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Eur J Psychol. 2016 Aug 19;12(3):473-88. doi: 10.5964/ejop.v12i3.1107. eCollection 2016 Aug.

Clowning in Health Care Settings: The Point of View of Adults.

Europe's journal of psychology

Alberto Dionigi, Carla Canestrari

Affiliations

  1. Alberto Dionigi, Federazione Nazionale Clowndottori (FNC), Cesena, Italy.
  2. Department of Education, Cultural Heritage and Tourism, University of Macerata, Macerata, Italy.

PMID: 27547261 PMCID: PMC4991052 DOI: 10.5964/ejop.v12i3.1107

Abstract

Within the past decade, there has been a surge of interest in investigating the effects of clown intervention in a large variety of clinical settings. Many studies have focused on the effects of clown intervention on children. However, few studies have investigated clowning effects on adults. This paper presents an overview of the concept of medical clowning followed by a literature review conducted on the empirical studies drawn from three data bases (PubMed, PsycINFO, and Google Scholar), with the aim of mapping and discussing the evidence of clowning effects on non-children, namely adults. The following areas were investigated: Adult and elderly patients (mainly those with dementia), observers of clowning, namely non-hospitalized adults who are at the hospital as relatives of patients or health-care staff, and finally clowns themselves. The main results are that 1) clown intervention induces positive emotions, thereby enhancing the patient's well-being, reduces psychological symptoms and emotional reactivity, and prompts a decrease in negative emotions, such as anxiety and stress; 2) clown doctors are also well-perceived by relatives and healthcare staff and their presence appears to be useful in creating a lighter atmosphere in the health setting; 3) few pilot studies have been conducted on clown doctors and this lacuna represents a subject for future research.

Keywords: adults; clown; clown doctor; complementary and alternative medicine; humor; positive emotions; well-being

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