"Story Follows State": Why Our Internal Narrative Depends On Our Nervous System State

In the realm of psychotherapy, Deb Dana stands out for her work in integrating the Polyvagal Theory into clinical practice. One of the core concepts she emphasizes is "Story Follows State," a powerful idea that reshapes our understanding of how our physiological state influences our mental and emotional narratives.

Who is Deb Dana?

Deb Dana is a seasoned clinician, consultant, and author who has dedicated her career to the exploration and application of the Polyvagal Theory in therapy. With a background in social work and extensive experience in treating trauma, Dana has become a leading voice in helping therapists and clients alike understand the deep connections between the nervous system and behavior.

Dana has written several influential books, including "The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation" and "Polyvagal Exercises for Safety and Connection: 50 Client-Centered Practices." Her work is grounded in the pioneering research of Dr. Stephen Porges, who first introduced the Polyvagal Theory, and she has effectively translated his scientific insights into practical strategies for therapists.

What is Polyvagal Theory?

To appreciate Deb Dana's concept of "Story Follows State," it's essential to grasp the basics of the Polyvagal Theory. Developed by Dr. Stephen Porges, the theory explores how the vagus nerve, a crucial component of the autonomic nervous system, regulates our physiological state and, consequently, our behavior and emotions.

The Polyvagal Theory identifies three primary states of the autonomic nervous system:

1. Ventral Vagal State: This state is associated with safety, social engagement, and calm. When in this state, individuals feel connected and capable of healthy relationships and positive interactions.

2. Sympathetic State: Triggered by a perceived threat, this state activates the fight-or-flight response. It prepares the body for action but can also lead to feelings of anxiety, anger, or panic.

3. Dorsal Vagal State: This state is related to extreme threat responses, resulting in shutdown or immobilization. It can manifest as feelings of depression, disconnection, or dissociation.

The Concept of "Story Follows State"

"Story Follows State" is a central tenet in Deb Dana's approach, emphasizing that the stories we tell ourselves about our experiences are deeply influenced by our autonomic state. In other words, our physiological condition shapes our perceptions, thoughts, and emotions.

When we are in a ventral vagal state, our stories tend to be positive and connected. In this state, we might think, "I am capable and valued," or "I can handle challenges that come my way." We perceive the world as a safe and welcoming place, filled with opportunities for growth and connection. Our interactions are characterized by trust, empathy, and cooperation, and we feel a genuine sense of belonging and security. For example, if someone receives constructive feedback at work while in a ventral vagal state, they might see it as an opportunity for improvement and personal growth rather than a personal attack.

In the sympathetic state, our narratives often become charged with anxiety, fear, or anger. Our thoughts might include, "I have to be on guard," or "Something bad is about to happen." We perceive the world as a dangerous and unpredictable place, where threats lurk around every corner. This state primes us for action—fight or flight—preparing us to confront or escape from perceived dangers. For instance, receiving the same constructive feedback at work while in a sympathetic state might be interpreted as a sign of impending failure or a personal threat, leading to defensive or hostile reactions.

When we enter the dorsal vagal state, our stories can turn bleak and hopeless. Our thoughts might echo, "There's no point in trying," or "I am completely alone." We see the world through a lens of disconnection and despondency, feeling emotionally numb or detached from our surroundings. This state is often a response to overwhelming stress or trauma, leading to a shutdown as a means of self-preservation. In this state, receiving feedback at work might be met with apathy or resignation, seeing it as further confirmation of one's perceived inadequacy or isolation.

Applying "Story Follows State" in Therapy

Deb Dana's concept has profound implications for therapy. By understanding that stories are a reflection of state, therapists can help clients recognize the influence of their nervous system on their mental and emotional lives. Here are some practical applications:

1. State Awareness: Encouraging clients to identify their current state and understand its impact on their thoughts and feelings. This awareness can be the first step toward regulation.

2. Regulation Techniques: Teaching clients techniques to shift their state, such as breathing exercises, grounding practices, or social engagement activities. These techniques can help move them toward a ventral vagal state.

3. Reframing Narratives: Once in a more regulated state, clients can reframe their stories from a perspective of safety and connection, fostering more positive and constructive narratives.

4. Building Resilience: Helping clients develop a toolkit of strategies to maintain a ventral vagal state, enhancing their overall resilience and capacity for healthy relationships.

Conclusion

Deb Dana's "Story Follows State" is a transformative concept that offers a deeper understanding of the interplay between our physiological states and our mental narratives. By integrating the principles of Polyvagal Theory into therapy, Dana provides a framework for helping clients achieve greater emotional regulation, resilience, and connection. Her work continues to inspire therapists and clients worldwide, offering a path toward healing and well-being through the wisdom of the autonomic nervous system.

Click here for more practical applications of The Polyvagal Theory.

This post was written by ChatGPT, an AI language model by OpenAI, from a detailed prompt written by me.