The loss of trust in caregivers (and eventually, others) is a hallmark of what Wilhelm Reich called the "Oral Character Structure," or the "Needy Child."

When a child experiences deep betrayal, often by primary caregivers, siblings, or teachers, they may develop what Wilhelm Reich termed the "Psychopathic Structure."

This Structure experiences deep internal conflict, where their natural impulses to assert themselves and express emotions are stifled by the need to conform.