Motivation and emotion/Book/2025/Rejection sensitivity

Rejection sensitivity:
What is rejection sensitivity and how does it impact behaviour and relationships?

Overview

Figure 1. The model of rejection sensitivity

Scenario

Sam's partner Riley came home and went straight to the kitchen without their usual spritely kiss hello. Sam started to think, "they're pulling away from me." When Riley quietly made dinner, Sam interpreted the silence as anger. "They must be upset at me" Sam concluded. During dinner, Riley mentioned feeling tired, which Sam heard as code for "tired of us." When Riley went to bed early, Sam stayed awake catastrophising about their relationship. The next morning, Riley mentioned they'd received difficult news about a family member's health and had been processing it quietly. Sam realised they had constructed an entire narrative of rejection from Riley's normal response to personal stress, rather than checking in to see if Riley was ok.

This chapter examines rejection sensitivity (RS), a psychological construct that describes individual differences in the tendency to anxiously expect, readily perceive, and intensely react to rejection cues in interpersonal situations (Downey and Feldman, 1996). Drawing from social-cognitive theory (Pietrzak et al., 2005) and attachment theory research (Baumeister and Vohs, 2007), this chapter explores how rejection sensitivity develops, its relationship with neurodivergence, how it manifests behaviourally, and impacts various life domains including romantic relationships, friendships, academic performance, and mental health. The chapter integrates theoretical frameworks like the RS model (Downey and Feldman, 1996), and empirical research to provide a comprehensive understanding of this psychological phenomenon and its implications for social functioning.

Focus questions

  • What is rejection sensitivity?
  • What is the relationship between rejection sensitivity and neurodivergence?
  • What are the implications of rejection sensitivity on behaviour?
  • What are the implications of rejection sensitivity on relationships?

Headings

  • Create three to six major headings tailored to the topic in between the standard Overview and Conclusion sections
  • Sub-headings for these sections can also be used, but:
    • avoid having sections with only one sub-heading
    • provide an introductory paragraph before breaking into sub-sections

For each heading/sub-heading:

Provide at least three bullet-points, including for the Overview and Conclusion

  • Include key citations

What is rejection sensitivity?

Definition

Rejection sensitivity (RS) is the disposition to anxiously expect, readily perceive, and intensely react to rejection (Downey et al., 2004)

Theory and history

  • Talk about attachment theory and how it manifests into insecure attachments (Baumeister and Vohs, 2007)
  • Horney's neurotic personality theory - (Sharma, 2015)
  • Rejection sensitivity model (Downey and Feldman, 1996, Mishra and Allen, 2023)
  • Social cognitive theory (Pietrzak et al., 2005)

Psychological mechanisms and aetiology

  • Cognitive-affective processing (Downey and Feldman, 1996)
  • Defensive motivational system (Baldwin, 2004)
  • Emotional regulation as a role of mediating RS responses. Talk about the differences between emotional (anger, anxiety, and cognitive (expectation) (Casini et al., 2022) Startle response and the defensive motivational system (Downey et al., 2004)
Antecedents
  • Talk about childhood teasing, history of attachments, rejections early in life (Butler et al., 2007)
  • Discuss the biopsychosocial factors (Zwolinski, 2008)
Symptoms
  • Anxious vs angry sensitivity (London et al., 2007) Impact on attention – social threat cues (Berenson et al., 2009)
  • Discuss a list of symptoms or create a table of symptoms and their presentations
Treatment
  • Therapeutic applications and statistical outcomes
  • Medication - Monoamine oxidase for pharmacological treatment (Dodson et al., 2024) Talk about emotional regulation strategies for therapy as a mediating tool for RS responses between cognition and emotion (Casini et al., 2022)

Rejection Sensitivity and neurodivergence

Rejection sensitivity and ADHD

  • ADHD and RSD show rejection sensitivity - (Dodson et al., 2024)
  • ADHD RSD in children and adolescents (Bondü and Esser, 2015)

Rejection sensitivity and Autism

Behavioural implications of rejection sensitivity

Maladaptive behaviours:

introduce behavioural implications and discuss research, include a quiz to match behaviours to presentations

Aggression, withdrawal, over compliance, victimisation, retribution

  • Relationship between aggression and rejection sensitivity (Gao et al., 2021)
  • Blame, retribution, anger, withdrawal (Zimmer-Gembeck et al., 2016)

Relational implications of rejection sensitivity

Interpersonal relationships

  • Anxious rejection expectation = higher social anxiety, angry rejection expectation = lower social anxiety + Stats on loneliness (London et al., 2007)
  • Rejection sensitivity as an interpersonal vulnerability (Baldwin, 2004)
  • implications in intimate relationships (Downey and Feldman, 1996, Mishra and Allen, 2023)
  • Rejection – hostility link – implications for romantic relationships (Romero‐Canyas et al., 2010)
  • Emotional regulation, maladaptive responses to rejection, results on relationships (Richter et al., 2024)

Social relationship implications

  • Social withdrawal, loneliness (Zimmer-Gembeck and Nesdale, 2013)
  • Social confidence and rejection intensity outcomes for social behaviours (Schaan et al., 2020) Supportive relationships for rejection sensitives (McDonald et al., 2010)

Professional relationships

Impact on students

Impact on work relationships

Figures

Figure 2. Example of an image with a descriptive caption.
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  • Cite each figure at least once in the main text (e.g., see Figure 2)

Learning features

Interactive learning features help to bring online book chapters to life and can be embedded throughout the chapter.

