Yet other scholars have noted features beyond power relationships that can affect autonomy. In addition to oppressive social environments, trauma (Brison 2001) and illness (Donchin 2000) can easily impair autonomy, as the body one has trusted to pursue one’s plans and projects is shown to be vulnerable, fragile, and unprotected. The relationship between trust and autonomy is further explored by McLeod (2002), who has presented a conception of self-trust within a feminist theoretical framework, thereby adding a new dimension to the reframing of personal autonomy as relational. Drawing her illustrations principally from reproductive contexts, she argues that encounters with healthcare providers can undermine a woman’s self-trust, thereby threatening her autonomy. Conversely, providers can respect patient autonomy by attending to their power to influence patients’ self-trust. Her conceptual innovations have been extended to further healthcare contexts (e.g., Goering 2009).