{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T05:03:33Z","timestamp":1784351013929,"version":"3.55.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:p>Despite the pain and suffering that often accompany serious illness, humor can play a rich and meaningful role as part of multifaceted patient\u2013clinician interactions. Patients often use humor to communicate about their values, to bring psychological release through levity, or to encode topics that they may find uncomfortable discussing directly. While patients should be allowed broad leeway to use humor in their communication with providers, clinicians attempting to embrace humor\u2014particularly in the context of serious illness\u2014do so with significant inherent risks involved. This article explores the impact of humor in clinical interactions, discusses historical categorizations of humor, and proposes a practical framework for guiding clinicians who engage with humor at the bedside with a goal of helping them cultivate insight and self-awareness as they navigate this fraught and joyful aspect of serious illness communication.<\/jats:p>","DOI":"10.1177\/10966218251361487","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T10:46:07Z","timestamp":1765277167000},"page":"1296-1301","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Health, Heartache, and Humor: A Practical Framework for Approaching Humor in Serious Illness"],"prefix":"10.1177","volume":"28","author":[{"given":"Melissa","family":"Rizzolo","sequence":"first","affiliation":[{"name":"Section of Palliative Medicine, Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan A.","family":"Gray","sequence":"additional","affiliation":[{"name":"Section of Palliative Medicine, Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,23]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/104990910502200410"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2015.33.29_suppl.44"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909118764414"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.00890"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2011.00758.x"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3747\/co.27.5875"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0219065"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1188\/05.CJON.211-218"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315620773"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951504040192"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/104990919000700108"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2018.02.170313"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1037\/h0089132"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0095-4543(05)70267-0"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0354"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1188\/02.ONF.691-695"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.02.018"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001162"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61280-4"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1109466"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13941"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/1471301215580895"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/10810730590915092"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/j.1552-146X.2011.tb00139.x"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1001\/amajethics.2020.576"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/0891241612458122"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/HNP.0b013e3181bf37ad"},{"key":"e_1_3_4_29_2","volume-title":"Philosophy of Humor","author":"Morreall J","year":"2023","unstructured":"Morreall J. Philosophy of Humor. The Stanford Encyclopedia of Philosophy Metaphysics Research Lab, Stanford University; 2023."},{"issue":"2","key":"e_1_3_4_30_2","first-page":"94","article-title":"Understanding humor based on the incongruity theory and the cooperative principle","volume":"4","author":"Lili Z","year":"2012","unstructured":"Lili Z. Understanding humor based on the incongruity theory and the cooperative principle. Stud Lit Lang, 2012; 4(2):94\u201398.","journal-title":"Stud Lit Lang"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.00006"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1001\/amajethics.2020.588"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15430154jce2101_11"},{"key":"e_1_3_4_34_2","volume-title":"Europaische Schlusselworter. Band 1, Humor Und Witz","author":"Schmidt-Hidding W","year":"1963","unstructured":"Schmidt-Hidding W. Europaische Schlusselworter. Band 1, Humor Und Witz. Hueber; 1963."},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.7326\/G16-0002"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2402142"},{"key":"e_1_3_4_37_2","volume-title":"Gesundheit! Bringing Good Health to You, the Medical System, and Society through Physician Service, Complementary Therapies, Humor, and Joy","author":"Adams P","year":"1993","unstructured":"Adams P, , Mylander M. Gesundheit! Bringing Good Health to You, the Medical System, and Society through Physician Service, Complementary Therapies, Humor, and Joy. Healing Arts Press: Rochester, VT; 1993."}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218251361487","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218251361487","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218251361487","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T04:38:32Z","timestamp":1784349512000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218251361487"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,23]]},"references-count":36,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10,1]]}},"alternative-id":["10.1177\/10966218251361487"],"URL":"https:\/\/doi.org\/10.1177\/10966218251361487","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,23]]}}}