Though this does frighten the Acutes, McMurphy is able to convince them to go on the trip. “They could sense the change that most of us were only suspecting; these weren’t the same bunch of weak-knees from a nuthouse that they’d watched take their insults on the dock this morning” (p. 254). While out, the Acutes face many things that make them uncomfortable, but they overcome this and return to the ward much more confident in themselves, leading them to not follow the head nurse’s every command as they did before. This moment is another loss to Nurse Ratched, as the physiological emasculation she has dealt out to the patients is beginning to lose the effectiveness it once