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For individuals with misophonia, specific innocuous sensory stimuli - such as hearing another person chewing or breathing - evoke strong negative emotional and physiological responses, such as extreme anger, disgust, stress and anxiety. Instead people with misophonia do not experience or display atypical reactions to generic aversive sounds such as screams or nails scratching on a blackboard. Misophonia appears to be unrelated to neurological trauma or hearing deficit, and features a characteristic developmental pattern. Its aetiology is currently unknown.The few previous fMRI studies on misophonia showed that sufferers feature increased dorsal anterior insula activity during trigger vs. generic aversive sounds. While this effect likely reflects the saliency associated with the perception of trigger sounds in people with misophonia, in the present fMRI study we investigate the neural mechanisms underlying the emotional reaction to trigger stimuli. To this aim, we probe the task-depe...

Grapheme-color synesthesia is a condition in which seeing letters and numbers produces sensations of colors (e.g., the letter R may elicit a sky-blue percept). Recent evidence implicates posterior parietal areas, in addition to lower-level sensory processing regions, in the neurobiological mechanisms involved in synesthesia. Furthermore, these mechanisms seem to differ for "projectors" (synesthetes who report seeing the color "out there in the real world") versus…

<p>Grapheme-color synesthetes experience linguistic symbols (e.g., letters of the alphabet) as having a consistent color (e.g., "The letter S is burgundy red"). Intriguingly, when non-synesthetes are forced to choose colors for letters, similar non-random distributions are observed. Why are certain letters likelier to be associated with certain colors? Researchers have long sought to explain these trends, and in the past few decades numerous studies have reported correlations between synesthetic colors and various properties of letters, such as ordinal position, frequency in the language, and even pronunciation. These influences, which we call "Regulatory Factors" (RFs), each explain some fraction of the variation in observed associations. In the present work, we provide an updated review of the literature, covering all known studies of RFs. We describe each RF and the operationalization that was used to measure it. For each RF, we also replicate the results in our own database of synesthetes and non-synesthetes, in some cases testing for the first time whether the RF influences the associations of non-synesthete controls. Finally, we introduce a new statistical model of synesthetic associations, that can evaluate the effect of all RFs in a single model.</p>

Grapheme-color synesthetes experience linguistic symbols as having a consistent color (e.g., "The letter R is burgundy."). Intriguingly, certain letters tend to be associated with certain colors, and these biases are not random: numerous properties of letters influence which letter is associated with which color. These influences, called "Regulatory Factors" (RFs), each explain some fraction of the variation in observed associations. No comprehensive model of the influences on grapheme-color associations exists: RFs have only been measured in isolation, are not always operationalized consistently, and often make competing predictions that cannot be accounted for in a univariate model. Here, we describe a statistical framework that integrates the predictions of all RFs into a single model, and thus yields a unified account of their influence on grapheme-color associations. Our model also links these predictions to measurable properties of language, offering a wind...

We studied intact and impaired processes in a prosopagnosic patient (RP). In Experiment 1, RP showed an inversion superiority effect with both faces and objects, with better performance when stimuli were presented upside down than in normal upright orientation. In Experiment 2, we studied the effect of face configuration directly by comparing matching performance with normal vs. scrambled faces. RP was worse with normal than with scrambled faces, whereas normal controls showed an advantage of a good face context. In Experiment 3, RP showed interference from external face features on the evaluation of internal face features. These results indicate, first, that although RP is impaired in face recognition and face matching, he does still encode the whole face rather than relying completely on parts-based procedures. Second, RP has a deficit at the level of the configural processes involved in finding subtle differences between individual faces, as his performance is worse when presente...

