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These relationships were described frequently as being in decline and ‘social fragmentation’ (the absence of a doctor and/or social worker for ‘low-status’ patients) was proposed by the inpatient care coordinator as a future cause of ‘social division’. In contrast, the patient’s physical autonomy and bodily experience was not discussed as problematic. There was an anxiety about patients’ refusal to eat, particularly during restraint (falling asleep repeatedly).

This suggests that person-centredness as an idea was probably not being expressed, or perhaps, was not present in the discourse of the psychiatrist, the patient, or the in-patient care coordinator. d2c66b5586