Secure Base Priming Program

 

Participant Consent Form

Before taking part in this program, please read the consent form below and click on the "I Agree" button at the bottom of the page if you understand the statements and freely consent to participate in the program and the research study.

The Secure Base Priming Program is researching the long-term effects of repeated secure base priming on attachment style and mood. This web-based program has been created by Daniel Sonkin, Ph.D., MFT (16644) (www.danielsonkin.com) who is in independent practice in Sausalito, CA. No deception is involved, and the study involves no more than minimal risk to participants (i.e., the level of risk encountered in daily life).

The Secure Base Priming Program is not psychotherapy, counseling or marital/relationship counseling . It is not meant to be an alternative to medication, medical treatment, counseling or psychotherapy, but as a potential adjunct to those services. It is not a cure or treatment for any psychiatric, psychological or neurological condition. It is unknown how long the priming effects last. By participating in this program/study, you are not consenting to mental health treatment by Daniel Sonkin.

Participation in the priming program typically takes five minutes per day, five days a week, over the course of ten days. Before starting the program/study, participants are asked to complete a series of questions about themselves, and complete several questionnaires. Three questionnaires are administered after every tenth session. The participant will experience one priming exercise per day, which shouldn't take more than a total of five minutes.

All responses are treated as confidential, and in no case will responses from individual participants be identified in research studies or publications. All data will be pooled and published in aggregate form only. Participants should be aware, however, that the experiment is not being run from a "secure" https server of the kind typically used to handle credit card transactions, so there is a small possibility that responses could be viewed by unauthorized third parties (e.g., computer hackers).

Many individuals have a positive experience participating in this program, and no adverse reactions have been reported thus far. However, some people may initially experience negative emotional reactions to the primes or recall negative family experiences. Should this occur, participants are encouraged to talk with their therapist or counselor about these reactions. In fact, some participants have found it helpful to complete the first few days of priming exercises in their therapist's office so they can process their emotional reactions (both negative and positive) to the primes. Others have also completed the priming exercises just before attending their therapy or counseling appointments so that their reactions to the experience are fresh in their mind. You may find it helpful to spend a few minutes after each priming session to write your thoughts, feelings and reactions to the experience, and then bring this information to your therapy or counseling sessions.

Participation in the program is completely voluntary, and participants may withdraw from the program at any time.

If participants have further questions about this study or their rights, or if they wish to discuss a concern, they may contact the developer, Daniel J. Sonkin, Ph.D. MFT (MFT16644) at (415) 332-6703 or contact@danielsonkin.com.

First Name:
Last Name:
Email:
Male or Female?
Male
Female
How old are you?
Are you involved in an exclusive romantic relationship (i.e., dating, engaged, or married)?
No
Yes
If you are in a relationship, how long have you been involved with this person? (Indicate years and months)
Are you currently in therapy?
No
Yes
If so, how many years/months have you been seeing your current therapist?
Have you ever been in therapy in the past?
No
Yes
If so, how many total years/months have you been in therapy in the past.
If you are currently in therapy, have you told your therapist about participating in this program?
No
Yes
Occupation:
Please select the option that best describes your ethnicity.
Prefer not to answer
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What is your country, state and city of residence?
How did you find out about the Secure Base Priming Program?
My therapist
Internet search
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The Secure Base Priming Program suggests that you do the exercises for ten days. Each training session takes approximately 5 minutes. Are you able to fit the priming exercises into your schedule?
No
Yes
If you are 18 years of age or older, understand the statements above, and freely consent to participate in the program, click on the "I Agree" Checkbox to apply for the program.
I Agree