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Updated information about Flash.


You can find the game online and for free [[http://www.parapluesch.de here.]]

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You can find the The game online and for free was formerly playable [[http://www.parapluesch.de here.]]
here]], although following the depreciation of [[UsefulNotes/AdobeFlash Flash player]], the site no longer hosts Die Anstalt. Instead, a port for mobile devices can be found [[https://play.google.com/store/apps/details?id=air.parapluesch.de here]].
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* ShoutOut: References include ''Film/TwoThousandOneASpaceOdyssey,'' Edward Hopper, and Henri Rousseau.

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* ShoutOut: References include ''Film/TwoThousandOneASpaceOdyssey,'' Edward Hopper, Creator/EdwardHopper, and Henri Rousseau.
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zero context example


* UnwinnableByMistake: Dolly was completely incurable when she was first introduced.
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* LivingToys: Fluctuating between 2, 3 and 4 on the Sliding Scale. Apparently, whether or not the humans in the game acknowledge them as sentient objects depends on the "host consciousness" and how well it projects to the cuddly toy, dictated in a sliding scale of its own. [[http://karaita.tumblr.com/post/14126445851/reblog-if-you-like-the-game-die-anstalt-and-can-speak Rough translation of the concept here.]]

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* LivingToys: Fluctuating between 2, 3 and 4 on the Sliding Scale. Apparently, whether or not the humans in the game acknowledge them as sentient objects depends on the "host consciousness" and how well it projects to the cuddly toy, dictated in a sliding scale of its own. [[http://karaita.[[https://borderlinedub.tumblr.com/post/14126445851/reblog-if-you-like-the-game-die-anstalt-and-can-speak com/post/14126445851/reblog-if-you-like-the-game-die-anstalt-and-can Rough translation of the concept here.]]
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''"In a soulless world...its inhabitants spineless. Spoiled by a consumerist culture, and yet...lonely. This gives birth to frustration...and makes one even lonelier. The last friend remaining is...the cuddlytoy. These creatures can't defend themselves. They cannot run away. Insanity...is their only way of escape."''

''Die Anstalt - Psychiatrie für misshandelte Kuscheltiere'' ("The Asylum - Psychiatric Clinic for Abused Cuddlytoys") is a German point-and-click game made in 2003. The player takes on the role of a psychiatrist treating plush toys that have been driven to mental disorders due to abuse by their owners. Gameplay consists of selecting a patient to treat and then selecting different treatments from a list on a clipboard. Choosing the right treatments at the right time is essential to win, although there are several that won't do any harm or help.

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''"In ->''"In a soulless world...its inhabitants spineless. Spoiled spineless, spoiled by a consumerist culture, and yet...lonely. This gives birth to frustration...and makes one even lonelier. The last friend remaining is...the cuddlytoy.cuddly-toy. These creatures can't defend themselves. They cannot run away. Insanity...is their only way of escape."''

''Die Anstalt - Psychiatrie für misshandelte Kuscheltiere'' ("The Asylum - Psychiatric Clinic for Abused Cuddlytoys") Cuddly Toys") is a German point-and-click game made in 2003. The player takes on the role of a psychiatrist treating plush toys that have been driven to mental disorders due to abuse by their owners. Gameplay consists of selecting a patient to treat and then selecting different treatments from a list on a clipboard. Choosing the right treatments at the right time is essential to win, although there are several that won't do any harm or help.

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I screwed up the formatting of this entry during my earlier edit, fixing it.


* FreudianExcuse: Sort of the whole point. [[spoiler:Averted with Sly, although the help does point out that from the Freudian Excuse position, [[LampshadedTrope
his symptoms don't make a whole lot of sense.]]]]

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* FreudianExcuse: Sort of the whole point. [[spoiler:Averted [[spoiler: Averted with Sly, although the help does point out that from the Freudian Excuse position, [[LampshadedTrope
[[LampshadedTrope his symptoms don't make a whole lot of sense.]]]]sense]]]].

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** Sly [[spoiler: was used as a drug stash, and tossed out of a car when the cops pull them over. He's subsequently run over by another car.]]

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** Sly [[spoiler: was used as a drug stash, and tossed out of a car when the cops pull them over. He's Sly's rattle was subsequently run over by another car.]]



