DIP Critical Reconstruction

Primary Personality Without Able-Bodied Idealisation

Can somebody become more fully themselves without becoming more able-bodied?

THE RISK: “core” quietly pictured as a healthier, more able-bodied version of the person.

THE CORRECTION: core does not mean less disabled.

Where the risk comes from

Boyesen’s Primary Personality is meant to describe a spontaneous, alive core — not a specific body type. But imagery in this tradition, and in body psychotherapy generally, often pictures vitality as visible energy, easy movement, an upright posture, a certain kind of physical aliveness. Without a deliberate correction, it’s easy for “core self” to quietly become a fantasy of the same person, just without the disability.

Contemporary Biodynamic presentations still associate Primary Personality with independence, self-regulation, spontaneity and health. This page does not try to erase those ideas. It asks what they mean differently once a real, disabled body is the one being described.

Seven words that need rereading

Independence → authorship within interdependence. The psychological question is not whether someone does things alone, but whether they direct what happens to and for them.

Spontaneity → having options, not necessarily moving freely. A body with limited movement can still respond freshly, choose in the moment, and surprise itself.

Freely flowing vitality → aliveness that does not require visibly energetic movement. Stillness, slowness and quiet can carry exactly as much life as motion.

Self-regulation → regulation that may be supported or co-regulated. See Self-Regulation for the fuller argument.

Pleasure → can coexist with pain. A body in pain is not disqualified from pleasure, and pleasure does not require the pain to be absent first.

Bodily softness → a metaphor for openness, not a literal muscular state. Some bodies need tone to function; softness as a psychological quality does not require it physically.

Health → cannot be defined as proximity to an able-bodied norm. A disabled body that is thriving on its own terms is not a lesser version of health waiting to be corrected.

You might recognise this

“When a guided visualisation asks me to imagine my body moving freely, I have to decide whether to follow it or quietly substitute something real.” “My aliveness looks like stillness most days, and I’ve stopped apologising for that.” “I feel most myself directing my care exactly how I want it, not doing it unassisted.” “Pleasure and pain share the same day for me, often the same hour.”

A lived scene · fictional teaching example

A therapist leads a client through a Biodynamic-style visualisation of their “most alive self,” standard language intact: feel your feet grounded, your spine lengthening, energy moving freely through your limbs. The client, who uses a wheelchair, goes quiet, then says: “I don’t have feet on a floor in this. Should I imagine that I do?” The honest answer is no. The therapist adapts on the spot: “Where do you feel most supported, right now, as you actually are?” The client describes the solid press of the chair against her back. That becomes the grounding. Nothing about her aliveness required borrowed legs.

A useful test

If a “core self” visualisation or exercise implicitly requires imagining different physical capacities to feel fully alive in it, that’s worth naming and adjusting directly — the exercise has drifted from its actual psychological aim into an able-bodied default it never needed to assume.

A process: Notice the image → Ask what it assumes → Substitute the real body → Check the function survived

Notice the image: what does the exercise, metaphor or language actually picture the body doing?
Ask what it assumes: standing, walking, deep breathing, unaided movement, visible energy?
Substitute the real body: what would this look like for the body actually in the room?
Check the function survived: is the underlying psychological aim — aliveness, choice, pleasure, boundary — still reachable through the substitution?

Where this concept can help

Reworking guided imagery, language and clinical assumptions so that a disabled client’s actual body is the one being addressed, rather than a hypothetical non-disabled version of them.

Where interpretation should stop

When a client’s aliveness, pleasure or spontaneity is measured against how much it resembles non-disabled expression; when independence is treated as a developmental achievement disabled clients are presumed to be working toward.

Primary Personality must not become the psychologically idealised able-bodied person hiding underneath disability.

A question worth carrying

When I picture my own most alive, unguarded self, does that picture include my actual body — and if not, why not?

You may also want to explore

Primary Personality · Individuation · Self-Regulation · Biodynamic Psychotherapy & Disability

From the inside

A primary self that changes

With dementia or Parkinson’s, people may change in ways others find hard to accept, and be measured against who they were. Wendy Mitchell described becoming a stranger to her former self, and also living with humour and purpose. A primary personality can be honoured as it is now.

Evidence & sources

Sources checked in October 2026, using targeted searches rather than a systematic review. “We have not located” means our searches did not find it.

Established theory

For an overview of Biodynamic psychology: “Biodynamic psychology”, in The SAGE Encyclopedia of Theory in Counseling and Psychotherapy.

Key text

Young, C. (ed.) (2022), The ‘New’ Collected Papers of Biodynamic Psychology, Massage & Psychotherapy. Body Psychotherapy Publications. Gathers Gerda Boyesen’s and later Biodynamic writings.

Our framework

The disability reconstruction on this page is this site’s own synthesis. It has not been formally tested.

Fictional example

Any scenes, case studies and therapy dialogue on this page are constructed for learning. The people in them are not real.

Not yet known

Our targeted searches did not find controlled outcome trials of Biodynamic psychotherapy or Biodynamic massage, or studies designed around disability.

Last reviewed: October 2026.

How to cite this page: Donaghey, C. (2026). Primary Personality Without Able-Bodied Idealisation. Disability in Psychotherapy. Available at: https://disabilityinpsychotherapy.online/what-is-psychotherapy/body-psychotherapy-disability-lens/biodynamic-psychotherapy/biodynamic-psychotherapy-and-disability/primary-personality-without-able-bodied-idealisation/ (Accessed: [date]).

Shared under CC BY-NC 4.0, with extra permissions for teaching, supervision and therapy. Credit the site. See Reusing This Material.