Understanding Reactions to the COVID-19 Pandemic
Insights from the Polyvagal Theory and the Oxytocin Hypothesis
Recorded Saturday 18 July 2020
With Stephen W. Porges, PhD and Sue Carter, PhD
CPD Credits: 5 hours
The spread of the SARSCov2 virus presents an unprecedented event that rapidly introduced widespread life threat, economic de-stabilization, and social isolation. The human nervous system is tuned to detect safety and danger, integrating body and brain responses via the autonomic nervous system. Polyvagal Theory provides a perspective to understand the impact of the pandemic on mental and physical health.
READ MORE...This perspective highlights the important role of the state of the autonomic nervous system in exacerbating or dampening threat reactions to the pandemic. In addition, the theory alerts us to the impact of clinical history (e.g., trauma) on autonomic regulation as an important compounding risk factor lowering the threshold to behaviorally and physiologically destabilize in response to the pandemic. The theory provides a strategy to dampen the adverse reactions to threat (e.g., acute stress disorders) through portals of social engagement that evolved to downregulate defenses to promote calmness and connectedness.
Consistent with a Polyvagal perspective, oxytocin and vasopressin dynamically moderate the autonomic nervous system influencing vagal pathways and anti-inflammatory circuits that help explain the adaptive consequences of love, trust, and social behavior for emotional and physical health. Thus, interventions that target the client’s capacity to feel safe and use the social engagement system to regulate physiological state can be effective enhancements of treatments of mental health disorders that are dependent on defense systems. The workshop will integrate the Polyvagal Theory with current research on the mammalian neuropeptides of oxytocin and vasopressin, which facilitate social behaviours and trust. In this workshop Porges and Carter will discuss applications of their research to the current pandemic.
Continuing Professional Development (CPD) credits for 5 hours are available as part of the course fee. You will need to fill out an evaluation form and pass a multiple choice questionnaire related to the content in order to receive your certificate.
Access to the Talks On Demand runs for 365 days from the date of purchase.
FULL PROGRAMME
Stephen Porges
The COVID-19 Pandemic is a Paradoxical Challenge to Our Nervous System: A Polyvagal Perspective
In this time of deep disruptions to daily life we are confronted with challenges that are foreign to our neurobiological programs of behaviors and feelings. For us to comply with the requirements for social distancing and adhering to stay-at-home orders, we have to acknowledge and constrain the powerful bio-behavior pull of our essential need for human connection. While we want to anchor in an autonomic state of calmness and social engagement, our nervous system may be challenged by the Covid-19 crisis and not comply with our benevolent intentions to connect, support, and be present with others. Instead, the pervasiveness of the crisis dominants our awareness and triggers our nervous system into states of defense that may oscillate between a mobilized physiology consistent our hypervigilance and dissociative withdrawal and malaise. Polyvagal Theory informs us of the adaptive function of these shifts in autonomic state and the emergent emotional feelings that accompany these physiological changes. Although we may want to co-regulate with others, social distancing and isolation prevent us from adhering to our instinctive drive to calm through safe proximal relationships. During this crisis, our physiological state, our emotion, and our nervous system may not be contained by our benevolent intentions and we may be mobilized into sympathetic states leading to fight and flight behaviors, anger and anxiety, or dorsal vagal states leading to despair, disconnection, and collapse. Stephen Porges will discuss how our body reacts to both the threat of infection and the loss of social support. The consequences of these reactions on mental and physical health will be discussed. Methods will be suggested to mitigate the pandemic triggered destabilization of the nervous system that are manifest in behavioral, emotional, and neurophysiological systems.
Discussion and Q&A
Sue Carter
Oxytocin and Human Evolution: Part 1
The Role of Oxytocin in Birth, Social Attachment and Affective Relationships and Overcoming Fear and Trauma
Oxytocin pathways, which include the neuropeptide oxytocin, the related peptide vasopressin, and their receptors, are at the center of physiological and genetic systems that permitted the evolution of the human nervous system and allowed the expression of contemporary human sociality. In general, oxytocin acts to allow the high levels of social sensitivity and attunement necessary for human sociality and for rearing a human child. Under optimal conditions oxytocin may create an emotional sense of safety. This session will explain how oxytocin dynamically moderates the autonomic nervous system and effects of oxytocin on vagal pathways, as well as the antioxidant and anti-inflammatory effects of this peptide, and help to explain the pervasive adaptive consequences of love, trust, and social behavior for emotional and physical health.
Discussion and Q&A
Stephen Porges
The Emergence of Polyvagal Informed Technologies and Therapies
This presentation will focus on how Polyvagal Theory provides a plausible model to explain how and why intonation of voice and vocal music can support mental and physical health and enhance function during compromised states associated with illness, chronic stress, and trauma. From a clinical perspective this session will emphasize the importance of our face, voice, and heart in negotiating states that enable trust and intimacy. A Polyvagal Informed therapy, the Safe and Sound Protocol™ will be described, which is targeted at improving auditory processing and reducing hypersensitivity to sounds by “exercising” the neural regulation of the middle ear muscles and improving the regulation of autonomic state via the Social Engagement System.
Discussion and Q&A
Sue Carter
Oxytocin and Human Evolution: Part 2
How Do Love and Fear Tune the Oxytocin System – Helping the Mammalian Body to Manage Stress and Trauma?
Oxytocin pathways, which include the neuropeptide oxytocin, the related peptide vasopressin, and their receptors, are at the center of physiological and genetic systems that permitted the evolution of the human nervous system and allowed the expression of contemporary human sociality. In general, oxytocin acts to allow the high levels of social sensitivity and attunement necessary for human sociality and for rearing a human child. Under optimal conditions oxytocin may create an emotional sense of safety. This session will explain how oxytocin dynamically moderates the autonomic nervous system and effects of oxytocin on vagal pathways, as well as the antioxidant and anti-inflammatory effects of this peptide, and help to explain the pervasive adaptive consequences of love, trust, and social behavior for emotional and physical health.
Part II will provide an opportunity to discuss the dependence of autonomic regulation on oxytocin in the establishment of social bonds and in the regulation of stress responses in social contexts and focus on how oxytocin and vasopressin act as “neuromodulators” within the theoretical context of the Polyvagal Theory.
Discussion and Q&A
End