Intégrer la théorie polyvagale et le paradigme de la neurodiversité pour une pratique inclusive

Titre original en anglais : Integrating Polyvagal Theory and the Neurodiversity Paradigm for Inclusive Practice

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Dwan, S. & Brice, A. (2025). Integrating Polyvagal Theory and the Neurodiversity Paradigm for Inclusive Practice. Perspectives of the ASHA Special Interest Groups, 10(5), 1363-1378. https://doi.org/10.1044/2025_persp-24-00322

Publication date: 29/08/2025 Ajout dans AutiHub: 17/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
2
Auteur·ices de la publication identifié·es comme autistes
1 / 2 (50,0 %)
  1. Sarah Dwan *
  2. Alejandro Brice

Résumé

Introduction : L’objectif de cet article centré sur la pratique clinique est de favoriser des résultats équitables et affirmants pour les personnes neurodivergentes dans divers contextes en élaborant des stratégies qui gèrent la surcharge sensorielle, favorisent l’autorégulation et créent des environnements de soutien. L’auteur principal est autiste et présente des sensibilités sensorielles accrues, entraînant souvent une surcharge sensorielle dans des environnements comportant des lumières vives, des bruits forts, des odeurs intenses ou des espaces bondés. Le second auteur, devenu neurodivergent à la suite d’une hémorragie sous-arachnoïdienne, a également connu des changements dans le traitement sensoriel et une dérégulation du système nerveux en présence de lumières, de bruits, d’odeurs et dans certains espaces. Les personnes autistes et neurodivergentes peuvent présenter des sensibilités environnementales accrues. La théorie polyvagale (PVT) souligne le rôle du système nerveux autonome dans la médiation de la dérégulation du système nerveux. Le cadre SIGNAL : Informés par la PVT et leurs propres expériences, les auteurs proposent l’application du cadre SIGNAL : Sécuriser la sécurité (c’est-à-dire répondre aux besoins sensoriels et réduire les signaux de menace), Identifier les états du système nerveux autonome (c’est-à-dire comprendre comment les individus traitent l’information et réagissent à l’environnement), Guider la corégulation (c’est-à-dire gérer ses actions et ses comportements par l’intégration de fonctions telles que la motivation, la perception, l’émotion et le comportement orienté vers un objectif), Sensibilisation à la neuroception (c’est-à-dire comprendre comment les états du système nerveux autonome façonnent le comportement et les états physiologiques internes), Appliquer des principes de PVT affirmant la neurodivergence (c’est-à-dire mobiliser le complexe vagal ventral et favoriser un état interne régulé), et Mener un changement de paradigme (c’est-à-dire passer au paradigme de la neurodiversité et à un soutien affirmant la neurodivergence). Discussion : SIGNAL intègre des principes de la PVT dans la création d’environnements inclusifs, sûrs et affirmant la neurodiversité. Il fournit également des étapes concrètes aux orthophonistes et aux autres professionnels travaillant avec des populations neurodivergentes.

Introduction: The aim of this clinical focus article is to advance equitable and affirming outcomes for neurodivergent individuals across diverse contexts by developing strategies that manage sensory overload, promote self-regulation, and create supportive environments. The primary author is autistic and experiences heightened sensory sensitivities, often leading to sensory overload in environments with bright lights, loud noises, strong smells, or crowded spaces. The second author, an acquired neurodivergent following a subarachnoid hemorrhage, has also experienced shifts in sensory processing and nervous system deregulation with lights, noises, smells, and spaces. Autistics and neurodivergents may experience heightened environmental sensitivities. Polyvagal theory (PVT) emphasizes the role of the autonomic nervous system in mediating nervous system deregulation. The SIGNAL Framework: Informed by PVT and their own experiences, the authors propose the application of the SIGNAL framework: Securing safety (i.e., meeting sensory needs and reducing signals of threat), Identifying autonomic nervous system states (i.e., understanding how individuals process information respond to the environment), Guiding co-regulation (i.e., managing one's actions and behaviors through integration of functions such as motivation, perception, emotion, and goal-directed behavior), Neuroception awareness (i.e., understanding how autonomic nervous system states shape behavior and internal physiological states), Applying neurodivergent-affirming PVT principles (i.e., engaging the ventral vagal complex and promoting a regulated internal state), and Leading a paradigm shift (i.e., shifting to the neurodiversity paradigm and neurodivergent-affirming support). Discussion: SIGNAL integrates principles from PVT in creating inclusive, safe, and neuro-affirming environments. It also provides actionable steps for speech-language pathologists and other professionals working with neurodivergent populations.

Bibliographie citée par cette référence

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Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 19/09/2026 07:57.

Références citées
146
Avec un DOI
93
Sans DOI, à partir du texte brut de la bibliographie
52
27 / 146 (18,5 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
15 / 146 (10,3 %)
Références avec noms d’auteurices détectés
131 / 146 (89,7 %)
Sans nom d’auteurice détecté
15
Sans titre structuré
13
Sans identifiant stable
47
Références avec noms bruts d’auteurices restant à vérifier
13
Références avec problème de récupération des métadonnées externes
1
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
253
À partir du DOI ou de métadonnées externes
253
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
13
94 / 253 (37,2 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 159 / 253 (62,8 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
41 / 253 (16,2 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 41 / 94 (43,6 %). Personnes distinctes identifiées comme autistes : 24 / 215 (11,2 %).
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