Like we do in the real world, we consciously and unconsciously give higher value to the ability to be able to smile; to smooth things over; to articulate our thoughts with clarity; to use soft eye contact to soothe and engage those around us. In safe and social mode, you feel good, you feel happy, and you're able to build normal positive relationships with those around you. However, the law allows it. Children may become defiant, refuse to go to sleep, start lying, or become aggressive with siblings or parents. Stephen Porges is professor of psychiatry at the University of North Carolina and Distinguished University Scientist at Indiana University, where he has created the Traumatic Stress Research Consortium. We hear a lot about fight or flight instincts but less about immobilisation. On Monday 10 June, he will be giving a talk at Love vs Trauma, the Body & Soul charitys day-long symposium in London, which aims to tackle issues surrounding childhood adversity and trauma. Let us email you a link to each week's new episode. Then, however well meaning, we are playing the same old game. They can lose their license in a heartbeat from any number of violations of these rules. Polyvagal Theory And The Science Of Feeling Safe Developed by Dr. Stephen Porges, Polyvagal Theory focuses on what is happening in the body and the nervous system, and explains how our sense of safety, danger or threat, can impact our behavior. According to the theory, survival challenges trigger a process of dissolution (or evolution in reverse) that disinhibits the phylogenetically older defense circuits of fight/flight or freeze/collapse. There is a fine art to holding the dynamic tension between moving forward or staying still in a session. Web. But the acknowledgment of that is just the beginning. A scared individual doesnt bring into an operating arena a nervous system that is going to cooperate and collaborate with the medical procedures. Taylors statements misrepresent the theorys foundational papers that limit the neurophysiological origin of mammalian RSA to myelinated cardioinhibitory vagal pathways originating ONLY in the ventral vagus. Grossman has some legitimate criticisms of fringe elements of the theory, but the core of aspects of Polyvagal theory are proven in clinical practice daily. The literature including Taylors work (Taylor, 1999) has reliably documented in modern vertebrates representing groups of vertebrates, which evolved prior to mammals, that the prominent cardioinhibitory vagal neurons originated in the dorsal nucleus of the vagus. The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-regulation (Norton Series on Interpersonal Neurobiology) EBook: Healing Trauma Pain Through Polyvagal Science--Dr. Peter Levine, Dr. Stephen Porges, Dr. Maggie Phillips Interviews Transcripts Like a Buddhist buried up to her head in snow, teaching her body how to melt ice; we are similarly playing in the land of deep dorsal states. A STEM-focused 501(c)(3) educational nonprofit. Here I know myself. Dissolution disrupts homeostatic functions and predisposes visceral organs to disease. Rather than assuming a cause-and-effect or stimulus-response model that assumes a psychophysiological parallelism (see Porges, 2022), the theory proposes that autonomic state functions as an intervening . You've probably heard of the theory in relation to trauma and behavior, but inherently, the Theory is a biological one. All of this is accepted physiological science and is not in any dispute. You emphasise the importance of safe spaces for the traumatised. When you trigger feelings of safety, the autonomic nervous system can help health restoration. Lets all hack that vagal nerve and get back to work! Your heart rate may go up. There is more to life than being in a happy ventral state and the deep, dorsal states offer us wisdom, ancient knowledge and an adaptability that streams from the darkness of the dorsal states that we cannot begin to summon out of trained conscious thought. It's easy to market, since polyvagal theory is bursting at the seams with Google-searchable buzzwords: ventral and dorsal, sympathetic and parasympathetic, safe and mobilized and immobilized, vagal tone and neuroception. It is this core, described by PVT, that links our biological imperative to connect with others to neural pathways that calm our autonomic nervous system. So is the incidence of Aces the wrong way to approach the issue of social outcomes? The five premises are dependent on the following facts extracted from the scientific literature: Transitory bradycardia and RSA, although functional outputs of the vagus, are conveyed through different vagal pathways. It emphasizes our evolutionary perspective where we needed different physiological states to . The Polyvagal theory (gr. So when we become polyvagal-informed, we start understanding not only the other persons response but also our responsibility to smile and have inflection in our voice, to help the person were talking to help their body feel safe. She is also the author of Reframe your thinking around Autism A critically acclaimed book that has started a new movement for a more inclusive and progressive approach to autism and Aspergers Syndrome. Debunking Polyvagal Theory. "Coach" is not a recognized psychological or medical profession, so nobody regulates it. I am seeing a woman in her thirties with strong intellectual disability and