 Carolyn McLeod focuses on medical contexts to elaborate how self-trust is necessary for autonomy. Consider Anna, who suffered a miscarriage at six weeks gestation and afterwards felt considerable emotional turmoil (McLeod 2002, 53). McLeod analyzes Anna’s sense of incompetence to articulate her emotions as in part a result of others’ lack of sympathy for her grief and corresponding failure to reinforce her feelings: “[O]ften women and their partners are pressured not to grieve after miscarriage because people tend not to view the fetus’s death as an event that warrants grief” (McLeod 2002, 53). Comments such as “it was a blessing in disguise” or “it could have been worse; you could have lost a baby” fail to “give uptake to [women’s] feelings” (McLeod 2002, 55). The attitudes of others affect agents’ sense of competence, self-worth, and self-trust. When these self-regarding attitudes are diminished, so is an agent’s autonomy.