
Psych Humor
I like nonsense, it wakes up the brain cells. Fantasy is a necessary ingredient in living, It's a way of looking at life through the wrong end of a telescope. Which is what I do, And that enables you to laugh at life's realities.--Dr. Seuss
Working in a psychiatric hospital can be very funny. Don’t get me wrong, psychiatric hospitalization is a serious, sometimes traumatic, but hopefully worthwhile experience. To laugh at what happens from time to time does not make one an insensitive clod. As a matter of fact, one of my most useful tools as I work with patients is my humor.
I am not the kind of person to stand up and rattle off a bunch of jokes. I am someone who sits back and pounces on straight lines. The thing is, to me every line is a straight line. Some straight lines are too easy and I let them go, some straight lines are potentially dangerous, but I usually take the risk.
Our particular hospital currently treats the chronic mentally ill. These are the people with schizophrenia primarily. They are disabled and cannot work. Their thinking is disturbed and can be quite bizarre. Many of them live in group homes or are homeless. They are the disturbed of the disturbed.
Like emergency room humor, psych humor is a way to acknowledge a reality and to relieve your own stress. Staff can let off steam and tension when they laugh then be more attentive and helpful to the patients. So psych humor is very necessary. Staff who are “tight asses” don’t usually last long. One must be careful not to laugh at a patient or joke while patients are in earshot. However, in the daily intake meeting or in the staffing room all bets are off.
Having presented a brief disclaimer / explanation I will proceed with a few funny events and situations. It should be noted that some of this may not translate, but I will try anyway.
• Once we had a patient whose first name was “Jack.” You can imagine the lines. What was funny was how so many staff played along. I said to the head nurse, “We have been discussing whether Jack should be on visual contact, should we let Jack off?” “Is Jack on visual contact?” someone would ask, “no, Jack’s off.”
• One patient followed me around giving me numbers scribbled on scrap paper he swore were the winning lotto numbers. He always made me promise to give him 50%.
• Once a patient was admitted for doing a self-circumcision (ouch, I have to lay in the fetal position just thinking about it.) I am not kidding. He had schizophrenia and read up on the circumcision procedure. One day he anesthetized himself with booze and began to cut. He passed out and woke up in a pool of blood. Eventually he was taken to the hospital and finally came to us for psychiatric treatment. Anyway, I asked him, “why did you perform a circumcision on yourself?” He told me, “I always prided myself in having a high threshold of pain.” I told him, “brother, I will never question your pain tolerance.”
• One patient had the delusion that her psychiatrist loved her and was going to marry her. She went so far as to place a wedding announcement in the local newspaper. This came as some surprise to his wife.
• At one time on our unit we had two Gods. We worked at keeping them apart. We did not want to see what would happen when two supreme beings met.
• I was once propositioned in a very vulgar way by a patient who lost her temper. The proposition was complete with dropped pants and hand signals.
The real laughs are the combinations of patients, staff, and families over the course of a day. One of my favorite times is when the music therapist breaks out the karaoke machine. You talk about “no shame” and “tone deaf.”
The bottom line is “laugh”. Laughter is medicine. It is a common language that can bridge the gap between people whether patient, staff, or anyone else.
Until the next time,
John Strain