Body

In their 2024 literature review on misophonia and the role of social cognition, Berger outlines several therapeutic implications of adopting a social cognitive framework. One key implication is the need to examine whether neurobiological and physiological responses to trigger sounds change when the context in which those sounds are perceived is altered. Re-framing a trigger sound within a different interpretive context may reduce the severity of misophonic reactions, and training individuals to actively re-frame triggers could therefore serve as a viable treatment strategy. Supporting this idea, research in non-misophonia participants has shown that stress responses to unpleasant sounds such as nails on a blackboard are reduced when the sounds are presented as contemporary music. Interventions that emphasize contextual reinterpretation rather than the acoustic properties of the sound itself may also extend to misokinesia, the visual analogue of misophonia, and preliminary evidence for the effectiveness of cognitive behavioral therapy suggests that context plays a central role in shaping aversive responses (Berger et al., 2024) .