@Elena - that's definitely the most obvious interpretation for the ace of cups + 10 of rods, but it doesn't seem to fit the situation, which is why I went for an unusual interpretation.
@LeFou - I used the RWS! I only bought it recently, but it's quickly becoming my favorite deck. You're sacrament and guilt interpretation is *very* interesting. The person used to be Catholic but not anymore, but you know how one's religious upbringing lingers even if you've rationally chosen to eschew religion. And the guilt/shame/burden thing does make sense. So based on this interpretation, the most important thing for the person is salvation? Forgiveness? An indulgence? Could be! Although if that is the case, I am sad that the Catholic ethos and its associated shame and guilt are so deeply entrenched in this person's mind that they feel this way. Breaks my heart, really.
When I first saw the Ace of Cups, the first thing that came to mind was the obvious interpretation + confusion because it didn't seem to make sense. Once I drew the clarification card, the first thing that came to mind was children.
I do think my intuition is right because the three of cups showed up elsewhere in the spread as a clarification card, and at first I thought it meant the person chose a certain option because he had a group of friends who all chose that option so they had the emotional support/joy of working together towards a common goal. But last night when I was thinking about the reading, hours later, I suddenly realized that the three of cups represented the person's three children. If you looked at the spread, it would become clear that the entire spread was about family.
@rwcarter - The cards were part of a larger spread.
@Barleywine - Kids are already existing. Highly unlikely to have more due to circumstances + the person's age.