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Ideal models of care change over time. In the case of personal assistance services, the major actors are influenced by different ideals of social care work. This article is based on a survey among personal assistants in Norway, with a central finding that assistants emphasise, to various degrees, the ideal of caring rationality or a service orientation model The personal assistance scheme has many inbuilt dilemmas, such as user-control in contrast to co-determination of assistants, as well as continuity of help in contrast to continuity of relations. This article discusses whether matching assistants and users with mutual interests and similar expectations can help to reduce the inbuilt systemic dilemmas.