For someone who has "Words of Affirmation" as their primary love language, a few words makes a world of difference in feeling loved by loved ones.  And if affirmations do not come easily in your family, then it is likely that even if your loved ones are expressing many other love languages to show they care about you, you may still not feel their love.  In addition, if you have family or other people in your life that criticize you or make fun of you, even in jest, then these unkind words will feel much more painful to you than others who do not have affirmations as their love language.