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Results for “Reality Therapy”

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At least 397 records · Page 22Linked to original sources
PubMed1981

Evaluation of a yearlong reality orientation program.

The effectiveness of Reality Orientation (RO) as treatment for disorientation and behavioral deficits in institutionalized elderly adults was assessed over a one-year period, with evaluations at 6-month intervals. Residents of a home for the aged with varying degrees of disorientation and disability were treated with a 24-hour RO program and were compared with a control group. A subsample of disoriented residents also attended RO classes and was compared with controls. Treatment effects were assessed with a Mental Status Questionnaire (MSQ) and ratings of Activities of Daily Living (ADL) and interpersonal behaviors. Compared with controls, who showed deterioration, the subsample attending RO classes showed slight, statistically significant improvement on the MSQ after 6 months. There was no favorable effect on ADL or other measures. Comparisons with other studies suggest that advanced age, severity of disorientation and disability limit the effectiveness of RO.

Activities of Daily Living↗
PubMed2002

Virtual reality and neuropsychology: upgrading the current tools.

BACKGROUND: Virtual reality (VR) is an evolving technology that has been applied in various aspects of medicine, including the treatment of phobia disorders, pain distraction interventions, surgical training, and medical education. These applications have served to demonstrate the various assets offered through the use of VR. OBJECTIVE: To provide a background and rationale for the application of VR to neuropsychological assessment. METHODS: A brief introduction to VR technology and a review of current ongoing neuropsychological research that integrates the use of this technology. CONCLUSIONS: VR offers numerous assets that may enhance current neuropsychological assessment protocols and address many of the limitations faced by our traditional methods.

Brain Injuries↗
PubMed1982

Reality construction, reality exploration and treatment in two therapeutic communities.

Data collected by participant observation in two contrasting types of therapeutic community are compared to reveal broad similarities in the treatment process. In both communities treatment was centrally concerned with reality construction: patients/residents learned to follow, assimilate and reproduce accounts of the community structure and prescriptions for behaviour, and these accounts and prescriptions reflexively constituted the social world of patients/residents. Further, in both communities staff recognised and made deliberate therapeutic use of an aspect of accounts and behavioural prescriptions much reported on in sociological literature, namely their essentially contingent and defeasible character. Thus, alongside processes of reality construction we note processes of reality exploration, whereby patients/residents are encouraged to inspect apparently contradictory prescriptions and accounts within the socially constructed reality of the communities. Staff believed that, in coming to terms with the contingent and defeasible character of accounts and prescriptions within the community, patients/residents would be able to deal with the contingent and defeasible character of social life outside the community less pathogenically.

Day Care, Medical↗
PubMedDate not supplied

Management of central retinal vein occlusion.

The management of central retinal vein occlusion (CRVO) is discussed briefly. Since the prognosis, complications, visual outcome and management of nonischemic and ischemic CRVO are very different, the first essential step in the management of CRVO is to determine which type of CRVO one is dealing with. The various parameters which help to differentiate the two types reliably are described briefly. In this connection, the most important thing to remember is that the conventional, very prevalent use of a 10-disc area of retinal capillary obliteration is an invalid parameter to differentiate ischemic from nonischemic CRVO, or to predict ocular neovascularization (NV). Ocular NV is a complication of ischemic CRVO only. Relevant issues about the natural history of CRVO are summarized; the natural history of the disease must not be mistaken for a beneficial effect of treatment. Various advocated modes of treatment of CRVO and their relative merits are discussed, particularly photocoagulation, which is widely advocated. Controversies with regard to various aspects of CRVO management are examined. Finally, it is noted that apart from routine systemic and hematologic evaluations, the vast majority of patients with CRVO do not need an extensive and expensive workup. In conclusion, in spite of enthusiastic claims of success for various therapies, the reality is that we currently have practically no proven safe and effective treatment for CRVO.

Diagnosis, Differential↗
PubMed1979

The right to treatment suit as an agent of change.

Right to treatment suits can serve as agents of change in the standards and function of psychiatric institutions. The author evaluated five state psychiatric institutions as an expert witness in right to treatment suits. He found that changes for the better were made in most of these institutions as a result of the suit, whether it was settled or unsettled. Although he enumerates the problems caused by such suits, he concludes that they can be a positive force for improving mental health care.

Expert Testimony↗