Reading "Where is the Evidence for Evidence Based?" by Shelder, I feel this astonishment again, this time accompanied by anger. I believe research is an awesome part of science, and the abuse of these tenants is so frustrating and disappointing.

@drwilliamsharp.bsky.social

Now I am feeling like I should try psychoanalysis..

What if the therapist is concerned that the patient is going downhill, or showing narcissistic or self destructive tendencies? Reading these notes would have a completely different effect on a patient. If therapy notes are accessible to the patient, the notes are at risk to become performative.

As Hoffman says, reading the therapy notes give Mr. Baldwin a sense of pride. He is proud of his progress and reading the notes helped him come to the realization that he had improved. However, this is a situation where the patient is getting better and the therapist writes complimentary things.