15/09/2022
NERVOUS LAUGHTER
Nervous Laughter is known in Psychology as Incongruous Laughter – it is subconsciously stimulated laughter that occurs in situations where the patient is anxious rather than amused.
CAUSES AND CHRACTERISTICS
Laughter in humans is a very primal instinct that arose as a mechanism of mutual reassurance. For example, someone banging their head indoors often evokes laughter. The laughter is a mutual signal of agreement that the incident is not serious. Similarly, someone making a fool of themselves or being made to look a fool evokes laughter that signals that the person and/or situation is not a threat. Ridiculous, farcical or surreal situations are also amusing because they are unusual but non-threatening. Laughter is a subconscious mechanism that does not require processing or conscious thought.
In some people however, feeling genuinely threatened or vulnerable will trigger the same response in situations where the patient can neither eliminate or overpower the threat nor flee. It is as such a variant of the “freeze” mechanism, but instead of a paralysis to disinterest a predator, it is an attempt to placate a human threat by suggesting that the situation is not serious.
Nervous laughter is an example of a MALADAPTIVE RESPONSE, i.e. a response that is counterproductive, making a situation worse rather than better. As such it is analogous to an allergy, where the body responds in a self-destructive way to a chemical. Rather than placating others, nervous laughter irritates or enrages them, sending the signal that the patient is inappropriate, rude or contemptuous. Like an allergy, the response is automatic and beyond the conscious control of the patient. In such situations, the patient is fixated on their own anxiety, and as such is often unaware of even making the laughter response, let alone having the ability to control it.
TREATMENT
In the first stage of treatment, the patient needs to believe they are behaving in a counterproductive manner, through such mechanisms as multiple witnesses or video evidence. The patient must then consent to a regime of training over time.
In the second stage, the cue (or trigger) must be identified. There can be multiple cues in a highly anxious person. These can range from being confronted to simply unfamiliar company or situations. All cues must be identified.
In the third stage the patient learns to recognise how they feel when the laughter is triggered, and give it a name. This can be things like scared, upset, nervous, lonely and angry. Once thoroughly familiar with the emotions triggering the laughter, and the cues triggering the emotions, the patient is ready to learn a counter-response.
In the fourth stage, the patient has regular self-training exercises where they evoke the triggering emotions from memory then practice a counter response. There are many possible counter-responses, and it is a question of trial and error for the patient to determine the counter-response most effective for them. Once decided upon, frequent and ongoing repetition is required for it to supplant laughter as the automatic response.
POTENTIAL COUNTER-RESPONSES
• Deep (or diaphragmatic) breathing;
• Counting (to 3, 10, 30, etc.—and you could try this simultaneous with your slowed-down breathing);
• Yoga, or other practices or disciplines;
• Strenuous exercise regimens or workouts;
• Mindfulness meditation (frequently regarded as enhancing emotional regulation);
• Chanting, or repeating selective musical phrases (a kind of singing meditation);
• Improving your social skills in general, and your assertiveness skills in particular (so you’ll have better resources for dealing with difficult interpersonal situations);
• Listening with empathy (for actively connecting with another’s emotional experience helps you separate from nervous feelings);
• Confiding in a good friend (if you have auditory blind spots, not noticing when you’re engaging in this worrisome habit, enlist the understanding, support, and guidance of someone willing to offer feedback);
• Grounding yourself by mindfully focusing on (1) moment-to-moment bodily sensations, (2) objects surrounding you—their name, size, color, etc., or (3) rudimentary facts about yourself—your age, height, schools you went to, jobs held, etc.