I’ve always thought that Esme has some sensory issues going on. Not that everything they say can be believed but I’ve noticed some similarities with her and my own child who has a sensory processing disorder. She doesn’t like certain clothes, finds them itchy or irritating. Has a fear of sick which might actually be the dirt that it creates and now they say she doesn’t like showering, neither does my son although he still does every other day even though it’s a fight I dread the entire day. As Esme isn’t able to express herself to her parents or explain how she is feeling and they are dumb and uncaring, they probably take it at face value and not question exactly what she is struggling with. Would also explain worry about using the toilet, my son hates going to the toilet because it’s messy and he fears what comes out of his own body never mind other peoples. I’m sure they also mentioned toilet refusal when she was younger and they were worried when Jason seemed constipated. This has also been a massive battle for us.