humor as a clinical skill: are you

8/14/2019 Humor as a Clinical Skill: Are You

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Humor as a Clinical Skill:

Are you joking?

Kevin Lee Smith, RN, CNP, MSN

2005



"He who laughs;lasts."

Anonymous



Definitions of Humor:Your ideas?Therapeutic Humor?



Adults Laugh about 15 times

per day



Children Laugh_____?

150-400150-400 times per daytimes per day



Laughs per Day

90

80

70

60

5040

30

20

10

0

ChildrenGrown ups

150-400

Fake Graph, Smith 2004 ;43 (2), Imaginary Journal

15



Kids

Adults

Now I get it!

Laughs per DayLaughs per Day

Another Fake Graph, Smith 2005 ;43 (2), Imaginary Journal



Why

Do We Laugh?

Why

Do We Laugh?

Why

Do We Laugh?



WHY DO WE LAUGH?

•Surprise

•Superiority•Incongruity

•Release



Spontaneous vs. FormalSpontaneous vs. Formal

Self deprecating Humor Self deprecating Humor

Puns & Plays on WordsPuns & Plays on Words

Types/Styles of HumorTypes/Styles of Humor

what is your style?what is your style?

Sarcastic Humor Sarcastic Humor



Slapstick Humor Slapstick Humor

Ethnic Humor Ethnic Humor

Gallows Humor Gallows Humor

Types/Styles of HumorTypes/Styles of Humorcontinuedcontinued

Write it down: What 2 types or styles of

humor do I either use or enjoy most?

1.__________________________

2.__________________________



Spontaneous Vs. Formal

• Random acts ofhumor

–Humor “in themoment”

–Not planned

–Responding toa situation or event

• Premeditatedhumor

–Jokes

–Cartoons

–Life of the

party



“I couldn’t be two faced, if I was, I sure

wouldn’t wear this one.”--Abraham Lincoln

Self deprecating Humor



Puns & Plays on Words



Sarcastic Humor



Slapstick Humor



Ethnic Humor



"The most acutely

sufferingman on earth

invented laughter."--Frederick Nietzsche



Gallows Humor



www.learnovation.com (used with permission)



Knowing When to Use Humor St. Luke’s Hospital

• When another person initiates the humor.

• You have a good relationship.

• The situation is appropriate.

• The humor is aimed at a situation or yourself.

• “Ed” -- Heart Disease

(example)



"The art of medicineconsists of amusing the

patient while nature curesthe disease."

Voltaire, French philosopher



Review of Literature/Humor ResponseReview of Literature/Humor Response

• Sense of Humor acts as a moderator of Sense of Humor acts as a moderator of daily hassles on Salivary IgA (p<.05)daily hassles on Salivary IgA (p<.05)(N=40) (Martin, et al., 1988)(N=40) (Martin, et al., 1988)

• Exposure to a humorous video producedExposure to a humorous video producedsignificantly (p<.005) increased levelssignificantly (p<.005) increased levelsof SIgA (Lefcourt, et al., 1990)of SIgA (Lefcourt, et al., 1990)



Modulation of Neuroimmune Prameters

During the Eustress of Humor-

associated Mirthful Laughter

• Increases were found in:

– Natural Killer Cell Acitvity

– Immunoglobulins G and M

– Several immunoglobulin effects lasting 12

hours after watching the humorous video

Dr. Lee Berk, MPH, DrPH, David Felton, MD, PhD, Stanley Tan, MD,PhD, Barry Bittman, MD and James Weisengard, BS in Alternative Therapies in Health and Medicine (7) 2, March 2001.



Humor Modulates the Mesolimbic

Reward Centers

• Neuroimaging with functional MRI

• Humor engages a network of

subcortical regions…a key componentof the mesolimbic dopaminergicreward system

• Humor intensity correlated with signalintensity

Neuron, Vol 40, 1041-1048, 4 December 2003



Laugh Away that Silly MI

• Heart attack survivors experiencing

30 minutes of laughter daily less

likely to experience a 2nd MI, required

lower med doses, and had lower BP.(N=24)

• 2nd MI 20% vs. 50%

CAN Journal of Cardiol 1997, 13 (Suppl. B) 190B

in Mind/Body Health Newsletter (Vol. 8, Number 2, 1999)



“Sense of humor, childhood

cancer stressors, and outcomes

of psychosocial adjustment,immune function, and infection”

• A direct relationship was observedbetween sense of humor and

psychosocial adjustment to cancer

J Pediatr Oncol Nurs. 2003 Nov-Dec;20(6):271-92.

