+ All Categories
Home > Education > Porges - Polyvagal - Autism - Hakomi Conference Presentation - Brain Behavior handout

Porges - Polyvagal - Autism - Hakomi Conference Presentation - Brain Behavior handout

Date post: 13-May-2015
Category:
Upload: guestd01e4a
View: 3,617 times
Download: 10 times
Share this document with a friend
Description:
Talks about Polyvagal theory, autism, and viewing life though the lense of the ANS
Popular Tags:
27
Social Behavior: An Emergent property of the phylogeny of the autonomic nervous system Stephen W. Porges, Ph.D. Brain-Body Center University of Illinois at Chicago [email protected] Acknowledgments ! Special thanks to: » Olga Bazhenova, Ph.D. » John Denver » Keri Heilman » Jane Sorokin » Elgiz Bal ! Funding provided by: » NIMH Grant MH-60625 » NLMF Family Foundation » Unicorn Children’s Foundation » Cure Autism Now Overview: The Polyvagal Theory Evolution provides an organizing principle to understand neural regulation of the human autonomic nervous system. Three neural circuits form a phylogenetically- ordered response hierarchy that regulate behavioral and physiological adaptation to safe, dangerous, and life threatening environments. Neuroception of danger or safety or life threat trigger these adaptive neural circuits. New models relating neural regulation to health, learning, and social behavior may be reversed- engineered into treatments.
Transcript

Social Behavior: An Emergent property of the

phylogeny of the autonomic nervoussystem

Stephen W. Porges, Ph.D.Brain-Body Center

University of Illinois at [email protected]

Acknowledgments! Special thanks to:

» Olga Bazhenova, Ph.D.» John Denver» Keri Heilman» Jane Sorokin» Elgiz Bal

! Funding provided by:» NIMH Grant MH-60625» NLMF Family Foundation» Unicorn Children’s Foundation» Cure Autism Now

Overview: The Polyvagal Theory• Evolution provides an organizing principle to understand

neural regulation of the human autonomic nervoussystem.

• Three neural circuits form a phylogenetically-orderedresponse hierarchy that regulate behavioral andphysiological adaptation to safe, dangerous, and lifethreatening environments.

• “Neuroception” of danger or safety or life threat triggerthese adaptive neural circuits.

• New models relating neural regulation to health, learning,and social behavior may be reversed- engineered intotreatments.

The metaphor of safety: A basic principleof our nervous system

Environmentoutside the bodyinside the body

Nervous System

Safety Danger

Neuroception

Spontaneously engages otherseye contact, facial expression, prosody supports visceral homeostasis

Defensive strategies fight/flight behaviors (mobilization)

Life threat

Defensive strategies death feigning/shutdown (immobilization)

Evolution

X-X+X+X-X+Mammals

X+X+X-X+Reptiles

X+X-X+Amphibians

X+X-X+Teleosts

X-X+Elasmobranchs

X+Cyclostomes

NAAD/mSNSDMXCHMNeural Regulation of the Heart in Vertebrates

Polyvagal Theory:Emergent “Emotion” Subsystems

VVC SNS DVCheart ratebronchigastrointestinalvasoconstrictionsweatadrenal medullatearsvocalizationfacial muscles

+ / -+ / -

+ / -+ / -+ / -

+ +

+ + +

-

- -+

eyelidsmiddle ear muscles

+ / -+ / -

Polyvagal Theory: PhylogeneticStages of Neural Control

Dorsal motornucleus of thevagus

Immobilization (deathfeigning, passiveavoidance)

Unmeyelinatedvagus(DVC – dorsal vagalcomplex)

I

Spinal cordMobilization (activeavoidance)

Sympathetic-adrenal system(SNS – sympatheticnervous system)

II

Nucleus ambiguusSocial communication,self-soothing andcalming, inhibitsympathetic-adrenalinfluences

Myelinated vagus(VVC – ventral vagalcomplex)

