The number one occupation in Italy, at least near the tourist attractions, is selfie-stick salesman. Those pests were everywhere, and often outnumbered the tourists. But one of the runner-up jobs is pretending to be a gnarly old lady. These Old Lady Men are especially plentiful around the Colosseum and the Forum.
The first one I saw looked way more pitiful than this. That guy had twisted his body into a question mark and held the chipped and dirty cup quivering only an inch off the ground. But the rest, like the guy shown here, were amatuers. Unlike some, this one was smart enough to cover his hands (others had young, smooth, obviously male hands spoiling the effect), but he's cheating with that cane contraption. Could that be Joe Lansdale under the hood? Only Joe knows.