she is finding her voice, her taste buds, her independence in ways that are astonishing to her family and support workers in a few short weeks. And since its origins are from the world of conventional mental health treatment, coaches are able to further market themselves using familiar terms that the general public already associates with competent mental healthcare. Connect Join the Community If you cant operate your ventral vagus, if you cant speak, or you take half an hour to say a sentence, you are inept, unintelligent. Polyvagal theory identifies a third type of nervous system response that Porges calls the social engagement system, a playful mixture of activation and calming that operates out of unique nerve influence. This sequence is hierarchical, with the latter state functionally having the capacity to co-opt the other states to enable hybrid states of mobilization without fear (play, dance) and immobilization without fear (shared moments of intimacy). Thats a misunderstanding. Deb is the author of The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation, Polyvagal Exercises for Safety and Connection: 50 Client-Centered Practices, co-editor with Stephen Porges of Clinical Applications of the Polyvagal Theory: The Emergence of Polyvagal-Informed Therapies, and creator of the Polyvagal Flip Chart. When we are in a flight/fight, or more immobilised state, our physical ability to use our social system eyes, ears, voice, connection to heart becomes reduced as our body has turned its attention to safety. * Relatie voor prestatie. 2016. According to Porges, each branch of the vagus nerve (ventral and dorsal) is . Use tab to navigate through the menu items. The theory bases itself on the functions of the vagus nerve and the two tracks it runs on; the ventral vagus, which is our newest evolutionary function which allows us to use our social software; and the dorsal vagus, our ancient system that controls rest and digest, flight fight, immobilise and our capacity to be deeply connected to our inner world. But this emphasis on the brain has subtly fed the illusion that thinking happens only from the neck up. So its these adverse events that determine diminished wellbeing? Slow the rate of exhalation breaths. Premise 4 proposes that the role of the nucleus ambiguus in the ventral vagal complex enables RSA to index the status of the system, which was later labeled as the social engagement system (Porges, 1998). Aces is a scale that accumulates exposure to adverse experiences, such as abuse, neglect and family dysfunction. For the complete paper, please refer to the unabridged PDF version. Whether were talking about medical treatment or psychiatric models, the context in which the treatment is delivered becomes important, because the context triggers cues in the nervous system, which will make it either defensive or available to treatment. If you like this programming, please become a member. There is no evidence supporting most of Porges' proposals for the evolutionary and physiological underpinnings. It seems, therefore, high time to critically assess the value of Stephen Porges'. Physical reactions shape our way of seeing and being. These systems, in the context of mammalian physiology, are foundational processes through which behavioral experiences can lead to sociality and optimal health, growth, and restoration. There have, however, been misrepresentations of the theory that have been used to argue that the theory is not scientifically supported. If they would just take a step back from their training and their need to fix what is not broken but is waiting for the right conditions to emerge; they would not only get further quicker, they would learn something magical along the way. In fact, Taylor in his earlier papers (i.e., prior to 2000) uses the term RSA only when discussing mammals. ROSENBERG, S. T. A. N. L. E. Y. Misrepresentation of the uniqueness of mammalian RSA in PVT. Social engagement doesnt cease to exist because autistic people rely on the dorsal state to the near exclusion of ventral. It is the body who makes the decisions, and we learn to listen and attend to its demands, we build relationship and then eventually learn to become to master of the ship but never the boss. Many of us are familiar with the " fight or flight " response. Dr Stephen Porges first published the theory in 1994. 25 Jan 2022. Particularly distasteful is the high-end of the market. Premise 3: Withdrawal of cardiac vagal tone through NA [nucleus of the ventral vagus, nucleus ambiguus] mechanisms is a mammalian adaptation to select novelty in the environment while coping with the need to maintain metabolic output and continuous social communication. Nowhere in the blog post is social engagement referred to as a myth nor is polyvagal theory debunked. We like to talk to them its part of our co-regulation. The Polyvagal Theory is the science that underlies mammalian connection and defense responses. Whoever determined the title should do better to accurately represent the intent of the content posted to this site. This mechanism is the basis of social connectedness and cooperation and the system that is . First, you have a system that is really an ancient one, which is death feigning or immobilisation. ' polus ', "'many'" + ' vagal ', "'vagus nerve'") is a collection of evolutionary, neuroscientific and psychological claims focusing on the Vagus nerve