Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the pathological traits listed in the DSM 5 and how they affect our lives as bisexuals.
DSM5 – Pathological personality traits in negative affectivity – separation insecurity: fears of rejection by – and/or separation from – significant others
We have already looked at fear of abandonment as a pathological impairment. In other words, the fear of being abandoned impairs our ability to function normally in society or may lead to mental disorders. When we look at this as a trait, we are still functioning but we have a tendency to consider abandonment or rejection in our decision making; that is, we have a neurological pathway or mind state or belief that we automatically pass through as part of our decision making. So let’s take a closer look at this as a trait.
Zanarini (2009) obtained data from 77 female subjects with acute BPD, 15 with remitted BPD, and 75 healthy controls. They were assessed using the Rejection Sensitivity Questionnaire, the short version of the Borderline Symptom List, the Childhood Trauma Questionnaire, and the Rosenberg Self-Esteem Scale. Zanarina discovered that all the BPD patients, including those in recession, had higher scores on rejection sensitivity, which correlated with lower self-esteem. Childhood maltreatment did not appear to be a factor. She concluded that rejection sensitivity is an important component in BPD, even for remitted BPD patients, and that the level of self-esteem appears to be a relevant factor in the relationship between rejection sensitivity and BPD symptom severity.
So what does this mean in plain English? First, we must realize that this study equates “real or imagined abandonment” with “rejection sensitivity”. In other words, we are hypersensitive to any indication of possible rejection from significant others. Secondly, we can conclude that these fears are related to our low self-esteem. Thirdly, stepping outside the boundaries of this study, we can conjecture that these negative thinking patterns are possibly connected to some genetic predisposition coupled with early childhood social-emotional experiences, rather than physical maltreatment. We can further conjecture, based on past studies of the human brain (Michl and others, 2014), that these feelings are possibly related to mechanisms of shame located in the anterior cingulate cortex and the parahippocampal gyrus both found in the temporal lobes. Again, with further conjecture, we see that the temporal lobes are responsible for the processing of language and the emotions attached to the delivery of words.
Sorry, that was not plain English, was it? Let’s try again. In other words we are wired to be sensitive to signs of rejection. We particularly look for body language and verbal tones to see how things are going. If our partners show any sign of disapproval we immediately experience levels of anxiety. It is important to us that significant others continuously demonstrate approval. We aim to please. This is not necessarily a bad thing. It all depends on the levels of latent shame and anxiety. At this point, it is still a trait but if we do not deal with this trait it can become an impairment and lead to a warped relationship. It becomes a self-fulfilling prophesy. We create a situation where our worst fears become a reality. We may behave is a way that will result in being abandoned so that we can bring closure and an end our anxieties.
Now let’s apply this to our bisexuality. As bisexuals, especially us male bisexuals, there is an obvious problem here. We hide our gay and lesbian tendencies because we fear rejection and separation from those who are important in our lives. This begins with a low self-esteem; we are basically insecure. We need the affirmation of others to provide us with a sense of security. This begins with our parents. If they show any sign of disapproval for gay or lesbian activities, we then have to hide our same-sex impulses. That means we seek what appears to be “normal” friendships with same-sex friends, and pursue heterosexual relationships to hide our gay and lesbian tendencies. We usually end up married in what appears to be a ‘normal” heterosexual relationship. Because we are bisexual, there are no problems having sexual relationships with our spouses and we end up as mothers or fathers and a complicated life style. We cannot risk being rejected by those we love so we continue to hide our tendencies. If we cannot control our same-sex desires, we are a tragedy just waiting to happen.
The obvious solution is to get rid of the anxieties related to our sexual desires and our need for security.
My Suggestion for Bisexuals
- Be honest with yourself and your loved ones. Dishonesty is a major source of anxiety. Living with constant anxiety and negative energy from your emotions will literally kill you.
- Do an inventory of your impulses. Do your same sex desires come from an unhealthy need or are they based on honest and healthy expression of your heart and body?
- Above all stop living with constant fear and anxiety. Get rid of the need to please others. In order to live a healthy life, you have to learn that you are the most important person in your life. You are the only one you really have to please. You may have to make some difficult decisions about your sexuality. Whatever you decide, make sure it is for you and not to please others.
- Remember you are bisexual. You can go either way. If your joy truly comes from your family situation, make a deal with yourself. Recognize that you have both desires. Give yourself permission to have both desires and make a conscious decision to choose your heterosexual situation.
- If your same sex desires are so powerful that you do not want to live without them you will have to make a deal with your life-partner. If they cannot live with your bisexuality you have to be prepared to separate.
 Zanarini, Mary C. Reasons for Change in Borderline Personality Disorder (and Other Axis II Disorders). HHS Author Manuscripts. Psychiatry Clinic North Am. 2008
 Michl, Petra; Meindl, Thomas; Meister, Franziska; Born, Christine; Engel, Rolf, R; Reiser, Maximilian; and Henning-Fast, Kristine. Neurobiological underpinnings of shame and guilt: a pilot fMRI study. Social Cognitive and Affective Neuroscience, 2014,