Dowling JS, Hockenberry M, Gregory RL.



Continued…

• children with a high sense of humor had

greater psychological adjustment,regardless of the amount of cancer stressors

•

As childhood cancer stressors increase,children with high coping humor scoresreported fewer incidences of infectionthan low scorers.

J Pediatr Oncol Nurs. 2003 Nov-Dec;20(6):271-92.

Dowling JS, Hockenberry M, Gregory RL.



Questions about Optimism and

Health

• “…no evidence that a high level of optimismprior to treatment enhanced survival in pts. with NSCLC. Encouraging pts. to "be

positive" only may add to the burden of having cancer while providing little benefit, atleast in patients with NSCLC (nonsmall celllung carcinoma ).”

Optimism and survival in lung carcinoma patientsOptimism and survival in lung carcinoma patientsCancer. 2004 Mar 15;100(6):1276-82.



"A merry heart doeth good

like a medicine: but a

broken spiritdrieth the bones."

Proverbs 17:22



“New clinical studiesshow there aren’t any

answers.”

author unknown



"I hate

quotations."

Ralph Waldo Emerson



Saper, Bernard (1990). The therapeutic use of humor for psychiatric

disturbances in adolescents and adults, Psychiatric Quarterly, 61(4): 261-272.

Psychological Effects of

Laughter

•Stimulates Alertness and Memory

•Enhances Learning and Creativity

•Promotes Relaxation



Psychological Effects of Laughter,Psychological Effects of Laughter,

cont.cont.

• Promotes Shift From Negative to PositivePromotes Shift From Negative to Positive

• Outlet for Expressing FeelingsOutlet for Expressing Feelings

• Effective Mode of CommunicationEffective Mode of Communication

Saper, Bernard (1990). The therapeutic use of humor for psychiatric

disturbances in adolescents and adults, Psychiatric Quarterly, 61(4): 261-272.



Take your work

seriously

--and yourself lightly



OPPORTUNITYISNOWHERE



96% of Executives Choose

Employees With Sense of Humor CreativeCreative

GoodGood

CommunicatorsCommunicators

Team playersTeam players

StressStressRelieversRelievers

Based on study done by Hodge Cronin and Associates

The Creative Group, A Robert Half International Company, 2004



AATH Official Definition

Therapeutic Humor: Any intervention

that promotes health and wellness by

stimulating a playful discovery, expression or

appreciation of the absurdity or incongruity of

life’s situations.This intervention may enhance health or

be used as a complementary treatment of

illness to facilitate healing or coping, whether physical, emotional, cognitive, social or

spiritual.Association for Applied and Therapeutic Humor, 2004



What we Know

Humor • Reduces stress, anxiety, and tension

• Decreases depression, loneliness,

and anger • Improves mood

• Increases self-esteem

• Promotes a sense of empowerment

Association for Applied and Therapeutic Humor, 2004

Wh t K



What we Know

Laughter • Increases pain tolerance (examples)

• Improves respiration and breathing

• Improves mental function

• Exercises facial, abdominal, and chest muscles

• Relaxes muscles/decreases muscle tension


Wh t W D ’t K Y t



What We Don’t Know Yet

Humor

• Decreases symptoms of illness

• Enhances relationships, intimacy, and

marriage satisfaction

• Increases lifespan


Wh t W D ’t K Y t



What We Don’t Know Yet

Laughter

• Stimulates the production of

endorphins which decrease pain

• Prevents pain

• Lowers heart rate

• Lowers blood pressure




Benefits of Humor Interventions:

• Enhances therapeutic

relationship between

nurse and client• Brings hope and joy to

the situation.

• Enhances feelings of well being for the client.

H I t ti



Humor Interventions:

cont.

• Creates an outlet for

stress release for both the

nurse and the client.

• Can establish a trusting

and comfortable

environment for the client.



"Laughter is the shortest

distance between two

people."

Victor Borge



Examples of Humor in Action:

Constructive Physician-Generated Humor

• During hospital rounds, the physician enters apatient's room. The patient, gowned in bed, is justfinishing breakfast. The physician greets the

patient,

Humor in the Physician-Patient Encounter Jeffrey T. Berger, MD; Jack Coulehan, MD,

MPH; Catherine Belling, PhD Arch Intern Med. 2004;164:825-830.

