Bornstein Yossi
Harefuah. 2008 Jan;147(1):30-2, 95, 94.
Healing by the use of humor has become popular over the last few years and it is used not only in alternative medicine but also in conventional medicine in hospitals all over the world, particularly in the USA and Europe. This practice has been well implemented in pediatric wards. It is easier to make a child laugh than an adult. In the framework of healing by humor, use is made of a medical clown who is in fact a person who has undergone special training in acting and clowning, combined with medical knowledge and an understanding of patient behavior. Some medical clowns come from the world of entertainment, and are actors, clowns, and magicians. Some have a paramedical or medical background. Medical research demonstrates that medical clowns and humor have a positive effect on patients. The implementation of medical clowning has been increasing throughout the world from year to year and has, slowly but surely, started a movement to integrate it into formal frameworks in both pediatric and adult wards in hospitals. However, there is still a necessity to conduct larger, well controlled clinical trials regarding the influence of the different programs. Maybe the growing awareness in the world will fill the void that demands resources of both personnel and budgets, both of which are often missing from health budgets.
在过去几年中，利用幽默进行治疗已变得很流行，它不仅用于替代医学，也在世界各地的医院，尤其是美国和欧洲的传统医学中得到应用。这种做法在儿科病房已得到很好的实施。让孩子发笑比让成年人发笑更容易。在利用幽默进行治疗的框架下，会用到医疗小丑，实际上就是一个在表演和扮小丑方面接受过特殊训练，同时具备医学知识并了解患者行为的人。一些医疗小丑来自娱乐界，是演员、小丑和魔术师。一些人有辅助医疗或医学背景。医学研究表明，医疗小丑和幽默对患者有积极影响。医疗小丑表演在世界范围内逐年增加，并且已经缓慢但稳步地开始了一项将其纳入医院儿科和成人病房正式框架的运动。然而，仍有必要针对不同项目的影响进行更大规模、控制良好的临床试验。也许全球日益增长的意识将填补这一需要人员和预算资源的空白，而这两者在卫生预算中往往都缺失。
