Video Observation Form - Stan Tatkin, PsyD 2025

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The document is a Video Observation Form designed to enhance the observation skills of PACT signs and symptoms related to attachment, arousal regulation, and neurobiological deficits in couples. It provides a structured format for observers to note secure, unresolved, avoidant, and angry resistant markers in two partners during a video assessment. Additionally, it includes sections for assessing signs of hyperarousal and hypoarousal as well as potential neurobiological deficits.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and the date at the top of the form. This ensures that your observations are properly attributed.
For each partner, identify and check off any secure or unresolved markers you observe during the video. Use the provided lists as a guide.
In the Arousal Regulation Assessment section, note any signs of hyperarousal or hypoarousal for both partners. Be attentive to physical cues such as muscle tension or facial expressions.
Finally, assess potential neurobiological deficits by marking any relevant signs for each partner. This will help in understanding their emotional and cognitive states.

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