Perception of mental health professionals on using humour in therapeutic relationships in acute mental health units

Abstract

Throughout history, the conceptualisation of “humour” has posed a challenge, without achieving a definitive consensus. This study explores the application of humour in mental health, highlighting its potential to strengthen the therapeutic relationship.This research seeks to fill the knowledge gap in this constantly evolving field. To investigate mental health professionals' perceptions of using humour in the therapeutic relationship. A phenomenological interpretative approach was employed, following qualitative guidelines in healthcare. The study was conducted between November and December 2023. The target population consisted of mental health professionals working in acute units. A purposive sample of 10 participants was selected for the study. COREQ was used to organise individual interviews. Data collection included recorded interviews. The study had EthicsCommittee approval and informed consent from participants. Data were analysed with ATLAS.Ti version 24. Ten professionals(5 women and 5 men), aged between 42 and 61 years with 20 to 35 years of experience in mental health, participated in the inter-views. Data analysis yielded five main categories: barriers and benefits of using humour, professionals' humour styles, training in humour, and communication skills in the therapeutic relationship. An integrated understanding of humour in mental health and its impact on the therapeutic relationship is revealed. Barriers and benefits are highlighted, emphasising the need for specific training. The affiliative style is valued for its emotional connection, cautioning against other styles. The lack of training under-lines the need to integrate humour into mental health training. The importance of adaptation and empathy in communicative interventions is emphasised, highlighting the need for greater awareness and training for a more humane and effective therapeutic environment.