I was getting ready to leave work late one evening when a colleague buttonholed me on my way out of the office with a request. It was a small request really – to deliver something to another mutual colleague. But her voice tone and sense of entitlement triggered an outsized emotional reaction in me – without really meaning to, she “got my back up.” Thinking about my reaction on the drive home, after I curtly declined her request, several things became clear. One was … Polyvagal Theory!
Struggle to Understand
The very first time I heard about it, Polyvagal Theory seemed important and vital to understand, only I couldn’t. No matter who I asked to explain it, or anywhere else I encountered it, even with a medical dictionary in hand, Steven Porges’ theory remained locked in a shell of impenetrability. Even after spending a delightful morning listening to Steve lecture to a standing ovation in Berkeley this past October, only small bits of Polyvagal Theory seemed to fall into place.
At first I assigned my difficulty in understanding to a lack of in-depth knowledge of human anatomy – my training is primarily in clinical psychology. But then, on that Friday afternoon, as my “blood began to boil,” my heart began to race, and my stomach began to churn at my colleague’s simple request, I suddenly understood Polyvagal Theory … in my body. So now I’m going to do my best to attempt to explain it to you in yours and your children’s.
The Life We Save
The first thing to understand about Polyvagal Theory is that it primarily pertains to your (my) own reactive neurophysiology, how our Hypothalamic-Pituitary- Adrenal (HPA) axis gets activated in the face of threats that aren’t real, even though our brain makes us think and act as if they are. If we take the example of the colleague whose request hijacked my limbic system as our working example, Polyvagal Theory might posit that it is a useless distraction to think of all the social and emotional intelligence my colleague lacks, and all the ways she really needs to grow and change (even though, were she to do so, it would be marvelous for her own reactive neurophysiology). No, the best and most useful place for my focus to be is on me and my own reactivity.
The Protective Function
The next thing to understand is what Polyvagal Theory is actually attempting to explain – why and how we, or our children, often get upset about inconsequential things that matter little in the greater scheme of things. According to Polygvagal Theory, this upset is part of the neurophysiological process that has only our best interests at heart – the Polyvagal nervous system is designed to reliably operate to save our lives in the face of perceived or actual threats to life or limb. When Ralph Waldo Emerson talked about being afraid of things his whole life, most of which never happened, he was essentially talking about the protective elements of our Polyvagal nervous system.
The dorsal and ventral vagus nerves emerge from the base of the brain and connect up to our major organs. 80% of these fibers transmit information from the body to the brain. Parts of these nerve collections are sheathed in myelin. Myelin acts as an insulator and insulated nerves transmit impulses much faster than uninsulated nerves. Any time a threat appears in our internal or external environment, the myelin-sheathed vagus nerves are the first to spread the word.
False Positives
The central problem with the vagus’s speed, is that it often sends false positives – news about things it thinks are threats – usually based upon prior memories of earlier experiences that were most actually painful or threatening at the time. Remember – it’s primarily concerned with saving our lives. So a few false positives are a small price to pay to the vagus. Better to be safe than sorry.
There’s a wisdom teaching that speaks to the vagus’s propensity for rapid response: “We are never upset for the reason we think we are.” Essentially, what this teaching is suggesting is that upsets we experience in the present are most always connected to something that remains unresolved and unintegrated from our past. So these upsets are clues to “healing longing to happen.” In the incident I described above, the colleague who made the request of me, “coincidently” has the same look and feel of my older sister. She has the same voice inflections and the same shaped face. She also has a very bossy way of being that apparently feels overly threatening to my myelinated vagus nerves.
So, what remedy does Polyvagal Theory provide for this kind of over-reactivity? Simply this: it is possible to train ourselves to rapidly over-ride false-positive vagus responses. Some of the ways to actually accomplish this extremely useful bit of bio-self-regulation, you already know from previous pieces I’ve written. I’ll discuss others in future columns.
Fascinating, as usual.
I have a client who has had a vagus nerve stimulator (VNS) device for several months now. She’s dealt with chronic, treatment resistant depression for years. I think she would agree that the idea of reacting to old experiences as though they are present threats fits… She’s made tremendous strides in learning to interrupt her reactivity through some simple cognitive interventions, but she’s also has a sense that the VNS device has been helping as well. If you have any more info on the VNS stuff, I’d like to hear your take on it.
And for a bit of advocacy on behalf of El Diablo: How do we know that you didn’t just settle on your sister as a convenient projection in the moment? I think its generally accepted that our need to make meaning of our experiences can lead us to project meaning on to experiences simply because it helps us close the loop… not because its “true.”
As one who leans towards the value of making meaning, I was very annoyed when the brief therapy rage hit, with its insistence that making meaning is a useless rabbit trail. And yet, the research THEY promote supports this view…
You’re awesome Mark. I can’t wait for these future columns. I haven’t quite figured out how to rapidly override the responses in-the-moment but I have been able to calm my reactivity dramatically so that it just doesn’t happen very often anymore. I work on it after an incident happens and I have calmed down … and I try to do it all day every day as soon as I have any thought that makes me feel even the teeniest bit bad or scared or worried. For this I can suggest EFT http://emofree.com/ and any process offered in the Book Ask and It is Given byt Esther and Jerry Hicks.
I love this term: polyvagus theory. It is simple and direct, and connects an actual body event with an over-the-top psychological reaction. After 40+ years of therapy, a master’s in transpersonal psych. and almost 73 yrs on the earth, I have finally realized that if I’m having an angry-weird-upset reaction to something someone else has said or done to me, it most likely, or even absolutely, originates in something in ME, not the other person. Of course, this does not eliminate the having of these reactions! That said, I think if helps to give it a name, a term, a place in the body where blood pressure pounds, hackles arise, irrational thoughts intrude, etc. There is also much to be learned about the “lizard brain” and the limbic system which influences so much of our human behaviour.
By the way, I don’tknow how I came to receive your blogs on my computer, but I LOVE them! I send them out to others frequently, and it is one of the few things I truly appreciate on this diablolical machine! so thanks so much!!
I’m the client Wes mentioned. Before I read his comment I emailed him the same question regarding your blog. I do wonder how the VNS figures in. I’ve had some “technical difficulties” recently that necessitated turning it almost off. My anxiety was off the chart for a couple of weeks. I was driving everyone, particularly my psychiatrist, to distraction. Part of it was fear of losing the efficacy I had experienced and I think the other part was the actual loss of stimulation of the vagus nerve. I believe the biggest benefit is that the VNS in combination with meds allows me to work more effectively in therapy. You just get more done when you can spend the hour talking instead of sobbing hysterically! You’ve given me several things to think about. I’m glad Wes directed me to your blog. Thanks.
Stephen Porges has really come in from the neurophysiological side of polyvagal theory with explanations of the fight, flight, and freeze responses and the how/where they occur in the ANS. For those looking for practical application of this work in trauma, Peter Levine and Steven Hoskinson are the two I have found the most useful in explaining the nuts and bolts of polyvagal theorry in the Somatic Experiencing approach, as laid out in Peter’s book Waking the Tiger. I find both the theory and practice fascinating and readily accessible through their teachings.
Nice info! Very cool post.I have looked over your blog a few times and I love it.Doesn’t it take up a lot of time to keep your blog so interesting ?