The Social Nervous System

Feeling more connected in the body is at the core of Craniosacral Therapy. When we feel safe with the connections in our body, we have more choice in how we move and relate to other people. Important neurological relationships have been recognised by Prof Stephen Porges in how our bodies respond to stress. Porges’ ‘Polyvagal Theory & the Social Nervous System‘ is a model I work with on a daily basis in clinical practice so I would like to share a few highlights from his work here.

In Polyvagal Theory, Porges discusses some of the evolutionary differences between humans and other animals in adapting to our environment and coping with stressful and threatening situations. For humans, he suggests there is a three-tier hierarchy of responses to stress, I’d like to focus on the first response, Communication or the Social Nervous System:

Porges’ three-tier hierarchy of responses to stress

  1. Communication – using negotiation, social skills, vocalisation, listening and facial expression to resolve the stressful situation through social relationships (Social Nervous System)
  2. Mobilisation – fight/flight, energy is mobilised to defend or escape from the threat physically (Sympathetic Nervous System)
  3. Immobilisation – freeze response, body systems (digestion, respiration, movement) slow or shut down ie ‘playing dead’ (Parasympathetic Nervous System)

Mammals (especially humans) have developed the ability to use their social networks and skills to find safety from threats in their environment. In humans, this has deepened further with the complex social structures and behaviours that we use to ‘be’ safe and importantly, to ‘feel’ safe. In times of stress or threat, mammals will move to a mobilisation response to escape/fight if communication is ineffective. If this response is overwhelmed, the mammal will immobilise until the threat is gone (as in this freeze response video). Non-social animals like fish and repitles only have mobilisation and immobilisation responses.

In his model of  the Social Nervous System, Porges describes the neurological features of humans that allow us to respond through social engagement. He highlights the relationships between the Cranial Nerves (CN) of the Autonomic Nervous System (ANS), and includes the CNs in the neck, the throat, the face and the middle ear.

How does the Social Nervous System enables us  to respond to stress?

ANS – (CN X vagus nerve) heart and breathing rates are slowed down while we assess if a situation is threatening. If there is no threat, both rates return to ‘normal’. If there is a threat, the heart and breathing rates are fine-tuned to enable a social  response (see throat, face, ears section), as we need different ways of breathing for speaking than for running, fighting or playing dead. Humans differ from other animals in that 80% of the nerves to our hearts are sensory with a high proportion of  these covered in a protective myelin sheath meaning the nervous impulses are far more sensitive to give a more controlled response. Another difference is that some of the nerves feedback to the nucleus ambiguus, a cluster of nerve tissue found in the brain stem of humans but not found in non-social animals like fish and reptiles.

Neck – (CN XI accessory nerve) the trapezius and sternomastoid muscles are activated, enabling us to turn our heads to orient towards a potential threat and also to members of our group to engage socially (see below).

Throat, Face & Ears – (CN V trigeminal, VII facial & IX glossopharyngeal nerves) In the throat, swallowing and vocal prosodyare adjusted so that we can give a specific vocal response to stress, eg a rousing scream or a soothing whisper. Muscles of the face and jaw help with the articulation and pronunciation of words as well as facial expression, the movement of the muscles around the eyes are particularly important in social engagement and communication. One of the most interesting connections that Porges has made is the passage of the facial nerve through the muscles of the middle ear which enable us to attune to sounds so that we can distinguish the human voice from background noise. Facial expression is hard-wired into the recognition of the human voice.

The Social Nervous System can be affected by stress, dental work, surgery, shock & trauma, ear problems and developmental conditions such as Autism to name but a few. Mobilisation and immobilisation are vital responses for survival, however, our lives and relationships are much richer when we have the option to respond socially. As a Craniosacral Practitioner, the Social Nervous System plays an important role in deepening the health and wellness of clients on a regular basis, whether I’m working with the jaw and face, the temporal bones and structures around the ear, autonomic ganglions along the spine or facilitating relaxation in the body. Holding the intention that our face, ears and voice are intimately connected to our hearts can add deeper meaning and feeling to the interactions in our personal relationships.