III

Lower motorneurons

Behavioral FunctionANS ComponentStage

VVC SNS DMX

Communication

Mobilization

Immobilization

+

+

+

FunctionStructure

Head

Limbs

Viscera

Polyvagal Theory: A PhylogeneticHierarchy of Response Strategies

Phylogenetic Organization ofthe ANS: The Polyvagal Theory

head

visceralimbs

trunk

Phylogenetic Organization ofthe ANS: The Polyvagal Theory

head

visceralimbs

trunk

“old” vagus

Vasovagal SyncopeVasovagal Syncope

Apnea/BradycardiaApnea/Bradycardia

Phylogenetic Organization ofthe ANS: The Polyvagal Theory

head

visceralimbs

trunk

Phylogenetic Organization ofthe ANS: The Polyvagal Theory

head

visceralimbs

trunk

Sympathetic NervousSystem

Corticospinal Pathways

Mobilization: Flight Behaviors

Mobilization: Fight Behaviors

Mobilization:Fight/Flight Behaviors

Phylogenetic Organization ofthe ANS: The Polyvagal Theory

head

visceralimbs

trunk

Phylogenetic Organization ofthe ANS: The Polyvagal Theory

head

visceralimbs

trunk

“new” vagusCorticobulbar pathways

© Jeff Hunter/ The Image Bank

Social Engagement

The “Smart” Vagus andSocial Engagement System

Cranial NervesV,VII,IX,X,XI

Muscles ofMastication

Middle EarMuscles

FacialMuscles

Larynx Heart

Head Turning

Bronchi

Pharynx

cortex

brainstem

environment

Social Engagement System:Emergent Behaviors at Birth

Social Engagement System:Self Regulation

RESP

HP

(ms)

1200

1100

1000

900

800

SECONDS

0 30 60 90 120

0.10 RSA

HPV

60 BPM

Heart Rate Rhythms: A measure of the “new” vagus

Looking and Listening: CommonNeurophysiological Mechanisms

Middle Ear Muscles: Role in Extracting Human Voice

Borg & Counter, 1989Scientific American

t

Social Engagement

Social Engagement and Otis Media?

The Face: A Critical Componentof a Social Engagement System

• At birth the mammalian nervous system needs a“caregiver” to survive and signals the caregiver viathe muscles of the face and head.

• At term the corticobulbar pathways that regulate thestriated muscles of the face are myelinated.

• The face is “hardwired” to the neural regulation ofvisceral state via a mammalian “neural circuit.”

• Metabolic demands, stress, trauma and illnessretract the “mammalian” neural circuit with theresultant symptoms of a face that does not work andsocial engagement behaviors are absent.

Fantz, 1963

The Social Human Infant

The Social Human Infant

Neonates can discriminate between directand averted eye gaze and look longer andmore frequently at faces with direct eyegaze

Farroni, Csibra, Simion, & Johnson (2002). Eyecontact detection n humans from birth. Proceedingsof the National Academy of Sciences, 99, 9602-9605.

My Child’s Face Does Not Work!

Gabriel Metzu, The Sick Child

When Other Faces Do Not Work!

Beauty is a journey that starts with a

choice… Learn about your

Choices

Beauty is a journey that starts with a

choice… Learn about your

Choices

When the nervous system fails use Botox!

Autism

People Need People:A Biological Basis for Social Behavior

Regulators of physiology are“embedded” in relationships

M. HoferNew York State Psychiatric Institute

How are the adaptive defensivesystems (flight, fight, and freeze),which are mediated by the amygdalaand other limbic structures, inhibitedto promote the positive spontaneoussocial behavior associated with theSocial Engagement System?

Amygdala (central nucleus)

NeuroceptionLife Threat

ventrolateral

Periaqueductal Gray

Inhibitory pathwaysExcitatory pathways

Freeze(pyramidal tracks)

Autonomic State(dorsal vagal regulation)

Amygdala (central nucleus)

NeuroceptionDanger

dorsolateral and lateral

Periaqueductal GrayRostral Caudal

Inhibitory pathwaysExcitatory pathways

Fight (pyramidal tracks)

Autonomic State(sympathetic)

Flight (pyramidal tracks)

The Trustworthiness of Faces

R. Adolphs, 2002

NeuroceptionSafe

FFA/STS

Amygdala (central nucleus)

Inhibitory pathwaysExcitatory pathways

Motor Cortex

Medulla (source nuclei V,VII,IX,X,XI)

Social Engagement System

Somatomotor(muscles of face & head)

Visceromotor(heart, bronchi)

