I see what puppy's saying, but I DO think she is coming out of the fog. She has shown in many ways this very thing. YOu know what these things are, I won't list them.
She hasn't done work with communication, she hasn't gotten rid of some things you asked her to, she is working on the bed thing. SO there are the things you need to talk about. I think you can talk to a half fogged out spouse.
She's stubborn. It's part of her personality. I don't think she will just come to true remorse without learning about what was happening to her. THese forums helped me enormously. She doesn't have this. You can't make her, but you can ask her. You have said things in letters to her and she responded well. That's one type of communication and it worked.
When I say communication it will include personal boundaries because you are talking about what you need. But, true communication will require you to hear what she needs as well and work it out together.