on the Social Situation of Mental Patients and Other Inmates (Garden City, NY: Anchor Books, 1961)Google Scholar; One Flew Over the Cuckoo's Nest, dir. Milos Forman (1975).
37 Kesey, Ken, One Flew Over the Cuckoo's Nest: Text and Criticism, ed., Pratt, John C. (New York: Viking Press, 1977), 11Google Scholar.
38 As Olderman, Raymond, “The Grail Knight Arrives”: Ken Kesey, One Flew over the Cuckoo’s Nest,” in Bloom, Harold, ed., Modern Critical Interpretations: Ken Kesey’s One Flew over the Cuckoo’s Nest (Philadelphia: Chelsea House Publishers), 35–45, 43Google Scholar, writes, “One Flew Over the Cuckoo's Nest is a modern fable pitting a fabulous kind of good against a fabulous kind of evil and making use of many of the traditional devices of American romance.” Writes M. Gilbert Porter, “The Plucky Love Song of Chief ‘Broom’ Bromden,” in ibid., 101–21, 102, McMurphy has “strength and courage born of mythical American rebellion, from the wayward human charm of Huck Finn to the fierce superhuman protectiveness of the Lone Ranger.” Others were also supposedly considered ahead of Nicholson, including Burt Reynolds and James Caan. See Eliot, Marc, Nicholson: A Biography (New York: Crown, 2013), 146Google Scholar; Completely Cuckoo, dir. Charles Kiselyak (1997).
39 Nicholson had even supposedly tried to buy the rights to the book but been outbid by Kirk Douglas. Eliot, Michael Douglas, 79. Christensen, Mark, Acid Christ: Ken Kesey, LSD, and the Politics of Ecstasy (Tucson, AZ: Schaffner Press, 2009), 359Google Scholar; Forman, “Commentary”; “Roles and Reality in the Nature of Nicholson,” Chicago Tribune 16 March 1975.
40 Babcock-Abrahams, Barbara, “‘A Tolerated Margin of Mess’: The Trickster and His Tales Reconsidered,” Journal of the Folklore Institute, 11, 3 (March 1975), 147–86, 148CrossRefGoogle Scholar.
41 And there is also, as Robin Wood has theorized elsewhere, the “ultimate dread” of “women usurping the active, aggressive role that patriarchal ideology assigns to the male.” Wood, Robin, “An Introduction to the American Horror Film,” in Nichols, Bill, ed., Movies and Methods, Volume II, An Anthology (Berkeley: University of California Press, 1985), 195–219, 217Google Scholar.
42 According to Forman, the hallway scene is the only one in the movie where real patients and staff are all in the scene (except for three actors on the bench). The shock-treatment scene is described by producer Michael Douglas as being to “raise the ante as if you're going into Dante's Inferno”. See Forman, Commentary.
43 The Snake Pit, dir. Anatole Litvak (1948); Fear Strikes Out, dir. Robert Mulligan (1957); Shock Corridor, dir. Sam Fuller (1962); Shock Treatment, dir. Denis Sanders (1964). See McDonald, Andrew and Walter, Gerry, “The Portrayal of ECT in American Movies,” Journal of ECT, 17, 4 (Dec. 2001), 264–74CrossRefGoogle ScholarPubMed.
44 Forman, Commentary.
45 Don't Look in the Basement (orig. The Forgotten), dir. S. F. Brownrigg (1973). This movie allegorizes deinstitutionalization and stigmatization too. The alternative title, The Forgotten, echoes the way society neglects the mentally ill. Says Dr. Masters at one point, “Our patients are all people who are unloved, unwanted, forgotten.” Incidentally, there is no basement in the movie.
46 One Flew over the Cuckoo's Nest, dir. Forman (1975).
47 Vincent Canby, “‘Cuckoo's Nest’: A Sane Comedy about Psychotics,” New York Times, 23 Nov. 1975, 42–43, original emphasis; Rex Reed, “Movies: One Flew Over the Cuckoo's Nest,” Vogue, 1 Feb. 1976; McCormick, Ruth, “One Flew Over the Cuckoo's Nest,” Cineaste, 7, 3 (Fall 1976), 42Google Scholar.
48 Safer, “‘It's the Truth Even if It Didn't Happen,” 137.
49 Murf, “One Flew Over the Cuckoo's Nest,” Variety, 19 Nov. 1975. Film critic Gene Siskel even complained that the film was not realistic enough: “What ‘Cuckoo’ is missing most of all, however, is the quiet time, the deadly time you find in most mental institutions. There are too many great scenes of turmoil in this ‘Cuckoo's Nest’ for it to be realistic.” Gene Siskel, “‘Cuckoo's Nest’: Feathered with Some Solid Entertainment,” Chicago Tribune, 25 Nov. 1975. Vincent Canby, “Cuckoo's Nest,” made a similar comment.
50 Moffic, H. Steven, “We Are Still Flying over the Cuckoo's Nest,” Psychiatric Times, 31, 7 (1 July 2014)Google Scholar, at www.psychiatrictimes.com, accessed 1 Dec. 2016.