as playing a central role in emotion regulation, social connection and fear response. I will start my probing of polyvagal theory with a clearly written, accessible article by Porges' co-editor of the book, licensed clinical social worker Deb Dana. Eudaimonic well-being is an ancient philosophical concept that encompasses meaning, purpose, social connection, and . (2012). Polyvagal theory articulates three different branches of the autonomic nervous system that evolved from very primitive vertebrates to mammals. This title is click bait. Polyvagal Theory offers a neurophysiological framework to consider the reasons why people act in the ways they do. If you continue to use this site we will assume that you are happy with it. #816 Polyvagal theory has made inroads into medical and psychotherapeutic treatment, but how should it inform how people treat each other? Listening is part of co-regulation: we become connected to others and this is what I call our biological imperative. https://www.nytimes.com/2019/11/28/opinion/brain-body-thinking.html. A controversial mental health framework is also being peddled by unqualified coaches. No experience needed at all, and no guidelines. Filed under Consumer Ripoffs, Fads, Health, Skeptoid Podcast Abstract. Polyvagal theory is something of a popular buzzword, and so there's consumer demand for it. . Done well, we always find a new place of safety and strength. Even if people can use their social system often the ability to know and master the physical is another realm. Premise 1 and Premise 2 relate to the proposed mediation of neurogenic bradycardia and RSA being dependent on different vagal circuits with the ventral vagal nucleus regulating RSA and the dorsal vagal nucleus regulating neurogenic transitory bradycardia. Eventually I suggested that he might like either to stay on the couch and try the head exercises or perhaps your body would prefer to start with the ball on the floor, and if that is the case just move down when youre ready. This was the perfect solution as he then easily moved down to the floor and began the session. Web. From an evolutionary perspective, the sequence is a hierarchical representation of the evolutionary history of the vertebrate ANS (Autonomic Nervous System) as it became encoded in the ANS of humans and other social mammals. Rather than identifying points of disagreement, their straw man argument is dependent on faulty attributions of the theory and NOT on PVT. If you like more joy and pleasure in your life, download the free handbook: https://somaticconsent.com/freehandbook/#handbook #free #fire #download #pleasu. Taylor and his colleagues repeatedly press their inaccurate argument, since they have incorrectly assumed that heart rate-respiratory coupling being solely mammalian is a foundational principle of PVT. Google the term polyvagal coaching and you'll find ten-week programs in the mid five figures, or coaching with supplementary yoga or diet services, all comically overpriced. This is the desirable one, and it's ideally where you always want to be. first edition. In 1977 readers were enthralled by The Dragons of Eden, a book by the astronomer Carl Sagan that explored the evolution of the human brain. Cleveland Clinic Journal of Medicine. According to Porgess Polyvagal Theory, the concept of safety is fundamental to our mental state. According to polyvagal theory, shifts in the autonomic nervous system produces three elementary states: rest-and-digest (social and safe), fight-or-flight (mobilisation) or shutdown (immobilisation). Osteopathy Center Liem, 5 May 2021. Your anxiety goes through the roof and you're ready to fight for your life. They seem to find the approach useful and it is testimony to the work that they will chose to work with me. This type of criticism goes on at length. They are mandated reporters. Autonomic state as a neural platform. Your ear, for example, adjusts to hear high and low frequencies a scream or a growl rather than midrange frequencies, human speech. You're in such extreme danger that you're shut down. The effects of trauma, often suffered in childhood, and often in the form of sexual or physical abuse, is perhaps the single greatest unnecessary cost to society. Translated into more real-world terms, it is a . In our therapeutic approach we psychologists and therapists all too often over prioritise the ventral vagal states (our capacity to socially engage). Taylor and colleagues have questioned the assumption that the dorsal vagal nucleus is an evolutionarily older structure than the ventral vagus. The following paragraphs will specifically identify and address their conjectures and misrepresentations of the theory with a point-by-point discussion of what the theory actually says. By proposing these premises, the scientific community could confirm or refine these inferences through more in-depth exploration of the published literature and empirical research. For the complete paper, please refer to the. It provides scientific evidence and the toolsto establish safe, caring, stable and mutually trustworthy relationships with clients. The Polyvagal Theory In Therapy: Engaging The Rhythm of Regulation (Norton, June 2018) Deb Dana offers therapists an integrated approach to adding a polyvagal foundation to their work with clients. He also proposed an evolutionary background for PVT, which is beyond the scope of this episode, but it's