In "One Flew Over the Cuckoo's Nest," Ken Kesey explores themes of identity and self-perception through the character's reflection on how external expectations shape one's sense of self. The quote highlights a disconnect between an individual's true self and the persona they adopt to fit societal norms, emphasizing that the character feels detached from both their appearance and the façade they present to others. This struggle illustrates the broader conflict between conformity and authenticity.

The character’s realization that they were never truly themselves when trying to conform reveals a deep sense of alienation. It suggests that the pressures to meet others' expectations can lead individuals to lose sight of their genuine identities. Kesey skillfully depicts how the struggle for self-identity manifests in various ways, resulting in a poignant commentary on the impact of societal norms on personal fulfillment and mental well-being.