‘Caring for Him Makes Me More Sensitive, like a Kind of Prayer’: Intimate Physical Care for Aging Family Members with Intellectual and Developmental Disabilities in Religious Muslim and Ultra-Orthodox Jewish Societies

This study explores social dynamics of aging family members providing intimate physical care to relatives with intellectual and developmental disabilities (IDD) in ultra-Orthodox Jewish and Arab communities in Israel. In-depth interviews with 16 family caregivers revealed three key themes: (1) intimate care as an expression of family honor and collective responsibility, (2) caregiving as a socio-religious duty, and (3) care as a catalyst for social cohesion and spiritual growth. Despite broader societal tensions, the research uncovered striking similarities in caregiving experiences and community attitudes across both groups, particularly regarding intimate physical care. It illuminates how deeply embedded social and religious values shape caregiving narratives and practices. The findings emphasize the need for culturally sensitive, community-based support services that align with local norms while fostering inter-community dialog. This study contributes to a nuanced understanding of caregiving dynamics in diverse religious contexts, potentially informing the development of more inclusive care models.