Reformulating Psychological Difficulties in People with Parkinson’s Disease: The Potential of a Social Relational Approach to Disablism
Open accessAbstract
Research investigating the psychological difficulties experienced by people with Parkinson's disease (PD) is dominated by individualistic neurobiological and psychological perspectives. Therefore, this opinion paper draws on a reformulation of the social model of disability, Thomas' (1999) and (2007) social relational approach to disablism, to offer an alternative way of conceptualising psychological difficulties experienced by people with PD. This opinion paper explores the ways in which socially imposed restrictions and stigma may contribute to psychological difficulties by using Thomas' (2007) concept of psychoemotional disablism. By using the lens of psychoemotional disablism, this paper demonstrates that people with PD can be exposed to stigmatising attitudes and interactions which could contribute to restrictions, feelings of shame, and psychological difficulties such as depression. Accordingly, it is argued that further attention to the link between psychological difficulties and social dimensions of disablism in PD is needed in both research arenas and clinical practice to broaden understandings and interventions for people with PD.
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People with PD can experience a wide range of psychological difficulties, including anxiety, depression, apathy, impulse control disorders, and more rarely psychosis.
“people with PD can experience a wide range of psychological difficulties, including anxiety, depression, apathy, impulse control disorders, and more rarely psychosis (ffytche et al., 2017; Simpson, McMillan, & Reeve, 2013).”
From Psychological interventions for people with Parkinson's disease in the early 2020s: Where do we stand? (2021) · cites this paper as Simpson, McMillan, & Reeve, 2013
The Introduction lists depression, anxiety, apathy, psychosis, and problems with impulse control as psychological difficulties people with PD can experience. It does not say that psychosis is rarer than the other difficulties, so the frequency qualifier is unsupported by this source. (LLM, conf=0.88)
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“People with Parkinson’s (PwP) frequently experience psychological distress, including anxiety, depression, and apathy (Simpson et al., 2013).”
- Authors
- Simpson, J., McMillan, H., & Reeve, D.
- Affiliations
- Lancaster University (GB)
- Pennine Care NHS Foundation Trust (GB)
- Corresponding author
- Simpson, Jane
- Venue
- Parkinson's Disease
- Publisher
- Wiley
- Published
- 2013
- Volume
- 2013
- Pages
- 1-8
- ISSN
- 2042-0080 (ISSN-L)
- 2090-8083
- PMC
- PMC3755389
- OpenAlex
- W2009755208
- Cited by
- 56
- References
- 56
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 6 · 2020: 6 · 2019: 4 · 2018: 2 · 2017: 6 · 2016: 10 · 2015: 2 · 2014: 2
- FWCI
- 12.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Parkinson s Disease (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lancaster EPrints (Lancaster University) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Safety Research › Disability Rights and Representation
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- psychological difficulties, social model of disability, stigma, shame, depression, social restrictions
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