Caring is usually seen as an unquestioned virtue. We admire the devoted partner, the endlessly patient friend, and the person who is always available in a crisis. But in adult relationships, caring can sometimes become more than a loving response to another person’s needs; it can become a relational pattern, a central way of organizing intimacy, identity, and self-worth. When this happens, it becomes a psychological role.

For many people, chronic caretaking begins early in life. In families where emotional needs were inconsistent,........

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