On the unconscious needs underlying the relation between the ill and their caretakers.
One of the difficulties which lies at the basis of much possible conflict between the ill and caretakers is this. Most of us seem to unconsciously desire in our lives someone who will be there for us in the worst of times, those times where usually no one would want to be with us! For supposedly, this kind of thinking goes, everyone wants to be with you when you are rich and beautiful and young and powerful. One of the most dramatic examples of such a desire can be found in the work Like Water for Chocolate link where the youngest daughter cannot marry because tradition holds she MUST take care of her aging mother. Having many children is a way of assuring one’s future security.
And in this same vein, this is why marriage vows include for better and FOR WORSE. For, according to the “normal” way of seeing things, being there in the worst of times must be somehow enforced as NO ONE would want such a thing! This kind of thinking is highly distorted. However, one thing is true, being in those situation which include the “for worse” part, specially in the case of illness (but think also of the case of unemployment) does not usually mean that BOTH parties find themselves worse off. Usually when one person falls ill, the other does not; when one person is unemployed, the other is not.
When one of them actually falls ill, then the ill person actually might find —or at least he thinks he has found—- what he deeply desired, namely, someone who unconditionally loves him. But on the other hand, the caretaker finds something radically different, not only that someone does not care for him —for many caretakers are left alone to care for their loved ones—- but also deeply and unconsciously they come to realize that no one will be physically able to take care of them if they in fact become ill! This helps to understand the anger felt by the mother in Like Water for Chocolate. (Not to mention the meeting of other needs which will not be met, such as those regarding sexuality, the possibility of a family, ….)
The only path towards ameliorating the caretakers condition in this respect is for her to come to a clear understanding of how problematic such a deep desire for having another take care of her —–even when the situation does not involve illness— actually is. This holds true for the ill person herself as well. For we humans, as Aristophanes’ discourse in Plato’s Symposium tells with fine comic revelation, are deeply afraid of living a life of true self sufficiency, and by this I mean, primarily, a life of reflective self-sufficiency. In this respect, one can say that caretakers and the ill are in need of a serious reconsideration and understanding of those deep desires which in normal conditions remain constrained, but which in times of crisis come to the fore as they had never done so before. If unprepared for this appearance, the likelihood of growth in true and deep friendship under such circumstances is close to nil.
I think these reflections hold some of the central keys to understanding why it is that Aristotle ends his considerations on friendship —-–some of the most famous and powerful in the history of reflections on friendship—– with what appears to be a very strange question, namely: Do we need friends more in good fortune or in bad? (Nicomachean Ethics, IX, 1170a21) True happiness might include friends, but might point beyond our everyday distorted considerations of what friends are. And however that may turn out to be, one should and must be one’s own best friend.