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.
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because of relational implications, that's actually evoking change rather than just soliciting for a disengaged, withdrawn response.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.