* BreakTheCutie: The patients' backstories...and you, if you decide to be a jerk and torture them.
** Combined with BreakTheHaughty for Dr Wood.
* CharacterBlog: The game's Facebook page and other periphery sites. In a survey about a year ago, they even insisted that stuffed animals were not allowed to take part.

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* BreakTheCutie: The patients' backstories... and you, if you decide to be a jerk and torture them.
** Combined with BreakTheHaughty for Dr Wood.
Wood, since you have to break him down in order to build him up again.
* CharacterBlog: The game's Facebook page and other periphery sites. In a survey about a year ago, on their media, they even insisted that stuffed animals were not allowed to take part.



** After Dr Wood's first foray into[[spoiler: astral projection, [[http://i40.tinypic.com/208bac0.png you can see him trapped in a glass box way above the forest as he makes his way back]] - something that will turn out to have caused his insecurities and narcissism in the first place.]]

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** After Dr Wood's first foray into[[spoiler: into [[spoiler: astral projection, [[http://i40.tinypic.com/208bac0.png you can see him trapped in a glass box way above the forest as he makes his way back]] - something that will turn out to have caused his insecurities and narcissism in the first place.]]



* DarkIsNotEvil: [[spoiler:Dolly's wolf form turns out to be nice.]]

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* DarkIsNotEvil: [[spoiler:Dolly's wolf form turns out to be nice.nice, and protective of Dolly to boot.]]



* DrugsAreBad: Improper use of the "Administration of Drugs" option. Also, [[spoiler:Sly's problems stem from accidentally receiving a severe overdose of hallucinogens.]]

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* DrugsAreBad: Improper use of the "Administration of Drugs" option. Also, [[spoiler:Sly's problems stem from accidentally receiving a severe overdose of various hallucinogens.]]



* FissionMailed: A red bar on the patient's progress meter usually means that you've messed up your patient even more and need to "reset" them with electroshock therapy. [[spoiler:At one point you have to do it to break Dub out of a catatonic state and continue with his therapy.]]

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* FissionMailed: A red bar on the patient's progress meter usually means that you've messed up your patient even more and need to "reset" them with electroshock therapy. [[spoiler:At [[spoiler: At only one point is electroshock actually necessary, as you have to do it to break Dub out of a catatonic state and continue with his therapy.]]



* FreudianExcuse: Sort of the whole point. [[spoiler:Averted with Sly, [[LampshadedTrope although the help does point out that from the Freudian Excuse position, his symptoms don't make a whole lot of sense.]]]]

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* FreudianExcuse: Sort of the whole point. [[spoiler:Averted with Sly, [[LampshadedTrope although the help does point out that from the Freudian Excuse position, [[LampshadedTrope
his symptoms don't make a whole lot of sense.]]]]



* HappyPlace: Sly and Dolly experience this in their dream sequences...but it doesn't last.

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* HappyPlace: Sly and Dolly experience this in their dream sequences... but it doesn't last.



* HumansAreCthulhu: The driving force behind the patients' problems is abuse by their owners, although it's usually unintentional - [[spoiler:Sly's owners are the only ones to do anything deliberately malicious to their toy, and even then hiding drugs in his tail for easy access probably seemed like a good idea at the time. Lilo is even reunited with his owner happily when he's cured.]] Notably, we seldom see an entire human from the patients' point of view, except for a somewhat eerie silhouette of a glasses-wearing girl.

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* HumansAreCthulhu: The driving force behind the patients' problems is abuse by their owners, although it's usually unintentional - [[spoiler:Sly's owners are the only ones to do anything deliberately malicious to their toy, and even then hiding drugs in his tail for easy access probably seemed like a good idea at the time. It only became a severe issue when Sly's tail got crushed and all those drugs started to mix. Lilo is even reunited with his owner happily when he's cured.]] Notably, we seldom see an entire human from the patients' point of view, except for a somewhat eerie silhouette of a glasses-wearing girl.



* MushroomSamba: You see one when administering[[spoiler:/administered]] drugs.

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* MushroomSamba: You see one when administering[[spoiler:/administered]] drugs.administering drugs [[spoiler: or when they're already administered, in Sly's case]].



