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18_40
A bit of a rush. Yeah. 'Cause other people I have worked with say that, yeah, sometimes they get a bit of a rush, that somehow the rush takes over and they don't know when to stop. Not sure if that's what- if that's what it's like for you, but other people have told me that, so.
therapist_input
communication behavior
18_42
Yeah, yeah. Yeah, yeah. So that could be an issue we could spend some time talking about here, 'cause obviously you know, you don't- you don't - you don't wanna be here, and then my interest now is just getting you o-out of the system, not getting you into the systems. So-so here, um-- how-how much do you think this is an issue for you, you reckon? The pokies and the gambling.
question
communication behavior
18_44
Yeah, yeah. Thinking about your friends, you know, how would you soft of think about your friends 'cause, you know, I guess you go out with your girlfriends and stuff.
question
communication behavior
18_46
Yeah, yeah. So, in terms of their behavior, like how did your behavior sort of match with their behavior? Are they much the same as you, are they different than you?
question
communication behavior
18_48
Yeah, yeah, yeah. Then, in terms of the pokies and stuff they much as they like doing the pokies so much as your doing the-- You know, compared to you doing the pokies?
question
communication behavior
18_50
Oh, okay, okay. Who's-who's-- What's your girlfriend's name, your best- your best friend, best girl friend?
question
communication behavior
18_52
Sarah, So what do you think Sarah would say?
question
communication behavior
18_54
What would she say about—
question
communication behavior
18_56
Yeah, what would she say about-- 'cause she knows you pretty well. She'll-she'll-- she goes to the pubs with you probably and see you putting the money on pokies, what would she reckon?
question
communication behavior
18_58
Absolutely, and that's what you want from friends, isn't it?
question
communication behavior
18_60
You want that acceptance, absolutely, yeah, yeah. But won't you say, you know, friends also-- good friends also can, you know, call you on stuff too, can't they? Yeah?
question
communication behavior
18_62
At times. Yeah, so-so what you-- wha-what she might say to us about about- a-a-about your gambling?
question
communication behavior
18_64
Okay.
other
communication behavior
18_66
Okay. But you owe her some money and you get the sense that-- Or I'm picking up, you get a sense that she's not terribly happy.
reflection
communication behavior
18_68
Yeah, yeah, okay, okay. So Sarah might see it as an issue. And-and I guess there's a part of you also sees it as an issue, part of you, you know. Part of you may not, but a part of you does.
reflection
communication behavior
18_70
So the part of you that does see this is-- as an issue, yeah, that the gambling sometimes can be out of control, you know, tell me that part of you that-that maybe knows that, uh, it's getting you into trouble and it's gone way-- just moved you off from that point, there have been some—
question
communication behavior
18_72
Yeah.
other
communication behavior
18_74
Mm.
other
communication behavior
18_76
Yeah, and-and in some ways getting caught might be a good thing. I know it might sound a re-really sort of strange thing to say, but I wonder if like getting caught might have been a good thing. Because you would have read the papers about other people's of-- you know. They're the hands that would turn on stuff and end up with gambling problems and big money. So I want- I want to hear much that it might have been a good thing that you got caught at this stage, and you got a chance to do some talking about it and working around some strategies to get it under control so it doesn't control you. What's your hunch about that?
therapist_input
communication behavior
18_78
Yeah. Yeah, so you're not a bad person. Certainly, I don't make judgments about people being bad people. So that seems sort of actually thinking about this, you sensed that you could've stopped.
question
communication behavior
18_80
Have you put on a kind of real hat, you know, you get a real hat here, you know? What-what's your hunch about that? Is it a kind of-- that kind of realization it's a bit of a smoke screen, what's your hunch?
question
communication behavior
18_82
How about then your-your kind of hunch about that?
question
communication behavior
18_84
Mm.
other
communication behavior
18_86
Yeah-
other
communication behavior
18_88
-so, what did it add up to, at the end of the day? What are we talking here?
