My biggest paranoia revolves around the question of whether people like me or not...want me around or not...enjoy me or not...want the "real" me or want me to fake it for their benefit.
I'm coming to the conclusion that everyone--and I mean everyone--has ambivalent feelings toward almost any given person. In fact, if you don't have some bad feelings mixed in with all the good feelings toward someone, then you become obsessed. And conversely, if you don't have some good feelings mixed in with all the bad feelings toward someone, then hate and bitterness will eventually take over your life in all areas.
The difference for us is that, since we don't filter and prioritize input the same way that most people do, we clue in to other people's negative feelings about us because we notice signs and behaviors and indicators that other people don't see, and the negative messages convince us that they've already rejected us. Maybe that comes from low self-esteem in general, or maybe it's that the subtle negativities toward us make it hard to believe that the person could possibly like us...as if darkness overcomes light.
At any rate, we're more likely to pick up on the mixed messages, and less likely to ignore the negative ones. Logically, they shouldn't be able to co-exist. Either a person likes me, or they don't. If they show signs of disliking me...then they don't like me. It's hard for me to accept that a person can dislike certain things about me, even a lot of things about me, but still accept me and care about me. It's just not logical.
This goes along with several Aspie traits I've read about and experienced...black/white thinking, logical approach to relationships and social interactions, hyper-awareness of social cues (which causes an overload and often results in decreased sensitivity to the appropriate cues), performance orientation, perfectionism.
To accept that every person is part good and part bad...the realization might actually increase paranoia, at least for a while. But I'm slowly learning to accept and like myself, even with all of my many imperfections. And that helps me learn how to accept the "real"-ness of the people around me, with all of their imperfections and mixed messages, too. And it helps me to appreciate that no one will absolutely like everything about me--there will always be things about me they don't like. But that doesn't mean they don't want me in their lives. And that's okay.
That said...it doesn't mean that some people aren't more bad than good, at least in their relationship with me. I'm slowly giving myself permission to create appropriate, healthy distance with the less-good people in my life, no matter how much they think I owe them my full devotion.