5
" Playing nice" comes naturally when our neuroception detects safety and promotes physiological states that support social behavior. However, pro-social behavior will not occur when our neuroception misreads the environmental cues and triggers physiological states that support defensive strategies. After all, "playing nice" is not appropriate or adaptive behavior in dangerous or life-threatening situations. In these situations, humans - like other mammals - react with more primitive neurobiological defense systems. To create relationships, humans must subdue these defensive reactions to engage, attach, and form lasting social bonds. Humans have adaptive neurobehavioral systems for both pro-social and defensive behaviors. "
― Stephen W. Porges , The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-regulation
11
" I have learned about these mechanisms from clinical populations that express difficulties in social connectedness. HIV patients provide an interesting example to elaborate on this point. In studying HIV patients, I have learned that often their caregivers feel unloved and frequently get angry attending to the needs of the infected individual. Parents of autistic children often report the same feelings and experiences. In both examples, although they often report feeling unloved, what they really are expressing is that the HIV-infected individual or the autistic child is not contingently responding to them with appropriate facial expressivity, eye gaze, and intonation in their voices. In both cases, the individual being cared for is behaving in a machinelike manner, and the caregivers feel disengaged and emotionally disconnected. Functionally, their physiological responses betray them, and they feel insulted. Thus, an important aspect of therapy is to deal not solely with the patient, but to also include the social context in which the patient lives with a focus on the parent–child or caregiver–client dyad. This will ensure that the parents or the caregivers will learn to understand their own responses as a natural physiological response. "
― Stephen W. Porges , The Pocket Guide to the Polyvagal Theory: The Transformative Power of Feeling Safe
13
" Since we are talking about autistic children, let’s start there, and then we will circle back and focus on treating people with PTSD. Dr. Porges: We can cluster both PTSD and autism together, because from a Polyvagal perspective, the pivotal point is whether we can help another human feel safe. Safety is a powerful construct that involves features from several processes and domains, including context, behavior, mental processes, and physiological state. If we feel safe, we have access to the neural regulation of the facial muscles. We have access to a myelinated vagal circuit that is capable of down-regulating the commonly observed fight/flight and stress responses. And, when we down-regulate our defense, we have an opportunity to play and to enjoy our social interactions. I wanted to introduce into this discussion the concept of play. An inability to play is a characteristic of many individuals with a psychiatric diagnosis. Yet, we do not find an inability to play with others or to spontaneously and reciprocally express humor in any diagnostic criteria. "
― Stephen W. Porges , The Pocket Guide to the Polyvagal Theory: The Transformative Power of Feeling Safe