Scenarios
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Feature boxes
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    • Focus questions
    • Tips
    • Quiz questions
    • Take-home messages
Embedded links
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    • Wikipedia articles (e.g., "An early psychological view dreams) of dreams was provided by Sigmund Freud".)
    • Related book chapters (e.g., "If you're feeling stuck, check out the chapter about writer's block".)
Tables
  • Use to organise and summarise information
  • Tables should be captioned
  • Cite each table at least once in the main text (e.g., see Table 1)
  • Example 3 x 3 tables which could be adapted

Table 1. Descriptive Caption Which Explains The Table and its Relevant to the Text - Johari Window Model

Known to self Not known to self
Known to others Open area Blind spot
Not known to others Hidden area Unknown
Quizzes
  • Using one or two revision questions per major section is better than a long quiz at the end
  • Quiz conceptual understanding, rather than trivia
  1. The best quiz questions are about important information take-home messages
  • The best quiz questions are simple rather than hard
  • Different types of quiz questions are possible; see Quiz

Example simple quiz questions. Choose your answers and click "Submit":

Research shows that individuals high in rejection sensitivity tend to create self-fulfilling prophecies in their relationships by behaving in ways that actually lead to the rejection they fear:

True
False


Conclusion

  • The Conclusion is arguably the most important section
  • Suggested word count: 150 to 330 words
  • It should be possible for someone to only read the Overview and the Conclusion and still get a good idea of the problem and what is known based on psychological science

Suggestions for this section:

  • What is the answer to the sub-title question based on psychological theory and research?
  • What are the answers to the focus questions?
  • What are the practical, take-home messages? (Even for the topic development, have a go at the likely take-home message)

See also


Suggestions for this section:

  • Present in alphabetical order
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References

Baldwin, M. W. (2004). CH3 Rejection Sensitivity as an Interpersonal Vulnerability. In. Guilford Publications.

Baumeister, R., & Vohs, K. D. (2007). Encyclopedia of Social Psychology. SAGE Publications, Incorporated. http://ebookcentral.proquest.com/lib/canberra/detail.action?docID=996937

Berenson, K. R., Gyurak, A., Ayduk, Ö., Downey, G., Garner, M. J., Mogg, K., Bradley, B. P., & Pine, D. S. (2009). Rejection sensitivity and disruption of attention by social threat cues. Journal of Research in Personality, 43(6), 1064-1072. https://doi.org/https://doi.org/10.1016/j.jrp.2009.07.007

Bondü, R., & Esser, G. (2015). Justice and rejection sensitivity in children and adolescents with ADHD symptoms. European Child & Adolescent Psychiatry, 24(2), 185-198. https://doi.org/10.1007/s00787-014-0560-9

Butler, J. C., Doherty, M. S., & Potter, R. M. (2007). Social antecedents and consequences of interpersonal rejection sensitivity. Personality and Individual Differences, 43(6), 1376-1385. https://doi.org/https://doi.org/10.1016/j.paid.2007.04.006

Casini, E., Glemser, C., Premoli, M., Preti, E., & Richetin, J. (2022). The mediating role of emotion regulation strategies on the association between rejection sensitivity, aggression, withdrawal, and prosociality. Emotion, 22(7), 1505-1516. https://doi.org/10.1037/emo0000908

Dodson, W., Modestino, E., Ceritoğlu, H., Zayed, B., Modestino, E., & Laboratory, B. (2024). Rejection Sensitivity Dysphoria in Attention-Deficit/Hyperactivity Disorder: A Case Series Case Series. Acta Scientific Neurology, 7, 23-30. https://doi.org/10.31080/ASNE.2024.07.0762

Downey, G., & Feldman, S. I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of personality and social psychology, 70(6), 1327-1343. https://doi.org/10.1037/0022-3514.70.6.1327

Downey, G., Mougios, V., Ayduk, O., London, B. E., & Shoda, Y. (2004). Rejection Sensitivity and the Defensive Motivational System: Insights From the Startle Response to Rejection Cues. Psychological Science, 15(10), 668-673. https://doi.org/10.1111/j.0956-7976.2004.00738.x

