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Clown Care, also known as hospital clowning, is a program in health care facilities involving visits from specially trained
clowns A clown is a person who performs comedy and arts in a state of open-mindedness using physical comedy, typically while wearing distinct makeup or costuming and reversing folkway-norms. History The most ancient clowns have been found in t ...
. They are colloquially called "clown doctors" which is a trademarked name in several countries. These visits to hospitals have been shown to help in lifting patients' moods with the positive power of hope and
humor Humour (English in the Commonwealth of Nations, Commonwealth English) or humor (American English) is the tendency of experiences to provoke laughter and provide amusement. The term derives from the humorism, humoral medicine of the ancient Gre ...
. There is also an associated positive benefit to the staff and families of patients.


Background

Patch Adams Hunter Doherty "Patch" Adams (born May 28, 1945) is an American physician, comedian, social activist, clown, and author. He founded the Gesundheit! Institute in 1971. Each year he also organizes volunteers from around the world to travel to var ...
, considered the first hospital clown, started being a hospital clown in the 1970s. He was portrayed in the 1998 film ''
Patch Adams Hunter Doherty "Patch" Adams (born May 28, 1945) is an American physician, comedian, social activist, clown, and author. He founded the Gesundheit! Institute in 1971. Each year he also organizes volunteers from around the world to travel to var ...
'' by
Robin Williams Robin McLaurin Williams (July 21, 1951August 11, 2014) was an American actor and comedian. Known for his improvisational skills and the wide variety of characters he created on the spur of the moment and portrayed on film, in dramas and come ...
, bringing attention to hospital clowning. Professional Clown Doctors began working in hospitals in 1986 under a program called the Big Apple Circus Clown Care Unit, which was started by Michael Christensen in
New York City New York, often called New York City or NYC, is the List of United States cities by population, most populous city in the United States. With a 2020 population of 8,804,190 distributed over , New York City is also the L ...
. Clown Doctor programs now operate in every state in
Australia Australia, officially the Commonwealth of Australia, is a Sovereign state, sovereign country comprising the mainland of the Australia (continent), Australian continent, the island of Tasmania, and numerous List of islands of Australia, sma ...
,
New Zealand New Zealand ( mi, Aotearoa ) is an island country in the southwestern Pacific Ocean. It consists of two main landmasses—the North Island () and the South Island ()—and over 700 smaller islands. It is the sixth-largest island count ...
, the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territorie ...
, the
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,
Canada Canada is a country in North America. Its ten provinces and three territories extend from the Atlantic Ocean to the Pacific Ocean and northward into the Arctic Ocean, covering over , making it the world's second-largest country by tot ...
,
Israel Israel (; he, יִשְׂרָאֵל, ; ar, إِسْرَائِيل, ), officially the State of Israel ( he, מְדִינַת יִשְׂרָאֵל, label=none, translit=Medīnat Yīsrāʾēl; ), is a country in Western Asia. It is situated ...
,
South Africa South Africa, officially the Republic of South Africa (RSA), is the southernmost country in Africa. It is bounded to the south by of coastline that stretch along the South Atlantic and Indian Oceans; to the north by the neighbouring countri ...
,
Hong Kong Hong Kong ( (US) or (UK); , ), officially the Hong Kong Special Administrative Region of the People's Republic of China ( abbr. Hong Kong SAR or HKSAR), is a city and special administrative region of China on the eastern Pearl River Delt ...
,
Brazil Brazil ( pt, Brasil; ), officially the Federative Republic of Brazil (Portuguese: ), is the largest country in both South America and Latin America. At and with over 217 million people, Brazil is the world's fifth-largest country by area ...
,
Belarus Belarus,, , ; alternatively and formerly known as Byelorussia (from Russian ). officially the Republic of Belarus,; rus, Республика Беларусь, Respublika Belarus. is a landlocked country in Eastern Europe. It is bordered by R ...
,
Taiwan Taiwan, officially the Republic of China (ROC), is a country in East Asia, at the junction of the East and South China Seas in the northwestern Pacific Ocean, with the People's Republic of China (PRC) to the northwest, Japan to the nort ...
and all over
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and in some parts of
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
. Clown Doctors attend specifically to the psycho-social needs of the hospitalized child but in some hospitals they also visit adults. They parody the hospital routine to help children adapt to their surroundings, they also distract from and demystify painful or frightening procedures. The atmosphere of fun and laughter can help children forget about the illness and the stress for a moment. Clown Doctors use techniques such as magic, music, storytelling and other clowning skills to empower children with doses of fun that help them deal with the range of emotions they may experience while in hospital: fear, anxiety, loneliness, boredom. The healing power of humor and laughter combats stress, reduces pain by releasing endorphin (the body's natural painkiller), boosts the immune system by increasing the level of
T cells A T cell is a type of lymphocyte. T cells are one of the important white blood cells of the immune system and play a central role in the adaptive immune response. T cells can be distinguished from other lymphocytes by the presence of a T-cell re ...
& lowering serum
cortisol Cortisol is a steroid hormone, in the glucocorticoid class of hormones. When used as a medication, it is known as hydrocortisone. It is produced in many animals, mainly by the ''zona fasciculata'' of the adrenal cortex in the adrenal gland ...
levels, helps promote a positive outlook, helps people to cope with difficult situations and helps to create bonds and therefore support between people, all of which aids the healing process. According to Tan, Metsälä, and Hannula, "Clown care creates a positive emotional state, promotes interaction between parents and child, and fosters affirmative environmental conditions." Research on the physiological health benefits on laughter has been conducted for decades and continues to be carried out by medical physicians internationally. There is also a growing group of researchers that are exploring the psychological benefits of laughter, and specifically the work of Clown-Doctors.


See also

*
Patch Adams Hunter Doherty "Patch" Adams (born May 28, 1945) is an American physician, comedian, social activist, clown, and author. He founded the Gesundheit! Institute in 1971. Each year he also organizes volunteers from around the world to travel to var ...
*
Big Apple Circus The Big Apple Circus is a circus based in New York City. Opened in 1977, later becoming a nonprofit organization, it became a tourist attraction. The circus has been known for its community outreach programs, including Clown Care, as well as its ...
*
Theodora Children's Charity Theodora Children's Charity is a British charity which helps sick and disabled children across the UK. It was founded in 1994 and the charity focuses on improving the lives of children in hospitals and hospices through music and entertainment. A ...
*
Humor research Humor research (also humor studies) is a multifaceted field which enters the domains of linguistics, history, and literature. Research in humor has been done to understand the psychological and physiological effects, both positive and negative, on ...


References


Further reading

*Clark, Cindy Dell. 2013. ''International Journal of Play'' 2(3): 163-173. *Linge, Lotta. 2008. ''International Journal of Qualitative Studies on Health and Well-being'' 3(1): 27-38. *Miller Van Blerkom, Linda. 1995. ''Medical Anthropology Quarterly'' 9(4): 462-475. *Watson, Simon. 2008. ''Canadian Medical Association Journal'' 179(4): 313-315.


External links


"Clown Doctors", By Dr Peter Spitzer
- The Humour Foundation, Churchill Fellow 2002.
Documentary Film "I Clown You"
{{Authority control Clowning