My sister who lives 20 minutes away from our folks, visits them about 2 or 3 times a YEAR (holidays). My Mom was recently in the hospital and my sister did visit her there, (last time she saw our Mom was July 2013). My sister was crying and did seem genuinely concerned. I do not understand how someone could not visit their folks for such a long time and offer no help, yet I did very much get the impression that she cares. My sister does not work, and clearly has her days free, but does have time to travel, etc. My sister is an intelligent woman, and she knows that I am upset with her for never helping out, and she knows that our folks are hurt emotionally that she rarely visits. I cannot understand my sister's thinking. Is it arrogance, laziness, selfishness or a personality disorder? Would love to hear stories about her sibling(s) lack of help?