* NightmareFuelColoringBook: Most of the artwork produced in Paint Therapy; kudos goes to Dolly for [[spoiler:attempting to paint a peaceful meadow, only to flip out and gouge the canvas with her paintbrush (and in some situations, her face)]].
* NoMedicationForMe: Mostly averted. For four out of six patients, you cannot successfully treat them without the "administration of drugs" option.

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* NightmareFuelColoringBook: Most of the artwork produced in Paint Therapy; such as Lilo painting himself [[spoiler: getting strangled by a gnarled hand]], and kudos goes to Dolly for [[spoiler:attempting to paint a peaceful meadow, only to flip out and gouge the canvas with her paintbrush (and in some situations, her face)]].
* NoMedicationForMe: Mostly averted. For four out of six patients, you cannot successfully treat them without the "administration of drugs" option.option, as they either get too agitated or otherwise need the help.



* TimedMission: You only have a certain time frame to interact with Lilo while playing ''VideoGame/{{Tetris}}'' before he removes the game from the handheld, and to take Dub's timer away from him when he's unconscious. In stages 1, 4 and 5, Dr Wood is also not in any mood to be kept waiting, and will leave if you take too long.

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* TimedMission: You only have a certain time frame to interact with Lilo while playing ''VideoGame/{{Tetris}}'' before he removes the game from the handheld, handheld and returns to his compulsive behavior, and to take Dub's timer away from him when he's unconscious. In stages 1, 4 and 5, Dr Wood is also not in any mood to be kept waiting, and will leave if you take too long.



* TheVoiceless: Lilo, and it's not because his mouth is zipped shut.

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* TheVoiceless: Lilo, and it's not just because his mouth is zipped shut.
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Aversions to Reptiles And Abhorrent aren't notable enough to be listed.


* ReptilesAreAbhorrent: Averted with Kroko, Sly and Dub.
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* TimedMission: You only have a certain time frame to interact with Lilo while playing ''{{Tetris}}'' before he removes the game from the handheld, and to take Dub's timer away from him when he's unconscious. In stages 1, 4 and 5, Dr Wood is also not in any mood to be kept waiting, and will leave if you take too long.

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* TimedMission: You only have a certain time frame to interact with Lilo while playing ''{{Tetris}}'' ''VideoGame/{{Tetris}}'' before he removes the game from the handheld, and to take Dub's timer away from him when he's unconscious. In stages 1, 4 and 5, Dr Wood is also not in any mood to be kept waiting, and will leave if you take too long.
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* SingleIssuePsychology: For each patient so far, their issues all them from one single traumatic event that the therapist (i.e. you) has to find out about to treat them.

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* SingleIssuePsychology: For each patient so far, their issues all them stem from one single traumatic event that the therapist (i.e. you) has to find out about to treat them.



* UnwinnableByMistake: Dolly was completely incurable when when she was first introduced.

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* UnwinnableByMistake: Dolly was completely incurable when when she was first introduced.
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* GuiltCommplex: At the heart of Lilo and Dub's troubles.

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* GuiltCommplex: GuiltComplex: At the heart of Lilo and Dub's troubles.

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* TheGhost: Dr Kindermann. He leaves for a study in Japan prior to your arrival, and all communication with him after that consists of analysis from him in the aforementioned guide.



* TheGhost: Dr Kindermann. He leaves for a study in Japan prior to your arrival, and all communication with him after that consists of analysis from him in the aforementioned guide.

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* TheGhost: Dr Kindermann. He leaves for a study in Japan prior to your arrival, GuiltCommplex: At the heart of Lilo and all communication with him after that consists of analysis from him in the aforementioned guide. Dub's troubles.

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* AbusiveParents: Rather, Abusive Owners. Three of the toys are subjected to this:
** Sly [[spoiler: was used as a drug stash, and tossed out of a car when the cops pull them over. He's subsequently run over by another car.]]
** Dolly [[spoiler: was used as a fetch toy for a large, scary dog.]]
** Kroko [[spoiler: was used to mop a bathroom floor!]]
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* OrWasItADream: It is usually easy to tell when the game switches from reality to dream sequence, due to appropriate transitions and circle borders. However, [[spoiler:Dr Wood's cultish takeover of the asylum in the middle of his therapy]] blurs the line between the two planes by not showing these indicators.]]

