I became interested in the mechanism of misophonia when I read the hypermirroring paper (Motor Basis of Misophonia<\/a>, Kumar et al) in 2023.<\/p>\n\n\n\n In combination with my self-triggered, mouth-related misokinesia, that led me to start developing a “jaw dysfunction hypothesis” of misophonia. I eventually abandoned that hypothesis, although I still think there is a noteworthy connection between the commonness of mouth-related triggers and the prevalence of orofacial dysfunction (see my home page<\/a> and other blog<\/a> for more on this “jaw epidemic”).<\/p>\n\n\n\n Some examples of the overlap are: snoring; snorting when laughing; tongue clicking\/popping; and jaw clicking\/popping. Each of these is both a common sign of jaw epidemic-related dysfunction and a common misophonia trigger.<\/p>\n\n\n\n See Misophonia Institute<\/a> and Misophonia Treatment<\/a> (not affiliated).<\/p>\n\n\n\n I think Dozier’s model has basically solved misophonia, as far as figuring out the mechanism, and it’s being overlooked for some reason. See Tom Dozier\u2019s Reflex Model of Misophonia<\/a> for my main writing introducing this model.<\/p>\n\n\n\n I have started using the term CARD (Conditioned Aversive Reflex Disorder) as I think it is a more accurate and useful term for the condition. Misophonia was a decent first attempt to name and characterise the condition, and served as a useful label for something that had not previously been described or recognised. However, it has now outlived its usefulness and in light of the reflex model may add more confusion than clarity. In particular, I think the addition of misokinesia as a separate condition is a sign that the old sound-based thinking was incorrect. Misophonia and misokinesia are the same condition being triggered via different senses.<\/p>\n\n\n\n I have recently wondered whether the reflex aspect might tie misophonia and jaw dysfunction together in another way: part of my current myofunctional therapy is designed to undo established patterns of dysfunctional muscle recruitment — due to tongue tie and possibly other factors, I use face and neck muscles to move my tongue. I speculate that these dysfunctional patterns may be based on reflexes to some extent. This concurs with my experience with self-triggering, and although it is early I am seeing signs that breaking these patterns may be helping with my self-triggering.<\/p>\n","protected":false},"excerpt":{"rendered":" Gus Hogg-Blake I became interested in the mechanism of misophonia when I read the hypermirroring paper (Motor Basis of Misophonia, Kumar et al) in 2023. In combination with my self-triggered, mouth-related misokinesia, that led me to start developing a “jaw dysfunction hypothesis” of misophonia. I eventually abandoned that hypothesis, although I still think there is … Continue reading CARD\/Misophonia<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-2","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/card.gushogg-blake.uk\/index.php\/wp-json\/wp\/v2\/pages\/2","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/card.gushogg-blake.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/card.gushogg-blake.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/card.gushogg-blake.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/card.gushogg-blake.uk\/index.php\/wp-json\/wp\/v2\/comments?post=2"}],"version-history":[{"count":7,"href":"https:\/\/card.gushogg-blake.uk\/index.php\/wp-json\/wp\/v2\/pages\/2\/revisions"}],"predecessor-version":[{"id":83,"href":"https:\/\/card.gushogg-blake.uk\/index.php\/wp-json\/wp\/v2\/pages\/2\/revisions\/83"}],"wp:attachment":[{"href":"https:\/\/card.gushogg-blake.uk\/index.php\/wp-json\/wp\/v2\/media?parent=2"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}“CARD” and Tom Dozier’s conditioned aversive reflex model<\/h2>\n\n\n\n
More on jaw dysfunction & reflexes<\/h2>\n\n\n\n