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Jastreboff 2023 contradicting Schroder 2013 dx criteria

in there 2023 literature review on Misophonia, the Jastreboffs argue that their extensive clinical experience working with patients with misophonia contradicts several diagnostic criteria proposed by Schröder (2013). Specifically, they note that misophonic triggers are not limited to orofacial or exclusively human-generated sounds; anger is not invariably present; and aggressive outbursts are uncommon, particularly outside of very young patients. They further observe that many individuals with misophonia perceive trigger sounds as rude or inappropriate and view their own reactions as justified. In most cases, avoidance and discomfort, rather than intense anger or disgust, are the primary responses, and reactions may be mild and resemble those seen in tinnitus or hyperacusis. On this basis, the authors criticize the Schröder model as insufficiently specific and selective, arguing that it risks conflating misophonia with other conditions such as hyperacusis and is therefore of limited clinical utility (Jastreboff & Jastreboff, 2023).