In Ken Kesey's "One Flew Over the Cuckoo's Nest," the narrative addresses the struggle between confronting reality and avoiding it. The quote emphasizes the difficult choice individuals face when dealing with challenging situations. It suggests that while recognizing and grappling with one's circumstances can be painful, it is a necessary part of growth and understanding. Conversely, there is the temptation to escape from these struggles, which can provide temporary relief but ultimately leads to disconnection from reality.

This dichotomy reflects the broader themes of the novel, where characters in a mental institution navigate their mental and emotional battles. The fog represents confusion and denial, while the act of straining to see suggests the effort required to confront personal truths. Kesey's work invites readers to consider the value of facing painful realities, suggesting that awareness and acceptance, although difficult, are essential for true freedom and authenticity in life.