Social Engagement System:Observable Deficits in Several Psychiatric and

Behavioral Disorders

• Prosody

• Gaze

• Facial expressivity

• Mood and affect

• Posture during social engagement

The Polyvagal Theory:Insights into the selection of outcome measures

Stephen W. Porges, Ph.D.Brain-Body Center

University of Illinois at [email protected]

Acknowledgments Special thanks to:

• Olga Bazhenova, Ph.D.• John Denver, Ph.D.• Keri Heilman, M.A.• Jane Sorokin, M.A.• Elgiz Bal

Funding provided by:• NIMH Grant MH-60625• NLMF Family Foundation• Unicorn Children’s Foundation• Cure Autism Now

Overview: The Polyvagal Theory• Evolution provides an organizing principle to understand

neural regulation of the human autonomic nervoussystem.

• Three neural circuits form a phylogenetically-orderedresponse hierarchy that regulate behavioral andphysiological adaptation to safe, dangerous, and lifethreatening environments.

• “Neuroception” of danger or safety or life threat triggerthese adaptive neural circuits.

• New models relating neural regulation to health, learning,and social behavior may be reversed- engineered intotreatments.

Polyvagal Theory:Risk Assessment

Environmentoutside the bodyinside the body

Nervous System

Safety Danger

Neuroception

Spontaneously engages otherseye contact, facial expression, prosody supports visceral homeostasis

Defensive strategies fight/flight behaviors (mobilization)

Life threat

Defensive strategies death feigning/shutdown (immobilization)

Social Engagement System Observable Deficits in Several Psychiatric and

Behavioral Disorders

• Prosody

• Gaze

• Facial expressivity

• Mood and affect

• Posture during social engagement

FXSA compromised social engagement system?

http://www.fragilex.org

Behavioral Features of FXS• Hyperarousal, distractible, impulsive• Hypoarousal• Difficulties in listening• Sensory defensiveness

• sound sensitivities• oral motor defensiveness• Tactile defensiveness/hypersensitivity

• Poor eye contact and difficulties in social communication• Speech-language delays (males)• Anxiety

• Hypervigilance• Affect regulation (e.g., tantrums)• Shyness

• Low cardiac vagal tonehttp://www.fragilex.org

Phylogenetic Organization ofthe ANS: The Polyvagal Theory

head

visceralimbs

trunk

“old” vagus

Vasovagal SyncopeVasovagal Syncope

Phylogenetic Organization ofthe ANS: The Polyvagal Theory

head

visceralimbs

trunk

Sympathetic NervousSystem

Corticospinal Pathways

Mobilization: Flight Behaviors

Mobilization: Fight Behaviors

Phylogenetic Organization ofthe ANS: The Polyvagal Theory

head

visceralimbs

trunk

“new” vagusCorticobulbar pathways

© Jeff Hunter/ The Image Bank

Social Engagement

VVC SNS DMX

Communication

Mobilization

Immobilization

+

+

+

FunctionStructure

Head

Limbs

Viscera

Polyvagal Theory: A PhylogeneticHierarchy of Response Strategies

Social Engagement System Observable Deficits in Several Psychiatric and

Behavioral Disorders

• Prosody

• Gaze

• Facial expressivity

• Mood and affect

• Posture during social engagement

Social Engagement SystemAnatomical basis

Cranial NervesV,VII,IX,X,XI

Muscles ofMastication

Middle EarMuscles

FacialMuscles

Larynx Heart

Head Turning

Bronchi

Pharynx

cortex

brainstem

environment

RESP

HP

(ms)

1200

1100

1000

900

800

SECONDS

0 30 60 90 120

0.10 RSA

HPV

60 BPM

Heart Rate Rhythms: An autonomic component of social engagement

My Child’s Face Does Not Work!

Gabriel Metzu, The Sick Child

Looking and ListeningCommon Neurophysiological Mechanisms

Middle Ear Muscles: Role in Extracting Human Voice

Borg & Counter, 1989Scientific American

t

How are the adaptive defensivesystems (flight, fight, and freeze),which are mediated by the amygdalaand other limbic structures, inhibitedto promote the positive spontaneoussocial behavior associated with theSocial Engagement System?

