BEHIND THE SCREEN · A2/B1 · 50 min

Shutter Island

A U.S. Marshal goes to a strange hospital to find a missing patient — and finds a shocking truth about himself. The real medical history is true.

Today: tell the story of the film Shutter Island — a marshal looks for a missing patient in a strange hospital — learn what is really true in medical history, and practise the past simple tense.
Before we begin — talk about it: Do you like mystery films? Have you ever had a dream that felt very real? Do you think hospitals from the past were kind places?

The words for today's story

These are the new words. Match each word (1–8) to its meaning (A–H). Say your answers out loud — "I think 1 is C" — then check.

Words

  1. a hospital
  2. a patient
  3. a storm
  4. a doctor
  5. a memory
  6. the truth
  7. a war
  8. a mind

Meanings

  • A. what is real, not invented or false
  • B. a person who treats sick people
  • C. a place where sick or hurt people go to get better
  • D. a person who is ill or hurt and needs care
  • E. the part of you that thinks, remembers and feels
  • F. very bad weather, with strong wind and heavy rain
  • G. a fight between countries, with soldiers and weapons
  • H. something from the past that you remember

1 = C (a hospital) · 2 = D (a patient) · 3 = F (a storm) · 4 = B (a doctor)

5 = H (a memory) · 6 = A (the truth) · 7 = G (a war) · 8 = E (a mind)

Now talk — out loud

Before we watch:
  • Which words are about the hospital? Which words are about the inside of a person?
  • Use three of the words to guess: what do you think happens in this film?

The film, in three parts

Martin Scorsese's Shutter Island (2010), from the novel by Dennis Lehane. Read each part. Then try the questions from memory, and talk about the last one. (There are spoilers — that is fine, we want to talk about it. This story is about mental illness and loss, so we tell it gently, without difficult details.)

Part 1 — A strange hospital

In 1954, a U.S. marshal called Teddy Daniels travels by boat to Shutter Island with his new partner, Chuck. On the island there is a special hospital called Ashecliffe, for patients with serious mental illness. Teddy and Chuck must find a missing patient named Rachel. She disappeared from a locked room, and nobody knows how.

Teddy has bad headaches. He also has a second reason to be there: he wants to find a man called Andrew Laeddis. Teddy believes this man killed his wife in a fire.

Quick check — answer from memory, then reveal:

1. Why do Teddy and Chuck go to Shutter Island?

2. What does Teddy want to do, apart from his job?

1. They go to find a missing patient named Rachel, who disappeared from a locked room.

2. He wants to find a man called Andrew Laeddis, who he believes killed his wife.

Talk about it:
  • Teddy does not tell the hospital his real reason for being there. Do you think this is a problem? Why, or why not?

Part 2 — A storm and strange visions

A big storm hits the island, and no boats can leave. Strange things start to happen. Teddy finds a secret note from another patient. He also starts to see things from his past: memories of war, and visions of his wife, who is no longer alive.

Then Chuck disappears. Teddy cannot find him anywhere. Teddy starts to think the hospital is hiding something terrible — maybe dangerous experiments on the patients. He does not know who he can trust any more.

Quick check — answer from memory, then reveal:

1. What happens to Chuck?

2. What does Teddy start to believe about the hospital?

1. He disappears, and Teddy cannot find him.

2. Teddy believes the hospital is secretly doing dangerous experiments on patients.

Talk about it:
  • Teddy feels alone and cannot trust anyone. Has fear or stress ever made you see a situation differently?

Part 3 — The truth at the lighthouse

At the end, Teddy finds a lighthouse. There, a doctor named Cawley tells him a shocking truth. Teddy is not really a marshal. His real name is Andrew Laeddis, and he is a patient at the hospital.

Two years before, Andrew's wife became very ill in her mind, and in a terrible moment, their three children died. When Andrew found her, he could not bear it, and he killed her.

Andrew's mind could not accept what had happened. So it built a new story: a marshal called Teddy, looking for a man called Andrew Laeddis, and a missing patient called Rachel — who was really his wife all along. "Chuck" was not really his partner. He was Andrew's own doctor, Dr Sheehan. The hospital tried a new kind of treatment: they let Andrew live inside his story completely, hoping this would finally help him understand the truth.

For a moment, Andrew seems to understand. But the next day, he calls Sheehan "Chuck" again, as if the truth has slipped away. As the staff take him to the lighthouse, he asks one last, quiet question: would it be worse to live as a monster, or to die as a good man?

Quick check — answer from memory, then reveal:

1. Who is Teddy really, and what happened to his wife and children?

2. Who was "Chuck" really?

1. He is Andrew Laeddis, a patient. His wife was very ill and their three children died; in his grief and shock, he killed her.

