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Care in Toronto's framework involves four steps: care about, taking care of, caregiving, and receiving care. It should also include tenderness, responsibilities, competence, and responsiveness. These steps and elements may integrate or conflict with each other, leading to moral dilemmas. In counseling, the roles of caregiver and care receiver can vary, raising moral questions. In the basic framework of care, Toronto suggests that care involves four steps, care about, taking care of, caregiving and receiving care. Care should also have tenderness, responsibilities, competence and responsiveness. The different steps and elements of care sometimes integrate or conflict with each other in different situations, which could arise a lot of moral dilemmas. In the counselling field, the role of caregiver and care receiver can differ with context, where moral questions could appear.