51 Quoted in Everitt, Brian S., Health and Lifestyle: Separating the Truth from the Myth with Statistics (Cham: Springer International Publishing, 2016), 32CrossRefGoogle Scholar.
52 Kneeland, Timothy W. and Warren, Carol A. B., Pushbutton Psychiatry: A History of Electroshock in America (Westport, CT: Praeger, 2002), 78Google Scholar. This is seconded in Sadowsky, Jonathan, Electroconvulsive Therapy in America: The Anatomy of a Medical Controversy (New York: Routledge, 2017), 41Google Scholar.
53 Shorter, Edward and Healy, David, Shock Therapy: A History of Electroconvulsive Treatment in Mental Illness (New Brunswick, NJ: Rutgers University Press, 2007), 154Google Scholar.
54 Ibid., 153–63.
55 Brand, Millen, Savage Sleep (New York: Crown, 1968), 270Google Scholar.
56 For Foucault's classic treatment of psychiatric “discipline” see Foucault, Michel, Madness and Civilization: A History of Insanity in the Age of Reason, trans. Howard, Richard (New York: Vintage Books, 1988)Google Scholar.
57 Freeman, C. P. L. and Cheshire, K. E., “Review: Attitude Studies on Electroconvulsive Therapy,” Convulsive Therapy, 2, 1 (1986), 31–42, 38Google Scholar.
58 Fisher, Carrie, Wishful Drinking (New York: Simon and Schuster, 2008), 14, 13Google Scholar.
59 Fleming, Michael and Manvell, Roger, Images of Madness: The Portrayal of Insanity in the Feature Film (Rutherford, NJ: Farleigh Dickinson University Press, 1985), 179Google Scholar; “Occasional Film: One Flew Over the Cuckoo's Nest,” The Lancet, 17 April 1976, 851.
60 Kesey, One Flew Over the Cuckoo's Nest, 5.
61 Darnton, “Peasants Tell Tales,” 65.
62 “Denying the Mentally Ill,” New York Times, 5 June 1981, A26.
63 Koven, Film, Folklore, and Urban Legends, 48.
64 Brunvand, Jan Harold, The Vanishing Hitchhiker: American Urban Legends and Their Meanings (New York: W. W. Norton and Company, 1981), 48–52Google Scholar. King, Stephen summarizes the story in Danse Macabre (New York: Everest House Publishers, 1981), 32–34Google Scholar.
65 Halloween, dir. John Carpenter (1978).
66 Ibid.
67 Whitaker, Robert, Mad in America: Bad Science, Bad Medicine, and the Enduring Mistreatment of the Mentally Ill (New York: Basic Books, 2010), 205Google Scholar.
68 He later slows to a plod, stalking his victims with his mask and knife.
69 In fact, the location is a small hospital in Altadena, California.
70 It's worth noting that Van Helsing has been described as an “eccentric Dutch alienist” by David Skal. See Skal, David, Screams of Reason: Mad Science and Modern Culture (New York: Norton, 1998), 83Google Scholar.
71 Danielson, “Folklore and Film,” 217.
72 Brown, Phil, The Transfer of Care: Psychiatric Deinstitutionalization and Its Aftermath (New York: Routledge, 1988), 133–41Google Scholar. Ronald Sullivan, “Mental-Patient Releases Questioned,” New York Times, 13 March 1978, B3; Peter Koenig, “The Problem that Can't Be Tranquilized,” New York Times, 21 May 1978, SM4.
73 Boulenger, Gilles, John Carpenter: The Prince of Darkness (Los Angeles: Silman-James Press, 2001), 97Google Scholar.
74 Clover, Men, Women, and Chain Saws, chapter 1; Koven, Film, Folklore, and Urban Legends, 123–24.
75 Bailey, Dale, American Nightmares: The Haunted House Formula in American Popular Fiction (Bowling Green, OH: Bowling Green State University Popular Press, 2007)Google Scholar.
76 When a Stranger Calls, dir. Fred Walton (1979).
77 Quoted in Maddrey, Joseph, Nightmares in Red, White, and Blue: The Evolution of the American Horror Film (Jefferson, NC: McFarland and Company, 2004), 133Google Scholar.
78 Dégh, Linda, American Folklore and the Mass Media (Bloomington: Indiana University Press, 1994), 2Google Scholar.
79 For useful gendered readings see Sullivan, Ruth, “Big Mama, Big Papa, and Little Sons in Ken Kesey's One Flew Over the Cuckoo's Nest,” in Searles, George J., ed., A Casebook on Ken Kesey's One Flew Over the Cuckoo's Nest (Albuquerque: University of New Mexico Press, 1992), 49–66Google Scholar; Carol J. Clover, “Her Body, Himself: Gender in the Slasher Film,” Representations, 20, special issue: Misogyny, Misandry, and Misanthropy (Autumn 1987), 187–228.
80 Arendt, Hannah, Eichmann in Jerusalem: A Report on the Banality of Evil (New York: Viking, 1963), 136Google Scholar.
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