Amygdala (central nucleus)

NeuroceptionLife Threat

ventrolateral

Periaqueductal Gray

Inhibitory pathwaysExcitatory pathways

Freeze(pyramidal tracks)

Autonomic State(dorsal vagal regulation)

Amygdala (central nucleus)

NeuroceptionDanger

dorsolateral and lateral

Periaqueductal GrayRostral Caudal

Inhibitory pathwaysExcitatory pathways

Fight (pyramidal tracks)

Autonomic State(sympathetic)

Flight (pyramidal tracks)

The Trustworthiness of Faces

R. Adolphs, 2002

NeuroceptionSafe

FFA/STS

Amygdala (central nucleus)

Inhibitory pathwaysExcitatory pathways

Motor Cortex

Medulla (source nuclei V,VII,IX,X,XI)

Social Engagement System

Somatomotor(muscles of face & head)

Visceromotor(heart, bronchi)

Social Engagement System:Observable Deficits in Several Psychiatric and

Behavioral Disorders

• Prosody

• Gaze

• Facial expressivity

• Mood and affect

• Posture during social engagement

eye trackingGaze

acoustic properties ofvocalizations, language

Laryngeal/pharyngealmuscles

facial EMG, thermography,video coding of faces

Facial muscles

impedancewords from noise

Middle ear muscles

heart rate, vagal tone(RSA), respiration

Autonomic

ERP, EEG, EOP, fMRICortex

Social Engagement System Where to look? What to measure?

106COFF % EYE % MOUTH %

32.6 57.18 10.22

Control: 12 year old male

Eye 57%

111AOFF % EYE % MOUTH %

39.31 1.15 59.54

Before Intervention: Autism 10 year old male

Eye 1%

119BOFF % EYE % MOUTH %

26.15 71.38 2.47

After Intervention: Autism 10 year old male

Eye 71%

0102030405060708090

PrePost

Fixation Duration Percent

t(19) = -7.343, p <.0001

0

10

20

30

40

50

60

70

OFF EYE MOUTH

ControlPrePost

Fixation Duration Percent

Control/Pre F(1,38) = 39.005***, 69.207***, .219 nsControl/Post F(1,38) = 21.371***, 14.551***, .030 ns

0

2

4

6

8

10

12

SCAN FW SCAN CW

ControlPrePost

SCAN Test

Control/Pre F(1,39) = 187.272***, 27.400***Control/Post F(1,39) = 6.290**, 0.108 ns

Respiratory Sinus Arrhythmia(ln msec2)

3

4

5

6

7

8

Control/Pre F(1,38) = 16.067***Control/Post F(1,38) = 3.805 nsPre/Post F(1,38) = 16.427***

* Control * Pre * Post

What Needs to be Done?•New Populations: Apply the Listing Project interventions toindividuals with language delays and older and more severeautistic individuals

•Repeated interventions: Change protocol to evaluate theeffect of repeated interventions on the trajectory of individualsin existing treatment programs.

•Describe the autistic nervous system: Validate neuralmechanisms mediating vulnerabilities in social engagementand the behavioral changes following intervention (fMRI, NIRS,ANS, facial EMG & IR thermography)

•Expand intervention strategies: Incorporate visual stimuli totrigger multisensory neurons that facilitate language and socialcommunication.

Potential Applications of the Polyvagal Theoryin Psychiatry, Psychology, and Education

! Aspects of several physical and psychiatric diseases can beexplained as emergent properties of the neural regulation of theautonomic nervous system (feedback, evolution, development)

! New diagnostic methods and new treatments can emphasizemeasurement and manipulation of the neural regulation of theautonomic nervous system.

! Environments can be designed to support the functions of thenervous system with positive impact on social behavior andemotion regulation

– Computers that modulate neural regulation of the ANS– Quiet environments– Nervous system “friendly” classrooms– Improved social behavior: People need people – a biological basis

Summary• “Neuroception” of safety or danger mediates the

beneficial consequences of social behavior.• Autonomic reactions to challenges are organized in a

phylogenetically-determined hierarchy.• Various atypical behaviors are adaptive for short

periods.• Several psychopathologies are expressed as deficits

in the Social Engagement System.• Biologically-based behavioral interventions can

trigger neural circuits that mediate positive socialbehavior.


Recommended