In this article a patient with chronic schizophrenia and mild mental retardation is reviewed. As thepatient's condition deteriorated poor personal care and poverty of thought were noted. The patient' smain care giver had suffered a stroke some decades prior and was unable to influence the patient,resulting in disruptive behavior such as stealing, interfering with other patients' property, and notfollowing ward regulations during the admission. The patient's family members were not familiarwith the nature of the disorder. The author performed a therapeutic role between 1998.3.19 and 1998.6.30 during the period of admission. The author used trust, receiving, caring, and giving to establisha trusting therapeutic personal relationship with the patient. Using total nursing evaluation, behaviormodification skills were used after establishing the final diagnosis. By repeatedly instructing thepatient with words that she was able to comprehend, there was a gradual improvement in self careskills and a decrease in the frequency of inappropriate behavior. The family learnt about the nature ofthe disorder and how to use behavior modification. The author reduced the inappropriate behavior,including stealing and intrufering with other patient's property, and was able to enhance the family'sfamiliarity with the disorder and the patient's compliance with treatment.