{"title":"Brain-Heart Interactions and Optimizing Psychotherapy.","authors":"Donald Moss","doi":"10.1007/s10484-025-09692-3","DOIUrl":null,"url":null,"abstract":"<p><p>The present article examines how physiological systems impact on affect regulation, social engagement, and cognitive flexibility, three critical factors in psychotherapeutic success. The vagal system, associated with parasympathetic nervous activity and heart rate variability, provides an integration of brain, heart, gut, affective systems, cognitive performance, and social engagement. The author presents Stephen Porges' polyvagal theory, Julian Thayer's neurovisceral integration model, Kerstin Uvnas-Moberg's oxytocin/hormonal model, and Paul Gilbert's compassion focused therapy, as models for understanding the impact of vagal function and parasympathetic nervous activation on affect, social behavior, and cognition. The article proposes that direct heart rate variability training, along with other practices that increase vagal activity, can prepare patients for psychotherapy, and contribute to progress in psychotherapy. The emphasis is on the reciprocal influences among vagal activity, prefrontal cortical circuits, affect regulation, caring, and thinking.</p>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Psychophysiology and Biofeedback","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s10484-025-09692-3","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
Abstract
The present article examines how physiological systems impact on affect regulation, social engagement, and cognitive flexibility, three critical factors in psychotherapeutic success. The vagal system, associated with parasympathetic nervous activity and heart rate variability, provides an integration of brain, heart, gut, affective systems, cognitive performance, and social engagement. The author presents Stephen Porges' polyvagal theory, Julian Thayer's neurovisceral integration model, Kerstin Uvnas-Moberg's oxytocin/hormonal model, and Paul Gilbert's compassion focused therapy, as models for understanding the impact of vagal function and parasympathetic nervous activation on affect, social behavior, and cognition. The article proposes that direct heart rate variability training, along with other practices that increase vagal activity, can prepare patients for psychotherapy, and contribute to progress in psychotherapy. The emphasis is on the reciprocal influences among vagal activity, prefrontal cortical circuits, affect regulation, caring, and thinking.
期刊介绍：
Applied Psychophysiology and Biofeedback is an international, interdisciplinary journal devoted to study of the interrelationship of physiological systems, cognition, social and environmental parameters, and health. Priority is given to original research, basic and applied, which contributes to the theory, practice, and evaluation of applied psychophysiology and biofeedback. Submissions are also welcomed for consideration in several additional sections that appear in the journal. They consist of conceptual and theoretical articles; evaluative reviews; the Clinical Forum, which includes separate categories for innovative case studies, clinical replication series, extended treatment protocols, and clinical notes and observations; the Discussion Forum, which includes a series of papers centered around a topic of importance to the field; Innovations in Instrumentation; Letters to the Editor, commenting on issues raised in articles previously published in the journal; and select book reviews. Applied Psychophysiology and Biofeedback is the official publication of the Association for Applied Psychophysiology and Biofeedback.
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