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Misophonia involves higher order cognitive process more then simple sensory system issues

in their 2025 literature review, Savard et all note that research showing the behavioral and cognitive differences between Misophonics and controls suggests that it is not simply an issue of the peripheral sensory system. rather it is a complex issue linked to higher cognitive processes such as perceptual decision making, attentional control, response inhibition, and perceptual alertness. (Savard & Coffey., 2025)