The Polyvagal Theory: phylogenetic contributions to social behavior
Introduction
As the scientific knowledge of neuroanatomy and neurophysiology expands, there is a growing interest in the role neural structures play in normal social behavior and in the expression of the atypical social behaviors that have been associated with several psychiatric disorders such as depression, autism and posttraumatic stress disorder. Recent advances in imaging methods have enabled researchers to study brain function and structure in the intact living individual. Now, neuronal function can be studied and the structural hypotheses derived from animal models and postmortem histology can be challenged and explained. The new methods of assaying brain structure and function, coupled with the breakthroughs in molecular genetics, are dominating the research in the neurobiology of social behavior and psychopathology. However, other research strategies, which provide an opportunity to dynamically monitor neural function with noninvasive technologies, are necessary for the development of an integrated neurobiological and neurobehavioral model of social behavior. Because autonomic function is intricately linked to observable motor behaviors, research investigating the neurophysiology of autonomic function is paramount among these strategies.
For decades, researchers studied autonomic function in clinical populations with the hope of gaining a new insight into the etiology of psychiatric disorders. Because noninvasive direct measurements of the nervous system and especially of the brain did not exist, early researchers intuitively monitored autonomic function as a noninvasive index of neural regulation of visceral state. As neuroscience advanced with more sensitive indicators of brain function, interest in the autonomic nervous system waned from a neural emphasis to a more global measurement of arousal and activation. Researchers lost the insight that the autonomic nervous system was not a separate neural system but is integrated into the function of other neural structures.
This paper focuses on how a specific component of the autonomic nervous system, the vagus, is involved in the expression of several of the behavioral, psychological and physiological features associated with social behavior. The vagus will be presented not only as a cranial nerve meandering through the periphery but also as an important bidirectional conduit carrying specialized motor and sensory pathways involved in the regulation of visceral state and affect. Moreover, it will be emphasized that spontaneous social engagement behaviors become more understandable if the autonomic nervous system, and especially the vagus, is included in the integrated model.
Section snippets
The autonomic nervous system
The autonomic nervous system is the portion of the nervous system that controls visceral functions of the body. This system innervates smooth and cardiac muscles and glands and regulates visceral processes including cardiovascular activity, digestion, metabolism and thermoregulation. The autonomic nervous system functions primarily at a subconscious level and is traditionally partitioned into two divisions, the sympathetic and the parasympathetic, based on the region of the brain and spinal
The vagus as a functional system
The vagus, the 10th cranial nerve, is a major component of the autonomic nervous system. The vagus is more than a motor nerve from the brainstem to various target organs in the periphery. The vagus represents an integrated neural system that communicates in a bidirectional manner between the viscera and the brain. Although recent research appears to have discovered that stimulation of vagal afferents change brain function [14], this relation between affect and vagal afferent activity is not a
Polyvagal Theory
Evolutionary forces have molded both human physiology and behavior. The mammalian nervous system is a product of evolution. Via evolutionary processes, the mammalian nervous system has emerged with specific neural and behavioral features that react to challenge in order to maintain visceral homeostasis. These reactions change physiological state and, in mammals, limit sensory awareness, motor behaviors and cognitive activity. To survive, mammals must determine friend from foe, evaluate whether
Predictions based on the Polyvagal Theory
To test predictions based on the Polyvagal Theory, it is necessary to conceptualize the vagus as a component of a dynamic neural feedback system. At a basic level, a vagal regulatory system will include negative feedback from the periphery that would travel via vagal afferent pathways to medullary source nuclei, which, based on the quality of the afferent signal, would regulate the outflow of the vagal efferent pathways directly to the target organs. This simple conceptualization describes a
Clinical applications of the Polyvagal Theory
The Polyvagal Theory forces us to interpret compromised social behavior from a different perspective. The theory emphasizes that the range of social behavior is limited by physiological state. The theory emphasizes that mobilization and immobilization behaviors may be adaptive strategies for a challenged (e.g., frightened) individual. Thus, it may be possible that states of calmness may potentiate positive social behavior by stimulating and exercising the neural regulation of the Social
Conclusions
This paper illustrates how the vagus is involved in the expression of several disparate symptoms associated with autism and other psychopathologies. Consistent with the Polyvagal Theory, the symptom clusters are associated with components of the vagal system. First, there are the behavioral characteristics linked to the neural regulation of the striated muscles of the face via special visceral efferent pathways (i.e., the somatomotor component of the Social Engagement System). Second, autism is
Acknowledgments
The preparation of this manuscript was supported in part by grant MH60625 from the National Institutes of Health.
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