skip to main content
10.1145/2145204.2145324acmconferencesArticle/Chapter ViewAbstractPublication PagescscwConference Proceedingsconference-collections
research-article

Impression management work: how seniors with chronic pain address disruptions in their interactions

Published:11 February 2012Publication History

ABSTRACT

Chronic pain is an illness that affects nearly a third of senior citizens. Uncontrolled chronic pain can manifest constantly and/or intermittently, and can disrupt seniors' ability to plan or to maintain synchronous and scheduled contact with others. Such disruptions can expose seniors to stigma from others who do not understand this illness, social isolation, and a range of challenges to their social autonomy. We present results from an interview study of 27 seniors with chronic pain exploring how they mitigate and manage these disruptions in their lives. Drawing on Goffman's theory of impression management, we found that participants invested significant effort into controlling both the context of interactions and others' expectations, in order to mitigate the potential negative social consequences of disruptions. In performing this work, seniors were selective about what information they revealed to others about their chronic pain and availability. Given such efforts, seniors with chronic pain have unique needs for technologies to support their social interactions.

References

  1. Aarhus, R. & Ballegaard, S. A. Negotiating Boundaries: Managing Disease at Home. In Proc. ACM CHI (2010), 1223--1232. Google ScholarGoogle ScholarDigital LibraryDigital Library
  2. Aoki, P. and Woodruff, A. Making space for stories: ambiguity in the design of personal communication systems. In Proc. ACM CHI (2005), 181--190. Google ScholarGoogle ScholarDigital LibraryDigital Library
  3. Birnholtz, J. & Jones-Rounds, M. Independence and Interaction: Understanding Seniors' Privacy and Awareness Needs for Aging in Place. In Proc. ACM CHI (2010), 143--152. Google ScholarGoogle ScholarDigital LibraryDigital Library
  4. Birnholtz, J., Schultz, J., Lepage, M. and Gutwin, C. A Framework for Supporting Joint Interpersonal Attention Management in Distributed Groups. To appear in Proc. Interact (2011), Google ScholarGoogle ScholarDigital LibraryDigital Library
  5. Brown, P. and Levinson, S. Politeness: Some universals in language usage. Cambridge U. Press, Cambridge, UK, 1987.Google ScholarGoogle ScholarCross RefCross Ref
  6. Cacioppo, J. T. & Patrick, W. Loneliness: Human nature and the need for social connection. Norton, New York, NY, 2008.Google ScholarGoogle Scholar
  7. Chen, Y. Health Information Use in Chronic Care Cycles. In Proc. ACM CSCW (2011), 485--488. Google ScholarGoogle ScholarDigital LibraryDigital Library
  8. Clarke, K. A. and Iphofen, R. A phenomenological hermeneutic study into unseen chronic pain. British Journal of Nursing, 17, 10 (2008), 658--663.Google ScholarGoogle ScholarCross RefCross Ref
  9. Davis, S. Vancouver Coastal Health Regional Pain Strategy Community Engagement Report, January 2007. http://www.vch.ca/get_involved/community_engagement/reports/2007_reports/Google ScholarGoogle Scholar
  10. Eccleston C. and Crombez G. Pain demands attention: a cognitive-affective model of the interruptive function of pain. Psychological Bulletin, 125, (1999), 356--66.Google ScholarGoogle ScholarCross RefCross Ref
  11. Elliott, A. M., Smith, B. H., Penny, K. I., Smith, W. C., Chambers, W. A. The epidemiology of chronic pain in the community. The Lancet, 354, 9, (1999): 1248--1252.Google ScholarGoogle ScholarCross RefCross Ref
  12. Gatchel, R. J, Bo Peng, Y., Fuchs, P. N., and Turk, D. C. The Biopsychosocial Approach to Chronic Pain: Scientific Advances and Future Directions. Psychological Bulletin, 133, 4 (2007), 581--624.Google ScholarGoogle ScholarCross RefCross Ref
  13. Goffman, E. The Presentation of Self in Everyday Life. Harmondsworth, Penguin, 1959.Google ScholarGoogle Scholar
  14. Gromala, D., Song, M., Yim, J. D., Fox, T., Barnes, S., Nazemi, M., Shaw, C., Squire, P. Immersive VR: A Non-pharmacological Analgesic for Chronic Pain? In Proc. ACM CHI (2011), 1171--1176. Google ScholarGoogle ScholarDigital LibraryDigital Library
  15. Hancock, J. T., Birnholtz, J., Bazarova, N., Guillory, J., Perlin, J. and Amos, B. Butler lies: awareness, deception and design. In Proc. ACM CHI (2009), 517--526. Google ScholarGoogle ScholarDigital LibraryDigital Library
