The recording brings up mixed feelings for me. On one hand, there are good open-ended questions and summaries used here. However, despite that, there is also the so-called suggestion of answers, meaning he himself tells her how she feels, after which she agrees with him. So, the patient doesn't arrive at conclusions on their own but repeats what is suggested to them, and that is not coaching.
so when he asks when di you last have a drink you ask him when did you? the key to all evaluations is you always turn the table. its like playing chess. example: so have you ever felt depressed after a drink? the supposition is you drank. which essentially is admitting something if you answer the question. so you do this. typically when i drink water i feel pretty good.the key to all questions they ask is they are trying to catch you not by the actual question but by the supposition to the question. Example: when your pussy hurts did you take advil? im a man so its obvious to me my pussy never hurt. but it makes a point
so the first thing you do is tell them to fuck off. and never let them connect. and never ever let them think they have power over you. and most importantly you have the right to privacy. so when they ask them anything ask them a question back. psycholgist suse what are called yes sets. they lie to you 3 times and then make you listen and agree. so your most important listen is notice the yes set.. notice how he nodded yes 3 times and then asked a question.the most important thing is never ever agree and never answer a question. YOU HAVE A THE RIGHT TO PRIVACY
If someone told me I did XYZ and it puts me at risk for a bazillion things, I'd probably tune out right there. OK, I drink a few drinks, more than one unit a day, and now I'm at risk of destroying my entire life? My health, relationships, career, everything? If you just connect with one particular personal risk such as the relationship and explore whether there's a motivation to stop drinking because of relational implications, that's actually evoking change rather than just soliciting for a disengaged, withdrawn response. Telling people literally every aspect of their life is at the brink of destruction because of behavior XYZ is the most confrontational thing you can do, nobody is going to be more cooperative due to that. Especially because it's such an extreme way of voicing concern over risky behavior.
Ralph, I had a nagging feeling about some of the things he said and the way he said them also, but I couldn't figure out why until I read your comment. I agree with you, his approach was a bit confrontation, especially for just meeting the client and not having previously established a connection with her. But he did ask some great open-ended questions.
@@basicaccount330 the reality is that many women drink and do drugs. His approach would not work well. I have seen motivational interviewing done where the person's right to self-determination is respected. Your reaction was weird. She is not even pregnant.
@@basicaccount330 She mentioned marriage (not kids) - He jumped straight onto the 'having a family' bandwagon. I know it's fictional but she may not have wanted children and he has just steered the conversation this way. I think I would have tuned out.
Thanks for your comment on this. According to some of the material that I've been reading in my class, it is said that change is up to the client. However, I believe that if you are a client seeking guidance/help, you have to be prepared for the interview. Especially if there's a conversation that focuses on the risks that could potentially be dangerous/fatal for the person. I think 💬 that overall, we have to deal with truth/honesty. We have to be honest with ourselves. It's up to you whether you want change or healing, regardless of what family, friends, or the interviewer told you.
@@georgehough8860 I am pretty sure that he introduced himself as a psychiatrist, and there definitely are psychiatrists who do wear white coats, or they can in certain environments.
James Bond if you think this calls for rehab you’re a fucking moron. Your life sounds boring as hell and I imagine your wife or gf cheats on you because you’re a pussy. This dude is an average person who has a few drinks and relaxes. Apparently you can’t handle a drink or two like a normal person so you resulted in being an uptight pussssssssyyyyy
Seriously? Why the name calling and talking down to James Bond? There's no need for that. He is entitled to his opinion as are you. Act like an adult about it not a child@@GRV_93
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