Being able to engage in satisfying and effective interpersonal interactions is an important component of health. Parkinson's disease (PD) is an example of a chronic illness that can make social interactions difficult and awkward. The aim of this study was to explore the nature of the challenges people with PD face during social occupations. Following a collective case study design, two men and one woman each participated in two qualitative interviews. Dramaturgical analysis of the interview data was conducted to offer insight into why some interactions are problematic. Elements seen in the stories of problematic encounters included a dramaturgical challenge created by PD symptoms, resulting discomfort or confusion, and the adoption of an attitude or action to surmount the challenge. Using dramaturgical analysis to explore the occupational form of social interactions can develop knowledge about the facilitation of social well-being.
BarrC.L., & KleckR.E. (1995). Self-other perception of the intensity of emotion: Do we know what we show?Journal of Personality and Social Psychology, 68, 608–618.
3.
BaumeisterR.F. (1982). A self-presentational view of social phenomena. Psychological Bulletin, 91, 3–26.
4.
BlumbergH.H. (1972). Communication of interpersonal evaluations. Journal of Personality and Social Psychology, 23, 157–162.
5.
BorodJ.C.WelkowitzJ.AlpertM.BrozgoldA.Z.MartinC.PeselowE., & DillerL. (1990). Parameters of emotional processing in neuropsychiatric disorders: Conceptual issues and a battery of tests. Journal of Communication Disorders, 23, 247–271.
6.
BrissettD., & EdgleyC. (1975). Introduction. In BrissettD. & EdgleyC. (Eds.), Life as theater: A dramaturgical sourcebook (pp. 1–8). Chicago: Aldine Publishing Company.
BuckR., & DuffyR.J. (1980). Nonverbal communication of affect in brain-damaged patients. Cortex, 16, 351–362.
9.
CharmazK. (1983). Loss of self: A fundamental form of suffering in the chronically ill. Sociology of Health and Illness, 5, 168–195.
10.
ChristiansenC.H. (1999). Defining lives: Occupation as identity: An essay on competence, coherence, and the creation of meaning—The 1999 Eleanor Clarke Slagle Lecture. American Journal of Occupational Therapy, 53, 547–558.
11.
ClarkF. (1993). Occupation embedded in a real life: Interweaving occupational science and occupational therapy. American Journal of Occupational Therapy, 47, 1067–1078.
12.
de BoerA.G.E.M.WijkerW.SpeelmanJ.D., & de HaesJ.C.J.M. (1996). Quality of life in patients with Parkinson's disease: Development of a questionnaire. Journal of Neurology, Neurosurgery, and Psychiatry, 61, 70–74.
13.
DePauloB.M. (1992). Nonverbal behavior and self-presentation. Psychological Bulletin, 111, 203–243.
14.
DePauloB.M., & BellK.L. (1996). Truth and investment: Lies are told to those who care. Journal of Personality and Social Psychology, 71, 703–716.
15.
DePauloB.M., & FriedmanH.S. (1998). Nonverbal communication. In GilbertD.T.FiskeS.T., & LindzeyG. (Eds.) The handbook of social psychology (4th ed., Vol. II, pp. 3–40). New York: McGraw-Hill.
16.
EdgleyC., & TurnerR.E. (1975). Masks and social relations: An essay on the sources and assumptions of dramaturgical social psychology. Humboldt Journal of Social Relations, 3, 5–12.
17.
FitzsimmonsB., & BuntingL.K. (1993). Parkinson's disease: Quality of life issues. Nursing Clinics of North America, 28, 807–819.
18.
FrazierL.D. (2000). Coping with disease-related stressors in Parkinson's disease. The Gerontologist, 40, 53–63.
GoffmanE. (1959). The presentation of self in everyday life. Garden City, NY: Doubleday/Anchor Books.
21.
GoffmanE. (1967). Interaction ritual. New York: Pantheon Books.
22.
HabermannB. (1996). Day-to-day demands of Parkinson's disease. Western Journal of Nursing Research, 18, 397–413.
23.
HareA.P. (1985). Social interaction as drama. Beverly Hills: Sage.
24.
JonesE.E., & PittmanT.S. (1982). Toward a general theory of strategic self-presentation. In SulsJ. (Ed.), Psychological perspectives on the self (Vol 1, pp. 231–262). Hillsdale, NJ: Erlbaum.
25.
KarlsenK.H.TandbergE.ArslandD., & LarsenJ.P. (2000). Health related quality of life in Parkinson's disease: A prospective longitudinal study. Journal of Neurology, Neurosurgery, and Psychiatry, 69, 584–589.
26.
KatsikitisM., & PilowskyI. (1988). A study of facial expression in Parkinson's disease using a novel microcomputer-based method. Journal of Neurology, Neurosurgery, and Psychiatry, 51, 362–366.
27.
KoplasP.A.GansH.B.WiselyM.P.KuchibhatlaM.CutsonT.M.GoldD.T.TaylorC.T., & SchenkmanM. (1999). Quality of life and Parkinson's disease. Journal of Gerontology, 54A, M197–M202.