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* OrWasItADream: It is usually easy to tell when the game switches from reality to dream sequence, due to appropriate transitions and circle borders. However, [[spoiler:Dr Wood's cultish takeover of the asylum in the middle of his therapy]] blurs the line between the two planes by not showing these indicators.]]

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Based on recent posts on the corresponding Die Anstalt Facebook page, there may well be a seventh patient on the horizon...

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Based on recent posts on the corresponding Die Anstalt Facebook page, there may well be a seventh patient on the horizon...
horizon, although since there has been no update as of 2016 it may be {{Vaporware}}.



* AllPsychologyIsFreudian: Subverted. While the excuses themselves are indeed Freudian, more of an emphasis is placed on psychodynamic and biological psychology. Indeed, the "certain lopsidedness" of Dr Wood towards Freudian methods is one of the obstacles you need to get past in his therapy.
* AlterEgoActing: If you order one of the plushies, along with the "patient" you receive a letter giving additional detail on their condition and recommendations for further home treatment.



* CharacterBlog / AlterEgoActing: The game's Facebook page and other periphery sites. In a survey about a year ago, they even insisted that stuffed animals were not allowed to take part.
** If you order one of the plushies, along with the "patient" you receive a letter giving additional detail on their condition and recommendations for further home treatment.
* ChekhovsGun: [[spoiler:After Dr Wood's first foray into astral projection, [[http://i40.tinypic.com/208bac0.png you can see him trapped in a glass box way above the forest as he makes his way back]] - something that will turn out to have caused his insecurities and narcissism in the first place.]]

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* CharacterBlog / AlterEgoActing: CharacterBlog: The game's Facebook page and other periphery sites. In a survey about a year ago, they even insisted that stuffed animals were not allowed to take part.
* ChekhovsGun:
** If you order one of the plushies, along with the "patient" you receive a letter giving additional detail on their condition and recommendations for further home treatment.
* ChekhovsGun: [[spoiler:After
After Dr Wood's first foray into into[[spoiler: astral projection, [[http://i40.tinypic.com/208bac0.png you can see him trapped in a glass box way above the forest as he makes his way back]] - something that will turn out to have caused his insecurities and narcissism in the first place.]]



* EverythingsBetterWithPlushies: The game was made to promote a real line of plush toys.



** AllPsychologyIsFreudian: Subverted. While the excuses themselves are indeed Freudian, more of an emphasis is placed on psychodynamic and biological psychology. Indeed, the "certain lopsidedness" of Dr Wood towards Freudian methods is one of the obstacles you need to get past in his therapy.



* LateArrivalSpoiler: A recent update to the graphics of the site spoils [[spoiler:the existence of Dolly's inner wolf]].

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* HypocriticalHumor: The game's intro claims that society has been made "soulless" and "spineless" by consumerism, yet the game serves to sell actual cuddly toys. Hopefully, the message of "escape the horrors of consumerism by buying our toys!" was intentional.
* LateArrivalSpoiler: A recent An update to the graphics of the site spoils [[spoiler:the existence of Dolly's inner wolf]].



** [[spoiler:OrWasItADream: It is usually easy to tell when the game switches from reality to dream sequence, due to appropriate transitions and circle borders. However, Dr Wood's cultish takeover of the asylum in the middle of his therapy blurs the line between the two planes by not showing these indicators.]]



** EverythingsBetterWithPlushies



* OrWasItADream: It is usually easy to tell when the game switches from reality to dream sequence, due to appropriate transitions and circle borders. However, [[spoiler:Dr Wood's cultish takeover of the asylum in the middle of his therapy]] blurs the line between the two planes by not showing these indicators.]]



* ReptilesAreAbhorrent: Averted with Kroko, Sly and Dub, [[spoiler:and possibly also with the potentially-upcoming frog patient, name as yet unknown]].

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* ReptilesAreAbhorrent: Averted with Kroko, Sly and Dub, [[spoiler:and possibly also with the potentially-upcoming frog patient, name as yet unknown]].Dub.



** WaitingPuzzle: Near the end of Dub's therapy, [[spoiler:when he starts crying and using up tissues, you have to wait until he uses up all the tissues before you can proceed; and even then, one foot wrong will set him off again]].

