Sarah Anne Johnson interviews Amy Bloom in Conversations with American Women Writers:
Q: You often use humor to diffuse an emotionally intense situation, and at the same time to create pathos, or a sense of the real sadness underlying the attempt at humor and the need for humor in a given situation. For instance, in "Silver Water," the scenes with the therapists, especially Big Nut, are funny in spite of the gravity of the situation. Are you aware of this as you work, or does it just come out at certain times? How does humor work in your fiction?
A: I don't see that much as diffusing the sadness of the situation. There is humor in grief. Funny things happen in hospitals. That's just how it is. I don't think that life is composed of sad moments, which are sad, in which bad things have happened to good people, and happy moments, in which good things have happened to good people. So for me, there being humor in the midst of difficulty and pain is not an attempt to either lighten the pain, or change the focus, or make a comment on it. It's the way it is. To me it's no different than the idea that there are both flowers and weeds in the garden. I don't feel like if I see weeds in the garden, I think, That's an interesting comment on the flowers. I think, That'd be because it's a garden.