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Am J Psychiatry 127:861-866, January 1971
doi: 10.1176/appi.ajp.127.7.861
© 1971 American Psychiatric Association
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The Destructive Potential of Humor in Psychotherapy

LAWRENCE S. KUBIE M.D., D.SC.1

1 Consultant on Research and Training, Sheppard and Enoch Pratt Hospital, Towson, Md., and Clinical Professor of Psychiatry, University of Maryland School of Medicine, Baltimore

The author believes that the use of humor by the psychiatrist is potentially destructive to the psychotherapeutic relationship. Sometimes experienced therapists can use humor without doing harm, but beginning therapists who imitate them may do irremediable damage. Too often the patient's stream of feeling and thought is diverted from spontaneous channels by the therapist's humor; it may even be arrested and blocked. While humor has its place in life, psychiatrists should acknowledge that it has a very limited role in psychotherapy.




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