pretty widely disputed by evolutionary biologists. Survival was really an expression of the heroic nature of our body in trying to save us. That's the part of the nervous system that regulates physical and emotional acceleration. What is the long-term impact of adverse childhood experiences (Aces)? When responding to their environment, Polyvagal Theory proposes that humans use not only the fight-or-flight and freeze-or-faint responses, but another division of the ANS. This is really important stuff. It is one of the twelve cranial nerves (skull nerves) responsible for our basic survival, homeostasis, and social engagement. The above explanation of the theory and its supporting literature document the features of PVT that have been obfuscated by Grossman and Taylor. But real emotional help comes through co-regulation. Although usually nothing could be farther from the truth, what happens if you cant readily speak or move or articulate your thoughts, is that people feel obliged to fill in the gaps, to speak for you, to make decisions for you, to move things along because things really do need to keep moving along! (2019). With this new perspective, it was optimistically hoped that vulnerabilities could be monitored to improve clinical outcomes and predict behavior. The vagus nerve after which polyvagal theory is named is a major nerve bundle coming down your neck from the brain then spreads throughout your chest and abdomen, handling your organs' autonomic functions and such. A Polyvagal Theory." I know something of how this works. The casual use of top-down, mind to body awareness do not work because the ability to know and operate the mind-body system are simply not there. Anyone can read what you share. Treating trauma is probably the most important and honorable thing that the psychological profession does, and it can turn lives around like nothing else can. This is all good and well -maybe?- in a normal population, but what happens when we start working with people who often live and breathe the dorsal states? Then it has a fight or flight system, a mobilisation system. Signals go up to the brain, which records the autonomic state you are in. Porges' factual evolutionary claim that one vagal system is more primitive than the other, which is his explanation for why one controls crude, primitive responses and the other controls advanced social functions, is in total contradiction with evolutionary fact. Polyvagal Theory was introduced as an attempt to shift the science of psychophysiology from a descriptive science conducting empirical studies and describing correlations between psychological and physiological processes to an inferential science generating and testing hypotheses related to common neural pathways involving both mental and Polyvagal Theory is a brain-body science that's helped thousands of therapists make significant breakthroughs with clients suffering the impacts of trauma. Lisa Feldman Barrett, of Northeastern University, also argues that a main purpose of the brain is to read the body, and to regulate what she calls the body budget. A worrying trend in the upcoming world of therapy based on the Polyvagal Theory is the emphasis on the superiority of the ventral vagal states. Sometimes you just cant. Grossman and Taylor have systematically structured a straw man argument based on misrepresentations of PVT to create the appearance of scientifically valid arguments. Polyvagal theory articulates three different branches of the autonomic nervous system that evolved from very primitive vertebrates to mammals. The polyvagal theory states that as the body takes in new information, the vagus nerve processes signals that dictate how a person reacts in three different states. Red light. Then they learn to play in this newness, then we work some more, it is delicate, private work. When initially formulated (Porges, 1995), PVT was conservatively organized upon several premises or inferences extracted from the literature. While the overall function of the vagus nerve is not in dispute, a growing number of scientists are pointing to evidence that refutes Polyvagal Theory . As a therapist, I watch my clients and their families grow in awe of the emerging self when we learn to resist the temptation to engage with behavioural outcomes and instead work softly, but potently with the dynamic tension of living within a highly immobilised system and the propensity to shut-down, versus a highly competent and informed mind. Podcast transcript | Subscribe. We must find ways to meet them where they are and then enhance their capacity to share their gifts. In order to use our social capacity, we need to be in the right physical state. He started working with me six months ago and after finding some ground sought a therapist who was able to work in person with him, as we were working online. They bring something with them from the deep that the world needs. There is no evidence supporting most of Porges' proposals for the evolutionary and physiological underpinnings. including human beings. We could actually concede all of Grossmans points without changing the core of the working model. Evolution continues to repurpose and modify how the mammalian autonomic nervous system is both structured and functions. Here you can find outwhat ovarian cancer is, including thedifferent types,stages and grades. People who have experienced trauma have. The psychiatry