Gao, S., Assink, M., Liu, T., Chan, K. L., & Ip, P. (2021). Associations Between Rejection Sensitivity, Aggression, and Victimization: A Meta-Analytic Review. Trauma, Violence, & Abuse, 22(1), 125-135. https://doi.org/10.1177/1524838019833005

London, B., Downey, G., Bonica, C., & Paltin, I. (2007). Social Causes and Consequences of Rejection Sensitivity. Journal of research on adolescence, 17(3), 481-506. https://doi.org/10.1111/j.1532-7795.2007.00531.x

McDonald, K. L., Bowker, J. C., Rubin, K. H., Laursen, B., & Duchene, M. S. (2010). Interactions Between Rejection Sensitivity and Supportive Relationships in the Prediction of Adolescents’ Internalizing Difficulties. Journal of Youth and Adolescence, 39(5), 563-574. https://doi.org/10.1007/s10964-010-9519-4

Mishra, M., & Allen, M. S. (2023). Rejection sensitivity and romantic relationships: A systematic review and meta-analysis. Personality and Individual Differences, 208, 112186. https://doi.org/https://doi.org/10.1016/j.paid.2023.112186

Pietrzak, J., Downey, G., Ayduk, O., & Baldwin, M. (2005). Rejection sensitivity as an interpersonal vulnerability. Interpersonal cognition, 62-84.

Richter, M., Kouri, G., Meuwly, N., & Schoebi, D. (2024). Rejection in romantic relationships: Does rejection sensitivity modulate emotional responses to perceptions of negative interactions? BMC Psychology, 12(1), 365. https://doi.org/10.1186/s40359-024-01864-w

Romero‐Canyas, R., Downey, G., Berenson, K., Ayduk, O., & Kang, N. J. (2010). Rejection Sensitivity and the Rejection–Hostility Link in Romantic Relationships. Journal of Personality, 78(1), 119-148. https://doi.org/10.1111/j.1467-6494.2009.00611.x

Schaan, V. K., Schulz, A., Bernstein, M., Schächinger, H., & Vögele, C. (2020). Effects of rejection intensity and rejection sensitivity on social approach behavior in women. PLoS One, 15(1), e0227799. https://doi.org/10.1371/journal.pone.0227799

Sharma, B. B. (2015). Behavioural ramifications in rejection sensitivity: Revisiting Horney's theory of the neurotic personality. International Journal of Education and Management Studies, 5(2), 164-168. https://ezproxy.canberra.edu.au/login?url=https://www.proquest.com/scholarly-journals/behavioural-ramifications-rejection-sensitivity/docview/1706580202/se-2?accountid=28889 https://canberra.primo.exlibrisgroup.com/discovery/openurl?institution=61ARL_CNB&vid=61ARL_CNB:61ARL_CNB&?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&genre=article&sid=ProQ:ProQ%3Aindianjournals&atitle=Behavioural+ramifications+in+rejection+sensitivity%3A+Revisiting+Horney%27s+theory+of+the+neurotic+personality&title=International+Journal+of+Education+and+Management+Studies&issn=22315632&date=2015-06-01&volume=5&issue=2&spage=164&au=Sharma%2C+Brinda+B&isbn=&jtitle=International+Journal+of+Education+and+Management+Studies&btitle=&rft_id=info:eric/&rft_id=info:doi/

Zimmer-Gembeck, M. J., & Nesdale, D. (2013). Anxious and Angry Rejection Sensitivity, Social Withdrawal, and Retribution in High and Low Ambiguous Situations. Journal of Personality, 81(1), 29-38. https://doi.org/10.1111/j.1467-6494.2012.00792.x

Zimmer-Gembeck, M. J., Nesdale, D., Webb, H. J., Khatibi, M., & Downey, G. (2016). A Longitudinal Rejection Sensitivity Model of Depression and Aggression: Unique Roles of Anxiety, Anger, Blame, Withdrawal and Retribution. Journal of Abnormal Child Psychology, 44(7), 1291-1307. https://doi.org/10.1007/s10802-016-0127-y

Zwolinski, J. (2008). Biopsychosocial responses to social rejection in targets of relational aggression. Biological Psychology, 79(2), 260-267. https://doi.org/https://doi.org/10.1016/j.biopsycho.2008.06.006


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  1. Episode 256: rejection sensitivity dysphoria with Dr. Bill Dodson (Neurodiversity Podcast)
  2. New insights into rejection sensitive dysphoria (ADDitude magazine article by Dr William Dodson)
  3. Rejection sensitive dysphoria, relationships, and how to overcome challenges (Dr Megan Anna Neff - Neurodivergent insight blog)
  4. Uncovering the roots and evolution of rejection sensitivity dysphoria (Dr Megan Anna Neff - Neurodivergent insight blog)