The Midheaven and the Nadir Axis lie opposite one another, therefore they are considered a single axis together. If one is aspected, so then, will the other.
Chiron can affect the public and the private. The interaction between family members therefore, will also be affected.
This aspect leads to anyone who is in the limelight a sense of liking some parts of the attention, whilst also very much hating some other parts.
Seeking approval, whilst hating the need to be approved.