The quote describes a clock that, despite being broken and devoid of purpose, continues to function. This imagery reflects the character's state of being; like the clock, he persists in life without clear direction or significance. The clock's distorted hands and silent alarm suggest a sense of futility and frustration, evoking the idea of existence without real value or understanding.

In the context of "One Flew Over the Cuckoo's Nest," this metaphor can symbolize the larger themes of the novel, including the struggle against conformity and the quest for individuality in a restrictive environment. The character's continued ticking represents the resilience of the human spirit, even in the face of overwhelming odds, illustrating the profound contradictions within the journey of life.