Body

In their 2024 literature review on misophonia and the role of social cognition, Berger and colleagues outline several key factors that they argue are essential to consider in any potential model of misophonia:

• The source of the sound is a critical factor in triggering responses; perceived origin and context shape the intensity of the reaction.
• Trigger sounds recruit the anterior insular cortex, a region implicated in social and emotional processing.
• Trigger sounds are associated with hyperactivation of the motor cortex in individuals with misophonia.
• The auditory cortex does not show differential activation in misophonia compared to controls, suggesting the condition is not primarily a disorder of basic auditory processing.
• There is a high prevalence of mimicry among individuals with misophonia, which may reflect altered perception–action coupling. (Berger et al., 2024)