Skip to main content
Log in

A Laughing Matter? The Uses of Humor in Medical Interactions

  • Published:
Motivation and Emotion Aims and scope Submit manuscript

Abstract

As Coser (1962) demonstrated in her landmark hospital study, a humor is one of the great tools of reassurance on the hospital ward. After all, if something is ridiculous, how can it be threatening? In this study, the authors examine the role of humor in medical interactions, with an eye toward greater understanding of the means by which people manage the emotions of others. Through face to face interviews with 22 providers in a large hospital, this study garners empirical support for a previously developed definition of humor as interpersonal emotion management. In addition, the study uncovers the particular roles played by the contextual factors of humor, including actor, setting, and timing. These factors are critical in determining whether humor is appropriate and successful in achieving desired emotional change, or whether it will fail or even backfire, causing emotional and interactional harm. The study draws implications for the potential study of harmful coping and social support.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • Anspach, R. R. (1993). Deciding who lives: Fateful choices in the intensive-care nursery. Berkeley, CA: University of California Press.

    Google Scholar 

  • Berlyne, D. E. (1968). Laughter, humor, and play. In L. Gardner (Ed.), The handbook of social psychology. (Vol. 3, pp. 795–852). Reading, MA: Addison-Wesley.

    Google Scholar 

  • Bihn, P. (1995). Starting a humor cart. Journal of Nursing Jocularity, 5, 32–34.

    Google Scholar 

  • Buxman, K. (1993). Emergency stats: Nintendo overdose. Journal of Nursing Jocularity, 3, 22–25.

    Google Scholar 

  • Carolyn, W., & Carolyn, P. (1987). Humor as a health education tool. In P. M. Lazes, L. H. Kaplan, & K. A. Gordon (Eds.), The Handbook of Health Education (pp. 111–21). Rockville, MD: Aspen.

    Google Scholar 

  • Coser, R. (1959). Some social functions of laughter: A study of humor in a hospital setting. Human Relations, 12, 171–182.

    Google Scholar 

  • Coser, R. L. (1962). Life in the ward. East Lansing: Michigan State University Press.

    Google Scholar 

  • Folkman, S. (1984). Personal control and stress and coping processes: A theoretical analysis. Journal of Personality and Social Psychology, 46, 839–852.

    Google Scholar 

  • Folkman, S., & Lazarus, R., (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48, 150–70.

    Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1988). Coping as a Mediator of Emotion. Journal of Personality and Social Psychology, 54, 535–546.

    Google Scholar 

  • Francis, L. E. (1994). Laughter, the best mediation: Humor as emotion management in interaction. Symbolic Interaction, 17, 147–163.

    Google Scholar 

  • Francis, L. E. (1997). Ideology and emotion management: Redefining identity in two support groups. Social Psychology Quarterly.

  • Freidson, E. (1988). The profession of medicine. Chicago: University of Chicago Press.

    Google Scholar 

  • Freud, S. (1916). Jokes and their relation to the unconsious. New York: Moffat Ward.

    Google Scholar 

  • Freund, P. E. S., & McGuire, M. B. (1995). Health, illness, and the social body (2nd ed.). Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Giles, H., Bourhis, R., Gadfield, N. J., Davies, G. J., & Davies, A. P. (1976). Cognitive aspects of humour in social interaction. In T. Chapman and H. Foot (Eds.), Humour and Laughter: Theory, Research and Applications (pp. 139–154). London: Wiley.

    Google Scholar 

  • Lindsey, D., & Benjamin, J. (1979). Humor in the Emergency Room. The Study of Humor, Eds. H. Mindess & J. Turek. Los Angeles: Antioch College, 73–76.

    Google Scholar 

  • Lively, K. J. (1997). Joint Emotion Work: Working Together to Maintain Stratification in Private Law Firms. Paper presented at the American Sociological Association Meetings, Toronta, Ontario, Canada.

  • Parsons, T. (1951). The social system. Glencoe, IL: The Free Press.

    Google Scholar 

  • Pearlin, L. I., & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2–21.

    Google Scholar 

  • Sandford, S., & Eder, D. (1984). Adolescent humor during peer interaction. Social Psychology Quarterly, 47, 235–243.

    Google Scholar 

  • Smith, A. C., & Kleinman, S. (1989). Managing emotions in medical school: Students' contacts' with the living and the dead. Social Psychology Quarterly, 52, 56–69.

    Google Scholar 

  • Starr, P. (1982). The social transformation of American medicine. New York: Basic Books.

    Google Scholar 

  • Thoits, P. A. (1985). Self-labeling processes in mental illness: The role of emotional deviance. American Journal of Sociology, 91, 221–249.

    Google Scholar 

  • Thoits, P. A. (1986). Social support as coping assistance. Journal of Consulting and Clinical Psychology. 54, 416–423.

    Google Scholar 

  • Thoits, P. A. (1996). Managing the emotions of others. Symbolic Interaction, 19, 85–109.

    Google Scholar 

  • Wortman, C. B., & Silver, R. C. (1989). The myths of coping with loss. Journal of Consulting and Clinical Psychology, 57, 349–357.

    Google Scholar 

  • Zussman, R. (1992). Intensive care. Chicago: University of Chicago Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Francis, L., Monahan, K. & Berger, C. A Laughing Matter? The Uses of Humor in Medical Interactions. Motivation and Emotion 23, 155–174 (1999). https://doi.org/10.1023/A:1021381129517

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1021381129517

Keywords

Navigation