LongstrethW.T.JrNelsonL.LindeM., & MunozD. (1992). Utility of the sickness impact profile in Parkinson's disease. Journal of Geriatric Psychiatry and Neurology, 5, 142–148.
30.
LosekeD.R., & CahillS.E. (1986). Actors in search of a character: Student social workers' quest for professional identity. Symbolic Interaction, 9, 245–258.
31.
ManningP. (1991). Drama as life: The significance of Goffman's changing use of the theatrical metaphor. Sociological Theory, 9, 70–86.
32.
MarrJ.A. (1991). The experience of living with Parkinson's disease. Journal of Neuroscience Nursing, 23, 325–329.
33.
MessingerS.L.SampsonH., & TowneR.D. (1975). Life as theater: Some notes on the dramaturgic approach to social reality. In BrissetD. & EdgleyC. (Eds.), Life as theater: A dramaturgical sourcebook (pp. 32–42). Chicago: Aldine Publishing Company.
34.
NelsonD.L. (1996). Therapeutic occupation: A definition. American Journal of Occupational Therapy, 50, 775–782.
35.
NelsonD.L. (1997). Why the profession of occupational therapy will flourish in the 21st century—The 1996 Eleanor Clark Slagle Lecture. American Journal of Occupational Therapy, 51, 11–24.
36.
NijhofG. (1995). Parkinson's disease as a problem of shame in public appearance. Sociology of Health and Illness, 17, 193–205.
37.
NijhofG. (1996). Uncertainty and lack of trust with Parkinson's disease. European Journal of Public Health, 6, 58–63.
38.
NisbettR., & RossL. (1980). Human inference: Strategies and shortcomings of social judgment. Englewood Cliffs, NJ: Prentice-Hall.
39.
PentlandB. (1991). Body language in Parkinson's disease. Behavioural Neurology, 4, 181–187.
40.
PentlandB.GrayJ.M.RiddleW.J.R., & PitcairnT.K. (1988). The effects of reduced non-verbal communication in Parkinson's disease. British Journal of Disorders of Communication, 23, 31–34.
41.
PentlandB.PitcairnT.K.GrayJ.M., & RiddleW.J.R. (1987). The effects of reduced expression in Parkinson's disease on impression formation by health professionals. Clinical Rehabilitation, 1, 307–313.
42.
PerkinG.D. (1998). An atlas of Parkinson's disease and related disorders. New York: The Parthenon Publishing Group.
43.
PinderR. (1988). Striking balances: Living with Parkinson's disease. In AndersonR. & BuryM. (Eds.), Living with chronic illness (pp. 67–88). London: Unwin Hyman Ltd.
44.
PitcairnT.K.ClemieS.GrayJ.M., & PentlandB. (1990). Non-verbal cues in the self-presentation of Parkinsonian patients. British Journal of Clinical Psychology, 29, 177–184.
SchlenkerB.R. (1985). Introduction: Foundations of the self in social life. In SchlenkerB.R. (Ed.), The self and social life (pp. 1–28). New York: McGraw-Hill.
47.
SchlenkerB.R., & WeigoldM.F. (1989). Goals and the self-identification process: Constructing desired identities. In PervinL. (Ed.), Goal concepts in personality and social psychology (pp. 243–290). Hillsdale, NJ: Erlbaum.
48.
SchlenkerB.R., & WeigoldM.F. (1992). Interpersonal processes involving impression regulation and management. Annual Review of Psychology, 43, 133–168.
49.
SchragA.JahanshahiM., & QuinnN. (2000). How does Parkinson's disease affect quality of life? A comparison with quality of life in the general population. Movement Disorders, 15, 1112–1118.
50.
SmithM.C.SmithM.K., & EllgringH. (1996). Spontaneous and posed facial expression in Parkinson's disease. Journal of the International Neuropsychological Society, 2, 383–391.
51.
SnowD.A.ZurcherL.A., & PetersR. (1981). Victory celebrations as theater: A dramaturgical approach to crowd behavior. Symbolic Interaction, 4, 21–42.
52.
SnyderM. (1987). Public appearances, private realities: The psychology of self-monitoring. New York City: WH Freeman.
53.
StakeR.E. (2000). Case studies. In DenzinN.K. & LincolnY.S. (Eds.), Handbook of qualitative research (2nd ed., pp. 435–454). Thousand Oaks, CA: Sage.
54.
SwannW.B.JrStein-SeroussiA., & McNultyS.E. (1992). Outcasts in a white-lie society: The enigmatic worlds of people with negative self-conceptions. Journal of Personality and Social Psychology, 62, 618–624.
55.
TewksburyR. (1994). A dramaturgical analysis of male strippers. Journal of Men's Studies, 2, 325–342.
56.
TurnerJ.H. (1991). The structure of sociological theory (5th ed.). Belmont, CA: Wadsworth Publishing Company.
57.
WilcockA.A. (1998). An occupational perspective on health. Thorofare, NJ: Slack Inc.
