In "One Flew Over the Cuckoo's Nest," Ken Kesey explores the theme of societal judgment and its impact on individual well-being. The protagonist reflects on engaging in activities deemed shameful by society, which ultimately led to his illness. This turmoil is not solely due to his actions but largely stems from the overwhelming societal pressure and stigma he experiences, feeling constantly scrutinized and condemned.

The powerful imagery of society's "deadly, pointing forefinger" represents the harsh judgment individuals face when they deviate from social norms. The chorus of "Shame. Shame. Shame" symbolizes the collective disapproval that can isolate and harm those who don't conform, highlighting how society often stigmatizes difference instead of embracing it. This commentary underscores the detrimental effects of societal expectations on mental health and personal identity.