“…For persons living with a chronic disease maintaining open relationships with others and the environment can be challenging (Haggman-Laitila, 1997;Thorne & Paterson, 1998). This is especially true for those persons with rheumatoid arthritis (RA), a painful and sometimes debilitating condition (Bath et al, 1999;Brown & Williams, 1995;Ryan, 1996). The variable nature of RA, with its characteristic symptom flares (Skinner, 1999), has an impact on daily activities including work, social, and recreational participation, family relationships, and self-perceptions (Affleck, Pfeiffer, Tennen, & Fifield, 1987;Le Gallez, 1993).…”