Part II: Measurement of Rejection Sensitivity


Dr Downey goes on to discuss how Rejection Sensitivity is measured. Not surprising, individuals who have BPD have a high level of rejection sensitivity as a result of the anxious expectation and concern and the resulting sense of threat that is activated by certain situations. Why is this important? Because by understanding the  underlying reasons for the anger and rage that gets expressed by their BPD patients,  clinicians can become more validating and empathetic in their approach to treatment, and ultimately more effective at treating patients with BPD.




Emotional Dysregulation and an Invalidating Environment

Individuals with BPD know all to well how it feels.  Extreme sensitivity coupled with an invalidating environment = extreme reactions and a slow return to baseline. Our poster for May Awareness illustrates what it feels like. This poster was donated and we want to thank everyone who helped put it together.

It is also validating to have an expert like Dr. Miller, Psy.D. explain these symptoms of emotional dysregulation and comforting to know there are professionals who get it. Thank you Dr. Miller.

poster May awareness

Controversial and Accurate Discussion of Stigma

Ironically, it is clear that improving attitudes and behaviors of Clinicians surrounding BPD could potentially have the greatest and most positive impact on stigma.  A lack of understanding of the disorder or knowing how to treat people with BPD, has resulted in the use of derogatory terms and negative attitudes that have exacerbated stigma.

It is up to Clinicians themselves to undo the damage that has been done. These are compelling thoughts that can be potentially freeing and empowering for BPD patients and informative to Clinicians and Families.

Take a listen.