INFORMED CONSENT and AGREEMENT to VIDEOTAPE SESSIONS
I. INFORMATION FOR YOUR INFORMED CONSENT
A. THE PROCESS of PACT Sessions. The Psychobiologic Approach to Couples Therapy [PACT] is the main therapeutic processes I use in my work with you. It focuses on how our emotions and thoughts interact with our bodies: thus non-verbal communication is as important as the spoken word. In this context, a picture really is “worth a thousand words”, as the saying goes. Hence the importance and use of videotaping our sessions to convey information, interactions, and emotional context that cannot be described verbally. NB: During Covid, videotape has been replaced with Zoom recording on a HIPAA compliant platform.
- LOCATION. I will not use your recording[s] in your city of origin, i.e. where you live or work.
- NO IDENTITY. You will not be identified by name or location. Only your initials, the date, & zoom or my office location will be recorded.
- STORAGE. The digital record will be stored on a password protected or encrypted computer hard drive. This in turn will be stored in a locked cabinet as soon as possible.
- DISPOSAL. Recordings are erased (or recorded over) after serving (or not) one or some purposes noted above.
C. PURPOSES of VIDEOTAPING.
By checking the boxes below, you agree to the following:
Your signature below indicates that you give me, Joy A. Dryer, Ph.D,. permission to videotape, or Zoom record, our sessions.