Although madness is a popular theme in literature, contemporary American writers use that theme in a new and unfamiliar way, not just to convey the result of an unnerving or infuriating reality but also to comment on its hypocrisies. Barbara Tepa Lupack examines the cultural and literary contexts of five major works of contemporary fiction: Joseph Heller’s Catch-22 (1961), Ken Kesey’s One Flew Over the Cuckoo’s Nest (1962), Kurt Vonnegut’s Slaughterhouse-Five (1969), Jerzy Kosinski’s Being There (1971), and William Styron’s Sophie’s Choice (1979). She shows that each book is complex, with deep roots in American political reality, and each portrays a protagonist who is mad or is considered to be mad–but who reveals a special insight into the dangers of social, political, and cultural conformity. Each of these characters dwells in a sort of wasteland, ranging from the corrupt military base of Pianosa to the plastic suburb of Ilium, from the Nazi death camps to the ravaged Eternal City and bombed-out Dresden. All seek confirmation of their authenticity, and all offer social and ethical remedies that challenge bureaucratic institutions–solutions that amount to inmates running the asylum.