id
stringlengths 1
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stringlengths 1
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stringclasses 64
values | dimension
stringclasses 6
values |
|---|---|---|---|
88_65
|
What a great plan and you said you're going to start tomorrow.
|
reflection
|
communication behavior
|
88_67
|
Great. Well, thank you.
|
other
|
communication behavior
|
91_0
|
Hi, Jean. I'm Dr. Selby. Nice to meet you.
|
other
|
communication behavior
|
91_2
|
How can I help you today?
|
question
|
communication behavior
|
91_4
|
Yes.
|
other
|
communication behavior
|
91_6
|
Right.
|
other
|
communication behavior
|
91_8
|
It's time to do something, okay. So you've been diagnosed by-
|
question
|
communication behavior
|
91_10
|
A respirologist diagnosed that, and-and how are you feeling right now?
|
question
|
communication behavior
|
91_12
|
Mm-hmm.
|
other
|
communication behavior
|
91_14
|
All right. So it sounds like you've been smoking for such a long time and then this diagnosis was given to you, uh, and now that's really causing you to be afraid and frightened.
|
reflection
|
communication behavior
|
91_16
|
Okay, okay. Now, have you thought about when you wanted to quit by?
|
question
|
communication behavior
|
91_18
|
Okay. So what I'm hearing you say is that, although you want to quit smoking in the next six months, you're feeling a bit, um, under-confident that you'll actually be able to do this and you're-you're worried about failing.
|
reflection
|
communication behavior
|
91_20
|
Mm-hmm.
|
other
|
communication behavior
|
91_22
|
Right. So you've been able to quit smoking, but only when you were in the hospital.
|
reflection
|
communication behavior
|
91_24
|
Okay. Let me just step back a little bit and ask you a question so that I can better understand where the difficulty that you're having with is. Uh, could you tell me what is good about smoking for you?
|
question
|
communication behavior
|
91_26
|
Mm-hmm.
|
other
|
communication behavior
|
91_28
|
Right.
|
other
|
communication behavior
|
91_30
|
Sure. So, Jean, I want to make sure that I've understood what you've told me of what you find good about smoking. So it helps you calm down. It gives you something to do. It's been part of your image. You know, you feel sophisticated. You feel like a movie style. In fact, the way you talk about it, it seems like that's what it makes you feel like. Is that right?
|
reflection
|
communication behavior
|
91_32
|
Okay. Is there anything I missed?
|
question
|
communication behavior
|
91_34
|
Mm-hmm.
|
other
|
communication behavior
|
91_36
|
Right.
|
other
|
communication behavior
|
91_38
|
Sure.
|
other
|
communication behavior
|
91_40
|
So it's hard for you to quit smoking when everybody else around you is smoking. And it's so easy to go out and take a break and have a cigarette.
|
reflection
|
communication behavior
|
91_42
|
You've told me what is good about smoking for you. Uh, can you tell me what is not so good about smoking for you?
|
question
|
communication behavior
|
91_44
|
Mm-hmm.
|
other
|
communication behavior
|
91_46
|
Is there anything else that's not good about smoking for you?
|
question
|
communication behavior
|
91_48
|
Okay. So let me make sure I've understood this piece as well. So the not good things or the not so good things about smoking for you are the effects on your health, effects on your physical appearance and how you'll look and-and-and the amount of investment that you're making in makeup and getting your nails done, et cetera. And then the cost of smoking.
|
reflection
|
communication behavior
|
91_50
|
So-so let me ask you this, given everything going on in your life right now on a scale of 1 to 10, where 10 is the most important thing to do, and 1 would be the least important thing to do, how important is it for you to quit smoking?
|
question
|
communication behavior
|
91_52
|
Definitely most important.
|
reflection
|
communication behavior
|
91_54
|
Let me ask another question and follow up to that. Again, given everything going on, where 10 is the most confident you've ever felt about anything and 1 is the least confident, how confident are you that you will be able to quit?
|
question
|
communication behavior
|
91_56
|
35-40%. Okay.
|
reflection
|
communication behavior
|
91_58
|
Okay. Now, help me understand why you said 40 and not something like 10 or zero because you mentioned that you don't even want to quit.
|
reflection
|
communication behavior
|
91_60
|
Mm-hmm.
|
other
|
communication behavior
|
91_62
|
Okay. So you said 30 to 40%. What would it take to build that confidence to about 45%?
|
question
|
communication behavior
|
91_64
|
So if you got help, that would help you say that you went from 40% to 45%.
|
reflection
|
communication behavior
|
91_66
|
Okay.