2. He was Andrew's real doctor, Dr Sheehan, helping with a new kind of treatment.

Talk about the film's big question:
  • Would it be worse to live as a monster, or to die as a good man? What do you think Andrew chooses, and why?

Grammar: the past simple

This is a story about the past, so it needs the past simple tense — the tense we use to tell a story simply, step by step.

Regular verbs: add -ed. arrive → arrived. ask → asked. question → questioned.
Irregular verbs: a different, special form — you must learn these. go → went. see → saw. find → found. say → said. come → came. think → thought.
Feel the difference: most verbs are regular — just add -ed. But many very common verbs are irregular, and have their own special past form.

1. Regular verbs — complete the sentence

Complete each sentence with the past simple of the verb in brackets.

1. Teddy and Chuck (arrive) on the island by boat.

2. The doctors (question) Teddy about his headaches.

3. A big storm (trap) everyone on the island.

1. arrived

2. questioned

3. trapped

2. Irregular verbs — complete the sentence

Complete each sentence with the past simple of the verb in brackets.

1. Teddy (think) something was very wrong.

2. He (find) a hidden note from another patient.

3. In the end, the doctor (tell) him the truth.

1. thought

2. found

3. told

3. Complete the short text

Fill each gap with the past simple. Read it aloud when you finish.

Teddy and Chuck (arrive) at Ashecliffe Hospital. They (ask) many questions about the missing patient. Then a storm (come), and strange things (happen). At the end, Teddy (learn) a very sad truth about himself.

arrived · asked · came · happened · learned

Notice: arrived, asked, happened, learned are regular (-ed); came is irregular.

The Real Story — is any of this true?

The story itself is fiction, from a novel. But the film is set at a real moment in medical history, and it uses some real, true events.

🏥 1954 — an important year for medicine

In 1954, doctors began using a new medicine called Thorazine. It helped patients with serious mental illness in a much safer way. Before this medicine, doctors sometimes used a very old, dangerous brain operation called a lobotomy. The film is set at exactly the moment when the old, dangerous treatment was starting to disappear, and the new medicine was arriving.

An old, dangerous operation — and a safer new medicine

A real doctor named Walter Freeman made this operation fast and simple in 1945. He did it more than 3,000 times between the 1930s and the 1960s. But by the mid-1950s, doctors saw that it hurt many patients badly, and the new medicine, Thorazine, gave a much safer choice. So the old operation quickly became rare.

A real war memory, and a name that came later

Andrew's memories of war are based on something real: in April 1945, American soldiers freed a Nazi prison camp called Dachau, and found terrible things there. Many soldiers were deeply affected by what they saw. But in 1954, there was no medical name yet for this kind of trauma. Doctors only officially recognised it — and called it PTSD — in 1980. Before that, people used older, simpler words, like "shell shock." So a man like Andrew would have had almost no help for what he was feeling inside.

Talk about it:
  • Did you know this history before the lesson?
  • Do you think old medical treatments, like the lobotomy, were cruel — or did doctors believe they were helping?
  • Why is it important to remember real history like this?

Speak

Do all three tasks out loud. Use the timer to keep talking.

Useful language: use the past simple to tell the story ("Teddy arrived on the island", "he found a note"). To give an opinion: "I think…", "In my opinion…", "For me…".
Time remaining: 3:00
Task A · Tell the story (3 minutes)

Tell the story of Shutter Island in your own words. Use these steps to help you: a marshal and his partner arrive at a strange hospital → they look for a missing patient → a storm comes, and strange things happen → at the lighthouse, Teddy learns the shocking truth about himself.

Try to use some key words (hospital, patient, storm, doctor, memory, truth, war, mind) and the past simple tense.

Task B · A hard choice (3 minutes)

The doctors did not tell Andrew the truth directly. Instead, they let him live inside his own story. Was this the right thing to do? What would you do if you were his doctor?

Task C · Memory and truth (3 minutes)

Talk about memory and truth.

Not sure what to say? Choose one:

  • A time you remembered something differently from how it really happened.
  • Do you think it is ever right to hide bad news from someone?
  • A film or story about someone who could not accept a sad truth.
  • Do you think hospitals today treat mental illness better than in the past?
  • A difficult memory from your own past.
  • What matters more to you: knowing the truth, or feeling peaceful?

To finish

  1. Andrew's mind built a whole new story to protect him from the truth. Do you think our minds ever do small versions of this too?
  2. Andrew loses so much in this story. Do you feel more sympathy for him, or for the people around him?
  3. From memory: make one sentence about the film using the past simple, with a regular verb, and one with an irregular verb.