question
communication behavior
18_90
Yeah, yeah. It's a little bit here, a little bit there, so it then adds up, yeah? Yeah.
reflection
communication behavior
18_92
Mm.
other
communication behavior
18_94
Yeah. Okay. So-so, there's some-some questions you've got around some-some ways you, kind of, explained them. And then, as we work together, you know, we-- there might be some other ways we look at it and see it too, you know, that-that's part of working together. So, I'm wondering, how open are you to, you know, seeing this situation from lots of different angles?
therapist_input
communication behavior
18_96
Yeah? Yeah.
other
communication behavior
18_98
Yeah, yeah.
other
communication behavior
18_100
Okay. So, what other things have you've been open to at other times in your life when you've been open to-to new ideas and being able to talk about stuff, that may be tough to talk about?
question
communication behavior
18_102
Yeah.
other
communication behavior
18_104
Yeah, and-and, coming in, talking to a stranger, you know, and someone who can be honest to what you did, talking to a stranger, coming in this time, what do you sense about how you're doing so far?
reflection
communication behavior
18_106
Mm.
other
communication behavior
18_108
Yeah. You know, like-- I-- And, some people wouldn't even, sort of, get in the door or wouldn't be as open as you've been today, okay, to an extent, so, you know, like I said, good on you, yeah. You know, being able to-- It's hard to come to a place like this and start to really open up, so, you know, you've just shown that you can do that. Yeah.
reflection
communication behavior
18_110
Well, you have a choice about what you open up to me about. Absolutely, you have a choice about that, yeah. That coming, being on sentence, no, you don't have a choice about that, um, well, you have a choice, 'cause, I mean, you can choose not to come, and you'll be breached and get to head back to court.
therapist_input
communication behavior
18_112
Um, but you do have a choice about how you are here when we meet, and what-what we talk about here. So, um, you know, so you do have lots of choices within that. And, my sense is you're, sort of, you know, a young woman who will make some good choices about that 'cause you're not a bad person, and you know that.
reflection
communication behavior
18_114
Yeah.
other
communication behavior
19_0
So you're sick of this?
reflection
communication behavior
19_2
Mm-hmm.
other
communication behavior
19_4
Okay.
other
communication behavior
19_6
So, it sounds like you're ready. You're ready to give this up.
reflection
communication behavior
19_8
But, maybe the path to doing that isn't so clear.
reflection
communication behavior
19_10
Mm-hmm.
other
communication behavior
19_12
And it's fun.
reflection
communication behavior
19_14
Mm-hmm.
other
communication behavior
19_16
Uh-huh.
other
communication behavior
20_0
So I wrote a prescription for antibiotics for Aiden.
therapist_input
communication behavior
20_2
Um, I did wanna talk to you though. I'm a little bit concerned looking through his chart of how many ear infections he's had recently. And I-I noticed that you had checked the box that someone's smoking in the home. So I was wondering if you can tell me a little more about that.
therapist_input
communication behavior
20_4
You have a lot of things going on and smoking's kind of a way to relax and destress.
reflection
communication behavior
20_6
Sure. And it sounds like you're trying not to smoke around him. Why did you make that decision?
reflection
communication behavior
20_8
So on the one hand, you're worried about how your smoking might be affecting him and on the other hand, you're not so sure if it's really the smoking that's causing these problems?
reflection
communication behavior
20_10
What made you decide to quit smoking when you were pregnant?
question
communication behavior
20_12
Right now, though, it feels almost too difficult to even manage or even to try?
reflection
communication behavior
20_14
How were you successful when you quit before?
question
communication behavior
20_16
Mm-hmm.
other
communication behavior
20_18
Mm-hmm. The risks were so scary then that you were able to stop?
reflection
communication behavior
20_20
But they don't feel as scary to you now?
reflection
communication behavior
20_22
You're doing the best you can do.
reflection
communication behavior
20_24
Okay. But it sounds to me too like part of you really does want to quit?
reflection
communication behavior
20_26
It's on your to-do list. It's just not making it to the top?
