The childs unmet dependency needs from chronic emotional deprivation, as well as the complete lack of other human alternatives in their environment, leaves the child stuck at an earlier emotional age, as they have not been able to continue their developmental progress in the absence of parental help and support. Thus the child may be 12, but emotionally and developmentally they may experience the world like a six-year-old, as their increasingly developmental needs force them to focus on the abuser, waiting for any hint of developmental support. The child becomes concerned for the abusers welfare because their developmental progress hinges upon on the whims, moods and emotional state of the abusive parent. In addition to the pressure from unmet developmental needs, the child is also aware of the potential danger that can emerge from the volatile and aggressive parent, and anything that they can do to placate, please or draw praise from the abuser increases their chance of survival. The neglected or abused childs utter helplessness and absolute dependency upon the goodwill of their parents prevents them from "seeing" or remembering those interpersonal events in which they have faced indifference or physical abuse, as this awareness would overwhelm them and submerge them in a torrent of dread. This feeling of dread is most often experienced as a massive abandonment panic during those moments when the child realizes that they are living in constant danger with no one to help them to survive.
Loin pain hematuria syndrome (LPHS) is the combination of debilitating unilateral or bilateral flank pain and microscopic or macroscopic amounts of blood in the urine that is otherwise unexplained.Loin pain-hematuria syndrome (LPHS) is a poorly defined disorder characterized by recurrent or persistent loin (flank) pain and hematuria that appears to represent glomerular bleeding. Most patients present with both manifestations, but some present with loin pain or hematuria alone. Pain episodes are rarely associated with low-grade fever and dysuria, but urinary tract infection is not present. The major causes of flank pain and hematuria, such as nephrolithiasis and blood clot, are typically not present. Renal arteriography may suggest focally impaired cortical perfusion, while renal biopsy may show interstitial fibrosis and arterial sclerosis.The pain is typically severe, and narcotic therapy is often prescribed as a way to manage chronic pain. Sleep can be difficult because the supine position increases pressure on the flank. The onset of pain is often associated with nausea and vomiting, making pain management by oral opiates complicated. Cause
The cause of LPHS is not known. One theory proposes that it is caused by a thin glomerular basement membrane and red blood cell (RBC) renal tubular congestion that leads to swelling of the kidney and distension of the renal fascia resulting in pain.Researchers have hypothesized that the syndrome may be due to blood vessel diseases of the kidney, spasms of the kidney vessels, or other bleeding disorders (coagulopathy). The hematuria in LPHS may be due to an abnormal (thick or thin) glomerular basement membrane.