One of the most important elements of the character of men is his laugh. The movie takes a very interesting approach to this aspect with Arthur's laugh being a condition he suffers from which he has no control over.
The condition is a real one that people do suffer from, and it also serves as a fascinating way of re-examining the iconic character. Arthur seems pained when he laughs, and it further alienates him from people. The card he carries around with him that explains his condition is a sad look at a tortured man.
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