"Good morning. Looks like youate well. Why didn't you leave

any for me?"

The patientThe patient chuckles.chuckles.

Humor in Action:



Humor in Action:Humorous Interchange Between Patient andPhysician

• A patient with chronic low back pain wrylyremarks, only half-jokingly, to her long-timephysician, "Can't you prescribe some cyanide?" The physician replies,

Humor in the Physician-Patient Encounter Jeffrey T. Berger, MD; Jack Coulehan, MD,

MPH; Catherine Belling, PhD Arch Intern Med. 2004;164:825-830.

"I would, except it'd"I would, except it'd be badbe bad

for business–I wouldn't getfor business–I wouldn't get

any more follow-upany more follow-up

visits outvisits outof you."of you."



• As the tardy physician enters theexamination room, the patient sneers,

Humor in Action:Destructive Patient-Generated Humor

Humor in the Physician-Patient Encounter Jeffrey T. Berger, MD; JackCoulehan, MD, MPH; Catherine Belling, PhD Arch Intern Med. 2004;164:825-830.

"You must have been out playing

golf again!"

Humor: peelingHumor: peelingback some layers?back some layers?



When is humorappropriate

or not?

Ei ht t f d l i



Eight steps for developing your

sense of humor

• 1. Gain an Awareness and

knowledge humor. It takes both a

change in attitude and behavior.

• 2. Identify inappropriate humor.

Avoid it.

• 3. Get to know what amuses you.

• 4. Do a humor history on yourself.



Eight steps for developing your

sense of humor, cont.

• 5. Keep a file of humorous anecdotes

stories, jokes cartoons.

• 6. You need to be somewhat of a

risk taker.

• 7. Allow yourself to be silly.

• 8. Surround yourself with people

who have a humorous, positiveoutlook, and most of all, learn to

laugh at yourself.



© 2004 By Defaulthttp://www.powerpointbackgrounds.com

S i l f th Witti tS i l f th Witti t

http://www.powerpointbackgrounds.com/

http://www.powerpointbackgrounds.com/



Survival of the Wittiest:Humor

your stress

Survival of the Wittiest:Humor

your stress



OverviewOverview

• Stress-initions

• Humor your stress

• Humor applied

– You and your patients

• Appropriate humor or not

• Where can I find humor?

• Stress-initions

• Humor your stress

• Humor applied

– You and your patients

• Appropriate humor or not

• Where can I find humor?



http://g.msn.com/0US!s5.31472_315529/26.a7111/1??cm=BBSlide1



Daily StressDaily Stress• Work

• Juggling Roles

– Parenting/super parenting

– Children

• Balance—Should: exercise, etc.• Plugged-in

• Food

• Stress: good or bad

• Work

• Juggling Roles

– Parenting/super parenting

– Children

• Balance—Should: exercise, etc.• Plugged-in

• Food

• Stress: good or bad

Causes of StressCauses of Stress



Causes of StressCauses of Stress

• Fears Cause Stress

• Uncertainty Causes Stress

• Attitudes Cause Stress

• Perceptions Cause Stress• Change Causes Stress

• Fears Cause Stress

• Uncertainty Causes Stress

• Attitudes Cause Stress

• Perceptions Cause Stress• Change Causes Stress



Today’s Grading ScaleToday’s Grading Scale

Scale:92 - 100% = A80 - 91% = B70 - 79% = C60 - 69% = D

<60% =trouble

Scale:92 - 100% = A80 - 91% = B70 - 79% = C60 - 69% = D<60% =trouble

Personal Stress In entorPersonal Stress Inventory

http://images.google.com/imgres?imgurl=www.sleepsa.com/images/Nightmare.gif&imgrefurl=http://www.sleepsa.com/nightmare.html&h=260&w=315&sz=25&tbnid=Vn6AAqvbGNkJ:&tbnh=93&tbnw=112&start=280&prev=/images%3Fq%3Dnightmare%26start%3D260%26hl%3Den%26lr%3D%26ie%3DUTF-8%26sa%3DN



Personal Stress InventoryWrite it down…

Personal Stress InventoryWrite it down…

• 1. What is stressful at this moment?(the environment, the speaker, etc.)

• 2. What is stressful on a daily basis?

(your boss, schedule, bad hair day)

• 3. What is your favorite stress reliever?• 3a. What might be better?

• 4. How do you help your patients to deal

with stress?

• 1. What is stressful at this moment?(the environment, the speaker, etc.)

