Improvement was greater for 65 patients with borderline personality disorder who received standard treatment plus a group program with cognitive-behavioral, skills training, and systems components than for 59 patients who received standard treatment only. Blum et al. (p. 468) describe the group treatment, known as Systems Training for Emotional Predictability and Problem Solving, or STEPPS. It consists of 20 weekly sessions for patients and one session for family members and significant others on how to respond to the patient. At the end of treatment, the patients who received STEPPS plus treatment as usual had greater improvements in impulsive, affective, cognitive, and interpersonal domains, as well as overall global measures, compared to those who received usual treatment only. Most gains were maintained over 1 year of follow-up. Dr. Kenneth Silk discusses treatment for borderline personality disorder in an editorial on p. 413.