The Evolution of a Clown in Service: Reflections on Therapeutic Clowning in Canada

Drawing on their experience as therapeutic clown practitioners, reflective practice facilitators, and trainers, the authors reflect thoughtfully on three key questions: What is the deeper nature of this relational practice called therapeutic clowning? Why are seasoned professional performers increasingly being drawn to this practice? What kinds of adaptations and considerations does a clown artist undertake to move from the world of theatre and performance to the world of health care and compassionate service? Beginning with a brief look at the evolution of therapeutic clowning in Canada and abroad, the authors turn to a deeper consideration of practices in pediatric, adult, and dementia-care settings. Child life and clown doctor pediatric models of therapeutic clown are delineated, as is the Elder-clown approach used by many practitioners working with older people in long-term care and community care. The authors emphasize the importance of reciprocity and co-created play between practitioner(s) and the people they serve and consider the role these play in bolstering resilience, vitality, and a sense of agency in the lives of vulnerable people in hospital and institutionalized care settings. The article also emphasizes that foundational clown training and performance experience alongside specialized training are crucial for therapeutic clown practitioners. Throughout, poignant vignettes illustrate and illuminate the complex, challenging, and rewarding dimensions of therapeutic clown practice.