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This passage is taken from the point in the book when McMurphy confronts the acutes with the fact that they are all voluntary patients.

Themes:

Living vs. Apathy
Be a man
Sanity vs. Insanity
Perspective vs. Perspective

Characters:

McMurphy- the only committed, cant believe that all of his efforts were for nothing, change in his personality from being calm and relaxed to being angry and frustrated, cannot believe that the acutes are voluntary,
Billy Bibbit- voluntary, apathetic, wallows in self-pity, scared of truth

Motif:

Big vs. Small- ties to themes: be a man and living vs. apathy

Language:

Diction: simple language, slang ("nuts"), jargon (committed-important as it drives the passage)
Syntax: short sentences (express Billy Bibbit's fear and desperation)

Imagery:

Sensory imagery (Bibbit's reaction) ties to Sanity vs. Insanity
Figurative ("His face boiling tears")-> Theme: Be a man

Rhetoric:

Repetition (characters use it to emphasize their point)- McMurphy ("nuts"), Billy ("You think", "Neither")

Structure:

1.Paragraph: McMurphy's reaction on the acutes
2.Paragraph: Billy Bibbit's response- clash of different perspectives- theme: perspective vs.perspective
3.Paragraph: Description of Billy Bibbit's actions-> theme sanity vs. insanity