Adrienne asked:

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Teresa Nasson I also picked this up, but I don't think that it was the way his family treated him, but rather the way he treated them (or his mother in particularly). In the book his mother tells Lou that they never shared a close relationship - even before the accident. That is a very real situation.
Jayna I think they realized that they did not have the power to persuade him to choose life.
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by Jojo Moyes (Goodreads Author)
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