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Reality Orientation and Dementia: A Controlled Trial of Two Approaches

Published online by Cambridge University Press:  29 January 2018

I. G. Hanley
Affiliation:
Royal Edinburgh Hospital, Morningside Terrace, Edinburgh, Scotland
R. J. McGuire
Affiliation:
University Department of Psychiatry, Morningside Park, Edinburgh
W. D. Boyd
Affiliation:
Royal Edinburgh Hospital

Summary

Classroom Reality Orientation was investigated with a sample of dements drawn from a psychogeriatric hospital and an old people's home. Treatment effects were examined on a range of cognitive and behavioural measures, and compared with the effects of a specific behaviourally directed orientation training in the ward. Class RO improved cognitive functioning but not behaviour, irrespective of degree of dementia. Highly significant behavioural change was demonstrated for ward behaviour orientation training and this technique is not only cheaper but has potential in managing dements.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

American Hospital Association (1976) This way to reality: Guide for developing a Reality Orientation Programme.Google Scholar
Brody, E. M. Kleban, M. H. Lawton, M. P. & Silverman, H. A. (1971) Excess disabilities of mentally impaired aged, impart of individualized treatment. Gerontologist, 11, 124132.CrossRefGoogle Scholar
Brook, P. Degun, G. & Mathew, M. (1975) Reality orientation, a therapy for psychogeriatric patients: a controlled study. British Journal of Psychiatry, 127, 4245.Google Scholar
Citrin, C. S. & Dixon, D. N. (1977) Reality Orientation: a milieu therapy used in an institute for the aged. Gerontologist, 17, 1, 3943.Google Scholar
Drummond, L. Kirchoff, L. & Scarborough, D. R. (1978) A practical guide to reality orientation. Gerontologist, 18, 6, 568573.Google Scholar
Ferm, L. (1975) Behavioural activities in demented geriatric patients. Gerontologia clinica (Basel), 16, 185194.Google Scholar
Harris, C. S. & Ivory, P. B. (1976) An outcome evaluation of reality orientation therapy with geriatric patients in a state mental hospital. Gerontologist, 16, 6, 496504.Google Scholar
Hodge, J. (1979) Paper presented at the British Association for Behavioural Psychotherapy Conference, Bangor.Google Scholar
Lishman, W. A. (1977) Senile and presenile dementias. A report of the M.R.C. Sub-committee, Medical Research Council, London.Google Scholar
Miller, E. (1977) The management of dementia: a review of some possibilities. British Journal of Social and Clinical Psychology, 16, 7783.CrossRefGoogle ScholarPubMed
Plutchik, R. Conte, H. Lieberman, M. Bakur, M. Grossman, J. & Lehrman, N. (1970) Reliability and validity of a scale for assessing the functioning of geriatric patients. Journal of the American Geriatrics Society, 18, 491500.Google Scholar
Scarborough, D. R. (1979) Reality orientation, a decade of progress. The Rope. Reality Orientation Training Programme Publication, Tuscaloosa, Alabama.Google Scholar
Smith, J. S. & Barker, H. R. (1972) Influence of a reality orientation programme on the attitudes of trainees towards the elderly. Gerontologist, 12, 3, 262264.Google Scholar
Woods, R. T. (1979) Reality orientation and staff attention: a controlled study. British Journal of Psychiatry, 134, 502507.Google Scholar
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