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ABCD
B
Pattern B

Protection

Threat-response regulatory configuration with sympathetic or dorsal vagal activation.

Pattern B represents the nervous system's configuration when neuroception registers threat—activating the survival responses that evolved to protect organisms from danger. This is not pathology. Pattern B is intelligent biological design. The fight-flight-freeze-fawn responses exist because they solved survival problems across millions of years of evolution.

Key distinction: Pattern B is appropriate when actual threat is present. The clinical question is not "how do we eliminate Pattern B?" but "is current activation proportionate to actual present danger—or is the system responding to learned patterns from the past?" When the nervous system becomes stuck in Pattern B—unable to return to Pattern A when threat resolves—what was adaptive becomes constraining.

The Four F Responses

Pattern B manifests through four primary response types based on autonomic state and perceived threat options.

ResponseAutonomic StateFunctionPresentation
FightSympathetic dominantEngage and overcome threatAggression, confrontation, assertion
FlightSympathetic dominantEscape threatAvoidance, withdrawal, distancing
FreezeDorsal vagal dominantBecome invisible to threatImmobilization, dissociation, shutdown
FawnMixed sympathetic/dorsalAppease threatCompliance, people-pleasing, self-abandonment

Neurophysiological Configuration

DimensionPattern B Characteristics
Primary StateSympathetic activation (fight/flight) OR dorsal vagal (freeze/collapse)
Secondary SystemsVentral vagal offline; social engagement inhibited
Heart Rate VariabilityLow; indicating autonomic rigidity
Respiratory PatternRapid, shallow (sympathetic) or slow, shallow (dorsal)
Muscle ToneBraced/tense (sympathetic) or collapsed/limp (dorsal)
Facial ExpressionFlat or tense; social engagement muscles inhibited
Vocal ProsodyMonotone or pressured; does not communicate safety

Multi-Dimensional Pattern Profile

AxisConfigurationClinical Implications
Nervous System StateSympathetic activation or dorsal collapse; ventral offlineBaseline oriented to defense; recovery impaired
Biological ActivationHyperaroused (fight/flight) or hypoaroused (freeze); rapid cycling possiblePhysiological resources directed to survival
Cognitive FrameNarrow, binary, threat-focused; nuance unavailableInsight limited by threat processing; timing matters
Empathy LogicSelective; in-group preferenced; out-group threateningRelational interventions require safety establishment first
Behavioral ExpressionDefensive, protective, avoidant, or appeasingObservable survival behaviors; not character

Capacities and Constraints

What Becomes Available

CapacityExpressionFunction
Rapid threat responseImmediate reaction without deliberationSpeed over accuracy when stakes are survival
Boundary energyForce available for self-protectionResource for establishing safety
HypervigilanceConstant environmental scanningMaximizes early threat detection
Pain toleranceReduced sensitivity during activationEnables continued function under threat
Focused attentionConcentration on threat sourceEliminates distracting information

What Becomes Constrained

CapacityHow ConstrainedMechanism
Broad perceptionTunnel vision; only threat-relevant data processedPerceptual narrowing serves rapid response
Cognitive flexibilityBinary, all-or-nothing thinkingNuance is luxury; survival requires simplicity
Empathy accessReduced to in-group; out-group becomes threatResources redirected from connection to protection
LearningNew information rejected if inconsistent with threat modelUpdating templates is dangerous during threat
Repair capacityRupture feels like danger, not opportunityConflict activates survival, not curiosity

State-Dependent Emotional Function

In Pattern B, emotions function as survival signals—organizing rapid response to perceived threat rather than providing nuanced information.

EmotionPattern B FunctionDistinguishing Features
AngerAggressive, reactive; aimed at eliminating threatDisproportionate to stimulus; destructive rather than clarifying
FearAnxious, pervasive; generalized to ambiguous stimuliNot calibrated to actual danger; anticipatory rather than responsive
GuiltBecomes shame; "I am bad" rather than "I did wrong"Paralyzing rather than action-oriented
ShameAnnihilating; core self feels defectiveIsolation-inducing; prevents repair-seeking
SadnessCollapsed, hopeless; withdrawal from supportIsolating rather than connection-seeking
EnvyHostile; "they shouldn't have it"Threat-framed; comparison as competition
JoyManic or absent; unstable or inaccessibleEither dysregulated or suppressed
LoveAnxious, clinging; fear of loss dominantAttachment activated but disorganized
TrustSuspicious, verification-seekingGiven reluctantly; withdrawn quickly
HopeFragile or absent; future feels threateningPresent survival dominates orientation

When Pattern B Is Appropriate

Pattern B is not inherently problematic. It is the appropriate response to genuine threat.

MarkerDescription
ProportionalityActivation matches actual threat level
TemporalityState is temporary; resolves when threat resolves
SpecificityResponse targets actual threat source
RecoveryReturn to Pattern A occurs when safety is restored
LearningExperience updates threat templates appropriately

Clinical principle: The goal is not elimination of Pattern B but restoration of flexibility—the capacity to activate when needed and return when safe.

When Pattern B Becomes Chronic

Problems emerge when Pattern B becomes the default—when the nervous system remains in threat response despite the absence of current danger.

PresentationCharacteristicsCommon Misattributions
Chronic hypervigilanceAlways scanning; exhausted but can't relax"Anxiety disorder," "control issues"
Reactive aggressionQuick to fight; easily triggered"Anger management problem," "personality disorder"
Avoidant withdrawalPersistent flight from intimacy or challenge"Avoidant attachment," "antisocial"
Freeze statesDissociation, numbness, inability to act"Depression," "laziness," "lack of motivation"
Chronic appeasementPersistent fawn; unable to assert needs"Codependency," "low self-esteem"

Clinical implication: These presentations are often treated as character or disorder. Understanding them as chronic Pattern B—stuck survival response—changes intervention from "fix the person" to "provide what the nervous system needs to release."

Working with Pattern B

Pattern B intervention prioritizes safety provision over insight. The nervous system must experience safety before it can release defensive posture.

PriorityFocusApproaches
1. StabilizationEstablish baseline safetyGrounding, resourcing, co-regulation
2. Regulation capacityBuild ability to modulate activationSomatic interventions, nervous system education
3. Relational safetyDemonstrate that connection is survivableConsistent presence, rupture-repair, titrated vulnerability
4. ProcessingAddress stuck threat responsesEMDR, Somatic Experiencing, trauma-focused approaches
5. IntegrationUpdate templates with new experienceMeaning-making, narrative work, corrective experience

What Facilitates Release

  • Co-regulation
  • Predictability
  • Titrated exposure
  • Completion of defensive responses
  • Time and choice

What Impedes Release

  • Insight before safety
  • Exposure without titration
  • Rushing
  • Inconsistency
  • Shaming the defense

Pattern B is not a problem to be solved.

It is the nervous system's intelligent response to threat—a response that has protected organisms for millions of years.

The clinical task is not to eliminate Pattern B but to restore choice—the capacity to enter when needed and return when safe.

Explore Other Patterns

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C
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D
Domination