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dc.contributor.authorMcCreaddie, Mayen_UK
dc.description.abstractHumour research in healthcare has tended to focus on rehearsed as opposed to spontaneous humour. This paper reports an empirical example of spontaneous humour in healthcare interactions: a negative case analysis from a constructivist grounded theory study. Twenty Clinical Nurse Specialist (CNS) – patient interactions and CNS pre and post-interaction audio diaries provided the baseline data corpus. Follow-up interviews, field notes, focus groups and observations serviced theory generation with a constant comparison approach to data collection and analyses. Interpretative and illustrative frameworks incorporating humour theories, non-laughter humour support, discursive features and prosodical features of speech were applied to all data. This paper is based upon the negative case comprising a ninety minute follow-up interview and ten hours of field note observations. The negative case - a CNS working with female drug users’ sexual and reproductive health needs - contradicted emerging findings from the baseline data corpus. First, the negative case had greater awareness of humour, deliberately initiated humour and recognised parameters and exclusion zones. Second, a good patient persona was evident in the baseline data corpus but the negative case worked with ‘bad’ patients. Accordingly, a specific type of humour – harsh humour - was evident in the negative. Harsh humour used areas of potential discord (e.g. drug use) as a focus of humour creation and maintenance. The deliberate initiation of harsh humour enabled the negative case and her colleagues to achieve their aims by engaging effectively with unpredictable, reluctant and recalcitrant patients. The negative case demonstrates how humour can be used to therapeutically enhance healthcare interactions with disenfranchised individuals. Humour is not superficial but integral to the accomplishment of key aspects of interactions. Health and social care workers should consider the potential for therapeutic humour to engage and maintain all patients – disenfranchised or otherwise - in healthcare interactions.en_UK
dc.relationMcCreaddie M (2010) Harsh humour: a therapeutic discourse. Health and Social Care in the Community, 18 (6), pp. 633-642.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectdisenfranchised groupsen_UK
dc.subjectdrug usersen_UK
dc.subjectWit and humor in medicineen_UK
dc.subjectNurse and patienten_UK
dc.subjectInterpersonal communicationen_UK
dc.titleHarsh humour: a therapeutic discourseen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[McCreaddie 2010.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleHealth and Social Care in the Communityen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorMcCreaddie, May|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameMcCreaddie 2010.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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