One can unwittingly contribute to discord in more subtle ways than this. Labeling and blaming are likely to promote alienation. When initially interviewing someone who drinks too much, using the term alcoholic may generate discord almost immediately.
Discord in the therapeutic context is a relational disruption produced by practitioner behaviour — labelling, blaming, premature focus — that generates alienation and defensiveness in the client.
, Motivational Interviewing: Helping People Change, Third Edition, 2013thesis