Articles & Guides

Why Recovery Feels Like Death: The Identity Grief No One Names

The anorexic who recovers is not the same person who became ill, and the transition between the two is a grief no treatment manual names with precision. This essay describes the identity loss at the center of anorexia recovery through Bruch's clinical phenomenology, Woodman's archetypal reading, and the nondual literature on dissolution, with specific attention to the clinical approaches that make room for the grief instead of arguing with it.

Why Dieting Causes Binging: Restraint Theory Explained

In 1985, Janet Polivy and C. Peter Herman published the experimental work at the University of Toronto that demolished the willpower model of binge eating. Restraint theory proposes that cognitive dietary restraint, not hunger or lack of discipline, is the proximal cause of the disinhibited eating that follows a breach of a self-imposed rule. Four decades of subsequent research, including Eric Stice's dual-pathway confirmation, have substantiated the basic mechanism and informed why Christopher Fairburn's CBT-E drops dietary restraint early in treatment.

The Obesity Clinic That Discovered Trauma: Vincent Felitti, the ACE Study, and What Your Binge Is Holding

In the late 1980s, Vincent Felitti ran the obesity clinic at Kaiser Permanente in San Diego. He could not understand why his best-outcomes patients were the ones who quit the program, until he began following them up and discovered what his liquid-diet protocol had been treating without knowing it was treating. The ACE Study grew out of those interviews. What the study found about the relationship between adverse childhood experiences and adult health outcomes, including binge eating and body size, reorganized the epidemiology of trauma in the United States and has not yet reorganized most of the treatment the culture offers.

Type-Adequate Therapy: Why the Same Framework Needs Different Delivery for Different Cognitive Profiles

The same therapeutic framework lands differently on different cognitive profiles. A Thinking-dominant client needs interventions framed through Thinking. A Feeling-dominant client needs them framed through Feeling. Type-adequate therapy is not 'different therapies for different types.' It is the recognition that the client's auxiliary function is the door through which mature change can enter.

The Independent Dream: When the Dreamer Acts

The Independent configuration in Structural Dream Analysis names a dream ego that decides, shapes, and acts rather than flees or watches. Christian Roesler's 2018 replication in the Journal of Analytical Psychology found that the movement of dream-pattern agency scores toward this end of the spectrum predicted symptom change on standardized outcome measures, which makes the Independent dream a biomarker of therapeutic work rather than a reward at the end of it.