EPA 2019-27th European Congress of Psychiatry, Warsaw, Poland 6-9 April 2019 | A Systemic analysis of the emotional deregulation and the reality test impairment in patients with Borderline Personality Disorder

Galletta D., Lauria I., Confuorto M. 

Introduction. The present work aims to continue a previous study that explored the role of MMPI-2 PSY-5 scales in the BPD diagnosis (Galletta et al.). In that study clinically significant elevations emerged both in the PSYC scale and in the NEGE scale, highlighting difficulties in emotional regulation and transient deficits in the reality test (Galletta et al.) in patients with BPD. The present work analyses the role of MMPI-2 Sc scale and its respective Harris and Lingoes subscales (Sc1, Sc2, Sc3, Sc4, Sc5, Sc6) in the diagnosis of BPD.

Objective. To demonstrate the correlation between BPD diagnosis, emotional deregulations, and reality test impairment.

Methods. It was administered the MMPI-2 test on a group of subjects.

Results. In patients with DBP there is a significant difficulty in managing one’s emotions and having control over reality. In fact, the Sc values are over 70, revealing, consequently, thought disorders, eccentric behaviours, poor contact with reality, followed by a strong emotional impulsiveness (Sc5 > 70) and a strong tendency to social isolation (Sc1 > 70).

Conclusions. This study highlighted the presence of two fundamental aspects that characterize the personality traits of patients with Borderline Personality Disorder. This is very important because it affects the treatment process. Acting on these aspects, a rapid improvement of the patient can be achieved. 


1. Arbisi, P. A. (2014). Introduction to the Special Section on the personality psychopathology five (PSY-5) and DSM-5 trait dimensional diagnostic systems for personality disorders: emerging convergence. J Pers Assess, 96(2), 117-120.

2. Galletta D., Confuorto M., De Simone S., Vangone N. (2018). Assessment of Borderline Personality Disorder using the MMPI-2: the contribution of PSY-5 scales. EPA 2018. 26th European Congress of Psychiatry. Nice, France.

3. Graham, J. R., & Graham, J. R. (1990). MMPI-2: Assessing personality and psychopathology: Oxford University Press New York.

4. Lowenstein, J., Purvis, C., & Rose, K. (2016). A systematic review on the relationship between antisocial, borderline and narcissistic personality disorder diagnostic traits and risk of violence to others in a clinical and forensic sample. Borderline personality disorder and emotion dysregulation, 3(1), 14.

5. Miller, J. D., & Lynam, D. (2001). Structural models of personality and their relation to antisocial behavior: A meta-analytic review. Criminology, 39(4), 765-798.