Attendant supervision and role clarity

The manuals converge on the need for attendants to have a clearly bounded, supportive role during overnight monitoring. Across the extracts, attendants are described as providing observation, companionship, and practical comfort, while avoiding psychotherapeutic functions such as interpretation or acting as a therapist. They also agree that attendants need to be selected or prepared with care, and that therapists remain responsible for maintaining safety and therapeutic focus. The sources also align on the importance of communication and coordination around the attendant role. One manual emphasises introducing the participant to the overnight attendant during preparatory sessions, while another stresses that both participant and attendant need a means to contact therapists.

The manuals differ mainly in emphasis, with one giving more attention to companion coordination and mutual agreement, and another more explicitly warning against intrusive conversation and overstepping into interpretation. One extract also specifies practical support tasks such as monitoring mental and physical state and providing food and liquids, which are not stated in the other extracts.