• 2. What is stressful on a daily basis?

(your boss, schedule, bad hair day)

• 3. What is your favorite stress reliever?• 3a. What might be better?

• 4. How do you help your patients to deal

with stress?



1980’S



Definitions, continuedDefinitions, continued

• Stress results from an imbalance between

demands and resources.

R.S. Lazarus and S. Folkman (1984). Stress,

Appraisal and Coping. New York: Springer.

• A simple definition that can be used is: Stress

occurs when pressure exceeds your perceived

ability to cope.S. Palmer, 1999.

• Stress results from an imbalance between

demands and resources.

R.S. Lazarus and S. Folkman (1984). Stress,

Appraisal and Coping. New York: Springer.

• A simple definition that can be used is: Stress

occurs when pressure exceeds your perceived

ability to cope.S. Palmer, 1999.



The Real Stress

Test

The Real Stress

Test

Stress Test



It's a simple test designed to indicate whether people have too much stress

in their life.

It's a picture of two dolphins. The two dolphins appear normal when

viewed by a stress-free individual. This test is not accurate enough to pick

up mild stress levels.

If there is anything that appears different about the dolphins (ignore the

fact of the slight color differences) it is often an indication of potential

stress related problems. Differences, if any, may also indicate the source

of your stress.

If there is anything out of the ordinary then you should consider taking

things a little easier..

Sit upright and viewing the screen head-on, take a deep breath, breathe

out and then look directly at the picture.

Stress Test



Warning signalsWarning signals

• "If it doesn't feel like fun anymore, that shouldbe a red flag," says Thomas J. Weida, MD,

an associate professor of family and

community medicine at Penn State

University's Milton Hershey Medical Schooland medical director of Penn State

Community Health Center in Hershey, Pa.

• "If it doesn't feel like fun anymore, that shouldbe a red flag," says Thomas J. Weida, MD,

an associate professor of family and

community medicine at Penn State

University's Milton Hershey Medical Schooland medical director of Penn State

Community Health Center in Hershey, Pa.

Family Practice Management / April 1997



CDC on StressCDC on Stress• According to the Center

for Disease Control,“Eighty-three percent of alldeaths for adults between

the age of 21 and 65 arerelated to lifestyle.”Unmanaged stress isincreasingly a characteristic

of many Americans today

• According to the Center for Disease Control,“Eighty-three percent of alldeaths for adults between

the age of 21 and 65 arerelated to lifestyle.”Unmanaged stress isincreasingly a characteristic

of many Americans today



• Health care

expenditures are

nearly 50%

greater for

workers who

report high levels

of stress.-Journal

of Occupational

and

Environmental

Medicine

• Health care

expenditures are

nearly 50%

greater for

workers who

report high levels

of stress.-Journal

of Occupational

and

Environmental

Medicine



• One-fourth of employees view their jobs as

the number one stressor in their lives.

-Northwestern National Life

• One-fourth of employees view their jobs as

the number one stressor in their lives.

-Northwestern National Life



Stress is an ignorant state. It

believes that everything is an

emergency. Nothing is that

important.

Stress is an ignorant state. It

believes that everything is an

emergency. Nothing is that

important.Natalie GoldbergNatalie Goldberg

R H A k R d d b



Repeat Heart Attacks Reduced byRepeat Heart Attacks Reduced by

Half over 3 yearsHalf over 3 years• Study Group: standard advice plus-Study Group: standard advice plus---

• relaxationrelaxation

• smiling at otherssmiling at others

• laughing at themselveslaughing at themselves

• enjoying lifeenjoying life

• renewing religious faithrenewing religious faith

Friedman, M, Ulmer, D. (1984) Treating Type A Behavior--

and Your Heart. New York: Knopf.

““I ll idI ll id



““I personally consider anger I personally consider anger

the Achilles heel of heartthe Achilles heel of heartdisease.”disease.”

Stephen T. Sinatra, MDStephen T. Sinatra, MD

Sinatra, S. (1996) “Heartbreak and heart disease. ASinatra, S. (1996) “Heartbreak and heart disease. A

Mind/Body Prescription for Healing the Heart.” Connecticut:Mind/Body Prescription for Healing the Heart.” Connecticut:

Keats Publishing, Inc.Keats Publishing, Inc.



"Comedy is tragedy"Comedy is tragedy

plus time."plus time."

-- Carol Burnett-- Carol Burnett



Humor and Tragedy “911”Humor and Tragedy “911”

• Nothing to laugh about. Weeks?Nothing to laugh about. Weeks?

