The procedure begins with an intensive 90-minute assessment. The therapist evaluates the patient’s history of compulsions, shame cycles, and failed treatments. Unlike standard intake, the requires the patient to sign a "motivational contract" that explicitly acknowledges the patient’s desire to change. This is not merely informed consent; it is a detailed behavioral agreement that outlines consequences for non-compliance (e.g., session rescheduling at double rate, written self-reflection assignments).
: Incorporating authority into everyday life, which can include domestic discipline, decision-making control, and sexual management. Safety and Ethics elise sutton procedure