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Grounded in relational dialectics theory, this article reports a study exploring the influence of internal relational dialectic contradictions of women who are in the “Sandwich Generation,” or simultaneously providing some kind of care for generations of family both older and younger than them. Two hundred twenty-five female multi-generational caretakers (MGCs) reported their perceptions of the autonomy–connection, predictability–unpredictability, and openness–closedness of the relationship they have with an older adult for whom they provide care, as well as their current satisfaction level with this relationship. The data indicate communication between MGCs and their care recipient is more satisfying when the caretaker believes she has a high level of autonomy in the relationships and when there is a high level of openness within the relationships. These findings are interpreted using dialectic contradiction, change, and totality. This article also discusses practical implications of these findings for members of the Sandwich Generation.  相似文献   
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