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** * WaitingPuzzle: Near the end of Dub's therapy, [[spoiler:when he starts crying and using up tissues, you have to wait until he uses up all the tissues before you can proceed; and even then, one foot wrong will set him off again]].
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* EpiphanyTherapy: Partially averted. The final flashback plays a huge role in curing the patient, but actually getting there is most of what your job is.

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* EpiphanyTherapy: Partially averted.Downplayed. The final flashback plays a huge role in curing the patient, but actually getting there is most of what your job is.

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* [[TrailersAlwaysSpoil Covers Always Spoil]]: a recent update to the graphics of the site spoils [[spoiler:the existence of Dolly's inner wolf]].


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* LateArrivalSpoiler: A recent update to the graphics of the site spoils [[spoiler:the existence of Dolly's inner wolf]].
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** Dolly is named after the real-life sheep Dolly, the first mammal to be successfully cloned.
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** The first "Professional Assistance" for Dr. Wood contains a large amount of {{Foreshadowing}}, including the line "Do not miss a demonstration of Dr. Wood's unique hypnosis technique".
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'''Kroko:''' A paranoid crocodile with severe aquaphobia. He has a pillow for a SecurityBlanket and... [[WannabeSecretAgent believes he's a secret agent]].

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'''Kroko:''' A paranoid crocodile with severe aquaphobia. He has a pillow for a SecurityBlanket and... [[WannabeSecretAgent believes he's a secret agent]].
SecurityBlanket.
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removing ableist language where possible


''Die Anstalt - Psychiatrie für misshandelte Kuscheltiere'' ("The Asylum - Psychiatric Clinic for Abused Cuddlytoys") is a German point-and-click game made in 2003. The player takes on the role of a psychiatrist treating plush toys which have been driven insane due to abuse by their owners. Gameplay consists of selecting a patient to treat and then selecting different treatments from a list on a clipboard. Choosing the right treatments at the right time is essential to win, although there are several that won't do any harm or help.

to:

''Die Anstalt - Psychiatrie für misshandelte Kuscheltiere'' ("The Asylum - Psychiatric Clinic for Abused Cuddlytoys") is a German point-and-click game made in 2003. The player takes on the role of a psychiatrist treating plush toys which that have been driven insane to mental disorders due to abuse by their owners. Gameplay consists of selecting a patient to treat and then selecting different treatments from a list on a clipboard. Choosing the right treatments at the right time is essential to win, although there are several that won't do any harm or help.



* CriticalPsychoanalysisFailure: Dr. Wood, being a psychiatrist himself, is all too happy to turn your treatment methods back on you. He's also somewhat trigger-happy about deciding ''you're'' insane and administering electroshock therapy.

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* CriticalPsychoanalysisFailure: Dr. Wood, being a psychiatrist himself, is all too happy to turn your treatment methods back on you. He's also somewhat trigger-happy about deciding ''you're'' insane ''you'' need help and administering electroshock therapy.



* TheFourthWallWillNotProtectYou: [[spoiler: When Dr. Wood goes crazy and becomes a cult leader, he tries to hypnotize you, the player (or at least the player character) into joining his Claw Association.]]

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* TheFourthWallWillNotProtectYou: [[spoiler: When Dr. Wood goes crazy ultimately snaps and becomes a cult leader, he tries to hypnotize you, the player (or at least the player character) into joining his Claw Association.]]
Willbyr MOD

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adding pic

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[[quoteright:317:http://static.tvtropes.org/pmwiki/pub/images/titel_spiel_1569.jpg]]


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** The origin of his issues: [[spoiler: being put on a high shelf, behind glass, forbidden to be touched. When healed, a child is pulling him about, and he is happy with the affection.]]
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'''Kroko:''' A paranoid crocodile with severe aquaphobia. He has a pillow for a SecurityBlanket and... believes he's a secret agent.

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'''Kroko:''' A paranoid crocodile with severe aquaphobia. He has a pillow for a SecurityBlanket and... [[WannabeSecretAgent believes he's a secret agent.
agent]].
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spelling


* CharacterBlog / AlterEgoActing: The game's Facebook page and other peripherary sites. In a survey about a year ago, they even insisted that stuffed animals were not allowed to take part.

to:

* CharacterBlog / AlterEgoActing: The game's Facebook page and other peripherary periphery sites. In a survey about a year ago, they even insisted that stuffed animals were not allowed to take part.