Increasing capacity for aliveness

I’ve just come back from a fascinating, challenging and inspiring three-day workshop with Dr Larry Heller about “Healing Early and Complex Trauma“. In this context ‘early’ trauma is concerned with how relationships in the first months and years of life affect our strategies and capacity for coping with stress and forming relationships later in life. The workshop focussed on integrating ‘top-down’ (ie psychotherapeutic models of cognition) and ‘bottom-up’ (body oriented, felt-sense response) approaches in the healing of early trauma through nervous system regulation.

As a craniosacral practitioner, working with the felt sense of the body and learning to negotiate the fluctuations of feelings and sensations linked with our emotions is an integral part to my work. Learning how our physiology responds to these experiences was therefore deeply enriching on a personal and professional level.

Much of the practice over the three days was about connecting to our inner resources to cultivate feelings of being present and grounded. A key theme from the workshop in working with trauma in this way was the importance of  ‘supporting an increasing capacity for aliveness‘, as Larry says,

Our greatest desire is to feel alive. Meaninglessness, depression, and many other symptoms are reflections of our disconnection from our core vitality. When we feel alive, we feel connected, and when we feel connected, we feel alive. Aliveness is not primarily a mental state though it brings mental clarity, nor is it only pleasure. It is a state of energetic flow and coherency in all systems of the body, brain and mind.

In Craniosacral Therapy, we work to increase vitality by connecting to the body’s natural energetic flows and energies, sometimes referred to as ‘primary respiration‘ and ‘potency‘ in this approach. Contacting our inner resources by becoming more present and grounded creates the energy and awareness needed to process the impact of early relationships and to respond to stress in healthier ways. When we have a healthier connection to ourselves we can have healthier connections with other people.

I found one exercise from the workshop particularly resourcing. The task was simply to talk for ten minutes about ways in which we are kinder to ourselves than in the past, and ways we can be even kinder to ourselves in the future. I can see a benefit in practicing the exercise from time to time, I feel better just thinking about it!

As always, I hope to integrate what I learned to my personal life as much as my professional life. In particular, when life throws up a challenge that I’m struggling with and I’m feeling far from grounded, I hope I can be more patient and kind to myself!

So what is Craniosacral Therapy?

For my first entry I’ve picked a few basic questions that I get asked and some key points/ideas in response…

What is it?

Craniosacral Therapy is a “hands-on” body therapy, with the practitioner making light, sustained contact through the client’s clothing. The gentle touch of cranial work helps the body to feel more relaxed and the mind to become more peaceful.

Craniosacral Therapy utilises the ‘natural intelligence’ of the body that expresses itself through subtle motions to help integrate the body & mind and to improve health. Attuning the body to these motions and helping them to express with more freedom and balance helps the body’s natural capacity for self-repair. In time, profound changes and insights are possible as the body and mind learn to work in this way.

What’s it for?

Many people come to CST to help them to relax or for relief from a pain or symptom they are experiencing. As well as improving general wellbeing and vitality through relaxation, some people find CST beneficial for specific areas of physical pain. CST is also particularly effective for people looking to improve their psychological and emotional wellbeing.

What happens in a session?

In a typical Craniosacral session, you will usually lie (or sometimes sit) fully-clothed on a treatment couch. Contact is made with the practitioner’s hands, carefully and with negotiation so that you will feel at ease with what is happening. Common places of contact include the feet, shoulders and head, or under the spine and pelvis. This is always at your discretion and the practitioner will check you are ok before making contact.

Once contact has been made, the practitioner will use their hands to listen to how your body is responding to the session.  As well as using touch, the practitioner will check-in verbally to ask how the session is going for you. This may mean talking about sensations, thoughts or feelings that come to your awareness or any changes that are being noticed in the body. The amount of verbal communication varies from session to session and is a valuable way to help integrate the body and mind.

Visualisations are sometimes used in session time along with meditation style exercises that can also be developed between sessions to assist the process. In time, the client can learn to apply these exercises in daily life with cranial work becoming a personal practice.

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