I enjoyed this! Really great exploration of how Wilson makes these mistakes over and over, and why--the comparisons between Amber and House were really well done. You still have quite a few typos in there--looks like this might have been in second person at one point, and at least twice "you're" should be "your". Reading it over out loud might help. If this is your first NC-17 fic I think it's excellent. The sex scene was effective and visceral without being overwritten. Great job.