Comedie Medicana

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Comedie Medicana

• Bill Eaton, BMedSc MD, MSc, CCFP, FCFP,
• Associate Professor, Family Medicine
• Memorial University

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If a man insisted always on being serious,
and never allowed himself a bit of fun and
relaxation, he would go mad or become unstable
without even knowing it.Herodotus
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If you dont get crazy once in a while
youll go mad forever.Buddy Wassisname and the
Other Fellers
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Humor Overview

• Emotional chaos remembered in tranquility
• Webster
• Tragedy Time Humor

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The Literature Review

• Cochrane Controlled Trial Register 12
• Wit and Humor 2803
• And Clinical Trial 14
• Laughter 931
• And Clinical trial 22

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Cochrane

• Controlled Trials Register
• Physiologic Responses 4
• Anxiety Related 3
• Pain Modulation 2
• Group Functioning 2
• Information Leaflet 1
• Total 12

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Wit and Humor and Clinical Trial

• Anxiety reduction 5
• Pain reduction 2
• Communication 2
• Teaching and Social interaction 2
• Information leaflet 1
• Hormonal responses 1
• Unrelated 1
• Total 14

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Laughter and Clinical Trial

• Psycho-Neuro-Physiology 8
• Physiological responses 5
• Immunologic responses 3
• Pathology 3
• Social interaction 2
• Imaging study 1
• Total 22

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Laughter

• Communication
• Culturally universal
• Unique human phenomenon
• Social bonding
• Stress reliever
• A psycho-physiological event

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Left / Right Brain

• Left Hemisphere
• Logic, Organization, Perception, Visual memory,
  Speech and reading, Learning
• Right Hemisphere
• Insight, Judgement, Creativity, Music,

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Lymbic System

• Amygdla Personality, Appetites,
• Mood, Temperament,
• Sleep/awake Cycles
• Hippocampus Memory Filter,
• Short-term memory, Emotional memory

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Thalamus

• Switchboard of the brain
• Nothing goes to, or comes from, the Cortex unless
  via the thalamus

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Body Responses

• Muscular
• Face, Thorax, Abdominal
• Respiratory
• Aerobic exercise
• Cardiovascular
• BP, Heart rate
• Immunologic

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Hormonal Responses

• TSH Thyroid
• FSH/LH Estrogen/Progesterone
• ACTH Cortisone
• Prolactin Oxytocin
• Adrenaline Endorphans

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Humor

• Derailment of the train of para-logical thought
• Everybody has a sense of humor
• Some weirder than others
• Humor removes the blinkers of tragedy
• Reveals an alternate unexpected point of view

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Humorosa Historica

• Comedy
• Buffoonery
• Wit
• Humor

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Comedy

• From komos, a revel from 486 BC
• In Greek times. A farcical play about real people
  vs. the serious tragedy wherein the gods met
  their fate.
• Travelling minstrels
• Evolved to include most rehearsed pieces that
  attempt to amuse.

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Buffoonery

• Cheap and cheerful
• Aim is to make you laugh
• Mimes, clowns, cartoons
• Can be intellectual or physical
• Is about action

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Wit

• In 1700 England public laughter was outlawed
• Shafts of repartee that approached brilliance
• The educated insult
• The aristocrat of comedy
• Is about ideas

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Vital Humors

• Phlegm phlegmatic, impassive, indifferent,
  nonchalant
• Yellow bile timid, reticent, irritable
  bashful, irresponsible
• Blood petulant, hasty, hotheaded
• Black bile melancholy

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Humorists

• Term used to describe those affected by the four
  humors until 1,500s
• After that a humorist was a writer or jokester
  who described the eccentricities rather than the
  eccentrics themselves.
• Humor is observational and about people

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Classification of Humor

• Philosophical Social Satire
• Degrading Ethnic
• Sick Humor Sex Jokes
• Nonsense Howlers Snickering Hostility
• Scatological

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Philosophical

• Impulsive, enthusiastic, cheerful,
  expressive, and alert. Able to laugh at
  themselves and the human condition

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Degrading

• Aloof. Tend to believe stereotypes are true.
  Tough poise

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Sick Humor

• Impulsive, enthusiastic, cheerful,
• frank and expressive

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Nonsense Howlers

• Self assured, untroubled, placid, cheerful and
  resilient. Free to find anything funny

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Social Satire

• Jealous, dogmatic, tyrannical, irritable.
  Imaginative, unconventional, absorbed in concepts

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Ethnic

• Unsentimental, cynical, rejecting of
  illusions, believe in stereotypes

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Sex Jokes

• Impulsive and unsophisticated

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Snickering Hostility

• Self assured, self confident, resilient and
  secure. Not easily swayed by feelings. Follows
  social expectations

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Scatological

• There were no specific personality types in this
  category

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Humor Communication

• People under stress often use humor to express
  emotions that might be painful to the expressor
  or the expressee
• Recognize and acknowledge the jokes
• Reflect on what is really being said
• To laugh is to listen
• Use a parallel style of communication

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Uses of Humor

• Creates a relaxed atmosphere
• Decreases anxiety in those around you
• Keeps people listening
• Helps put problems in perspective
• Builds relationships

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Uses of Humor

• Take your job, but not yourself, seriously
• Laugh when people make jokes at what you do

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My advice to you is to get married. If you
marry a good woman you will be happy if not you
will become a philosopher. Socrates
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They couldnt hit an elephant from this
dist.Last words of US General John Sedgwick