A Sociocultural Analysis of Stigma and Humour in Psychiatry

Keywords: Humour, Psychiatry, Social stigma, Defence mechanisms, Physician-patient relations

Abstract


In psychology and psychiatry, humour has long been used as a therapeutic tool, a coping strategy and a technique for societal criticism. Although laughter is considered a sign of health, it is paradoxically often used in the context of mental illness, creating space for both healing and stigma. This paper explores a sociocultural and psychoanalytic analysis of humour directed at psychiatrists. Examines how it may be a stigmatising factor as well as a therapeutic ally. The main contribution lies in articulating how humour functions as a projective tool, a defence mechanism and a cultural critique. It highlights the prejudices, often overlooked fears and biases society has about mental illness and psychiatry. The analysis demonstrates that humour is not insignificant in the field of psychiatry. On the contrary, it is essential for understanding social representations of mental health, the patient-doctor dynamic and the emotional landscape of stigma. The paper concludes by suggesting directions for future empirical research. Both qualitative and quantitative research should explore how different humour styles - adaptive or maladaptive impact therapy, reduce stigma and build resilience in both patients and clinicians.

References

Dyck KT, Holtzman S. Understanding humor styles and well-being: The importance of social relationships and gender. Pers Individ Dif. 2013;55(1):53–8. doi: 10.1016/j.paid.2013.01.023.

Berger P, Bitsch F, Falkenberg I. Humor in psychiatry: lessons from neuroscience, psychopathology, and treatment research. Front Psychiatry. 2021;12:681903. doi: 10.3389/fpsyt.2021.681903.

Sartorius N. Stigma and mental health. Lancet. 2007;370:810–1. doi: 10.1016/S0140-6736(07)61245-8.

Ahad AA, Sanchez-Gonzalez M, Junquera P. Understanding and addressing mental health stigma across cultures for improving psychiatric care: A narrative review. Cureus. 2023;15(5):e39549. doi: 10.7759/cureus.39549.

Pavez F, Saura E, Pérez G, Marset P. The social representations of psychiatry and mental illness examined through the analysis of music as a cultural product. Music Med. 2017;9(4):247–53. doi: 10.47513/mmd.v9i4.535.

Gelkopf M. The use of humor in serious mental illness: a review. Evid Based Complement Alternat Med. 2011;2011:342837. doi: 10.1093/ecam/nep106.

Abel M. Humor, stress, and coping strategies. HUMOR. 2002;15(4):365–81. doi: 10.1515/humr.15.4.365.

Garcia JT, DuBose L, Arunachalam P, Hairrell AS, Milman RM, Carpenter RO. The effects of humor in clinical settings on medical trainees and the implications for medical educators: a scoping review. Med Sci Educ. 2023;33(2):611–22. doi: 10.1007/s40670-023-01769-0.

Piñar-Rodríguez S, Rodríguez-Martín D, Corcoles-Martínez D, Tolosa-Merlos D, Leñero-Cirujano M, Puig-Llobet M. Correlational study on the sense of humor and positive mental health in mental health professionals. Front Public Health. 2024;12:1445901. doi: 10.3389/fpubh.2024.1445901.

Greš A, Staver D, Radovančević LJ. Consideration of emotions and sensations in a neuroscientific context. Scr Med. 2024;55(4):511-6. doi: 10.5937/scriptamed55-49738.

Weinberger MG, Gulas CS. The emergence of a half-century of research on humor in advertising: what have we learned? what do we still need to learn? Int J Advert. 2019;38:911-56. doi: 10.1080/02650487.2019.1598831.

Vosmer S. Learning about humour. Group Anal. 2023;58(1):97-114. doi: 10.1177/05333164221150211.

Al-Araimi S, Ambusaidi A, Selim M, Al Amri M. The impact of caricature drawings in the acquisition of scientific concepts and attitudes of 4th grade students for basic education towards science. J Balt Sci Educ. 2018;17(3):414-27. doi: 10.33225/jbse/18.17.414.

Schermer JA, Kfrerer ML, Lynskey MT. Alcohol dependence and humor styles. Curr Psychol. 2023;42:16282-6. doi: 10.1007/s12144-019-00508-2.

Valentine L, Gabbard GO. Can the use of humor in psychotherapy be taught? Acad Psychiatry. 2014;38:75-81. doi: 10.1007/s40596-013-0018-2.

