Date of Award


Degree Type


University or Center

Clark Atlanta University(CAU)


School of Social Work

Degree Name


First Advisor

Melvin Williams, Ph.D.


The purpose of this study was to examine the effects of individualized reality orientation therapy on paranoid behavior in a nursing home resident diagnosed with dementia. There were two hypotheses, the first one hypothesized that reality orientation therapy would increase the resident's awareness of environment. The second hypothesized that reality orientation therapy would produce a decrease in verbal statements of paranoid delusions by the resident. This study was conducted over a nine week period. The design of the study was a single A-B case study. The results showed a decrease in statements by the resident of verbal abuse, physical abuse, and neglect. Findings indicated that the resident experienced improvement from the intervention.

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