Sound of matched cylinders” (Kesey 33). This expresses the patient's submissiveness before McMurray had an effect on them. The narrator is suggesting that they all have a specific role and they are parts of a machine working in perfect order. In fact, “order” is prevalent throughout this novel, referring to Nurse Ratched obsession with order and control. Nurse Ratched’s goal is to beat every patient into submission so she can have complete control over them. Following McMurphy’s arrival, he manages to make significant changes in the patients but it still isn’t enough to get them to make meaningful relationships. This is due to the fact that no matter what McMurphy does, they are still constrained in the walls of the ward and being watched by Nurse Ratched and the other workers. “All twenty of them, raising not just for watching TV, but against the Big Nurse, against her trying to send McMurphy to Disturbed, against the way she’s talked and acted and beat them down for years” (Kesey 140). This shows McMurphy is starting to make a difference because before he was admitted to the ward, the rest of the patients would never oppose