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Tool 40 · Develop yourself

What is required, what is sustainable and who else must help?

A guided 20 to 24 minutes conversation, here in TAIU. This exercise assumes nothing about decline, makes no medical or legal judgements, and does not decide that you should be the carer.

A father in his late seventies putting his own coat on in the hallway of a Welsh bungalow while his daughter waits behind him

Does this make them safer, or you calmer?

Both are legitimate. They are not the same thing. It is worth knowing which one you are doing.

Have the conversation while it is still theoretical. It is a different conversation after a fall.

What you'll look at

  1. 01What you have observed
  2. 02What they have said
  3. 03What you are doing
  4. 04Who else is involved

A note from Mark

Mark Eve, founder of TAIU

Most of what is going on in these situations is anticipation. The parent is broadly fine. The adult child is managing five years ahead in their head. That is exhausting, and largely invisible to everybody else.

The question I would ask first is what your parent actually wants. A surprising number of these arrangements are built entirely on assumption. People plan around their parents for years without ever putting the question to them, usually to avoid a conversation everybody finds uncomfortable.

Then there is the difference between care and control. It is a genuinely hard line. Taking over the bills is kind. It is also one more thing somebody used to do for themselves. Both are true. The person losing the task feels it more than the person taking it on.

Read my full view ↓

And I would look at who else is involved. Almost every one of these situations is unevenly distributed, and the resentment that produces usually gets aimed at the parent rather than at the sibling who lives forty minutes away.

What you'll get

This will not sort you into a personality type.It will give you answers about your own life that you can test.

  1. 01

    Observed against feared

  2. 02

    What they want

  3. 03

    Care or control

  4. 04

    Distribution

  5. +

    Your TAIU handover: a summary of what the conversation found, written so you can take it with you.

See everything included ↓
  • 01What you came here with
  • 02What is actually happening
  • 03What they want
  • 04What they have asked for
  • 05What you are doing
  • 06Care or control
  • 07Who else is involved
  • 08What is urgent and what is anticipated
  • 09The rival reading
  • 10What deserves protecting
  • 11The credible alternative
  • 12What this exercise cannot decide
  • 13What remains unresolved
  • 14Where this goes next

What now?

  1. 01 · Save it

    What is actually happening, separated from what you fear.

  2. 02 · Test it

    Ask them directly what they would want if things changed. Then write down what they say.

See more ↓

What I would do

  1. 01

    Separate what has happened from what might. They need different responses.

  2. 02

    Ask them what they want. Most of these situations run on assumptions.

  3. 03

    Treat refusal as information rather than as an obstacle.

  4. 04

    Look at distribution before you look at effort.

  5. 05

    Notice where help makes you feel better and them feel smaller.

Test it

  1. 01

    What has actually happened, and what are you extrapolating?

  2. 02

    When did you last ask them what they want?

  3. 03

    Does this help make them safer, or make you calmer?

The alternative

The expected conclusion is that more help is needed. Two alternatives are frequently stronger. Doing more may make you feel safer while making them feel less independent, which is a real cost paid by somebody who has already lost a good deal of ground. And you may be treating this as a future problem when there is a practical conversation worth having now, while your parent is entirely able to say what they want and how they want it handled. Occasionally the finding is that they are managing, you are worrying, and the worry is the thing to attend to.

Think about this

  • What has actually changed, and roughly when.
  • What they have asked for, and what they have refused.
  • What you have taken over without discussing.
  • What you are afraid of, stated plainly.
  • What everybody else is currently carrying.

Take this to Ask Mark

You have done the exercise. Now look again at what it found.

This looks at what you found and helps you understand it. It is not another exercise to repeat.

Take this to Ask Mark →

Go a little further

TRY · 12 MIN

Care Without Disappearing

TAIU

Care that does not erase the person providing it.

Try it →
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LEARN · GUIDE

Help and advice for carers

Carers UK

Most people caring for a parent are entitled to more support than they have claimed.

Find out more ↗
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READ · BOOK

Being Mortal

Atul Gawande

Gawande on what people actually want at the end of life, which is usually not what their families are organising for them. Difficult and clarifying.

Read more ↗
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See all resources →

Recommended by the TAIU community

What helped you?

If you've read, watched, listened to or tried something that helped you think about this differently, we'd like to hear about it.

We review recommendations before sharing them with the community.

Finished the exercise?

What did this uncover?

Tell us whether it helped and what you discovered. It takes less than a minute.

A man in his late thirties pausing in the doorway of a Northern Irish family kitchen while his sister handles the washing up

Next tool

What does my family need from me

If the strain is spread across the whole family

Further thinking

  • Fault Lines

    Karl Pillemer

  • Relatives of the Impaired Elderly: Correlates of Feelings of Burden

    Steven Zarit

  • Being Mortal

    Atul Gawande

See the thinking ↓

Book

Fault Lines

Karl Pillemer

Pillemer's research on family estrangement and repair, based on interviews with hundreds of families rather than on theory.

Article

Relatives of the Impaired Elderly: Correlates of Feelings of Burden

Steven Zarit

The work behind the caregiver burden scale. It makes the load measurable, which matters when one person is quietly carrying most of it.

Book

Being Mortal

Atul Gawande

Gawande on what people actually want at the end of life, which is usually not what their families are organising for them. Difficult and clarifying.

Article

Socioemotional Selectivity Theory

Laura Carstensen

Why the relationships and goals we prioritise change as our sense of time changes. The finding worth having is that this tracks how much time a person believes is left rather than how old they are, which is why a shortened horizon at thirty produces the same narrowing as one at seventy.