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5_152
-now that you're with Donna?
question
communication behavior
5_154
Hmm.
other
communication behavior
5_156
Okay. So-so what's the definition, for you, of a good mate?
question
communication behavior
5_158
Mm-hmm.
other
communication behavior
5_160
So, someone who's loyal, someone who's got your back, yeah? What else? What else is really your definition of a really good mate?
question
communication behavior
5_162
Hmm.
other
communication behavior
5_164
Oh, so, someone who'll stand up for you?
reflection
communication behavior
5_166
Yeah? Yeah. Sounds like a really strong definition of a good mate-
other
communication behavior
5_168
-for you? So, I'm wondering about, um, whether good mates lead you into trouble, if it's something you wanna do. If you got something different that you wanna do, what would a good mate do in that situation?
question
communication behavior
5_170
Yeah. How-how would you wanna be supported, Billy?
question
communication behavior
5_172
Mm. Okay, so that's-that's the kind of support that a really good mate would give you? It sounds-
other
communication behavior
5_174
-like these guys have been around for you-
reflection
communication behavior
5_176
-for quite some time, and they're really important to you.
reflection
communication behavior
5_178
Yeah. Okay. So, I'm wondering how we can get to that point where, yeah, you can say, "No, I don't wanna do that," and they're supportive of you?
question
communication behavior
5_180
What do you think it would take?
question
communication behavior
5_182
Okay. So, how would they know you're serious?
question
communication behavior
5_184
Okay.
other
communication behavior
5_186
Okay. That's the second time you've used that word 'guilty'.
other
communication behavior
5_188
Yeah? So, it sounds like it's a really-- something's really important to you about that.
reflection
communication behavior
5_190
Mm.
other
communication behavior
5_192
Okay. So, it's almost as if you feel a bit torn because you wanna be with Donna, but you also wanna be with your-
reflection
communication behavior
5_194
-with your mates?
reflection
communication behavior
5_196
Mm.
other
communication behavior
5_198
Yeah, so they're still important to you?
reflection
communication behavior
5_200
Hmm. I also am hearing that you don't wanna get into trouble anymore.
reflection
communication behavior
5_202
Mm. Yeah.
other
communication behavior
6_0
Hi, Sal. Thanks for coming in today.
other
communication behavior
6_2
I saw that your doctor made the referral and, um, and I really appreciate you taking the time to come and make that appointment.
therapist_input
communication behavior
6_4
So you made it in here-
reflection
communication behavior
6_6
- and do you have a sense of-of what some of the doctor's concerns were that led her to refer you?
question
communication behavior
6_8
So your asthma has been acting up and there's a lot of stuff, not just the asthma going on?
reflection
communication behavior
6_10
Mm-hmm. Almost—
reflection
communication behavior
6_12
Almost overwhelming it sounds like.
reflection
communication behavior
6_14
Well, we have about, I guess, 15 or 20 minutes together and I wonder, would it be okay, if we took a couple of minutes and just kind of looked at all of the different things that are going on for you and maybe you can let me know, what would be the most helpful to spend-spend some time on?
question
communication behavior
6_16
Okay. Well, one of the things that-that we use are these-- it's kind of like a worksheet and it's an agenda-setting worksheet basically.
therapist_input
communication behavior
6_18
So if you were to-to list all of the different things that people around you are saying that you need to work on or you need to change, what would some of those things be? And, Sal, just because we write them down here, it doesn't mean that you have to change them.
question
communication behavior
6_20
It really-- You're in the driver's seat, so it's just to kind of put all the cards on the table, so to speak.
other
communication behavior
6_22
Yep.
other
communication behavior
6_24
Okay, so asthma is one.
reflection
communication behavior
6_26
What else?
question
communication behavior
6_28
So your dog, and-and the doctor's saying the dog's—
reflection
communication behavior
6_30
Okay.
other
communication behavior
6_32
That's pretty shocking to be told that you have to get rid of your dog.
reflection
communication behavior
6_34
Hmm. So that's a huge stress right now?
reflection
communication behavior
6_36
Okay, so smoking and-and I'm working towards quitting completely sounds like that's a goal for you?
therapist_input
communication behavior
6_38
Okay, so money.
reflection
communication behavior
6_40
Right. Right, right. So the appointments and time.
reflection
communication behavior
6_42
Um, and some of these things are kind of related to each other I think we're already seeing.
reflection
communication behavior
6_44
Okay, wow. So there's a lot happening right now, Sal. Anything else that that's concerning you?
question
communication behavior
6_46
Right. Well, so where would you-- I mean, if you-you had to pick somewhere, one or two kind of high priorities or-or things to talk about in our time this morning, where would you wanna start?
question
communication behavior
6_48
Okay.
