Alberto Dionigi
Federazione Nazionale Clowndottori, Cesena
Keywords: clown, consapevolezza, clownsapevolezza, clown dottore, umorismo
Questo articolo introduce e approfondisce il concetto di clownsapevolezza, inteso come consapevolezza di sé applicata alla costruzione e alla pratica del personaggio clown in contesti di cura. Nato dall’integrazione tra pratiche clownesche, riflessione pedagogica e approcci psicologici, il termine descrive una metacompetenza che consente al clown dottore di agire con autenticità, presenza emotiva e responsabilità relazionale. Viene proposta una riflessione teorica sulla genesi del concetto e sulle strategie per promuoverlo nei percorsi di formazione professionale. La clownsapevolezza si rivela uno strumento prezioso per migliorare l’efficacia dell’intervento, prevenire il burnout, accrescere il benessere degli operatori e vivere in modo etico, consapevole e sostenibile la complessità dei contesti sanitari.
Alberto Dionigi
Psicologo, Psicoterapeuta Cognitivo-Comportamentale, PhD in Psicologia della Comunicazione e dei Processi Cognitivi presso l'Università di Macerata. Clown di corsia presso il progetto “I Nasi Rossi del Dottor Jumba” de l’Associazione L’Aquilone di Iqbal di Cesena, è fondatore dell’Accademia di Clownterapia ed è stato Presidente della Federazione Nazionale Clowndottori. Attivo nella promozione della clownterapia, svolge attività di ricerca sull’umorismo in ambito clinico. Vanta numerose pubblicazioni scientifiche e partecipazioni a conferenze internazionali. È codirettore di RISU – Rivista Italiana di Studi sull’Umorismo.
REFERENCES
Auerbach, S., Hofmann, J., Platt, T., & Ruch, W. F. (2014). An investigation of the emotions elicited by hospital clowns in comparison to circus clowns and nursing staff. The European Journal of Humour Research, 1(3), 26–53. https://doi.org/10.7592/EJHR2013.1.3.auerbach
Battrick, C., Glasper, E. A., Prudhoe, G., & Weaver, K. (2007). Clown humour: The perceptions of doctors, nurses, parents and children. Child and Young People Nursing, 1(4), 174–179.
Butler, L. (2012). " Everything seemed new": Clown as Embodied Critical Pedagogy. Theatre Topics, 22(1), 63-72.
Dionigi, A. (2016). Personality of clown doctors: An exploratory study. Journal of Individual Differences, 37(1), 49–55. https://doi.org/10.1027/1614-0001/a000187
Dionigi, A., & Goldberg, A. (2020). Highly sensitive persons, caregiving strategies and humour: The case of Italian and Israeli medical clowns. European Journal of Humour Research, 7(4), 1–15. https://doi.org/10.7592/EJHR2019.7.4.dionigi
Dionigi, A. (2020). The relationship between burnout, personality, and emotional intelligence in clown doctors. Humor: International Journal of Humor Research, 33(1), 157–174. https://doi.org/10.1515/humor-2018-0018
Dionigi, A., Fermani, A., & Canestrari, C. (2023). Do clowns really taste funny? An investigation of the relationship between humor and playfulness in clown doctors. Behavioral Sciences, 13(4), 328. https://doi.org/10.3390/bs13040328
Dionigi, A., Fermani, A., & Canestrari, C. (2024). Jesters of well-being: Examining the relationship between clown doctors and patients. Behavioral Sciences, 14(5), 398.
Dionigi, A. (2024). The art and the efficacy of clowning. In T. E. Ford, W. Chłopicki, & G. Kuipers (Eds.), De Gruyter Handbook of Humor Studies (pp. 495–508). De Gruyter. https://doi.org/10.1515/9783110755770-029
Farneti, A. (2004). La maschera più piccola del mondo: aspetti psicologici della clownerie. Perdisa, Bologna.
Farneti, A., & Tschiesner, R. (2024). La difficile arte del clown: in bilico fra tristezza e gioia, fra pianto e riso. RISU, 3.
Finlay, F., Baverstock, A., & Lenton, S. (2014). Therapeutic clowning in paediatric practice. Clinical Child Psychology and Psychiatry, 19(4), 596–605. https://doi.org/10.1177/1359104513488751
Ford, K., Courtney-Pratt, H., Tesch, L., & Johnson, C. (2014). More than just clowns–Clown doctor rounds and their impact for children, families and staff. Journal of Child Health Care, 18(3), 286-296.
Fusetti, V., Re, L., Pigni, A., Tallarita, A., Cilluffo, S., Caraceni, A. T., & Lusignani, M. (2022). Clown therapy for procedural pain in children: a systematic review and meta-analysis. European Journal of Pediatrics, 181(6), 2215-2225.
Grinberg, Z., Pendzik, S., & Kowalsky, R. (2012). Drama therapy role theory as a context for understanding medical clowning. The Arts in Psychotherapy, 39(1), 42-51.
Holland, M., Fiorito, M. E., Gravel, M. L., McLeod, S., Polson, J., Incio Serra, N., & Blain-Moraes, S. (2022). “We are still doing some magic”: Exploring the effectiveness of online therapeutic clowning. Arts & Health, 1–2, 1–16. https://doi.org/10.1080/17533015.2022.2032763
Karnieli-Miller, O., Divon-Ophir, O., Sagi, D., Pessach-Gelblum, L., Ziv, A., & Rozental, L. (2023). More than just an entertainment show: Identification of medical clowns’ communication skills and therapeutic goals. Qualitative health research, 33(1-2), 25-38.
Koller, D., & Gryski, C. (2008). The life threatened child and the life enhancing clown: Towards a model of therapeutic clowning. Evidence-Based Complementary and Alternative Medicine, 5(1), 17–25. https://doi.org/10.1093/ecam/nem024
Linge, L. (2012). Magical attachment: Children in magical relations with hospital clowns. International Journal of Qualitative Studies on Health and Well-being, 7(1), 11862.
Mustafa, M. S., Shafique, M. A., Zaidi, S. D. E. Z., Qamber, A., Rangwala, B. S., Ahmed, A., ... & Haseeb, A. (2024). Preoperative anxiety management in pediatric patients: a systemic review and meta-analysis of randomized controlled trials on the efficacy of distraction techniques. Frontiers in Pediatrics, 12, 1353508.
Peacock, L. (2009). Serious play: Modern clown performance. Intellect Books.
Pendzik, S., & Raviv, A. (2011). Therapeutic clowning and drama therapy: A family resemblance. The Arts in Psychotherapy, 38(4), 267-275.
Sridharan, K., & Sivaramakrishnan, G. (2016). Therapeutic clowns in pediatrics: A systematic review and meta-analysis of randomized controlled trials. European Journal of Pediatrics, 175(10), 1353–1360. https://doi.org/10.1007/s00431-016-2764-0
Warren, B., & Spitzer, P. (2013). Smiles are everywhere: Integrating clown-play into healthcare practice. Routledge.
Xin, G., Yingping, F., Yue, C., Jiaming, W., & Xue, H. (2024). Application of clown care in hospitalized children: A scoping review. PloS one, 19(12), e0313841.Xu, J., Guan, Y. X., Liu, W. T., Zhang, Y., Zheng, J., Zhang, J., ... & Yang, Q. (2023). Intervention and application of clown care in nursing homes: a scoping review. Aging clinical and experimental research, 35(5), 937-952.
Vagnoli, L., Caprilli, S., Robiglio, A., & Messeri, A. (2005). Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. Pediatrics, 116(4), e563-e567.

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