Fundamental challenges and likely refutations of the five basic premises of the polyvagal theory

Biol Psychol. 2023 May:180:108589. doi: 10.1016/j.biopsycho.2023.108589. Epub 2023 May 24.

Abstract

The polyvagal collection of hypotheses is based upon five essential premises, as stated by its author (Porges, 2011). Polyvagal conjectures rest on a primary assumption that brainstem ventral and dorsal vagal regions in mammals each have their own unique mediating effects upon control of heart rate. The polyvagal hypotheses link these putative dorsal- vs. ventral-vagal differences to socioemotional behavior (e.g. defensive immobilization, and social affiliative behaviors, respectively), as well as to trends in the evolution of the vagus nerve (e.g. Porges, 2011 & 2021a). Additionally, it is essential to note that only one measurable phenomenon-as index of vagal processes-serves as the linchpin for virtually every premise. That phenomenon is respiratory sinus arrhythmia (RSA), heart-rate changes coordinated to phase of respiration (i.e. inspiration vs. expiration), often employed as an index of vagally, or parasympathetically, mediated control of heart rate. The polyvagal hypotheses assume that RSA is a mammalian phenomenon, since Porges (2011) states "RSA has not been observed in reptiles." I will here briefly document how each of these basic premises have been shown to be either untenable or highly implausible based on the available scientific literature. I will also argue that the polyvagal reliance upon RSA as equivalent to general vagal tone or even cardiac vagal tone is conceptually a category mistake (Ryle, 1949), confusing an approximate index (i.e. RSA) of a phenomenon (some general vagal process) with the phenomenon, itself.

Keywords: Autonomic; Cardiac vagal tone; Dorsal vagal motor nucleus; Heart-rate variability; Measurement of respiratory sinus arrhythmia; Neuroanatomy of the vagus; Parasympathetic; Polyvagal; Respiratory sinus arrhythmia; Sociality; Vagus; Ventral vagal nucleus Ambiguus; Vertebrate evolution.

Publication types

  • Review

MeSH terms

  • Animals
  • Arrhythmia, Sinus
  • Heart / physiology
  • Heart Rate / physiology
  • Humans
  • Mammals
  • Respiration
  • Respiratory Sinus Arrhythmia*
  • Vagus Nerve* / physiology