Abstract

Trait cheerfulness predicts individual differences in experiences and behavioral responses in various humor experiments and settings. The present study is the first to investigate whether trait cheerfulness also influences the impact of a hospital clown intervention on the emotional state of patients. Forty-two adults received a clown visit in a rehabilitation center and rated their emotional state and trait cheerfulness afterward. Facial expressions of patients during the clown visit were coded with the Facial Action Coding System. Looking at the total sample, the hospital clown intervention elicited more frequent facial expressions of genuine enjoyment (Duchenne smiles) than other smiles (Non-Duchenne smiles), and more Duchenne smiles went along with more perceived funniness, a higher level of global positive feelings and transcendence. This supports the notion that overall, hospital clown interventions are beneficial for patients. However, when considering individual differences in the receptiveness to humor, results confirmed that high trait cheerful patients showed more Duchenne smiles than low trait cheerful patients (with no difference in Non-Duchenne smiles), and reported a higher level of positive emotions than low trait cheerful individuals. In summary, although hospital clown interventions on average successfully raise the patients’ level of positive emotions, not all patients in hospitals are equally susceptible to respond to humor with amusement, and thus do not equally benefit from a hospital clown intervention. Implications for research and practitioners are discussed.

Highlights

  • Whereas in some situations all people behave more or less in the same way, in other situations, individual differences co-determine people’s actions and reactions

  • The art of clowning does not solely consist of humor (e.g., Peacock, 2009), humor has frequently been characterized as the main component of hospital clowning (Dionigi et al, 2012), and hospital clown interventions have been defined as humorous interventions2 (Ruch and Hofmann, 2017)

  • The present study aims to contribute to a better understanding of hospital clown interventions in three ways: the investigation of patient’s facial signs of enjoyment during an interaction with a hospital clown, its relationship to their subjective states, and the replication of the theory of trait cheerfulness as predictor of the emotional reaction of patients to humorous stimuli

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Summary

Introduction

Whereas in some situations all people behave more or less in the same way, in other situations, individual differences co-determine people’s actions and reactions. The present study focuses on hospital clown interventions, which aim at bringing positive experiences to ailing patients. Been described to “represent a particular way of using humor in order to promote people’s well-being” The idea goes back to Freud (1960), who described humor as a tool that allows the individual to face adversity. In a situation normally associated with negative emotions (such as a hospital stay), humor can help the individual to cope with the situation by providing an alternative perspective on the situation. The art of clowning does not solely consist of humor (e.g., Peacock, 2009), humor has frequently been characterized as the main component of hospital clowning (Dionigi et al, 2012), and hospital clown interventions have been defined as humorous interventions (Ruch and Hofmann, 2017)

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