Goal conflict when making decisions for others

Some of life's most important and difficult decisions are made on behalf of others. However, little is known about how goal conflict influences high-stakes decisions made on behalf of others. A nationally representative sample of U.S. healthcare providers (n = 502) read a statement presenting curative and palliative care goals as conflicting or complementary. We predicted and found that providers who received a goal conflict (vs. complementary) message perceived greater conflict, and rated palliative goals as less important. Providers who received a goal conflict (vs. complementarity) message also rated curative goals as less important. Moreover, there was an indirect link from goal conflict condition to willingness to provide palliative care, mediated by perceived goal conflict. A self-affirmation manipulation reduced providers' willingness to provide palliative care, but did not influence the effect of goal conflict on decision-making. Findings suggest that goal conflict is consequential for high-stakes decisions made for others, and that goal conflict (vs. complementarity) lowers importance of, and increases disengagement from, conflicting goals.