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Desires are suppressed and aspirations thwarted for both the staff and patients of a psychiatric ward. Orderly Oliver pines for Margaret Thatcher. Dr Rupert wants Nurse Whitehall who wants Dr Rupert. But Dr Rupert and his wife are trying for a baby and Nurse Whitehall who is also married has just returned from maternity leave. As for the patients, Duncan secretly loves Anna who secretly loves Martin who openly loves no one. Both a love story and a modern allegory of the state, Picture Ourselves in Latvia confronts the impossibility of categorising people as either sane or insane.