Leadership is an influence relationship through which the carer and loved one share a mutual vision to which they are individually and jointly committed. Influence is within each other through reflective internal communication with ourselves and, at key times, with each other. At virtually all times, for the carer, it is for the other. Self-leadership may be defined as the fulfilment of self-responsibility for framing the carer’s and loved one’s mutual vision with the consequent setting of goals and processes to realise this vision throughout the inevitable journey.