|
other
|
communication behavior
|
91_68
|
Okay. So Jean, I really want to congratulate you on taking this very important first step towards addressing this problem that you've had for such a long time, but as the first small step, I wonder whether you'd be open to actually just monitoring your smoking for the next week. And the reason why I say that- because as you were mentioning to me, smoking is so automatic for you that sometimes writing it down helps make every cigarette a conscious act. And I noticed that you were saying to me, you feel a loss of control over these cigarettes. And sometimes just being mindful and writing something down will help you get some control over what you're doing. And that's often the first small step. What are your thoughts about that?
|
therapist_input
|
communication behavior
|
91_70
|
That's correct. And writing it down helps that process.
|
therapist_input
|
communication behavior
|
91_72
|
Mm-hmm.
|
other
|
communication behavior
|
91_74
|
Okay. And I can give you a little card that can help you keep track of it. And if you can bring that back to the next appointment, it could be something we could discuss. Okay. Anything else?
|
therapist_input
|
communication behavior
|
91_76
|
Excellent. Well, thank you so much for coming in today.
|
reflection
|
communication behavior
|
91_78
|
You're welcome.
|
other
|
communication behavior
|
93_0
|
So there are a lot of different directions that we could take. Um, you've mentioned wanting to make changes in your physical activity. You've mentioned wanting to make changes in your eating habits and also just wanting more body confidence. Um, what- what's on your mind is as far as a- as a change topic for the rest of our session today?
|
reflection
|
communication behavior
|
93_2
|
Yeah. Okay. So physical activity is feeling like the easiest change to look at first.
|
reflection
|
communication behavior
|
93_4
|
Great. So tell me a little bit more about your motivators for getting started in being more physically active. I know you shared energy levels and I know you've shared, um, that you'd like to see a boost in your mood and feeling less irritable and stressed. Any other benefits that really make you wanna make this change right now?
|
reflection
|
communication behavior
|
93_6
|
Yeah. So you're wanting to feel stronger so that you can open jars and other things and- and also just have a better sense of confidence.
|
reflection
|
communication behavior
|
93_8
|
Great. So on a scale from zero to 10, zero being not at all ready to make a change in the area of physical activity, and 10 being let's- let's do this. I'm excited. I'm ready. Um, where- where do you fall on that scale?
|
question
|
communication behavior
|
93_10
|
Okay. So you're- you're feeling fairly motivated.
|
reflection
|
communication behavior
|
93_12
|
Uh, why didn't you pick a six?
|
question
|
communication behavior
|
93_14
|
Okay. You're noticing there- there are too many great benefits to being physically active and, um, today you've mentioned energy, mood, strength and body confidence.
|
reflection
|
communication behavior
|
93_16
|
Am I missing anything else?
|
question
|
communication behavior
|
93_18
|
Okay. Those are the big ones for you.
|
reflection
|
communication behavior
|
93_20
|
Fantastic. Well, um, now we can start looking at if you're interested in how that might look-
|
therapist_input
|
communication behavior
|
93_22
|
- and- and what activities you might end up, um, choosing.
|
other
|
communication behavior
|
93_24
|
Okay.
|
other
|
communication behavior
|
94_0
|
Good, so, um, we're here today to talk just, uh, about whatever it is you'd like to talk about it.
|
other
|
communication behavior
|
94_2
|
Okay, so, um, there would be, so what you're, what you're attempting to do is, um, well-- Tell me, I guess, uh, tell me a little bit more about it so I understand it a little bit more.
|
reflection
|
communication behavior
|
94_4
|
Mm-hmm.
|
other
|
communication behavior
|
94_6
|
So that's a really kind thing of you to do to take someone into your home like that when they need help like that. And, um, but right now, you're thinking that, uh, time is up you'd like to get this person, you know, you're-you're-you're ready to have him or her move out and have your place back to yourself.
|
reflection
|
communication behavior
|
94_8
|
Mm-hmm. And what would, uh, what would help you get to the point of actually, um, booting them out?
|
question
|
communication behavior
|
94_10
|
Mm-hmm. So you kind of feel two ways about it. You-you'd like to, um, you feel like at some level that the time is up for that person to go, and on the other hand, there's a certain amount of security in having him in the house and in knowing he's around.
|
reflection
|
communication behavior
|
94_12
|
But you're not quite ready if you wanna sing that song.
|
reflection
|
communication behavior
|
94_14
|
I thought you did a pretty nice job singing there right there, it's scary to be quite honest with you and I appreciate, I also appreciate your sense of humor in-in doing that.
|
reflection
|
communication behavior
|
94_16
|
That really helps you get through things is to be able to laugh about it.
