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The STEPPS Group Treatment Program for Outpatients with Borderline Personality Disorder

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Abstract

The authors describe a new cognitive-behavioral systems-based group treatment for outpatients diagnosed with borderline personality disorder (BPD). The program is identified by the acronym STEPPS, which stands for Systems Training for Emotional Predictability and Problem Solving. The STEPPS program was developed to address the cognitive distortions and behavioral dyscontrol typical of clients with BPD, and combines this with skills training and a systems component. The latter involves clients with BPD and those in their system including family members, significant others, and health care professionals. The program is fully manualized, and involves 20 two-hour weekly group meetings; specific goals (or lessons) are identified for each session. Preliminary data from the US and the Netherlands have shown that the group achieves high levels of acceptance from clients and therapists and that the model may be effective in helping to relieve the symptoms associated with BPD. Work is now underway to confirm the effectiveness of the model through a randomized controlled trial.

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REFERENCES

  • American Psychiatric Association. (2001). Practice guidelines for the treatment of patients with borderline personality disorder. American Journal of Psychiatry, 158(Suppl.), 1–52.

    Google Scholar 

  • Bartels, N., & Crotty, T. (1998). A systems approach to treatment: The borderline personality disorder skill training manual.Winfield, IL: EID Treatment Systems.

  • Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial. American Journal of Psychiatry, 156 ,1563–1569.

    PubMed  Google Scholar 

  • Beck, A. T. (1978). Depression Inventory. Philadelphia, PA: Center for Cognitive Therapy.

    Google Scholar 

  • Bender, D.S., Dolan, R. T., Skodol, C. A., Dyck, I. R., McGlashan, T. H., et al. (2001). Treatment utilization by patients with personality disorders. American Journal of Psychiatry, 158,295–302.

    Article  PubMed  Google Scholar 

  • Blum, N., Bartels, N., St. John, D., & Pfohl, B. (2002). STEPPS: Systems training for emotional predictability and problem solving–Group treatment for borderline personality disorder. Coralville, IA: Blum's Books.

    Google Scholar 

  • Blum, N., Pfohl, B., St. John, D., Monahan, P., & Black, D.W. (2002). STEPPS: A cognitive behavioral systems-based group treatment for outpatients with borderline personality disorder-apreliminary report. Comprehensive Psychiatry, 43 ,301–310.

    Article  PubMed  Google Scholar 

  • Freije, H., Dietz, B., & Appelo, M. (2002). Behandling van de borderline persoonlijkheidsstoornis met de vers: de Vaardigheidstraining emotionele regulatiestoornis. Directive Therapies, 4 ,367–378.

    Google Scholar 

  • Fyer, M. R., Frances, A. J., Sullivan, T., Hurt, S.W., Clarkin, J., & Hollingsworth, A. S. (1988). Suicide attempts in patients with borderline personality disorder. American Journal of Psychiatry, 145 ,737–739.

    PubMed  Google Scholar 

  • Gunderson, J. (1996). The borderline patient's intolerance of aloneness, insecure attachments, and therapist availability. American Journal of Psychiatry, 153 ,752–758.

    PubMed  Google Scholar 

  • Linehan, M. M. (1993). Cognitive–behavioral treatment for borderline personality disorder. NewYork: Guilford Press.

    Google Scholar 

  • Linehan, M. M., Armstrong, A. G., Suarez, A., Allman, D., & Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48 ,1060–1064.

    PubMed  Google Scholar 

  • Linehan, M. M., Heard, H. L., & Armstrong, H. E. (1993). Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry, 50 ,971–974.

    PubMed  Google Scholar 

  • Linehan, M. M., Tupek, D. A., Heard, H. L., & Armstrong, H. E. (1994). Interpersonal outcome of cognitive-behavioral treatment for chronically suicidal borderline patients. American Journal of Psychiatry, 151 ,1771–1776.

    PubMed  Google Scholar 

  • Minuchin, S. (1974). Families and Family Therapy. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Nakao, K., Gunderson, J. G., Phillips, K. A., Tanaka, N., Yorifugi, K., & Takaishi, J. (1992). Functional impairment in personality disorders. Journal of Personality Disorders, 6 ,24–31.

    Google Scholar 

  • Shearin, E. N., & Linehan, M. M. (1994). Dialectical behavior therapy for borderline personality disorder: Theoretical and empirical foundations. Acta Psychiatrica Scandinavica, 89(Suppl. 379), 61–68.

    Google Scholar 

  • Soloff, P. H., Lynch, K. G., & Kelly, T.M. (2000). Characterization of suicide attempts of patients with major depressive episodes on borderline personality disorder. American Journal of Psychiatry, 157 ,605–608.

    Article  Google Scholar 

  • Watson, D., & Clark, L. A. (1997). Measurement and mismeasurement of mood: recurrent and emergent issues. Journal of Personality Assessment, 68 ,267–296.

    Google Scholar 

  • Widiger, T. A., & Frances, A. J. (1989). Epidemiology, diagnosis and comorbidity of borderline personality disorder. In A. Tasman, R. E. Hales, & A. J. Frances (Eds.), American Psychiatric Press, review of psychiatry (Vol. 8). Washington, DC: American Psychiatric Press.

    Google Scholar 

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Black, D.W., Blum, N., Pfohl, B. et al. The STEPPS Group Treatment Program for Outpatients with Borderline Personality Disorder. Journal of Contemporary Psychotherapy 34, 193–210 (2004). https://doi.org/10.1023/B:JOCP.0000036630.25741.83

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  • DOI: https://doi.org/10.1023/B:JOCP.0000036630.25741.83

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