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).

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

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