Three important features define the social engagement system. First, the efferent pathways that regulate the social engagement system originate in medullary structures… Second, corticobulbar pathways… enable the possibility of efficient cortical regulation… Third, on the medullary level, the structures that regulate social communication behaviors neuroanatomically communicate with structures that regulate ingestion and cardiac output.
Porges provides the definitive anatomical architecture of the SES, establishing its three-tier corticobulbar–medullary–cardiac integration as the neurophysiological foundation of all social communication.
, The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation, 2011thesis