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find it 334-335. Moreover, Maslow adds “people who have received only a little amount of love have strong needs for affection and acceptance than do people
who have received either a healthy amount of love or no love at all.” 282. Anna
files the lawsuit because she is motivated to get her mother’s attention and affection. Anna hopes that through sending the lawsuit, her mother will see her
problem seriously. She wants her mother understand her needs. Therefore, when her mother states that they will fix anything wrong, she is willing to continue in
helping Kate. “My mother holds me tighter. ‘We walk to the judge, and explain it. We can fix this, ‘she says. ‘We can fix everything,’ and because those words are
really all I’ve ever wanted to hear, I nod.” 57. Anna thinks that what is meant by ‘fix anything’ is that her mother will fulfill her love need.
From the mother’s action and reaction on Anna, it can be derived that Anna does not get enough attention and affection from her mother. Anna is
getting sick of the condition. She wants to be equally loved by her parents, especially her mother. She wants to fulfill her lovebelonging needs.
Everybody needs love and to be loved by other. It is like what is stated by Petri, he says that human needs to feel the sense of belonging by small or large
social group family, collegues, religious group, etc 305. Therefore, Anna is motivated to get her mother’s attention and affection.
b. To Avoid the Pain During the HarvestOrgan Donation
Anna was born to prepare the umbilical cord for her sister. A moment after she is born, her umbilical cord is taken directly. It is painless for Anna. Moreover,
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she does not even aware of it. However, after several years, she has to give another help for Kate. She has to donor lymphocytes, bone marrow, granulocytes,
and peripheral blood stem cells. Although she is just thirteen, she has undergone innumerable surgeries to donate those needs.
“The first time I gave something to my sister, it was cord blood, and I was a newborn. She has leukemia – APL – and my cells put her into
remission. The next time she relapsed, I was five and I had lymphocytes drawn from me, three times over, because the doctor never seemed to
get enough of them the first time around. When that stopped working, they took bone marrow for a transplant. When Kate got infections, I had
to donate granulocytes. When she relapsed again, I had to donate peripheral blood stem cells.” 20
When Anna had to donate the lymphocytes, she is just five. Her blood is drawn from the crook of her arms. At that time, she does not know that her blood
will be taken from her. The nurse holds her so that she will not squirm around. A little compulsion happens there. After being taken her lymphocytes, she gets the
side effects. She gets some bruising and some tenderness. For a little girl like Anna it is painful. Unfortunately, she has to experience another pain when the
lymphocytes are taken, does not enough yet. A month later after the first drawing, she has to face the same needle, the same action and the same pain. Even, she has
to experience the same pain for the third time because to get all the lymphocytes, it takes that long.
When Anna is six, once again, she has to face a medical treatment because her sister gets infection. She has to provide granulocytes to fight Kate’s infection.
Again, she has to face the painful process, needle and bruises. The harvest to her body does not stop yet. She has to donate bone marrow. The process is not as
simple as the previous treatment. She gets fifteen needles stick into her bone.
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Moreover, she is given the analgesic so that she will not get hurt. “She was put under general anesthesia because she was so young, and needles were put into the
crest of her hips to draw out the marrow.” 289 The treatment by giving the analgesic is not safe for children. The
anesthesia involves potential risks, from the simplest risk until the highest risk. As what is stated by the doctor who is taking care for Anna, there are side effects in
using analgesic in the medical treatment. “These risks may include, but are not limited to: adverse drug reaction,
sore throat, injury to teeth and dental work, damage to vocal cords, respiratory problems, minor pain and discomfort, loss of sensation,
headache, infection, allergic reaction, awareness during general anesthesia, jaundice, bleeding, nerve injury, blood clot, heart attack, brain damage,
and even loss of body function or of life.” 324-325 When Anna donates her bone marrow, she is given the general anesthetic.
It is because Anna is still very young and it is to avoid the traumatic. There is no mistake on the procedure but Anna feels the side effects that come after the
donation process. It is painful. Moreover, at that time her mother feels that the medicine that is given to Anna still causes the pain. Therefore, she decides to give
more doses. The medicine helps to reduce the pain, but medically, it is not good for children in a very young age to be overmedicated.
Besides the pain and side effects, Anna needs to be hospitalized and shall medicate herself. It proves that Anna is not sick but she may as well. Every time
Kate is hospitalized, so she is. Unlike other common sick people who come to the hospital with unhealthy body and go home with a healthy body, Anna comes to
the hospital with healthy body but she goes home with unhealthy condition. Anna has undergone many medical treatments, not for her own sake but her sister’s.
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There is way too much to explain – my own blood seeping into my sister’s veins; the nurses holding me down to stick me for white cells Kate might
borrow; the doctor saying they didn’t get enough for the first time around. The bruises and the deep bone ache after I gave up my marrow; the shots
that sparked more stem cells in me, so that there’d be extra for my sister. The fact that I’m not sick, but I might as well be. 18
When Anna is thirteen, Kate goes into renal failure. It requires her to have a kidney transplant. Directly, her mother asks Anna to donate one of her kidney
for her sister, but Anna rejects it. She knows the consequences may happen in the kidney transplantation. She knows that kidney transplant is an invasive operation.
An invasive operation that she shall not have, an operation that is painful for her, an operation that will give variation side effects and an operation that will affect
her future. She imagines how her future life is going to be if she donates one of her kidney. She is just thirteen. It means that she is too young to undergo the
invasive operation. She imagines how to live with only one remaining kidney. What if someday when she is getting old and her only one kidney is broken, will
she dead? 326. Theoretically, kidney donation is a safe surgery. However, the process is
not simple. A night before the operation, someone shall fast and take laxative. In the operation process, someone is given anesthesia that may cause stroke, heart
attack and lungs problem as the possible risks. Moreover, after the surgical process, someone will be hospitalized for some days and it takes five to seven
weeks to be fully recovered. The possible risks that may occur after the donation are the increasing chance of hypertension and possible complications during
pregnancy. Therefore, it is forbidden for someone who only has a kidney to do the contact sport to protect the remaining kidney 48. Anna loves to do hard sport.
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She is one of hockey players. If she donates her kidney, she has to leave her hobby. Besides those reasons, Anna really wants to be medically emancipated as
soon as possible because if it is not stopped, it will never end. “‘When you complain because someone’s sticking a needle into you for
the tenth time, it’s considered standard operating procedure. All the adults look around with fake smiles and tells each other that no one voluntarily
asks for more needles.’ I blow my nose into a Kleenex. ‘The kidney – that’s just today. Tomorrow it’ll be something else. It’s always something
else.’” 86. Knowing the processes and the consequences, Anna is afraid to do the
process. She does not want to get hurt any longer, so she rejects the mother’s wish. It is liken what is stated by Maslow as cited in Gleitman, “…, people always
want to get away from something pain, hunger, sexual tension rather than to gain something positive” 732. Moreover, Anna is a child. A child is often motivated
by safety needs. It is like what is stated by Maslow, as cited in Feist and Feist “Children, however, are more often motivated by safety needs because they live
with such threats ….” 281. Safety needs is including physical security, stability, dependency, protection and freedom from threatening forces.
Anna’s pain during more than 13 years motivates her to do an action to stop it. She does not want to be hurt any longer. The treatment and the pain she
has experienced make her to lose the insecure feeling. Through this action, Anna expects to satisfy her safety needs.
c. To have her right back
