18:16 Jan 31 

For example, childhood abuse may
influence future distorted cognitions and hypervigilance toward others, which may then
contribute to emotional cascades. Yet, as BPD individuals engage in dysregulated behaviors,
others around them may begin to respond even more negatively toward them, most likely in
ways that propagate emotional cascades (e.g. by accusing the individual of being manipulative
or calling them “crazy”). This top-down interaction could be called “expectancy validation,”
a process that may strengthen distorted cognitions about others or create new ones (e.g.,
“everyone thinks I’m crazy”). Alternatively, things such as distress tolerance may decrease
with the experience of more and more emotional cascades, resulting in a decreased threshold for dysregulated behavior.