other
communication behavior
6_50
Okay, and those are ones that are pretty related to each other-
reflection
communication behavior
6_52
- sounds like. Okay.
other
communication behavior
7_0
So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?
question
communication behavior
7_2
Sounds like a wild night.
reflection
communication behavior
7_4
Yeah.
other
communication behavior
7_6
No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.
question
communication behavior
7_8
You're still feeling the effects of-
reflection
communication behavior
7_10
-last night, are you?
question
communication behavior
7_12
Oh wow, it was-
other
communication behavior
7_14
-really a rough night.
reflection
communication behavior
7_16
So what is a typical week for you as far as your alcohol use?
question
communication behavior
7_18
So a few drinks is nothing new to you?
question
communication behavior
7_20
And what does a few drinks look like? Is that per night? Is it two drinks?
question
communication behavior
7_22
All right. Do you have any concerns at all about your alcohol use?
question
communication behavior
7_24
Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
reflection
communication behavior
7_26
Would you be open to kind of looking at the low-risk drinking alcohol guidelines?
question
communication behavior
7_28
I don't know how you're feeling right now but I'm just wondering if we can take a-just a quick glance at this-
question
communication behavior
7_30
-and what the safe limits are for women is 10 drinks for women a week with about two drinks, uh, per day.
therapist_input
communication behavior
7_32
Yeah.
other
communication behavior
7_34
Where do you- where do you feel you fall into that?
question
communication behavior
7_36
Okay, okay.
other
communication behavior
7_38
Okay, so it's kind of a way to cope through stress?
reflection
communication behavior
7_40
Right, and is that something that has been, you know, a way of coping for a while?
question
communication behavior
7_42
Okay. Does that concern you at all?
question
communication behavior
7_44
Mm-hmm.
other
communication behavior
7_46
Okay.
other
communication behavior
7_48
Do you feel like you have any reasons to kind of bring your alcohol use down within the limits?
question
communication behavior
7_50
Tell me more about that.
question
communication behavior
7_52
So you can see some advantages to reducing the amount of drinking-
reflection
communication behavior
7_54
-um, that you consume during the week?
question
communication behavior
7_56
Is this something you would be willing to explore with me a little further at another time maybe when you're feeling a little bit better? Is this something you'd be willing to come back and talk to me about?
question
communication behavior
7_58
I'd love to, uh, set up an appointment for you if you can come in later this week or early next week to-
therapist_input
communication behavior
7_60
-kind of explore this a little bit further and maybe some of those advantages of reducing to the safe limits. Is that something that we could do?
question
communication behavior
7_62
That's okay with me.
other
communication behavior
7_64
Thank you.
other
communication behavior
8_0
So, what brings you here, Bob? What's, what can I do to help?
question
communication behavior
8_2
So, you're not too happy to be here. This is the last thing that you want to be doing this afternoon.
reflection
communication behavior
8_4
You've taken time off you, it's costing you time and money being here.
reflection
communication behavior
8_6
So, let me ask you this, Bob, what are some of your wife's concerns about your smoking?
question
communication behavior
8_8
Wow, that she's been showing you and making you read.
reflection
communication behavior
8_10
So, you're pretty angry about it. It's pretty outraging that you're forced to change your whole life because of a decision she made six months ago.
reflection
communication behavior
8_12
So, from your perspective, do you see any consequences to your smoking?
question
communication behavior
8_14
So, let me make sure I understand kind of the whole scenario 'cause there's a lot of pieces to it. Your wife is on your case and your kids are ganging up too. So, you're sort of isolated, you're put in a corner and you're being told this is something you have to do, you have no choice in the matter.
reflection
communication behavior
8_16
You have a few concerns about your health, but that's not really the driving force. It sounds like it's most of all that it would be nice if things just went back to the way they were before she quit smoking and that all of this stuff wasn't something that you had to deal with anymore. Does that pretty much sum up--?
reflection
communication behavior
8_18
I get the feeling that your relationship is really important to you. That you would do anything.
reflection
communication behavior
8_20
So, it strikes me that the way that we're talking about it, it's like it's all or nothing. Either you keep smoking the way you are, things continue to go downhill and get worse, your wife gets more and more on your case, or you put your cigarettes down starting the moment you walk in the door tonight and never pick them up again. It's almost like one or the other. It strikes me that as well there might be some middle ground here that it took you a long time to learn how to be a smoker and maybe it's going to take some time to learn how to stop smoking.
reflection
communication behavior
8_22
There are some medications and some different approaches that we can use that aren't so abrupt. Recognizing that it-it's going to take some time and practice to get to where you might want to be.
therapist_input
communication behavior
8_24
If you wanted to bring your wife along, I'd be more than happy to talk with both of you.
other
communication behavior
8_26
Okay. That sounds good.
other
communication behavior