Therapist Uncensored Podcast

Therapist Uncensored Podcast


TU93: Polyvagal Theory in Action – The Practice of Body Regulation With Dr Stephen Porges

April 09, 2019

Polyvagal Theory is about the biology of opening our hearts. Cool, huh?

What is all this fuss about the vagal nerve and the flurry of interventions developed around it? Find out the facts directly from the father of Polyvagal Theory, award-winning neuroscientist Dr. Stephen Porges.

In this episode, he speaks with co-host Sue Marriott LCSW, CGP to discuss this ground-breaking discovery about the biology of threat and safety which explains so much about human behavior and psychological disturbances. Rest assured,this isn’t just about our brains, it’s about the biology of opening our hearts.

This episode will be followed by another updated primer on Polyvagal Theory, so stay tuned.
Who is Dr. Porges?
Stephen W. Porges PhD is the father of the Polyvagal Theory, which has led to groundbreaking shifts in our understanding of how the nervous system responds to threat and trauma. Through his extensive career, he has published over 300 peer-reviewed articles crossing numerous disciplines from anesthesiology to space medicine.  The Polyvagal Theory is leading to innovative treatments based on insights into the symptoms observed in several behavioral, psychiatric, and physical disorders.

 

Dr. Porges is a “Distinguished University Scientist” at the Kinsey Institute, Indiana University. He is the founding director of the Traumatic Stress Research Consortium. He holds the position of Professor of Psychiatry at the University of North Carolina as well as Professor Emeritus at the University of Illinois at Chicago and the University of Maryland. He previously served as president of the Society for Psychophysiological Research and the Federation of Associations in Behavioral & Brain Sciences. He is also a former recipient of a National Institute of Mental Health Research Scientist Development Award.
Episode 93 Show Notes:
Introducing Dr. Porges and The Polyvagal Theory (PVT)

* We love it because what we’re interested here in this community is how can learn and use neuroscience and the relational sciences in order to heal.
* It’s not just for our brains; it’s for our hearts. And it’s for creating secure connections in the world.

The Truth: Beyond Vagal Nerve Pop Culture

* Awareness of the Vagus is great, but Dr Porges gets concerned when people get enamored with the Vagus
* The nerve is really just a conduit. It’s a highway of bringing information from the body to the brain and from the brain to the body. You have to change the information, not fix the nerve.
* It’s supposed to be an understanding of how our body changes state and the connection of our brain to our body and our body to our brain.
* It was the foundation of brain-body science and medicine.

Polyvagal Theory Origins

* 1994 – presented as the subject of Dr Porges’ presidential address to the Society for Psychophysiological Research
* A rediscovery of what had already been observed presented from a new perspective
* 1995 – Polyvagal Theory is published

The Backstory:

* The original research began as an attempt to develop a methodology for dynamic measurement of normal heart regulation of fetuses through the process of childbirth.
* Initially, Dr. Porges thought he discovered a way of measuring the Vagal influence: when the body is regulating, it’s in a good physiological state, resilient, and can survive delivery.

The Paradox

* The situation: baby suffers from hypoxia, resulting in clinical apnea (stop breathing) or clinical bradycardia (heart rate drops)
* Dr Porges’ view: bradycardia indicates protective Vagal response
* Neonatologist and pediatrician view: bradycardia indicates a lethal Vagal response

Both are right, but how?