* LivingToys: Fluctating between 2, 3 and 4 on the Sliding Scale. Apparently, whether or not the humans in the game acknowledge them as sentient objects depends on the "host consciousness" and how well it projects to the cuddly toy, dictated in a sliding scale of its own. [[http://karaita.tumblr.com/post/14126445851/reblog-if-you-like-the-game-die-anstalt-and-can-speak Rough translation of the concept here.]]

to:

* LivingToys: Fluctating Fluctuating between 2, 3 and 4 on the Sliding Scale. Apparently, whether or not the humans in the game acknowledge them as sentient objects depends on the "host consciousness" and how well it projects to the cuddly toy, dictated in a sliding scale of its own. [[http://karaita.tumblr.com/post/14126445851/reblog-if-you-like-the-game-die-anstalt-and-can-speak Rough translation of the concept here.]]

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ymmv


!!This game uses the following tropes:

to:

!!This game uses the following tropes:
provides examples of:



* BizarroEpisode: In a recent YouTube 'e-card' pitching an alternate scenario for 21st December, an alien ship crashes into the asylum, [[spoiler:which the toys subsequently commandeer]].
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* CrueltyIsTheOnlyOption: Some of the treatments are hard on the patients, but necessary. [[spoiler:For instance take Dub's entire treatment, which requires ECT to get him out of a severe depressive episode, AND in the end makes him cry his way through an entire box of tissues.]] It's all important, but still feels incredibly cruel to the poor little animals.
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'''Dolly:''' A chronically depressed sheep who sometimes believes herself to be a wolf.

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'''Dolly:''' A chronically depressed sheep who sometimes believes herself to be a wolf. \n She has fits of anger from time to time.
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'''Kroko:''' A paranoid crocodile with severe aquaphobia.

to:

'''Kroko:''' A paranoid crocodile with severe aquaphobia.
aquaphobia. He has a pillow for a SecurityBlanket and... believes he's a secret agent.
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None

Added DiffLines:

''"In a soulless world...its inhabitants spineless. Spoiled by a consumerist culture, and yet...lonely. This gives birth to frustration...and makes one even lonelier. The last friend remaining is...the cuddlytoy. These creatures can't defend themselves. They cannot run away. Insanity...is their only way of escape."''

''Die Anstalt - Psychiatrie für misshandelte Kuscheltiere'' ("The Asylum - Psychiatric Clinic for Abused Cuddlytoys") is a German point-and-click game made in 2003. The player takes on the role of a psychiatrist treating plush toys which have been driven insane due to abuse by their owners. Gameplay consists of selecting a patient to treat and then selecting different treatments from a list on a clipboard. Choosing the right treatments at the right time is essential to win, although there are several that won't do any harm or help.

The game started with only three patients, but has since expanded to six. The current list is as follows (in order of creation):

'''Kroko:''' A paranoid crocodile with severe aquaphobia.

'''Lilo:''' A hippo with symptoms resembling autism. He never speaks, and spends all his time trying to solve a wooden puzzle.

'''Dolly:''' A chronically depressed sheep who sometimes believes herself to be a wolf.

'''Sly:''' A rattlesnake with severe ADD and delusions, who sometimes holds extended conversations with his rattle. Added in 2007.

'''Dub:''' A hyperactive turtle who spends all his time jumping rope, stopping only to reset his stopwatch. Added in 2009.

'''Dr. Wood:''' A raven who's a renowned psychiatric doctor and always carries around a notepad and pencil. Unlike the other patients, you actually start out as trying to converse with him on a professional level until it becomes clear that he has deep-seated psychological issues himself. Started in 2010, added completely in 2011.

Based on recent posts on the corresponding Die Anstalt Facebook page, there may well be a seventh patient on the horizon...

You can find the game online and for free [[http://www.parapluesch.de here.]]

