11/4: The Role of Humor in PCC - Julie Flashcards
What are 4 potential problems with humor?
empowerment
sensitivity - laugh too soon
avoidance
not a replacement for proven treatments/sound medical advice
what purposes does humor serve between patients? providers?
alleviate pain, make light of a heavy situation, social bonding, tension release
surprise-liberation theory
inherently fluid commitment or orientation; surprising deviation
humor in patients illness experience
ex. comedian with cancer (video in class) made jokes about his cancer
mike birbiglia - sleepwalking comedian
was in denial, describes interactions with providers with humor sort of made his condition a joke even though at one point he almost died. Problems could be he may make too light of the situation and people with this issue may get offended or not get help
“if there were no laughter, it would be much more painful, I think”
mike birbiglia - sleepwalker
what are some positive aspects of humor in illness
- higher life satisfaction and less physiological and psychological distress
- cope w/ difficult situations
- more endearing to others
- achieve cognitive distance and perspective
Norm Macdonald
comedian - talked about how people with cancer are “fighters” but what does that make them when they die? losers? should stop putting that pressure on people.
how does humor help patient & providers communicate
enhance relationship; mitigate discomfort; makes treatment less threatening; emphasize Dr.’s power; informal/positive environment
must be able recognize differences in some situations for example:
physical therapy unit; breast care center; doctors office; know the situation and be able to feel out appropriate humor
code=
collection of maxims or moral orders that guides the behavior of participants within a speech community
the code of dignity
maintaining individuality/dignity of patient
aspects of the code of dignity
creating a nonthreatening environment; avoiding technical jargon and clinical terms; sidestepping an adversarial role; catering to a patient’s wishes; making light of face-threatening situations; congratulating patients
the code of compassion
considering it compassionate to (good-humoredly) challenge/provoke a patient/provider to become more cooperative, attentive, or communicative
aspects of the code of compassion
encouraging patients to cooperate; displaying a sense of intimacy or familiarity; campaigning for attention and individuality; keeping the patients spirits up