Somatization of Existential Anxiety and Pastoral Counseling: Focusing on the Polyvagal Theory

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Key Points

The aim is to explore the neurophysiological mechanisms underlying the somatization of existential anxiety and propose healing approaches through pastoral counseling.
Comparative analysis of Paul Tillich's theological view and Stephen Porges' polyvagal theory.
Literature review focusing on the structures of existential anxiety and the hierarchies of the autonomic nervous system.
Somatic symptoms of existential anxiety were identified as universal neurophysiological responses to threats of non-existence.
Effective pastoral counseling strategies include activating the vagus nerve through safety, promoting social engagement, and implementing body-based care practices.

Literature review examines the neurophysiological aspects of existential anxiety and offers pastoral care strategies.

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Ha et al. (2026) studied this question.

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