|
reflection
|
communication behavior
|
94_18
|
Your new career.
|
reflection
|
communication behavior
|
94_20
|
So, um, what are the uh, uh, what would be the benefits to you right now to having him out of the house?
|
question
|
communication behavior
|
94_22
|
Tell me a bit more about that.
|
question
|
communication behavior
|
94_26
|
Uh-huh.
|
other
|
communication behavior
|
94_28
|
Cause you wanna do the right thing because you're- because you're a good person and that's a- that's a really important value to you is that you- is that you help people out.
|
reflection
|
communication behavior
|
94_30
|
But you've done your duty. Duty is done.
|
reflection
|
communication behavior
|
94_32
|
And so, what have you done in order to start getting them to Hit The Road, Jack?
|
question
|
communication behavior
|
94_34
|
Okay.
|
other
|
communication behavior
|
94_36
|
So, uh, you were telling me earlier though that you've talked to some other people and he has some options about some other places to go to.
|
other
|
communication behavior
|
94_38
|
Mm-hmm.
|
other
|
communication behavior
|
94_40
|
So, you might have to literally like pack his bags and help them get to those places, um.
|
reflection
|
communication behavior
|
94_42
|
Okay. Are you-- This is something you've done before.
|
reflection
|
communication behavior
|
94_44
|
So whe-when-when are you gonna do it?
|
question
|
communication behavior
|
94_46
|
Mm-hmm, Mm-hmm.
|
other
|
communication behavior
|
94_48
|
And it's kind of scary.
|
reflection
|
communication behavior
|
94_50
|
And he's that extra trunk.
|
reflection
|
communication behavior
|
94_52
|
Okay.
|
other
|
communication behavior
|
94_54
|
Okay. All right. So, it sounds like you-you've actually worked this out until be out within a couple of days.
|
reflection
|
communication behavior
|
94_56
|
Okay.
|
other
|
communication behavior
|
94_58
|
Okay. Well, I have a funny feeling your plans will prevail. [laughter]
|
other
|
communication behavior
|
94_60
|
Well, thanks for-for talking and playing with our little things here.
|
other
|
communication behavior
|
95_0
|
Right. Hi, Ruth, thank you for coming today. How are you?
|
question
|
communication behavior
|
95_2
|
Well, Ruth, it sounds like you're very frustrated first of all. And you're saying that you're just tired. You've lost all your willpower.
|
reflection
|
communication behavior
|
95_4
|
You don't want to continue.
|
reflection
|
communication behavior
|
95_6
|
So you feel really, really like you've had it up to here.
|
reflection
|
communication behavior
|
95_8
|
Yeah. You're-you're tired. You're stressed. You feel so sad to the point that you're hurting yourself physically so that you can feel something other than what you're feeling right now.
|
reflection
|
communication behavior
|
95_10
|
So you were in a lot of pain?
|
question
|
communication behavior
|
95_12
|
I'm sorry about that. It must be very, very frustrating to feel all that pain and not be able to do anything about it. And it seems like the only thing that you can do right now is to cry.
|
reflection
|
communication behavior
|
95_14
|
It's okay, Ruth. I understand. Pain inside.
|
reflection
|
communication behavior
|
95_16
|
So your mom doesn't understand you and you don't have a dad, that's around?
|
reflection
|
communication behavior
|
95_18
|
So you feel like your hands are tied, you feel like you're a burden to mom. She's a single parent. She works a lot. You have all of these problems in your life. And it sounds to me like you feel like you're just adding more problems to her.
|
reflection
|
communication behavior
|
95_20
|
And if you're not alive, that's gonna solve the issue for her. She'll do better.
|
reflection
|
communication behavior
|
95_22
|
How is she gonna be better off without you?
|
question
|
communication behavior
|
95_24
|
And how are you a burden now?
|
question
|
communication behavior
|
95_26
|
And how do you help her now?
|
question
|
communication behavior
|
95_28
|
Okay. So then even by you coming here today, Ruth, and talking to me and opening up and telling me that you don't feel like you want to continue moving in and telling me and-and confiding in me that, you know, you hurt yourself and all this pain that you feel, that is you trying to help yourself out in one way or another. And that shows that you care. And even more, it shows that you care about your mom and that, in the end, it doesn't sound like you wanna leave her alone because you're still worried about ot-you're still worried about all the burdens on her that you're even thinking of removing yourselves to make her life easier. That shows me that you care about her so, so much, but right now the immediate solution that you have in your mind, it seems like it's-it's-
|
reflection
|
communication behavior
|
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