Field Notes

Literature synthesis, science journalism, interviews, and commentary. Practitioner-facing writing on what the research says, what it misses, and what it means for clinical work.

June 10, 2026Commentary

The Measurement Paradox in Psychotherapy

Therapy outcomes can be measured, but the reasons they occur are hard to measure. How that gap shapes insurance reimbursement and therapists' view of effectiveness.

April 15, 2026Commentary

The Persona That Eats for You: Rejection Sensitivity, Masking, and the Eating Disorder That Steps In When the Performance Collapses

A neurodivergent group member in eating disorder treatment describes rituals built to avoid social punishment. When the mask is the disorder, what is treated?

April 14, 2026Commentary

Meekness With a Sword: Anger Suppression, Faith-Based Bypass, and the Eating Disorder That Keeps the Peace

A woman in eating disorder recovery describes months of suppressed anger toward friends who urged her into treatment and then disappeared. Her faith tradition tells her to turn the other cheek. Her body tells her something different. The clinical problem underneath: when spiritual bypassing and emotional suppression share a mechanism with the eating disorder itself.