Disrupted Life Meaning: Humanistic Psychology and Autoethnographic Analysis of Hospital Clown Interventions with an Adolescent with Cancer

Abstract

Background:

This qualitative study investigates the impact of hospital clown interventions on the well-being of an adolescent girl undergoing cancer treatment, focusing on the connections formed and the transformation of the hospital environment.

Objectives:

The study aims to analyze the reflective narratives of hospital clown artists who interacted with a 14-year-old girl over a year, using a humanistic psychology framework and autoethnography to understand the quality and impact of their relationship.

Design:

A qualitative research design was employed, utilizing autoethnographic methods.

Methods:

Content analysis was conducted on the clowns’ narratives to explore the evolving relationships between the clowns, the adolescent patient (Maria), and her mother, Teresa.

Results:

The study highlights the profound impact of meaningful human connection facilitated by hospital clowns, demonstrating their ability to create a supportive and joyful environment for the patient and her family. Key themes identified include connection and identity, joy amidst adversity, rituals of connection, grief and loss, and legacy and memory.

Conclusions:

The findings suggest that hospital clown interventions can transform a clinical hospital environment into a space of joy, connection, and shared humanity. These interactions meet the emotional and psychological needs of young patients dealing with cancer, emphasizing the importance of human connection in navigating disruptive illnesses.

Plain-language summary

This research explores how hospital clowns connected with a teenage girl receiving cancer treatment over a year. By analyzing stories from the clowns, the study reveals how these interactions transformed the hospital environment into a place of joy and warmth. The findings highlight the vital role of hospital clowns in supporting the emotional needs of young cancer patients and the importance of meaningful connections in coping with serious illness. The study also shares the experiences of the clowns to promote a better understanding of their role in caring for children with cancer.