The Positive Ending
Does therapy need to end in a better state?
At a glance
The Biodynamic literature places real emphasis on ending emotionally charged sessions well — building in genuine time for relaxation and self-regulation before a person leaves, rather than ending abruptly on activated material. Some Biodynamic sources go further, describing sessions as ideally moving toward what they call a “happy ending,” with increasing contact with Primary Personality as treatment progresses.
What a “positive ending” could mean
A positive ending could be interpreted as relief, settling, more connection, pleasure, resolution, feeling complete, or simply being sufficiently resourced to leave the session. All of these are genuinely valuable outcomes when they happen honestly.
But the idea becomes problematic if it quietly comes to mean that the client must calm down before leaving, that anger must resolve, that grief must soften, that tension must release, that pain must reduce, or that the therapist needs visible evidence the intervention worked before the clock runs out.
The reconstruction
A positive ending does not have to mean feeling positive. It may mean ending with enough orientation, agency and choice to leave the therapeutic encounter safely. Consider these as equally valid positive endings: “I am still angry, but I know where I am.” “I am still grieving, and I don’t need to stop.” “My pain hasn’t changed, but I feel listened to.” “I want to stop here.”
You might recognise this
“I’ve felt rushed toward calm at the end of a session when I wasn’t ready to be calm.” “A closing ritual of gentle movement and deep breathing sometimes costs me more than the session gave me.” “I’ve left sessions still upset and that was actually fine — I knew what I was leaving with.” “Sometimes ending on an unresolved note is more honest than manufacturing a resolution.”
Why this deserves particular disability attention
What counts as a “good completion” changes considerably when fatigue, pain or nervous-system vulnerability are part of the picture. A standard closing sequence — slow movement, deep breathing, gentle stretching — might not be accessible, or might actively cost more energy than it restores for someone managing a limited daily reserve. Sometimes good completion means real, complete rest rather than active movement. Sometimes it means a shorter session that ends before exhaustion, rather than a longer one that ends in depletion.
A lived scene · fictional teaching example
A session runs long and touches something genuinely painful. With ten minutes left, the therapist, trained to aim for a settled close, begins a familiar grounding sequence: slow breath, noticing the feet, gentle stretching. The client says, gently, “I don’t have the energy for this right now, and honestly I don’t need it — I know where I am, I know what happened, I’m okay to go.” The therapist checks: does she have what she needs to leave safely? She does. The session ends there, without the ritual, and that is a complete, well-ended session.
A process: Notice where we are → Check capacity → Orient → Decide what is unfinished → Agree how to end
Notice where we are: what state is the person actually in, right now, without assuming it needs to change.
Check capacity: what does this person have available today, physically and emotionally, for any closing process at all?
Orient: does the person know where they are, what just happened, and what they’re returning to?
Decide what is unfinished: name it plainly rather than rushing to resolve it.
Agree how to end: ask directly what the person needs to leave with, rather than applying a standard sequence regardless of fit.
Where this concept can help
Thinking carefully about pacing, orientation and safety at the end of emotionally significant sessions, and building a shared, flexible language for what a good ending actually requires for this person.
Where interpretation should stop
When a standard closing ritual costs more energy than it restores; when the therapist’s own need for a resolved-feeling ending overrides what the client actually needs; when unresolved feeling at the end of a session is treated as a sign the work failed, rather than as an honest and sometimes appropriate outcome.
Not everything needs completing inside one session.
Evidence and status
Attention to how a session ends is well supported clinical practice across many therapeutic traditions, particularly for emotionally activating work. The specific Biodynamic language of a “happy ending” and increasing contact with Primary Personality reflects that tradition’s own theoretical framing rather than an independently established outcome measure.
A question worth carrying
What does completion actually look like for this specific body, today — not for a generic body that recovers the same way every time?
You may also want to explore
Fatigue & the Positive Ending · Fatigue, Rest & Embodiment · Biodynamic Psychotherapy
From the inside
Positive endings with fluctuating bodies
With Parkinson’s, a session that ends as medication wears off may end badly however well it went. With POTS or ME/CFS, the positive ending may be stopping before the crash. With dementia, a calm, familiar closing ritual may matter more than any insight.
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.
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, including her papers on psycho-peristalsis.
Our framework
The disability reading on this page is this site’s own synthesis, as described under Evidence and status. It has not been formally tested.
Fictional example
Any scenes and therapy dialogue on this page are constructed for learning. The people in them are not real.
Last reviewed: October 2026.
How to cite this page: Donaghey, C. (2026). The Positive Ending. Disability in Psychotherapy. Available at: https://disabilityinpsychotherapy.online/what-is-psychotherapy/body-psychotherapy-disability-lens/biodynamic-psychotherapy/the-positive-ending/ (Accessed: [date]).
Shared under CC BY-NC 4.0, with extra permissions for teaching, supervision and therapy. Credit the site. See Reusing This Material.