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diverging future directions for Misophonia based on the importance of depending on the top down or bottom up nature of of Misophonic responses

One of the motivations of a 2022 study was to disentangle the nature of the Misophonic responses as either being a top down or bottom up process. the authors discuss potential lines of treatment focus based on these possible observations. they hold that if the evidence supports role of acoustic cues as important, solutions should modify acoustic properties of triggers. is top down properties turn out to be the driver, interventions should disrupt the associative link with each trigger. (Savard et al., 2022)