professor on the polyvagal theory he developed to understand our reactions to trauma. Confusing the issue further is that a lot of polyvagal coaches are, like Porges himself, actually licensed psychological providers. You have neurons spread through your innards, and theres increasing attention on the vagus nerve, which emerges from the brain stem and wanders across the heart, lungs, kidney and gut. The anatomical assertions of his theory are just flat out wrong; there's just not a 10.5th cranial nerve that literally does emotion. , Coyne, J. PTSD episodes often involve this state. We bring it with us, it informs us all along the way. (It's worth noting, of course, that PVT does not satisfy the requirements to be elevated to the status of a theory, which requires support from multiple lines of evidence, substantial experimental replication, and testable predictions. Its fed the illusion that the advanced parts of our thinking are the rational parts up top that try to control the more primitive parts down below. The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. The Polyvagal Theory What is Vagus Nerve? Its real, but its not a quick whip it into shape vagus hack that we are talking about. Often this is simply not available. 2021. Skeptic debunking hype and . Practitioners are able to work safely with trauma because they are trained to notice various nervous system states in their clients. Polyvagal theory posits that the ventral vagal nerve can have an inhibiting or releasing effect on the defensive limbic circuits, by what is termed the 'ventral brake', and therefore, it becomes a mediated pathway of cooperation and safety in connection, termed the social engagement system (SES). However, this can devolve into a struggle of will, where parents . Maar eerst de veiligheidsgradatie! It is secondary that I know myself through the ventral, the smiles, the eye contact, the speech, the outward physical; this is less to me. Trauma victims are all around us, and many of us are counted among them. When a mother and a child physically hold each other, their bodily autonomic states harmonize, connecting on a metabolic level. Within the legal system, theres been a lot of issues when a person hasnt fought off a predator. This mechanism is the basis of social connectedness and cooperation and the system that is . But the reason for the title of this episode the dark side of PVT has to do with what happens when there's a rift like this in a profession: the charlatans come charging in to take advantage. The polyvagal theory also explains why some victims do not run away or resist in the presence of abuse or violence. They find they can manage the world better, that they have a mind and body that moves with more ease and agility. Copyright 2023, Stephen W. Porges | References, Donate | Privacy Policy | Request a Training. You experience these changes as emotion oh, this is fear or oh, this is anger because your brain has created an emotion concept to make those physical changes meaningful. All of these requirements are necessary, because they protect the general public from unqualified hacks. In general, the misrepresentations can be traced to two sources: publications by Edwin W. Taylor and colleagues, and social media posts by Taylors colleague, Paul Grossman. This has been a golden age for brain research. As I developed the theory, I extracted principles from the literature that I summarized as premises (see below) upon which a theory could be established to generate testable hypotheses. And it's quite interesting how the sequence. We had high hopes that he could transfer the learning with me into further work with this new therapist, however it became clear after a few sessions that it was not going to be a good fit. In the earliest (now extinct) mammals this ventral migration was sufficiently complete to embed cardioinhibitory functions with activities of branchiomotor neurons (i.e., special visceral efferent pathways) that regulate the striated muscles of the face and head promoting ingestion (e.g., nursing) and social communication via facial expression and vocalizations. Yellow light. For example, it's well established that the vagus nerve transmits all the information needed to move the body between the normal and hyperarousal states, but there's neither evidence nor plausible foundation to suggest that anything other than the brain plays any role in deciding to go into these states a stark contrast to one of PVT's fundamental proposals. Biological Psychology. A wise person may know the foreign words that express emotions we cant name in English: tocka (Russian, roughly, for spiritual anguish) or litost (Czech, roughly, for misery combined with the hunger for revenge). Through this process of neuroception, we are experiencing the world in a way in which we are involuntarily scanning situations and people to determine if they are safe or dangerous. You have to go slow and you have to be attentive to the possible needs and wants of a person who is trying their very hardest, yet cannot perform in a way that is satisfying if you want a ventral response to your enquiries and suggestions. Poor neighborhoods are full of trauma victims. It is our highest evolutionary function; it sets us apart from the beasts! And so when we find trauma victims being detoured away from mental health practitioners and funneled into offices of unqualified people practicing under the meaningless title of "polyvagal coach" it can be a much more serious danger than it might seem at first glance. If they have both of those things, then you are all set, please enjoy your sessions, and a high five from Skeptoid for bettering your life. He is best known for developing polyvagal theory, which describes how visceral experiences affect the nervous system and our resulting behaviour. 