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Get Map And Direction for Patients who perceived their caregivers' actions as unhelpful have been found to have more negative perceptions of themselves and their spouses, and greater depression Clark and Stephens . Although helpful actions have generally been shown to occur more frequently than unhelpful actions, unhelpful actions appear to have a more strongly negative effect on wellbeing than helpful actions have a positive effect e.g. Norris et al Additionally, over-caring or being overly helpful and solicitous e.g. taking over a person's chores, encouraging them to rest can act as a form of operant conditioning in which patients are rewarded for exhibiting sick role' behaviour see Chapter For example, among a sample of patients with chronic fatigue syndrome and their significant other, over-helped' care recipients exhibited greater fatigue and pain than those receiving punishing e.g. Get Map And Direction 2016.