He Who Laughs, Lasts

Markham Breen is crazy with laughter

Laughter, Markham Breen says, is the best medicine. Breen is a master of tittering, a ruler of guffaws. He's a Scottsdale psychotherapist who believes in the healing power of laughter, and who's lately touting a systematic method of giggling and sniggering that he swears is about to take psychiatry by storm. And he's not kidding. So ha-ha on you.

New Times: You claim that laughing can cure mental illness. You must be joking.

Markham Breen: Well, where mental illness is concerned, we don't have many cures. But like psychotherapy or medication, laughter can help. Some pretty good studies have shown that it helps decrease anxiety. And we know that laughter is good for depression, because how can you be depressed and laughing at the same time? And there's a physiology to laughter that, much like yoga or rigorous exercise, is really beneficial, particularly to those with anxiety.

Make 'em laugh: Markham Breen isn't joking about mental health.
Emily Piraino
Make 'em laugh: Markham Breen isn't joking about mental health.

NT: I thought incessant laughing was a symptom of mental illness.

Breen: Yes, but we don't use laughter therapy with individuals who are losing their grasp of reality--people with extreme disorders like schizophrenia or bipolar people during a manic episode. That wouldn't really be a great time to use laughter therapy. But when those folks are stable or on medication, they've really enjoyed it. I've done this with a lot of young people with very serious diagnoses, a lot of bipolar kids, but it's not for everyone at all times.

NT: What is laughter therapy?

Breen: It's a movement. There's an institute right here in Phoenix, the Association for Applied Therapeutic Humor, that's looking into the research end of how laughter can best be used.

NT: Wait. We have a laughter institute here?

Breen: Yes. They promote the use of laughter in the therapeutic arts. Did you see the movie Patch Adams? It starred Robin Williams. He played a doctor who puts on a clown suit and interacts with the patients and uses a lot of humor in the treatment process.

NT: God, no! You mean there's a place here in Phoenix where the doctors are all dressed as clowns?

Breen: No, they're not dressed up. It's more of a research center.

NT: What is that book you have there?

Breen: It's called Laugh for No Reason by Dr. Kataria, a doctor in India. He sort of created a form of yoga that uses laughter without jokes. He writes that you don't have to laugh 24 hours a day, but if you laugh 20 minutes twice a week, it can be very good for you.

NT: This book is full of pictures of people wearing funny hats.

Breen: Yes. Dr. Kataria tried to get people together to laugh, but he found that telling jokes didn't work because you either run out of jokes, or the jokes begin to insult certain groups of people. So he created a yogic way of doing breathing and laughing without jokes, but he had to come up with different ways to make groups of people laugh. Funny hats is one way. It's ridiculous, because you're looking at each other and then you spontaneously laugh. There are groups in India that get together, upwards of 300 people, and just laugh and laugh as a mental exercise. And just as yoga has a series of different poses, this laughter therapy has a series of different laughs. There's the lion laugh, the Swedish cocktail laugh, and then...

NT: Wait. Stop. The Swedish cocktail laugh?

Breen: Yes, it's quite an elegant laugh. We're told that in Sweden they have these cocktail parties that are very superficial. You walk around with your pinkie finger up in the air, and you greet each other by touching your pinkies together and you laugh like this: Heeeeee hee-hee-hee!

NT: That's ridiculous.

Breen: Exactly. When you walk around a room with other people doing this, eventually you're going to crack up because it's absurd. And the lion laugh, well, I hate to do this one so early in the morning, but here goes: Haaaaa haa-ha-ha!! Ha ha!

NT: Is it really necessary to wave your hands and wag your tongue when you do that?

Breen: Yes, you need the whole combined effect, and you want to look as ridiculous as possible. That one works great with troubled adolescents. I've worked with a lot of gangs, and there is no more uptight group than gang-involved adolescents. They're just too cool for words. You take them through this process and you get a whole different kid when you're done.

NT: You can actually get one of the Crips to giggle?

Breen: You know, the hardcore gang members don't want to get involved, they just want to stand around and look menacing. But once you let them make up their own laughs, these kids really loosen up. Laughter groups are very effective, and they're just one little sliver of the therapeutic humor movement.

NT: It's a movement?

Breen: It is! Four years ago, I took this training with this guy who went to India and learned this method from Dr. Kataria, and brought it to the United States through this thing called the World Laughter Tour. He offered trainings, and I became a certified Laughter Leader. Now, I don't take that certification very seriously--

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