Ep 32 – MI in South Africa
Ep 32 – MI in South Africa
Glenn Hinds MI in South Africa
Ep 32 – MI in South Africa
We are happy to share this next episode of TTC in which Dr. Goodman Sibeko joined us to discuss MI in South Africa. 
Goodman is a Medical Doctor with specialist training in Psychiatry. He holds a PhD in Psychiatry and serves as Head of Addiction Psychiatry at the University of Cape Town. His work has focused on interventions using non-specialist workers in the management of severe mental illness, and he has a developing research portfolio focused on task sharing models for the treatment of harmful substance use, mental health and HIV. He serves as Co-Director of the PEPFAR and SAHMSA-funded South Africa HIV Addiction Technology Transfer Centre (ATTC).
Motivational Interviewing in South Africa
Goodman explores how culture, context and power influence healthcare conversations in South Africa. The discussion highlights the importance of understanding another person’s perspective rather than assuming that professional expertise alone determines what should happen next.
A central theme is the power imbalance that can exist within doctor-patient relationships and the ambivalence this may create. Goodman considers what it takes for practitioners to shift from directing people towards becoming a “guide on the side”. These ideas connect strongly with Partnership in Motivational Interviewing, Acceptance and Engaging.
In this episode
0:00 – Opening/introduction
3:37 – Goodman’s introduction and MI background
6:00 – Understanding perspective
9:50 – Cultural factors in South Africa and how this impacts health care
communication
18:00 – Power dynamics in the doctor-patient relationship
25:30 – Ambivalence that arises from power imbalance
29:00 – Practitioners’ willingness to shift practice
34:00 – Being a “guide on the side”
48:30 – How to engage with others to counter toxic communication
52:58 – End of recording
Links and contact information:
- Email: goodman.sibeko@uct.ac.za
- Twitter: @DrGSibeko
- ATTC: https://attcnetwork.org/centers/south-africa-hiv-attc/meet-south-africa-hiv-attc-team
- University of Cape Town: http://www.psychiatry.uct.ac.za/psych/addiction-psychiatry
Listen to Episode 32
Contact Talking to Change
Glenn: glenn@glennhinds.com
Sebastian: sebkaplan34@gmail.com
Email: podcast@glennhinds.com
BlueSky:
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