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Claudia Card's philosophical development indicates a shift in focus from the perspectives of ideal legislatures and the search for universal truth, to a focus on ethical issues as they pertain to interpersonal relationships and informal practices among individuals with particular ethnic, economic, religious backgrounds and sexual orientations. In her major work on lesbian philosophy, Lesbian Choices, Card treats the term 'lesbian' primarily as a quality, a modifier of experiences, rather than a noun naming a social identity. Feminist theory long ago exposed the socially constructed version of 'woman' as caregiver and nurturer. Men labelled these roles as 'natural' thereby implying 'unnaturalness' in some women's rejection of them. For women, the assumption that they must provide the care-giving in the family leads to social expectations that restrict their options and create disapproval for pursuing goals that do not include that of care provider.