I really think MLC takes the pain element of this to another level. If you have no spiritual foundation or strong sense of self--which of course you wouldn't if you didn't have some validation/support as a child--then, I can see the pain being all-consuming.
Honestly, from what I've read here and elsewhere...the pain and fear is so utterly devastating that it creates a fight or flight response on the part of the MLC-er. Not to discount the damage done, but I'm not sure we, LBS-er's, have a clear understanding of how much pain they are in...
"You know, it's times like these when I realize what a superhero I am." Tony Stark/Iron Man
“Focus on what you can do, then do it with all your heart.” Lois Wilson