  16. Hoffman, H. G., Richards, T. L., Van Oostrom, T., Coda, B. A., Jensen, M. P., Blough, D. K., Sharar, S. R. The analgesic effects of opioids and immersive virtual reality distraction: evidence from subjective and functional brain imaging assessments. Anesthesia and Analgesia, 105, (2007), 1776--1783.Google ScholarGoogle ScholarCross RefCross Ref
  17. Jakobsson, U., Hallberg, I. R., Westergren, A. Overall and health related quality of life among the oldest old in pain. Quality of Life Research. 13, (2005), 125--136.Google ScholarGoogle ScholarCross RefCross Ref
  18. Judge, T. K., Neustaedter, C., and Kurtz, A. F. The Family Window: The Design and Evaluation of a Domestic Media Space. In Proc. ACM CHI (2010), 2361--2370. Google ScholarGoogle ScholarDigital LibraryDigital Library
  19. International Association for the Study of Pain. Declaration of Montréal. http://www.iasp-pain.org/Content/NavigationMenu/InternationalPainSummit/DeclarationofMontreal/default.htmGoogle ScholarGoogle Scholar
  20. Miles, A., Curran, H. V., Pearce, S., Allan, L. Managing constraint: the experience of people with chronic pain. Social Science & Medicine 61, (2005), 431--441.Google ScholarGoogle ScholarCross RefCross Ref
  21. Mynatt, E. D., Essa, I. and Rogers, W. A. Increasing the opportunities for aging in place. In Proc. ACM Conference on Universal Usability (2000), 65--71. Google ScholarGoogle ScholarDigital LibraryDigital Library
  22. Mynatt, E., Rowan, J., Jacobs, A., Craighill, S. Digital Family Portraits: Supporting Peace of Mind for Extended Family Members, In Proc. ACM CHI (2001), 333--340. Google ScholarGoogle ScholarDigital LibraryDigital Library
  23. Newell, A. F. and Gregor, P. Design for older and disabled people - where do we go from here? Universal Access Information Society, 2, (2002), 3--7.Google ScholarGoogle ScholarCross RefCross Ref
  24. Ramage-Morin, P. L. Chronic pain in Canadian Seniors. Statistics Canada Catalogue no. 82-003-X Health Reports. (2008), 1--17.Google ScholarGoogle Scholar
  25. Riche, Y., & MacKay, W. PeerCare: Supporting Awareness of Rhythms and Routines for Better Aging in Place. In Proc. ACM CSCW, (2010), 19, 73--104. Google ScholarGoogle ScholarDigital LibraryDigital Library
  26. Rogers, W. A. and Mynatt, E. D. How can technology contribute to the quality of life of older adults? In M. E. Mitchell, ed. The technology of humanity: can technology contribute to the quality of life? Illinois Institute of Technology, Chicago, IL, 2003.Google ScholarGoogle Scholar
  27. Romero, N., Markopoulos, P., van Baren, J., de Ruyter, B., IJsselsteij, W. and Farshchian, B. Connecting the family with awareness systems. Personal and Ubiquitous Computing, 11, (2007), 299--312. Google ScholarGoogle ScholarDigital LibraryDigital Library
  28. Star, S. L. & Bowker, G. C. Enacting silence: Residual categories as a challenge for ethics, information systems, and communication. Ethics and Information Technology, 9, (2007), 273--280. Google ScholarGoogle ScholarDigital LibraryDigital Library
  29. Strauss, A., & Corbin, J. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Los Angeles, California: Sage, 2008.Google ScholarGoogle Scholar
  30. Thomas, S. P. & Johnson, M. A phenomenologic study of chronic Pain. Western Journal of Nursing Research, 22, 6, (2000), 683--705.Google ScholarGoogle Scholar
  31. Watts, R. J. Politeness. Cambridge U. Press, Cambridge, UK, 2003.Google ScholarGoogle Scholar
  32. Werner, A. & Malterud, K. It is hard work behaving as a credible patient: encounters between women with chronic pain and their doctors. Social Science & Medicine (2003), 1409--1419.Google ScholarGoogle Scholar

Index Terms

  1. Impression management work: how seniors with chronic pain address disruptions in their interactions

    Recommendations

    Comments

    Login options

    Check if you have access through your login credentials or your institution to get full access on this article.

    Sign in
    • Published in

      cover image ACM Conferences
      CSCW '12: Proceedings of the ACM 2012 conference on Computer Supported Cooperative Work
      February 2012
      1460 pages
      ISBN:9781450310864
      DOI:10.1145/2145204

      Copyright © 2012 ACM

      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      • Published: 11 February 2012

      Permissions

      Request permissions about this article.

      Request Permissions

      Check for updates

      Qualifiers

      • research-article

      Acceptance Rates

      CSCW '12 Paper Acceptance Rate164of415submissions,40%Overall Acceptance Rate2,235of8,521submissions,26%

      Upcoming Conference

      CSCW '24

    PDF Format

    View or Download as a PDF file.

    PDF

    eReader

    View online with eReader.

    eReader