About the attachment disorder thing. I was thinking on the way home about what I know about it from the inside. This is what came up.
From my experience with it on the inside, people with this disorder are absolutely, positively, 100% convinced that no living thing would give a single wit if they died. Their very deaths would have absolutely no impact on anyone. They believe they have as much value as animal road-kill, that the people around them would go on as if nothing happened. Therefore, this becomes the imperative – they must take care of themselves! They live this way because they think their very lives depend on it. This belief probably started from infancy in the crib when their minds were soft and their cries were left unanswered, or worse – met with violence. They hardened inside to survive and these convictions became ingrained in steel.