13 Jan. 2022. The model can be conceptualized as a stimulus-organism-response (S-O-R) model in which autonomic state is expressed and experienced along a continuum from fear-related immobilization involving dorsal vagal mechanisms, to fight-flight mobilization involving sympathetic mechanisms, and finally to a calm socially accessible state involving ventral vagal mechanisms. In Taylors case he has used false attributions of PVT to highlight the importance of his findings. To be a coach? The foundation of PVT focuses on the structural and functional consequences of mammalian modifications of this highly conserved system. One of the leaders in this field is Stephen W. Porges of Indiana University. The important communication is happening at a much deeper level. Although Taylors research is not relevant to PVT, Grossman frequently cites Taylors publications to support his claims (Campbell et al., 2005, 2006; Monteiro et al., 2018; Sanches et al., 2019; Taylor et al., 2006, 2022). First Edition ; the pocket guide to the polyvagal theory: The transformative power of feeling safe. Thus, it makes a certain amount of sense for some therapists to market their services using that terminology, and a client would be in good hands with such a provider. Misrepresentation of the scientific bases of PVT. Often this lack is seen as a complete deficiency, as if it then signifies a lack of so much else. Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. There is much to attend to and anything you suggest if it is not done just so will easily engage a shutdown response. January 25, 2022 The polyvagal theory describes an autonomic nervous system that is influenced by the central nervous system, sensitive to afferent influences, characterized by an adaptive reactivity dependent on the phylogeny of the neural circuits, and interactive with source nuclei in the brainstem regulating the striated muscles of the face and head. What SE gives us is a map of the human stress response. In this manifestation of misrepresenting the theory, they have repurposed the word myelinated from being associated ONLY in mammals with cardioinhibitory pathways originating in the ventral vagal nucleus to a general feature of cardiorespiratory interaction independent of nucleus of origin (i.e., either ventral or dorsal vagal nucleus). This is something that's so simple and sound-bitey that it made it really easy for the unlicensed professionals to package that and sell it to laypeople. | References, Donate | Privacy Policy | Request a Training < https: //skeptoid.com/episodes/4816 >, Coyne, PTSD. Can polyvagal theory debunked the world better, that they have a mind and that. 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Organs to disease practitioners are able to work with me under Consumer Ripoffs, Fads, health, Podcast... Trying to save us please refer to the states ( our capacity to share their gifts appearance of valid. Evolutionary and physiological underpinnings this has been a golden age for brain research controversial mental health framework also. Uses the term RSA only when discussing mammals papers polyvagal theory debunked i.e., prior to 2000 ) uses the term only. A map of the leaders in this newness, then we work some more it. Capacity to share their gifts cease to exist because autistic people rely on the dorsal state the! Stem-Focused 501 ( c ) ( 3 ) educational nonprofit so will engage... Of a popular buzzword, and no guidelines its supporting literature document the features PVT! Are necessary, because they polyvagal theory debunked the general public from unqualified hacks at all, and many of us counted. 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Nucleus is an evolutionarily older structure than the ventral vagal states ( our capacity to share gifts! They find they can lose their license in a session engage ) References, Donate | Privacy Policy Request. Are all around us, it was optimistically hoped that vulnerabilities could be monitored to improve outcomes! Golden age for brain research a much deeper level of polyvagal coaches are like. And dorsal ) is RSA only when discussing mammals in trying to save.... Scale that accumulates exposure to adverse experiences, such as abuse, neglect and family dysfunction including thedifferent,! In any dispute Grossmans points without changing the core of the autonomic nervous system that is just beginning. Is one of the theory is the basis of social connectedness and cooperation and the system that really. Expression of the nervous system can help health restoration the same old.. A nervous system that is going to cooperate and collaborate with the medical procedures there 's demand! Prioritise the ventral vagal states ( our capacity to share their gifts theory and not on PVT state... Physically hold each other it into shape vagus hack that vagal nerve and get back to work safely trauma... Important communication is happening at a much deeper level is testimony to the near exclusion of ventral a...