----
!!This game uses the following tropes:

* BedlamHouse: Averted. The hospital is modern, clean, and fully dedicated to helping patients.
* BilingualBonus: Sometimes, when the motivational tape has been damaged or the characters are hallucinating, you can see the English text translated into Korean, possibly Thai, and ''Russian''.
* BizarroEpisode: In a recent YouTube 'e-card' pitching an alternate scenario for 21st December, an alien ship crashes into the asylum, [[spoiler:which the toys subsequently commandeer]].
* BreakTheCutie: The patients' backstories...and you, if you decide to be a jerk and torture them.
** Combined with BreakTheHaughty for Dr Wood.
* CharacterBlog / AlterEgoActing: The game's Facebook page and other peripherary sites. In a survey about a year ago, they even insisted that stuffed animals were not allowed to take part.
** If you order one of the plushies, along with the "patient" you receive a letter giving additional detail on their condition and recommendations for further home treatment.
* ChekhovsGun: [[spoiler:After Dr Wood's first foray into astral projection, [[http://i40.tinypic.com/208bac0.png you can see him trapped in a glass box way above the forest as he makes his way back]] - something that will turn out to have caused his insecurities and narcissism in the first place.]]
** On a more general level, if there is something striking about the design of a character (for example, zips or a stomach pouch), you can bet it will come into play later in the therapy.
* CirclingVultures: Used for one of Dolly's dream sequences, but the vultures are part-wolf.
* [[TrailersAlwaysSpoil Covers Always Spoil]]: a recent update to the graphics of the site spoils [[spoiler:the existence of Dolly's inner wolf]].
* CriticalPsychoanalysisFailure: Dr. Wood, being a psychiatrist himself, is all too happy to turn your treatment methods back on you. He's also somewhat trigger-happy about deciding ''you're'' insane and administering electroshock therapy.
* DarkIsNotEvil: [[spoiler:Dolly's wolf form turns out to be nice.]]
* DreamingTheTruth: The "Dream Analysis" option.
* DrugsAreBad: Improper use of the "Administration of Drugs" option. Also, [[spoiler:Sly's problems stem from accidentally receiving a severe overdose of hallucinogens.]]
* DysfunctionJunction: A small group of mentally ill toys? Hmm.
* EpiphanyTherapy: Partially averted. The final flashback plays a huge role in curing the patient, but actually getting there is most of what your job is.
* FissionMailed: A red bar on the patient's progress meter usually means that you've messed up your patient even more and need to "reset" them with electroshock therapy. [[spoiler:At one point you have to do it to break Dub out of a catatonic state and continue with his therapy.]]
* TheFourthWallWillNotProtectYou: [[spoiler: When Dr. Wood goes crazy and becomes a cult leader, he tries to hypnotize you, the player (or at least the player character) into joining his Claw Association.]]
* FreudianExcuse: Sort of the whole point. [[spoiler:Averted with Sly, [[LampshadedTrope although the help does point out that from the Freudian Excuse position, his symptoms don't make a whole lot of sense.]]]]
** AllPsychologyIsFreudian: Subverted. While the excuses themselves are indeed Freudian, more of an emphasis is placed on psychodynamic and biological psychology. Indeed, the "certain lopsidedness" of Dr Wood towards Freudian methods is one of the obstacles you need to get past in his therapy.
* GuideDangIt: There is an in-game guide that usually indicates the best treatment for the current patient and situation. Using this guide is pretty much essential if you want to avoid accidentally doing damage to the patient. However, its hints are occasionally vague enough to leave players scratching their heads.
* TheGhost: Dr Kindermann. He leaves for a study in Japan prior to your arrival, and all communication with him after that consists of analysis from him in the aforementioned guide.
* HappyPlace: Sly and Dolly experience this in their dream sequences...but it doesn't last.
* HandPuppet: The "Therapeutic Interview" is given by a sock puppet, which Sly actually falls in love with.
* HumansAreCthulhu: The driving force behind the patients' problems is abuse by their owners, although it's usually unintentional - [[spoiler:Sly's owners are the only ones to do anything deliberately malicious to their toy, and even then hiding drugs in his tail for easy access probably seemed like a good idea at the time. Lilo is even reunited with his owner happily when he's cured.]] Notably, we seldom see an entire human from the patients' point of view, except for a somewhat eerie silhouette of a glasses-wearing girl.
