The UP extension to the SET framework is intended as a continuous reminder that relationships require Understanding and Perseverance. Understanding borderline pathology and symptoms allows for patience in pursuing improvement. Acknowledging the anguish of an illness, however, is recognition of adjustments to be made, not absolution from responsibility. Persevering in treatment and in a relationship, despite disappointments, is necessary for improvement. Often one of the most important contributors to improved health is the fact that the community surrounding the person with BPD—his doctors,
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