Offering a social scientific look at humor's role in medical transactions, this volume is based on extensive field study in seven medical settings. It includes excerpts from dozens of actual conversations between patients and caregivers. Analysis of these episodes reveals that humor is a practical tool used to meet many medical objectives. It is used by patients to good-naturedly complain and to campaign for more personal attention, and by caregivers to get attention, make amends, insist on unpleasant routines, and establish rapport.
Examining humor from many angles, the book begins with a phenomenological analysis of the essence of funny. This section describes what makes some things funny but not others, and how to distinguish between potentially funny and unfunny episodes in medical situations. From an ethnographic perspective, joking around is shown to be a persuasive element of medical culture. Examples illustrate how patients and caregivers use humor to negotiate the dialectics between helping and hurting, and individuality and compliance. Additionally, a close-up look at three medical transactions shows how humor is used to help a physical therapy patient overcome fear and queasiness, reduce the embarrassment of a mammography, and defuse a potential conflict between a student aide and a young patient. A final section examines techniques for initiating conversational humor.
In sum, this volume provides an intimate and realistic look at medical conversations as they are conducted every day. It serves as a valuable complement to health communication texts and offers information of interest to health communication scholars, healthcare practitioners, and anyone interested in the effects and techniques of conversational humor. Richly grounded in naturally occurring data, the book can be understood and used effectively by both scholars and practitioners.
Table of Contents
Contents: Preface. Part I: Background. Introduction. Related Literature In Health Communication. Related Humor Literature. Conceptual Foundations. Overview of Humor in Health Care Settings. Part II: The Nature of Funny. About Phenomenology. The Essence of Funny. Funny in Relation to Health Care. Part III: Tones, Functions, and Topics of Medical Setting Humor. The Ethnographic Approach. Torture by Hickey Machine: We're All in This Together. Discreet Humor in a Breast Care Center. Empathic Humor In a Doctor's Office. Overview and Significance of Humor in Medical Settings. Part IV: Humor and Appropriateness. The Rules of the Humor Game. Humor and the Code of Dignity. Humor and the Code of Compassion. Overview and Significance of Humor and Appropriateness. Part V: Humor Makes Sense of Problematic Situations. Ethnomethodological Approach. Candid Camera and Gestalt Psychology. Playful Management of Three Dilemmas. Laughter-Coated Complaints. Part VI: Conclusions. Summary. A Few Cautions. Limitations and Strengths. Suggestions for Application. Parting Observations. Appendices: The Relationship Between Conversational Context and Structure. Transcription Guide. Discovery Model. Philosophy Statement.