Loading…
Relational and defensive patterns
Recurrent expectation or detection of rejection with a marked response.
Fit, function and alternatives
A contextual factor earns a place in the formulation when case evidence links it to the presentation, not because it is present.
Check alternatives
Do not infer the process from a label, search phrase or diagnosis alone. Assess actual circumstances and source-specific population limits.
Next steps
Elicit case evidence, examine alternatives, discuss the hypothesis with the person, and revise when relevant evidence changes.
Qualification
A useful enquiry label, not a diagnosis. Current rejection, abuse or discrimination may be real. Specific treatment efficacy is not established here.
Caveats for this record