The psychodynamic formulation section, written by Dr. Samuels, stirs my anger yet again—precisely because of how it focuses on my anger. HER AGGRESSION PARTICULARLY SEEMS TO BE MANAGED WITH DIFFICULTY. HER LIABILITY TO EXPLOSIVE OUTBURSTS IS LIKELY PARTLY DERIVATIVE OF DEFENSES INADEQUATE TO MANAGE THE AGGRESSION IN A USEFUL WAY. These statements lack any contextualization that my anger is largely directed at myself, or at larger social structures I find personally oppressive—misogyny, patriarchy, sexism. This makes it sound like I was freaking out and screaming at everyone. I was not. I