reflection
communication behavior
20_28
If you did decide to quit on a scale of 1 to 10, where 1 is not at all confident, and you don't think you could do it and 10 is you feel pretty certain that you could, where do you think you fall right now?
question
communication behavior
20_30
Well, what made you say five rather than two or three?
question
communication behavior
20_32
Okay. So it sounds like you have a lot of reasons why you'd like to quit. You have been successful quitting in the past, and right now you're just feeling a little bit hesitant about your ability to do it?
reflection
communication behavior
20_34
Where do you think we should go from here?
question
communication behavior
20_36
Sure. Well, if you'd be interested, that's something I can definitely talk to you about. There are a lot of new options that can actually help people be way more successful in their attempt at quitting. There's different medications you can try.
therapist_input
communication behavior
20_38
Okay. There's also a lot of support groups and classes that you can take where you have other people to go through it with you. And sometimes just having that support can be a big part of it, especially for people like you where smoking is such a stress reliever.
therapist_input
communication behavior
20_40
Sure. It feels like something that would take up a lot of time and maybe not fit into your life. I wonder if we could talk about some options that might fit into your life.
question
communication behavior
20_42
Okay. Well, if you're willing, then we could set up another appointment where you could come in and we could talk more about that.
therapist_input
communication behavior
20_44
Great.
other
communication behavior
20_46
Sure.
other
communication behavior
21_0
Hi, Laura.
other
communication behavior
21_2
Thanks for coming in. Um, so, I'm not sure how much you know already about sort of what you're doing here. If it's okay, I'll give you a little rundown.
question
communication behavior
21_4
So, basically, we're here, I'm just gonna talk to you for a little bit about sort of what your goals are for your life, um, get to know you a little bit better and talk about some different behaviors that you might be engaging in. It's not my job at all to judge you or to try and change you, you know. Basically, I'm gonna talk to you about how things are going, any changes you might want to make in your life, how I could help you with that, and just what I can do that's going to be most beneficial for you.
therapist_input
communication behavior
21_6
Does that sound okay?
other
communication behavior
21_8
All right, so, I guess just to get started, can you tell me a little bit about yourself?
question
communication behavior
21_10
Okay. And, what kinds of things do you plan for your life?
other
communication behavior
21_12
Hm.
other
communication behavior
21_14
That's great.
other
communication behavior
21_16
Do you have a plan as to where you might want to go or?
question
communication behavior
21_18
Oh.
other
communication behavior
21_20
Cool.
other
communication behavior
21_22
So, kind of keeping your options open.
reflection
communication behavior
21_24
Great. And, do you have an idea about what you might want to study or?
question
communication behavior
21_26
Oh, wow. Okay, that's exciting.
reflection
communication behavior
21_28
All right, cool. Uh, what do you like to do for fun?
question
communication behavior
21_30
Mm-hmm.
other
communication behavior
21_32
You like to have a good time?
reflection
communication behavior
21_34
And, you have a lot of friends or a few close people, or?
question
communication behavior
21_36
Mm-hmm.
other
communication behavior
21_38
All right.
other
communication behavior
21_40
That's a good way to be, right?
reflection
communication behavior
21_42
All right, so, um, it sounds like, in general, your-- Things are going pretty well for you. How are your grades right now?
question
communication behavior
21_44
Okay.
other
communication behavior
21_46
Great. Well, one thing I want to ask about is, you know, different people have sort of different values or things that are important to them. They might, you know, be really close with family or really have, you know, their friends as being something particularly important. So, I'm gonna show you just a few things on this sheet, and if you can look at them all. So, there's things like belonging, community, cultural identity, family, friendship, modesty, religion, respect, self-determination and spirituality. Which of those do you think is sort of important to you?
question
communication behavior
21_48
Okay.
other
communication behavior
21_50
What's important to you about your family?
question
communication behavior
21_52
Hm.
other
communication behavior
21_54
Okay. Do you have brothers or sisters?
question
communication behavior
21_56
Okay, great. And, how about friendship?
question
communication behavior