• The Jokes are back: Late Night as our The Jokes are back: Late Night as our

Humor Barometer.Humor Barometer.

• Careful at first.Careful at first.

• Jokes focused NOT on the event, but our Jokes focused NOT on the event, but our

reaction to the event.reaction to the event.

• ““When President Bush said that we should resume consumer When President Bush said that we should resume consumer spending, I immediately went shopping. If I didn’t, they’d bespending, I immediately went shopping. If I didn’t, they’d be

winning.”winning.”



Humor In Difficult TimesHumor In Difficult Times• Humor aimed at situations is appreciated byHumor aimed at situations is appreciated by

others, it has a target other than another others, it has a target other than another person or group of people.person or group of people.

• humor aimed at oneself is well received byhumor aimed at oneself is well received byothersothers..

• Humor aimed at other individuals or groupsHumor aimed at other individuals or groupsmay be harmful. It often is used to put down,may be harmful. It often is used to put down,insult, or degrade another.insult, or degrade another.



How Does Humor Help Us?How Does Humor Help Us?

• Humor reduces stress by helping usHumor reduces stress by helping usto view the world with newto view the world with new

perspective.perspective.

• Humor helps us by replacingHumor helps us by replacingstressful feelings with pleasurablestressful feelings with pleasurable

feelings.feelings.

• humor changes how we think & act.humor changes how we think & act.• ActingActing

H S lH S l



Hans Selye Hans Selye

• Adopting the

right attitude

can convert anegative stress

into a positive

one

• Adopting the

right attitude

can convert anegative stress

into a positive

one



Man should not try to avoid

stress any more

than he would shun food, love

or exercise.

Dr. Hans Selye

Man should not try to avoid

stress any more

than he would shun food, love

or exercise.

Dr. Hans Selye

C



Norman CousinsNorman Cousins

Anatomy of An Illness (1979)Anatomy of An Illness (1979)

http://images.google.com/imgres?imgurl=www.cousinspni.org/pics/norman.jpg&imgrefurl=http://www.cousinspni.org/&h=358&w=292&sz=58&tbnid=eW5Sd_v5clQJ:&tbnh=116&tbnw=95&start=4&prev=/images%3Fq%3Dnorman%2Bcousins%26hl%3Den%26lr%3D%26ie%3DUTF-8%26sa%3DN

http://av.rds.yahoo.com/_ylt=A9ibyKvfrKdAMhYAnrVvCqMX;_ylu=X3oDMTBvMmFkM29rBHBndANhdl9pbWdfcmVzdWx0BHNlYwNzcg--/SIG=11glve8bq/**http%3A//www.hypnosiseducation.org/stress.htm

http://av.rds.yahoo.com/_ylt=A9ibyK9YrKdAUEYAtopvCqMX;_ylu=X3oDMTBvMmFkM29rBHBndANhdl9pbWdfcmVzdWx0BHNlYwNzcg--/SIG=11fkuk0ha/**http%3A//www.consortiumeap.org/EAP_facts.htm

http://av.rds.yahoo.com/_ylt=A9ibyK9YrKdAUEYAvIpvCqMX;_ylu=X3oDMTBvMmFkM29rBHBndANhdl9pbWdfcmVzdWx0BHNlYwNzcg--/SIG=1174hpait/**http%3A//www.systemslive.com/bpr.htm



Stress: The confusion created

when one’s mind overrides the

body’s basic desire to choke theliving daylights out of some jerk

who desperately deserves it

Stress: The confusion created

when one’s mind overrides the

body’s basic desire to choke theliving daylights out of some jerk

who desperately deserves it

Anonymous Anonymous

http://av.rds.yahoo.com/_ylt=A9ibyKvfrKdAMhYAnrVvCqMX;_ylu=X3oDMTBvMmFkM29rBHBndANhdl9pbWdfcmVzdWx0BHNlYwNzcg--/SIG=11glve8bq/**http%3A//www.hypnosiseducation.org/stress.htm

http://av.rds.yahoo.com/_ylt=A9ibyK9YrKdAUEYAtopvCqMX;_ylu=X3oDMTBvMmFkM29rBHBndANhdl9pbWdfcmVzdWx0BHNlYwNzcg--/SIG=11fkuk0ha/**http%3A//www.consortiumeap.org/EAP_facts.htm

http://av.rds.yahoo.com/_ylt=A9ibyK9YrKdAUEYAvIpvCqMX;_ylu=X3oDMTBvMmFkM29rBHBndANhdl9pbWdfcmVzdWx0BHNlYwNzcg--/SIG=1174hpait/**http%3A//www.systemslive.com/bpr.htm



Reality is the leading cause

of stress amongst those intouch with it

Reality is the leading cause

of stress amongst those intouch with it

---Lily Tomlin ---Lily Tomlin



How are we feeling today?How are we feeling today?



