Secure Base Priming Study

 

Participant Consent Form

Before taking part in this program, please complete the following questions, 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 Study is researching the effects of repeated secure base priming on mood, felt-security and attachment style. This web-based study is being conducted by Daniel Sonkin, Ph.D. (Independent Practice, Sausalito, CA) and Mayté Frias, Ph.D. (UC Davis). 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 Study 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 Dr. Sonkin or Dr. Frias.

Participants are required to complete 9 sessions, every day and AT LEAST one day over the weekend. The entire priming experience will take less than two weeks using this schedule. If the participant chooses, they can prime for 9 days in row. However, a typical schedule would be Monday through Friday, either Saturday or Sunday, and then Monday through Wednesday. After the ninth day of priming, the participant needs to stop for one week. The system will not allow you to log in again until 7 days AFTER your nineth session. On the last day of the study, the participant must login and complete the final assessment. Each session lasts no longer than five minutes, so it requires very little time in your day. The final assessment day usually takes about 10-15 minutes at the most.

You may only participate in the study (and hence use this program) if you agree to faithfully complete the exercises in the manner required every day during the week, at least one day over the weekend, wait a week and complete the final assessment forms. If you stop participating for more than two days, your account may be deleted unless you contact the researcher to ask permission to continue. However, you may be refused continued access to the program if the time elapsed is too long.

Before starting the study, participants are asked to complete a series of questions about themselves, and complete several questionnaires. These three questionnaires will also be completed at other times during the study.

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 experiencing these exercises and no adverse reactions have been reported thus far. However, some people may initially experience negative emotional reactions to the exercises or recall negative family experiences. However, if you have any adverse reactions you should stop the sessions immediately and you can contact Dr. Sonkin.

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. at (415) 332-6703 or info at securebasepriming dot org.

First Name:
Last Name:
Email:
Gender: Male or Female or Other?
Male
Female
Other
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
Black
Chicano
Chinese
Filipino
Indian/Pakistanian
Japanese
Korean
Latino
Other Asian
Native American
Pacific Islander
Puerto Rican
White/Caucasian
Other
What is your country, state and city of residence?
How did you find out about the Secure Base Priming Program?
My therapist
Internet search
A friend
My physician
Another professional
A relative
Online advertisement
Online article
Other
The Secure Base Priming Study requires that you complete the exercises for nine days (five days a week and at least one day on the weekends) for 9 days. The participants are also required to complete the final session one week after the 9th priming session. Each training session takes approximately 5-10 minutes. Are you able to fit the sessions 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