* LivingToys: Fluctating between 2, 3 and 4 on the Sliding Scale. Apparently, whether or not the humans in the game acknowledge them as sentient objects depends on the "host consciousness" and how well it projects to the cuddly toy, dictated in a sliding scale of its own. [[http://karaita.tumblr.com/post/14126445851/reblog-if-you-like-the-game-die-anstalt-and-can-speak Rough translation of the concept here.]]
* LonelyAtTheTop: Implied in Dr. Wood's case. [[spoiler:One of his dreams has him rise up to the stars after gaining the other patients' attention, only to find out that it's cold and lonely there.]]
** [[spoiler:OrWasItADream: It is usually easy to tell when the game switches from reality to dream sequence, due to appropriate transitions and circle borders. However, Dr Wood's cultish takeover of the asylum in the middle of his therapy blurs the line between the two planes by not showing these indicators.]]
* MerchandiseDriven: The game was made as an advertisement for a line of actual plush toys.
** EverythingsBetterWithPlushies
* MushroomSamba: You see one when administering[[spoiler:/administered]] drugs.
* NeverTrustATrailer: The e-cards you can send out at the reception desk include imagery that isn't seen while treating the patients.
* NightmareFuelColoringBook: Most of the artwork produced in Paint Therapy; kudos goes to Dolly for [[spoiler:attempting to paint a peaceful meadow, only to flip out and gouge the canvas with her paintbrush (and in some situations, her face)]].
* NoMedicationForMe: Mostly averted. For four out of six patients, you cannot successfully treat them without the "administration of drugs" option.
* RageAgainstTheReflection: Dolly does this when the sock therapist shows her her reflection in a mirror at one point, smashing the mirror with her face.
* ReptilesAreAbhorrent: Averted with Kroko, Sly and Dub, [[spoiler:and possibly also with the potentially-upcoming frog patient, name as yet unknown]].
* ResetButton: Electroshock therapy reverts patients back to the way they were when they started. [[spoiler:The mandatory electroshock for Dub is an exception.]]
* RuleOfSymbolism: Most of the dream sequences. [[spoiler:For example, the silhouette of a faceless woman in Dub's dreams = CG Jung's metaphor for depression.]] Overlaps with FauxSymbolism when the symbols don't make much sense in the context of the story, like the yo-yos and the string tangled in the trees in Dolly's second dream.
* ScamReligion: [[spoiler:After Dr Wood loses his grip on reality, he founds the Claw Association, and pretends to heal the other patients in exchange for their most precious items.]]
* ScreenTap: In the patient's lounge, Lilo sometimes taps the screen with part of his wooden puzzle.
* ShoutOut: References include ''Film/TwoThousandOneASpaceOdyssey,'' Edward Hopper, and Henri Rousseau.
* SingleIssuePsychology: For each patient so far, their issues all them from one single traumatic event that the therapist (i.e. you) has to find out about to treat them.
* SwappedRoles: Do the wrong thing with Dr. Wood, and ''you'' end up on the bed yourself as Dr. Wood gives you a dose of electroshock therapy!
* TenderTears: [[spoiler:Dub,]] when his abandonment issues come to the surface. He uses up a whole box of tissues. [[spoiler:Kroko]] sheds a tear as well when he's cured and [[spoiler:reunited with his beloved hot-water bottle.]]
* TimedMission: You only have a certain time frame to interact with Lilo while playing ''{{Tetris}}'' before he removes the game from the handheld, and to take Dub's timer away from him when he's unconscious. In stages 1, 4 and 5, Dr Wood is also not in any mood to be kept waiting, and will leave if you take too long.
** WaitingPuzzle: Near the end of Dub's therapy, [[spoiler:when he starts crying and using up tissues, you have to wait until he uses up all the tissues before you can proceed; and even then, one foot wrong will set him off again]].
* UnwinnableByMistake: Dolly was completely incurable when when she was first introduced.
* TheUnintelligible: The sock-puppet therapist, Dub, and [[spoiler:Lilo.]]
* VideoGameCaringPotential: Will you do your job, helping the patients on the road to recovery...
* VideoGameCrueltyPotential: ...or push their buttons until they're driven over the edge?
* TheVoiceless: Lilo, and it's not because his mouth is zipped shut.
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