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They argue that polyvagal theory incorrectly portrays the role of the different vagal nuclei in mediating the freeze response. According to their analysis, the evidence "does not support a role of the 'dorsal vagal complex' in freezing as proposed by the PVT" and the dorsal vagal complex "should not be linked to passive defensive behavior".
The dorsal nucleus of vagus nerve (or posterior nucleus of vagus nerve or dorsal vagal nucleus or nucleus dorsalis nervi vagi or nucleus posterior nervi vagi) [1] is a cranial nerve nucleus of the vagus nerve (CN X) situated in the medulla oblongata of the brainstem ventral to the floor of the fourth ventricle.
Vagovagal reflex refers to gastrointestinal tract reflex circuits where afferent and efferent fibers of the vagus nerve [1] coordinate responses to gut stimuli via the dorsal vagal complex in the brain. The vagovagal reflex controls contraction of the gastrointestinal muscle layers in response to distension of the tract by food.
The SE therapy concepts such as "dorsal vagal shutdown" with bradycardia that are used to describe "freeze" and collapse states of trauma patients are controversial since it appears the ventral vagal branch, not the dorsal vagal branch, mediates this lowered heart rate and blood pressure state.
The vagus nerve is also responsible for regulating inflammation in the body, via the inflammatory reflex. [7] Efferent vagus nerve fibers innervating the pharynx and back of the throat are responsible for the gag reflex. In addition, 5-HT 3 receptor-mediated afferent vagus stimulation in the gut due to gastroenteritis is a cause of vomiting. [8]
Here's how to distinguish "sundowning"—agitation or confusion later in the day in dementia patients—from typical aging, from doctors who treat older adults.
Stephen W. Porges (born 1945) is an American psychologist.He is the Professor of Psychiatry at the University of North Carolina at Chapel Hill. [1] Porges is also currently Director of the Kinsey Institute Traumatic Stress Research Consortium at Indiana University Bloomington, [2] which studies trauma.
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