In grapheme-colour synesthesia, particular linguistic elements evoke particular colour sensations. Interestingly, when asked, non-synesthetes can also associate colours to letters, and previous studies show that specific letter-to-colour associations have similar biases to those of synesthetes. However, it is an open question whether the colours reported by synesthetes and non-synesthetes differ <i>overall</i>: is there a 'synesthetic colour palette'? In this study, we visualize the overall distribution in colour space of colour concurrents in grapheme-colour synesthetes, and colour associations in non-synesthetic controls. We confirm the existence of a synesthetic colour palette: colour concurrents in synesthetes are different from colour associations in non-synesthetes. We quantify three factors that distinguish the colour palette of synesthetes and non-synesthetes: synesthetes have an increased over-representation of 'pure' (unmixed) hues, an increased presence of 'warm' (yellow-orange-brown) colours, and an increased presence of achromatic (grey, white, black) colours. Furthermore, we demonstrate that differences in the synesthetic colour palette can be used to train a machine learning algorithm to reliably classify single subjects as synesthetes versus non-synesthetes without using test–retest consistency. As far as we know, this is the first time an individual could be 'diagnosed' as synesthete, based only on his or her colours evoked by letters.This article is part of the discussion meeting issue 'Bridging senses: new developments in synaesthesia'.

In grapheme-colour synaesthesia, particular linguistic elements evoke particular colour sensations. Interestingly, when asked, non-synaesthetes can also associate colours to letters, and previous studies show that specific letter-to-colour associations have similar biases to those of synaesthetes. However, it is an open question whether the colours reported by synaesthetes and non-synaesthetes differ overall : is there a ‘synaesthetic colour palette’? In this study, we visualize the overall distribution in colour space of colour concurrents in grapheme-colour synaesthetes, and colour associations in non-synaesthetic controls. We confirm the existence of a synaesthetic colour palette: colour concurrents in synaesthetes are different from colour associations in non-synaesthetes. We quantify three factors that distinguish the colour palette of synaesthetes and non-synaesthetes: synaesthetes have an increased over-representation of ‘pure’ (unmixed) hues, an increased presence of ‘warm’ ...

Misophonia is a disorder of decreased tolerance to specific sounds or their associated stimuli that has been characterized using different language and methodologies. The absence of a common understanding or foundational definition of misophonia hinders progress in research to understand the disorder and develop effective treatments for individuals suffering from misophonia. From June 2020 through January 2021, a project was conducted to determine whether a committee of experts with diverse expertise related to misophonia could develop a consensus definition of misophonia. An expert committee used a modified Delphi method to evaluate candidate definitional statements that were identified through a systematic review of the published literature. Over four rounds of iterative voting, revision, and exclusion, the committee made decisions to include, exclude, or revise these statements in the definition based on the currently available scientific and clinical evidence. A definitional sta...

We aim to elucidate misophonia, a condition in which particular sounds elicit disproportionally strong aversive reactions. A large online study extensively surveyed personal, developmental, and clinical characteristics of over 300 misophonics. Most participants indicated that their symptoms started in childhood or early teenage years. Severity of misophonic responses increases over time. One third of participants reported having family members with similar symptoms. Half of our participants reported no comorbid clinical conditions, and the other half reported a variety of conditions. Only posttraumatic stress disorder (PTSD) was related to the severity of the misophonic symptoms. Remarkably, half of the participants reported experiencing euphoric, relaxing, and tingling sensations with particular sounds or sights, a relatively unfamiliar phenomenon called autonomous sensory meridian response (ASMR). It is unlikely that another "real" underlying clinical, psychiatric, or ps...

Synaesthesia is a neurological phenomenon affecting perception, where triggering stimuli (e.g. letters and numbers) elicit unusual secondary sensory experiences (e.g. colours). Family-based studies point to a role for genetic factors in the development of this trait. However, the contributions of common genomic variation to synaesthesia have not yet been investigated. Here, we present the SynGenes cohort, the largest genotyped collection of unrelated people with grapheme–colour synaesthesia ( n = 723). Synaesthesia has been associated with a range of other neuropsychological traits, including enhanced memory and mental imagery, as well as greater sensory sensitivity. Motivated by the prior literature on putative trait overlaps, we investigated polygenic scores derived from published genome-wide scans of schizophrenia and autism spectrum disorder (ASD), comparing our SynGenes cohort to 2181 non-synaesthetic controls. We found a very slight association between schizophrenia polygenic ...

