Outcome studies of reality orientation (RO) with confused elderly people, are reviewed. While there is evidence that RO can sometimes improve orientation to the environment, there is no evidence that this leads to any other behavioural changes. RO may also be criticized in terms of its appropriateness to the people and the settings for which it is used. Finally, an alternative, behavioural‐ecological approach to working with the elderly is outlined.
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Mark Burton (1982) studied this question.
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