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).
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
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
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