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31_14
Okay, um, would you mind if I talk to you, if-if I- if I gave you a little bit of information about the muscle weakness, and you tell me what you think?
question
communication behavior
31_16
Okay. The muscle weakness with this drug is very rare, uh, usually doesn't even happen, okay? Uh, if it happens it usually happens within the first month of taking the medicine, you'll notice it in terms of weakness in the arms, uh, or some muscle pain, it's not usual. If this should happen, uh, if you let the doctor or me know right away, we can get you off the medicine, it's completely reversible. It's, the muscle weakness will go away within a couple of days, right.
therapist_input
communication behavior
31_18
Now, you don't wanna let that go on for months at a time, that's when it can become serious.
therapist_input
communication behavior
31_20
But otherwise, again it's rare, and it's completely reversible if you let us know.
other
communication behavior
31_22
Okay, and, uh, so talk to me a little bit more about what the doctors told you about-about your risks of stroke or heart attack while you're ta- while you have high cholesterol.
question
communication behavior
31_24
Okay, well how important would it be for you to-to, uh, do whatever you can to reduce your risks of stroke or heart attack down the line?
question
communication behavior
31_26
Yeah, and-and one of the- certainly one of the risks of stroke is paralysis, and if you wanna be active that could be-
therapist_input
communication behavior
31_28
-really a problem.
therapist_input
communication behavior
31_30
Okay, well this medicine can really help lower your risk of having a stroke or heart attack so that five years so now when you do retire you can enjoy it without any disability, uh, what are your thoughts about that?
therapist_input
communication behavior
31_32
Sure.
other
communication behavior
31_34
Mm-hmm, yeah it would, I-I-I think that would, uh, go a long way toward reducing those risks.
therapist_input
communication behavior
31_36
Okay, um, so if so where we are right now if I understand is you're feeling more comfortable about the concern about muscle weakness?
reflection
communication behavior
31_38
Uh, you seem fairly committed to taking the medicine to reduce your risk so that you can enjoy your retirement.
reflection
communication behavior
31_40
Uh, and so at this point, you're gonna get the medication and-
therapist_input
communication behavior
31_42
Definitely, can lower your cholesterol to 50%.
other
communication behavior
31_44
So it's pretty effective.
therapist_input
communication behavior
31_46
Okay, um, and at some other point we can talk about some other things that you may be able to do including diet, changes in your eating habits, it can lower your cholesterol even more.
therapist_input
communication behavior
31_48
Okay?
other
communication behavior
31_50
All right, uh, well they have your medication ready, and, uh, if you have any questions let us know.
therapist_input
communication behavior
31_52
All right, good to meet you.
other
communication behavior
31_54
Okay.
other
communication behavior
33_0
Okay, David. So, why don't you take a rinse, and how are you feeling?
therapist_input
communication behavior
33_2
Would you like to-
question
communication behavior
33_4
-check this out? What do you think?
question
communication behavior
33_6
Yeah.
other
communication behavior
33_8
Yeah.
other
communication behavior
33_10
Yeah. No.
other
communication behavior
33_12
It went well. Good. Excellent. I did notice quite a lot of staining, actually. I'm wondering what are your thoughts about what might be related to that.
therapist_input
communication behavior
33_14
Yeah.
other
communication behavior
33_16
Any thoughts on considering quitting smoking at this time?
question
communication behavior
33_18
Okay. And it's like here I am one more person, the next- the next doctor who's saying, "You need to quit smoking, David."
therapist_input
communication behavior
33_20
Mm, and I'm sorry, that's not how I mean to come across at all.
therapist_input
communication behavior
33_22
Mm-hmm, and if it was as easy as the doctor is saying or your partner-
reflection
communication behavior
33_24
-saying-
reflection
communication behavior
33_26
-you have to quit.
reflection
communication behavior
33_28
Yeah.
other
communication behavior
33_30
Yeah.
other
communication behavior
33_32
Yeah. And what's been your past experience with smoking? Tell me-- Can you tell me a little bit about kind of how the role it plays in your life, how long you've smoked?
question
communication behavior
33_34
Mm-hmm.
other
communication behavior
33_36
Mm-hmm.
other
communication behavior
33_38
It sounds like almost you've tried a lot of things that are out there and it's not something that you're—
reflection
communication behavior
33_40
Yeah, yeah.
other
communication behavior
33_42
Yeah.
other
communication behavior
33_44
Mm-hmm.
other
communication behavior
33_46
Mm-hmm.
other
communication behavior
33_48
Yeah. And it really is your choice. You're absolutely right-
therapist_input
communication behavior
33_50
-that nobody has the right to tell you what to do. Um, can I ask? If you were to-- Uh, if there was to be a situation where you decided, "I must quit," what-what would that situation be?
question
communication behavior
33_52
Mm-hmm.
other
communication behavior
33_54
Right.
other
communication behavior
33_56
Mm-hmm.
other
communication behavior
33_58
So, this is something that you-you-
reflection
communication behavior
33_60
-pretty much see yourself doing for-
reflection
communication behavior
33_62
Yeah. Okay. Well, I really appreciate you being willing to even talk about it. And I get that right now, this is not something that you wanna pursue. Would it be okay if I brought it up in our next visit? 'Cause I-I know that you've said you don't want a lecture, but on the other hand, I am- I am concerned.
therapist_input
communication behavior
33_64
As long as I don't talk too much?
reflection
communication behavior
33_66
Okay. [chuckles]
other
communication behavior
33_68
Hmm.
other
communication behavior
33_70
[chuckles] You're glad to keep him as a doctor?
reflection
communication behavior
33_72
Yeah. Well, and, David, honestly, wherever you're at, we'll work with it.
therapist_input
communication behavior
33_74
Um, and so thanks for- thanks for taking a couple of minutes and talking about smoking.