"LAUGHTER IS THE BEST MEDICINE""LAUGHTER IS THE BEST MEDICINE"

• 75 percent of doctors would prescribelaughter as a therapy

• 95 percent have seen the benefits of

laughter in working with patients.

http://www.polaroid.com.

• 75 percent of doctors would prescribelaughter as a therapy

• 95 percent have seen the benefits of

laughter in working with patients.

http://www.polaroid.com.

Robert R. Provine,Robert R. Provine,

http://www.polaroid.com/











Robert R. Provine,professor of psychology, assistant director of

the neuroscience program at the University of

Maryland

,professor of psychology, assistant director of

the neuroscience program at the University of

Maryland

• Laughter is about family, friends and lovers.

Less than 20 percent of everyday laughter is

a response to jokes. If people want to laughmore, they should spend more time with their

significant others.

• The more the merrier. A large group laughsmore than a small one. Laughter almost

disappears when we are alone.

• Laughter is about family, friends and lovers.

Less than 20 percent of everyday laughter is

a response to jokes. If people want to laughmore, they should spend more time with their

significant others.

• The more the merrier. A large group laughsmore than a small one. Laughter almost

disappears when we are alone.

http://av.rds.yahoo.com/_ylt=A9ibyKPMsKdAlYUAt0dvCqMX;_ylu=X3oDMTBvMmFkM29rBHBndANhdl9pbWdfcmVzdWx0BHNlYwNzcg--/SIG=114ijn570/**http%3A//www.caringforyou.com.au/




Robert R. Provine, continuedRobert R. Provine, continued

• Laughter is contagious. To laugh more, be aroundlaughing people. People don't need to tell a joke

to cause laughter. Laughter causes laughter -

which is why there are laugh tracks on television

comedies.• Photography. Photos cause laughter by

crystallizing memories of life's special moments

with friends and family.

• Laughter is contagious. To laugh more, be aroundlaughing people. People don't need to tell a joke

to cause laughter. Laughter causes laughter -

which is why there are laugh tracks on television

comedies.• Photography. Photos cause laughter by

crystallizing memories of life's special moments

with friends and family.

Fi Thi H WillFi Thi H Will




Five Things Humor Will

Do For You:

Five Things Humor Will

Do For You:1. Releases negative emotions such asanger & guilt

2. Improves enthusiasm for work

3. Reduces inhibitions & increases self-confidence

4. Humorous people face life's problemsbetter

5. Sense of humor is the #1 romanticallyattractive trait

1. Releases negative emotions such asanger & guilt

2. Improves enthusiasm for work

3. Reduces inhibitions & increases self-confidence

4. Humorous people face life's problemsbetter

5. Sense of humor is the #1 romanticallyattractive trait

Humor: Workin’ itHumor: Workin’ it



Humor: Workin itHumor: Workin it

• Dr. Barbara Mackoff, St. Paul MN,• book about women in the business

world, What Mona Lisa Knew, a guideto getting ahead in business by

lightening up. A how-to guide to usehumor effectively in the workenvironment.

• Vera Story

• Dr. Barbara Mackoff, St. Paul MN,• book about women in the business

world, What Mona Lisa Knew, a guideto getting ahead in business by

lightening up. A how-to guide to usehumor effectively in the workenvironment.

• Vera Story



Fear of FoolishnessFear of Foolishness



Fear of FoolishnessFear of Foolishness

P



Prayer:

God Grant Me the Senility toForget the People I Never

Liked Anyway, the Good

Fortune to Run Into the Ones I

Do, and the Eyesight to Tell the

Difference.

H S /C l i



Smile More

Appropriate

Humor Summary/Conclusions

Puns

Your personalHumor Plan

Make someoneelse happy

Cartoons

Self

Deprecating

TheTheLastLast

LaughsLaughs

Take yourself lightly



Th kTh k



Thank youThank you

Kevin Lee Smith

www kevinleesmith com

humor as a clinical skill: are you

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