Operational sequence
- Explain what you want to do and why in plain language.
- Offer a real choice, including delay, refusal, or an alternative when feasible.
- Check permission before changing distance, lighting, sound, or participants.
- Watch for withdrawal of consent and stop or renegotiate.
- Record any unavoidable limit and the least restrictive reason for it.
Failure states
- Treating silence as consent
- Offering a false choice
- Using clinical authority as automatic permission
- Punishing refusal with lost story progress