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HYPOTHESIS AND THEORY article

Front. Behav. Neurosci.

Sec. Emotion Regulation and Processing

Volume 19 - 2025 | doi: 10.3389/fnbeh.2025.1659083

This article is part of the Research TopicExploring CNS-ANS communication: Implications for mental and physical healthView all 4 articles

Polyvagal Theory: Evolution, Engagement, and Clinical Observation

Provisionally accepted
  • Indiana University Bloomington, Bloomington, United States

The final, formatted version of the article will be published soon.

Polyvagal Theory (PVT) offers an integrative model of autonomic regulation that accounts for the evolution, neuroanatomy, and functional organization of the vagus nerve in relation to behavioral and emotional processes. This article revisits PVT by synthesizing its scientific foundations with recent advancements in transcriptomics, neurophysiology, and clinical application. Particular emphasis is placed on the theory’s hierarchical model of the autonomic nervous system, the role of the ventral vagal complex in social behavior, and the construct of neuroception - the neural process by which safety and threat are detected without conscious awareness. The discussion incorporates both theoretical refinement and empirical validation while addressing common misconceptions and critiques of the model. In addition to the scientific narrative, the author offers a personal perspective on the intellectual and experiential origins of PVT, illustrating its translational value in clinical and therapeutic settings. By combining rigorous science with experiential insight, this article seeks to advance understanding of the autonomic foundations of social behavior and mental health.

Keywords: Polyvagal Theory, Autonomic Nervous System, Vagus Nerve, respiratory sinus arrhythmia, Neuropeptides, neuroception, social engagement system, Evolutionary Neuroscience

Received: 03 Jul 2025; Accepted: 13 Aug 2025.

Copyright: © 2025 Porges. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Stephen W Porges, Indiana University Bloomington, Bloomington, United States

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