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Yoga Therapy and Polyvagal Theory: The Convergence of Traditional Wisdom and Contemporary Neuroscience for Self-Regulation and Resilience

机译:瑜伽疗法和多元迷走神经理论:传统智慧与现代神经科学在自我调节与适应能力上的融合

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摘要

Yoga therapy is a newly emerging, self-regulating complementary and integrative healthcare (CIH) practice. It is growing in its professionalization, recognition and utilization with a demonstrated commitment to setting practice standards, educational and accreditation standards, and promoting research to support its efficacy for various populations and conditions. However, heterogeneity of practice, poor reporting standards, and lack of a broadly accepted understanding of the neurophysiological mechanisms involved in yoga therapy limits the structuring of testable hypotheses and clinical applications. Current proposed frameworks of yoga-based practices focus on the integration of bottom-up neurophysiological and top-down neurocognitive mechanisms. In addition, it has been proposed that phenomenology and first person ethical inquiry can provide a lens through which yoga therapy is viewed as a process that contributes towards eudaimonic well-being in the experience of pain, illness or disability. In this article we build on these frameworks, and propose a model of yoga therapy that converges with Polyvagal Theory (PVT). PVT links the evolution of the autonomic nervous system to the emergence of prosocial behaviors and posits that the neural platforms supporting social behavior are involved in maintaining health, growth and restoration. This explanatory model which connects neurophysiological patterns of autonomic regulation and expression of emotional and social behavior, is increasingly utilized as a framework for understanding human behavior, stress and illness. Specifically, we describe how PVT can be conceptualized as a neurophysiological counterpart to the yogic concept of the gunas, or qualities of nature. Similar to the neural platforms described in PVT, the gunas provide the foundation from which behavioral, emotional and physical attributes emerge. We describe how these two different yet analogous frameworks—one based in neurophysiology and the other in an ancient wisdom tradition—highlight yoga therapy’s promotion of physical, mental and social wellbeing for self-regulation and resilience. This parallel between the neural platforms of PVT and the gunas of yoga is instrumental in creating a translational framework for yoga therapy to align with its philosophical foundations. Consequently, yoga therapy can operate as a distinct practice rather than fitting into an outside model for its utilization in research and clinical contexts.
机译:瑜伽疗法是一种新兴的,自我调节的补充性和综合性保健(CIH)疗法。它的专业化,认可度和使用率在不断增长,并表现出致力于制定实践标准,教育和认证标准以及促进研究以支持其针对各种人群和条件的功效的承诺。然而,实践的异质性,较差的报告标准以及对瑜伽疗法所涉及的神经生理机制缺乏广泛接受的理解,限制了可检验假说和临床应用的结构。当前提出的基于瑜伽的练习框架着重于自下而上的神经生理学和自上而下的神经认知机制的整合。另外,已经提出,现象学和第一人称伦理学探究可以提供一个视角,通过它可以将瑜伽疗法视为在疼痛,疾病或残疾的经历中有助于大自然幸福感的过程。在本文中,我们以这些框架为基础,并提出了一种与多元迷走神经理论(PVT)融合的瑜伽疗法模型。 PVT将自主神经系统的进化与亲社会行为的出现联系起来,并假设支持社会行为的神经平台参与了健康,生长和恢复。这种将自主调节的神经生理模式与情绪和社交行为表达联系起来的解释性模型,越来越多地被用作理解人类行为,压力和疾病的框架。具体来说,我们描述了如何将PVT概念化为可口可乐的瑜伽概念或自然品质的神经生理学对应物。与PVT中描述的神经平台相似,枪械提供了行为,情感和身体属性出现的基础。我们描述了这两种不同但又相似的框架(一个基于神经生理学,另一个基于古老的智慧传统)如何突出瑜伽疗法促进身体,心理和社会福祉的自我调节和适应能力。 PVT的神经平台与瑜伽的双峰之间的这种平行关系有助于创建瑜伽疗法的转化框架,使其与其哲学基础保持一致。因此,瑜伽疗法可以作为一种独特的实践,而不是适合用于研究和临床环境的外部模型。

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