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Said and published
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Clinical Reflections on the Critique on Polyvagal Theory proposed by Grossman et al., (2026)
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The Polyvagal Theory Workbook for Trauma
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Polyvagal theory survives the 2026 "untenable" critique: what the critics contested was mechanism and evolutionary framing, not the clinical proposition.
The central clinical proposition of polyvagal theory-that autonomic state functions as an organizing platform shaping perception, emotion, and relational behavior-was not empirically disproven in the critique.
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Regulation must precede reflection: cognitive insight fails while a nervous system is in defensive dominance.
Polyvagal theory provided me with a coherent framework for understanding why cognitive insight alone often fails when a nervous system is in defensive dominance. In such states, higher-order cortical processes are…