Caregiving and role conflict distress
Open accessAbstract
When our nearest and dearest experience medical crises, we may need to step into caregiving roles. But in doing so, we may find that our new caregiving relationship is actually in tension with the loving relationship that motivated us towards care. What we owe and are entitled to as friends, spouses, and family members, can be different from what we owe and are entitled to as caregivers. For this reason, caregiving carries with it the risk of a type of moral distress that I call “role conflict distress.” Rather than view role conflict distress as a sign that we are falling short, I suggest that it actually speaks to the commitment that we have to the loving relationship that grounds our duty of care.
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Excelling as a caregiver can come at the cost of being a less attentive spouse, employee, friend, or family member.
“Excelling as a caregiver can come at the cost of being a less attentive spouse, employee, friend, or family member (25).”
From Caring alone: older adult care burdens, practices, and structural imbalances among China's one-child generation (2025) · cites this paper as [25]
The Introduction says that being a good friend, spouse, or family member can be in tension with the demands of caregiving. Section 2 likewise describes tradeoffs between caregiving obligations and loving relationships. The paper does not establish the claimed cost to one's attentiveness as an employee. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIn this context, China's only children face increasingly complex-and at times conflicting-roles.
“In this context, they face increasingly complex—and at times conflicting—roles (25, 26).”
From Caring alone: older adult care burdens, practices, and structural imbalances among China's one-child generation (2025) · cites this paper as [25]
The Introduction and Section 2 (page numbers unavailable) describe caregiving as involving multiple roles whose obligations can conflict. They do not address China's only children or establish that their roles are becoming increasingly complex. (LLM, conf=0.84)
Experimental — accuracy not yet measured
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References 16 · Cited by 9
Research works printed but not linked: 1
- Feinberg, L. F., & Spillman, B. C. (2019). Shifts in family caregiving-and a growing care gap. Generations, 43(1), 71-75.
- Authors
- MacKenzie, J.
- Affiliations
- Virginia Tech (US)
- Corresponding author
- MacKenzie, Jordan
- ORCID
- MacKenzie, Jordan
- Venue
- Clinical Ethics
- Publisher
- SAGE Publications
- Published
- 2023-12-27
- Volume
- 19
- Issue
- 2
- Pages
- 136-142
- ISSN
- 1477-7509 (ISSN-L)
- 1758-101X
- OpenAlex
- W4390343347
- Cited by
- 9
- References
- 16
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 1
- FWCI
- 3.20
- Type
- journal article
- Language
- en
- Open access
- green
- philarchive.org
- Locations
- Clinical Ethics (publishedVersion)
- PhilPapers (PhilPapers Foundation) (submittedVersion)
- Funders
- Virginia Tech PPE Fellowship
- Topics
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- caregiving, moral distress, duty of care, family caregiving, romantic relationships, friendship, moral commitment, caregiving relationships
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