One Flew Over The Cuckoo’s Nest The significance of the title can be interpreted in this quote. The story is about a struggle in a psychiatric ward, where many “cuckoos” reside, “Ting. Tingle, tingle, tremble toes, she’s a good fisherman, catches hens, puts ‘em in pens… wire blier, limber lock, three geese inna flock… one flew east, one flew west, one flew over the cuckoo’s nest… O-U-T spells out… goose swoops down and plucks you out.” This is where the title comes from, the cuckoo’s nest being the psychiat