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Because rejection is painful, it can sensitize people to expect and be concerned about its recurrence. Geraldine Downey and colleagues have studied how people become sensitized to expect and fear rejection and how this sensitization shapes their relationships and well-being. Rejection sensitivity is defined as the disposition to anxiously expect, readily perceive, and intensely react to rejection. People who are high in rejection sensitivity (RS) are motivated to avoid rejection and make considerable efforts to prevent it when they perceive its prevention to be possible. When people perceive rejection to have occurred, they often react in hostile ways that elicit the rejection they fear. This entry traces the development and operation of the RS system and its personal and interpersonal implications.

The RS Measure

RS has a long history in psychodynamic psychiatry. Downey and colleagues describe rejection sensitivity in social-cognitive terms (i.e., in terms of the thoughts and emotions experienced in situations whether acceptance or rejection from someone important is possible). The Rejection Sensitivity Questionnaire (RSQ) measures individual differences in the level of threat that people experience in such situations. The RSQ presents a series of hypothetical situations in which people make a request of someone important to them (e.g., “You ask a friend to do a big favor”). Respondents then indicate their level of both (a) expectations of rejection (e.g., “I would [not] expect that he/she would want to do the favor”), and (b) concern or anxiety about the outcome (e.g., “How concerned or anxious would you be over whether or not your friend would want to do the favor?”). RS scores are calculated by multiplying the level of expectation of rejection by the level of anxiety/concern about it and then averaging those multiplied values across the situations. Someone deemed high in RS consistently expects rejection and feels anxious about the possibility of its occurrence. In contrast, someone deemed low in RS calmly expects acceptance. Because the particular situations that elicit rejection concerns vary by developmental stage, appropriate RSQs have been developed and validated for children, college-age students, and adults.

A Defensive Motivational System

There is considerable evidence that RS is a defensively motivated system that prepares the individual to response rapidly and intensely to learned cues of social danger. High- and low-RS individuals react differentially to rejection cues (i.e., angry faces, not being chosen for the team, or even rejection words) and acceptance cues (i.e., a smile, flattery, or even pictures of a positive social interaction). First, the attention of people high in RS is disrupted by rejection cues but not acceptance cues. Second, people high in RS show a lower threshold for detecting anger in static faces and for detecting rejection in video clips of individuals who are supposedly evaluating them. Third, people high in RS interpret negative or ambiguous social cues, such as cool and distant behavior, as intentionally and personally threatening. Fourth, RS is associated with extreme behavioral reactions to perceived rejection, such as hostile behavior, depression, and social withdrawal. When these take the form of hostility, they create the potential for a self-fulfilling prophecy.

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