Gelkopf M, Kreitler S. Is humor only fun, an alternative cure or magic? The cognitive therapeutic potential of humor. J Cogn Psychother. 1996;10(4):235-54. doi: 10.1891/0889-8391.10.4.235.

Carrell A. Historical views of humor. In: Raskin V, editor. The Primer of Humor Research. Berlin, New York: De Gruyter Mouton; 2008. p. 303-32. doi: 10.1515/9783110198492.303.

Wodehouse A, Maclachlan R, Gray J. The best form of medicine? Using humor to enhance design creativity. Int J Des Creat Innov. 2013;2(3):125-41. doi: 10.1080/21650349.2013.815597.

Suka M, Shimazaki T. Effectiveness of using humor appeal in health promotion materials: evidence from an experimental study in Japan. Arch Public Health. 2023;81:212. doi: 10.1186/s13690-023-01226-9.

Mathews LM. Role of humor in emotion regulation: Differential effects of adaptive and maladaptive forms of humor [thesis]. New York: City University of New York; 2016.

Santos L, Ribeiro da Silva D, Pinheiro MDR, Rijo D. Impact of early memories and current experiences of warmth and safeness on adolescents' psychological distress. J Res Adolesc. 2023;33(3):858-69. doi: 10.1111/jora.12843.

McCullars A, Richie F, Klibert J, Langhinrichsen-Rohling J. What’s so funny? Adaptive versus maladaptive humor styles as mediators between early maladaptive schemas and resilience. HUMOR. 2021;34(1):93-111. doi: 10.1515/humor-2019-0082.

Oh Nelson H. Doctor - patient relationship. In: The Wiley Blackwell Companion to Medical Sociology. Hoboken: Wiley Blackwell; 2021. pp. 495-515. doi: 10.1002/9781119633808.ch24.

Mohebbi A. The use of cultural conceptualisations as a translation strategy for culture-specific jokes and humorous discourse: A remedy for a malady? Ampersand. 2023;11:100150. doi: 10.1016/j.amper.2023.100150.

Raecke J, Proyer RT. Humor as a multifaceted resource in healthcare: an initial qualitative analysis of perceived functions and conditions of medical assistants’ use of humor in their everyday work and education. Int J Appl Posit Psychol. 2022;7:397-418. doi: 10.1007/s41042-022-00074-2.

Losee RR. Satire and medicine in Renaissance Florence: Leonardo da Vinci's grotesque drawings [dissertation]. ProQuest; 2023.

Piemonte NM. Last laughs: Gallows humor and medical education. J Med Humanit. 2015;36(4):375-90. doi: 10.1007/s10912-015-9338-4.

Schaadhardt A, Fu Y, Pratt CG, Pratt W. “Laughing so I don’t cry”: How TikTok users employ humor and compassion to connect around psychiatric hospitalization. In: Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems. 2023;338:1-13. doi:10.1145/3544548.3581559.

Mercer J, Morgan D, Lotto R. A qualitative exploration of the views of paramedics regarding the use of dark humour. Br Paramed J. 2024;9(3):37-43. doi: 10.29045/14784726.2024.12.9.3.37.

Kramer CK, Leitao CB. Laughter as medicine: A systematic review and meta-analysis of interventional studies evaluating the impact of spontaneous laughter on cortisol levels. PLoS One. 2023;18(5):e0286260. doi: 10.1371/journal.pone.0286260.

Yim J. Therapeutic benefits of laughter in mental health: a theoretical review. Tohoku J Exp Med. 2016;239(3):243-9. doi: 10.1620/tjem.239.243.

Berger JT, Coulehan J, Belling C. Humor in the physician-patient encounter. Arch Intern Med. 2004;164(8):825-30. doi: 10.1001/archinte.164.8.825.

Freud S. [The joke and its relationship to the unconscious]. Zagreb: Naklada Disput; 2019. Croatian.

Lash BN. Managing stigma through laughter: Disability stigma & humor as a stigma management communication strategy. Commun Stud. 2022;73(4):412-24. doi: 10.1080/10510974.2022.2102668.

Kanbur S, Baştemur Ş. Why laughing heals? A review on the use of humor in therapy. Psikiyatride Güncel Yaklaşımlar. 2023;15(3):477-87. doi: 10.18863/pgy.1179671.

Published
2025/10/31
Section
Current topic