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The Grip of Alcoholism

Jasmine Scott

Drawing
Jen came to hospital for help with her dependency on alcohol. She had been drinking over forty units a day for two years and had lost many parts of her life to this addiction, including her job and friendships. Prior to this appointment, and despite many GP consultations, she was entirely resistant to change.

However, one incident caused Jen to dramatically change her attitude and it was this sudden change which surprised me. Jen had passed out due to alcohol consumption and as a result was not able to feed her waiting children – the stark realization that drinking had not only impacted her ability to take care of her children, but also the thought of having caused them harm triggered her willingness to seek support. My encounter with Jen really made me consider ways in which we motivate patients, and the grip addiction can have on an individual’s life.

  
My creative piece shows a bottle of wine having been knocked over. The bottle represents Jen’s drinking addiction and the dummy – her children. This drawing shows the point in Jen’s life when her drinking could no longer work cohesively with her children, as the dummy, previously used as a stopper, is unable to contain her addition.
She came to reflect on her behaviour and its impact, symbolised in the reflection of the wine bottle in the spillage. Jen’s realisation was driven by her inability to continue suppressing her alcoholism; the spilt wine is indicative of her the severity of her addiction exposed for everyone to see.
I chose to present my creative piece as a digital drawing as I feel the clean and simple nature of the medium contrasts the disorder that comes with the alcohol addiction.

This encounter made me understand that helping patients to break destructive habits is not as simple as explaining the health consequences of their behaviour. The most influential skill is discovering a patient’s priorities and what is important to them, as this allows you as a doctor to steer the consultation towards that of change. While it can be frustrating to consult with individuals that have no desire to change their behaviour, it is important to continue to check in and offer support. You can never be sure when the willingness to try and change their behaviour may start, they will need support in doing this at the right time for them. This interaction will alter the way I consult with patients, and I will focus on building a rapport and discovering what priorities may increase the likelihood of behavioural change, rather than focussing solely on the health facts about their condition.

Creating this piece allowed me the chance to reflect on the consultations I have undertaken throughout the year and further consider my skills in supporting change, something that without this project, I would not have done.

Effective Consulting, Year One, 2022-23

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