“…Third, strong patient laughter is regarded as a welcomed and desirable expression of a positive patient-therapist relationship along the lines of warmth and acceptance, intimacy, and a reduction in emotional distance (e.g., Mindess, 1971Mindess, , 1976Narboe, 1981). This way of valuing strong patient laughter is found in approaches such as feelingexpressive therapy (Pierce et ai, 1983), provocative therapy (Farrelly & Brandsma, 1974), existential-humanistic therapy (Bugental, 1976), direct decision therapy (Greenwald, 1975), Gestalt therapy (Polster & Polster, 1973), and some psychoanalytic schools (e.g., Grotjahn, 1966;Rose, 1969;Rosenheim, 1974).…”