Sometimes Laugher Is the Best Medicine

From the United States to the United Kingdom: Hope, Blended Family Social Support, and Computer-Mediated Communication Amidst Chronic Illness

This Defining Moments essay contributes to health communication scholarship regarding the role of religion/spirituality as a coping strategy during severe illness and the realities of providing social support in blended families. It also invites readers to reconsider the capacities and constraints of utilizing technology-mediated communication to provide support within close familial relationships. Finally, this narrative acknowledges the messiness of providing support in the evolving realities of family life and the complexity of "being there" for people we love when we cannot physically be present.

How does the use of humour in the UK ambulance service affect a clinician's well-being?

Introduction:

Paramedics and ambulance staff face many different stresses in today’s UK ambulance service, with many having reported an effect on their well-being and mental health. Humour is widely used by staff as a coping mechanism, but little is known about this topic. This literature review aims to find out how humour is used and how it can affect clinicians’ well-being.

Methods:

A total of nine medical databases were searched for relevant literature – Cochrane, Scopus, CINAHL Complete, Science Direct, Medline Complete, Complementary Index, Academic Search Complete, Emerald Insight and Supplemental Index. Articles were included if they were published in 2005 or after, if they were a UK-based original study and if they studied humour in relation to paramedics’ well-being.

Results:

After limiters were applied, a total of 26 articles were found. Only four articles met all the inclusion and exclusion criteria. Two of the articles studied humour directly, whereas two found humour as a result of studying the resilience and strategies used to cope with the stresses of ambulance work. Four key themes were identified: different types of humour, the source and boundaries of humour, offloading and camaraderie.

Conclusion:

This review of the literature found that many in the ambulance community view their use and expression of humour as a positive coping strategy that helps them to relieve the stresses of the job. Further research is needed to investigate any negative effects that humour has on a clinician’s well-being and larger studies are needed to give a better representation of the ambulance community.

Are Positive Interventions Always Beneficial?

Can people improve their lives by smiling more, trying to have a better posture, and by thinking about good memories? Can individuals become more successful by deliberatively engaging in positive actions and thoughts? Do people feel better by following recommendations from naïve psychology? In the present article we discuss these questions, noting that although some popular interventions thought to be universally beneficial (e.g., inductions of happiness, self-affirmation, empowerment, self-distancing) can sometimes yield positive outcomes, at other times the outcomes can also be negative. Taking an empirical approach based on experimental evidence, we postulate that understanding the underlying processes discovered in the science of persuasion is the key for specifying why, when, and for whom these practical initiatives are more likely to work or to backfire.

Defining Moments…Telling Stories to Foster Well-being, Humanize Healthcare, and Advocate for Change

Health Communication launched the "Defining Moments" forum in 2009 to showcase the social and material power of storytelling. On its 10-year anniversary, we take stock of how authors have enacted "Defining Moments" including what was narrated, by whom, and why. In eight loosely coupled thematic clusters, we revisit the more than 75 published essays to date, finding value in ways that speak to the emerging and enduring issues of concern for health communication scholars. Across the essays, the maturation of health narrative theorizing is revealed by the sheer scope of topics addressed, coupled with the expanded voices and ways of voicing experience. Collectively, these essays have enlarged academic conventions and offered diverse entry points for refiguring the experience of illness and well-being.