This paper presents data from interviews with seven people with dementia and twenty six carers in the United Kingdom, to explore impression management in couples living with dementia. Participants with dementia typically preferred to conceal their diagnoses and acted accordingly, but progressive decline precluded perpetual concealment. Participants therefore gradually switched to a second type of management, displaying their impairments in specific ways to encourage favorable impressions. Cognitive inequities, and the prescriptiveness of diagnosis and care, granted carers increasing power over the presentation of selves. Such inequity is potentially problematic because cultural and institutional concerns can promote conflicting preferences within couples. The shifting distribution of self is hence bound up with structural constraints. A video abstract is available at https://tinyurl.com/y3mj4d9f.

中文翻译：

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分散的自我：痴呆症患者印象管理的不平等转移

本文介绍了来自英国7位痴呆症患者和26位护理人员的访谈数据，以探讨痴呆症患者的印象管理。患有痴呆症的参与者通常更愿意隐瞒自己的诊断并采取相应的行动，但进行性下降会阻止永久隐匿。因此，参与者逐渐转向第二种管理方式，以特定方式显示其缺陷以鼓励良好的印象。认知上的不平等，以及诊断和护理的规范性，使看护者对自我表达的能力增强。这种不平等可能会带来问题，因为文化和制度上的关注会促进夫妻之间的偏好冲突。因此，自我的转移分布受到结构约束的约束。