WARNING SPOILERS CONTAINED HEREIN: If you're a fan of James Coburn, his mesmerizing performance in this movie will be a real treat for you. He plays John Patman, a male nurse in a mental hospital. Unlike the coldly detached doctors he works with, he actually cares about the patients and he considers them his friends. His job gets to him, his unpleasant past haunts him, and he starts to take matters into his own hands, which leads to a great downer of an ending. This is one very dark movie and could probably be called film noir. It's got plenty of creepy atmosphere and an equally creepy soundtrack. If you get a chance to get this black gem of a movie, snag it!