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. Author manuscript; available in PMC: 2016 Oct 1.
Published in final edited form as: Health Expect. 2013 Dec 4;18(5):1672–1685. doi: 10.1111/hex.12160
1 D: Or… I mean, cause, you know, the Ativan, your mood has been something that you haven’t really wanted to talk too much about but has been an issue.
[Pause ~4 seconds]
2 P: Well, like I was… I was really nervous about coming in here today. But I don’t know why.
3 C: He threw up this morning.
4 P: I can’t put my finger on it. I don’t know why. I don’t know why I’d be nervous about coming in here.
5 D: Well, what have you been thinking about? What thoughts have been going through your head the last 24 to 48 hours? PRESENCE
6 P: I’ve got a friend coming to [city/state] to hear me perform, a guy I used to play in a band with.
And I don’t know.
7 D: So you’re worried that you might not be up to his standards? PRESENCE
8 P: Not worried but just … no, no, no. No. Just extra added activity with the Easter holiday and my gigs and now more people. And more of a draw on… whenever I’m around people I feel like I have to be entertaining. You know? And that really wears me out.
9 D: So, you… is there something we should – PRESENCE
10 P: No, but that’s what’s been on my mind. It kind of makes me nervous.
11 D: So you’ve been doing the usual number of gigs or have you been cutting back?
12 P: Yeah, pretty much. I cut back now in May, I don’t have that many. But just because I’ve not been aggressive calling about them, you know? I’m not really sure how far out. I’ve booked New Year’s Eve but I’m not sure how aggressive I want to get in keeping booking them out there, you know? I’m still taking them. I have to work this afternoon, somebody called.
13 C: They did?
14 P: Yeah.
15 D: So, -
16 C: Now -
17 D: Is it the… go ahead.
18 C: Like if he does two gigs in a day he’s exhausted, more so than before.
19 D: So what does that make you think?
20 P: I like that feeling. I’d rather be exhausted.
21 D: That’s your choice. AFFIRMATION
22 P: Yeah.
23 D: And it may bug you because you want to see him be not exhausted. But you have a choice to say only one. AFFIRMATION
24 P: Yeah. Yeah. Well.
25 D: I think you need to feel free to set limits [pause ~2.5s] ‘cause you’re probably not gonna hurt anybody else’s feeling by saying this is all I can do. AFFIRMATION
26 P: Yeah. I know it. I gotta take-
27 C: He hates doing it, though.
28 P: I hate doing that.
29 D: It sounds to me like you’re grieving your normal life and it’s not something you want to give up yet. VERBAL ACKNOWLEDGEMENT
30 P: A huh.
31 D: Kind of normal.
32 P: That makes sense.
33 C: He did do, what, 17 gigs in 11 days?
34 D: Oy. INDIRECT VERBAL EXPRESSION OF EMOTIONAL RESONANCE
35 C: Over the St. Patrick’s Day.
36 P: I feel like I’m doing something, though, I feel like I’m contributing. [Spoken in a whisper, dropped tone]
37 D: Well, you know what, [Name]? Do it but don’t do it to your own detriment.
PARALINGUISTIC EXPRESSION OF EMOTIONAL RESONANCE; PERSONALIZATION
38 P: Yeah. Okay. I got a lot of that stuff going.
39 D: It’s rare of me to tell somebody point blank you’ve got to stop. However, I will say you have my permission to set limits. AFFIRMATION
40 P: Okay.