This book aims to impart knowledge and alleviate fear. It helps to better understand people with dementia, who often do not do what we want them to do and may resist. The stubbornness of the elderly has its own history and can sometimes be quite humorous. Ulrich Fey explains the fundamentals of effective clown work and examines its potential in relation to dementia. It is an emotional non-fiction book, offering insights and analyses for professionals in nursing homes and care facilities, as well as for anyone wishing to work as clowns in this field. However, those affected and their caregiving relatives can also benefit from the unique perspective of a clown. The fourth updated and expanded edition includes an additional chapter on clown work during the COVID-19 pandemic and on prevention and risks associated with dementia.