therapist_input
communication behavior
33_76
Okay.
other
communication behavior
34_0
Thank you for coming in to see me today, Nina. I'm looking forward to getting to know you a little bit and hearing a little bit about you and what brought you in here today.
other
communication behavior
34_2
Okay. He's thinking you were a little irresponsible.
reflection
communication behavior
34_4
And you're feeling kind of concerned about that.
reflection
communication behavior
34_6
Okay. So, you're concerned about the consequences, and you really care about your baby, and you want to give your baby the best start you can.
reflection
communication behavior
34_8
And you're wondering a little bit about this time that we're going to spend together.
reflection
communication behavior
34_10
So here you are today and, um, you're sharing that you have been drinking alcohol throughout your pregnancy.
reflection
communication behavior
34_12
Okay.
other
communication behavior
34_14
Mm-hmm. So, there's this external pressure coming from the people you care about to sort of stay in the scene.
reflection
communication behavior
34_16
Kind of feels like You're between two worlds. In one world, you're preparing to be a mother and bring a baby into this world, and this other world is the world that you've been in for a while where you're kind of having a good time and-
reflection
communication behavior
34_18
-drinking and your friends are-
other
communication behavior
34_20
Okay. So, this party-time world's- are you feeling like this is something you want to move out of and move into that mom world? Or does it feel like I want to hang out there still too?
question
communication behavior
34_22
So, for you, you're feeling like once the baby comes and actually in your arms, then things are going to change, but right now, while you're pregnant, you're thinking, "I can kind of hang out in both worlds a little bit," but part of you may be thinking maybe that's not the case. It's time to go to the mom world maybe.
reflection
communication behavior
34_24
Okay. So, you've got a lot of concerns about what's happened to- up until this point, as far as your drinking. What do you know about, um, drinking alcohol throughout pregnancy?
question
communication behavior
34_26
So, you were thinking because your-your friends weren't pressuring you to stop drinking, that-that it must be okay.
reflection
communication behavior
34_28
And then there's this other part of you that's- was thinking maybe it's not okay.
reflection
communication behavior
34_30
So, your gut is telling you what? Tell me about that.
question
communication behavior
34_32
And you really wanna do what's best for your babe. And kind of wondering, um, how to move forward from here, is that where you wanna, you know, kind of focus in on, or what are your thoughts about giving up drinking altogether?
question
communication behavior
34_34
So, you kind of have this identity, dual identity going on. I wanna be that person, yet, that person-
reflection
communication behavior
34_36
Mm. So, embraces this life of the picket fence and the, you know, the little house and having the baby in this-
reflection
communication behavior
34_38
So, you don't wanna be that- that- that woman that's just sort of living in this house with the baby carriage, and at the same time, that world's kind of saying it's behind you.
reflection
communication behavior
34_40
You care about them.
reflection
communication behavior
34_42
It's just the scene that they're-they're still in because their life maybe hasn't taken that change that your life has made. And so now, you're here and you're not sure. You want the baby, but you're not sure about the suburbs and the picket fence thing. You're not sure—
reflection
communication behavior
34_44
You don't want that.
reflection
communication behavior
34_46
You want this baby.
reflection
communication behavior
34_48
And you wanna be, um, take care of your baby as the baby's growing.
reflection
communication behavior
34_50
You don't wanna let your baby down.
reflection
communication behavior
34_52
And at the same time, it's hard to let go of the past, but on the other hand, you're thinking, "I don't have a choice. I've got to look this way." Is that kind of what it feels like?
reflection
communication behavior
34_54
Nina, I'm wondering, what's your hope for the future? When you think about where you are today, um, what do you hope for when you look ahead?
question
communication behavior
34_56
You put your heart there that the baby is really- it was almost kind of like a sign for you that was saying, "This baby is giving you a kind of a new chance at life, or giving you a plan B," and you guys both get to decide what plan B is gonna look like.
reflection
communication behavior
34_58
While this baby's growing in you and you think of all the opportunities that could come out of this, there's a part of you that says, "I'm still that same girl that was drinking and partying," and-and maybe not living the life you wanted to live.
reflection
communication behavior
34_60
While this baby feels like this is your second chance, you're wondering, "Do I deserve that second chance?" And then this other part of you that says, "Why not? It's here and I wanna go for it."
reflection
communication behavior
34_62
Mm-hmm. You got a lot of people around you that are kind of pulling it down, and it's kind of taking you back to the old life. And the baby is a constant reminder that there’s this new life ahead.
reflection
communication behavior
34_64
When you think about, you know, embracing this new life, and taking that different path, turning away from path A and moving into path B, how confident are you that you can take path B and be successful in raising this baby, and letting go with the drinking and the life that you were in-in path A?
question
communication behavior
34_66
Mm-hmm. Tell me more about that, what makes you say, "I have to take that path"? What makes you feel like you need that?
question
communication behavior
34_68
This part of you that says, "I don't have an option to-to-to make this life better," it's wondering, "Do I have the confidence to be able to make that life a reality?" What do you think you need to increase your confidence that you can do this?
question
communication behavior
34_70
So you're thinking that, um, once your friends see you with the baby in your arms that they too will see that there's a different path for them too?
question
communication behavior
34_72
Mm, kind of feel like you're pulled between two worlds there.
reflection
communication behavior
34_74
It's not easy to be in that world and also having that constant reminder that the baby is coming and this baby is saying, "I want this better life," and you want to give the baby a better life too. Who can support you, do you think when-when you look around who's in your circle right now, who do you think can support you in moving towards path B?
question
communication behavior
34_76
And your parents are a support for you and support you from giving up the drinking, the alcohol use, that's something that they would support-
reflection
communication behavior
34_78
Okay.
other
communication behavior