Grapheme–colour synaesthesia is a neurological phenomenon in which linguistic symbols evoke consistent colour sensations. Synaesthesia is believed to be influenced by both genetic and environmental factors, but how these factors interact to create specific associations in specific individuals is poorly understood. In this paper, we show that a grapheme–colour association in adult synaesthetes can be traced to a particular environmental effect at a particular moment in childhood. We propose a model in which specific grapheme–colour associations are ‘locked in’ during development in children predisposed to become synaesthetes, whereas grapheme–colour associations remain flexible in non-synaesthetes. We exploit Western gender–colour stereotypes to test our model: we found that young girls in general tend to associate their first initial with the colour pink. Consistent with our model, adult female synaesthetes are influenced by their childhood environment: they associate their first in...

Grapheme-color synesthesia is a neurological phenomenon in which viewing a grapheme elicits an additional, automatic, and consistent sensation of color. Color-to-letter associations in synesthesia are interesting in their own right, but also offer an opportunity to examine relationships between visual, acoustic, and semantic aspects of language. Research using large populations of synesthetes has indeed found that grapheme-color pairings can be influenced by numerous properties of graphemes, but the contributions made by each of these explanatory factors are often confounded in a monolingual dataset (i.e., only English-speaking synesthetes). Here, we report the first demonstration of how a multilingual dataset can reveal potentially-universal influences on synesthetic associations, and disentangle previously-confounded hypotheses about the relationship between properties of synesthetic color and properties of the grapheme that induces it. Numerous studies have reported that for Engl...

Misophonia is a neurobehavioral syndrome phenotypically characterized by heightened autonomic nervous system arousal and negative emotional reactivity (e. g., irritation, anger, anxiety) in response to a decreased tolerance for specific sounds. The aims of this review are to (a) characterize the current state of the field of research on misophonia, (b) highlight what can be inferred from the small research literature to inform treatment of individuals with misophonia, and (c) outline an agenda for research on this topic. We extend previous reviews on this topic by critically reviewing the research investigating mechanisms of misophonia and differences between misophonia and other conditions. In addition, we integrate this small but growing literature with basic and applied research from other literatures in a cross-disciplinary manner.

The recent sharp increase in studies on synesthesia has taught us a lot about this fascinating condition. Still, while we define synesthesia as 'the mixing of senses', the great majority of synesthesia studies focus on only one synesthesia type (in particular grapheme-color synesthesia). In this study, a large group of subjects are tested on the presence or absence of different types of synesthesia. Efforts to recruit a representative sample of the Dutch population, not related to or aware of synesthesia as a research topic, helped counter a selection bias or a self-report bias in our subject group. A sharp increase in synesthesia prevalence was found, at least partially due to including many different types of synesthesia in the synesthesia 'diagnoses'. The five synesthesia types reported in the Novich et al (2011) study were obtained; Colored Sequences, Colored Music, Colored Sensations, Spatial Sequences, Non-Visual Sequelae, as well as an additional synesthesia type, Sequence-Personality. No differences were found between synesthetes and non-synesthetes in education level, handedness, age, and sex. The synesthetes showed increased intelligence as compared with matched non-synesthetes. This was a general effect rather than bound to a specific cognitive domain or to a specific (synesthesia-type to stimulus-material) relationship. The expected effect of increased "Openness" in synesthetes was obtained, as well as two unexpected effects in personality traits (increased "Neuroticism" and decreased "Conscientiousness"). We also found increased "Emotionality" (experiencing emotions) and increased "Fantasizing", but synesthetes did not differ in cognitive appraisal of emotions (identifying/analyzing/verbalizing of emotions). The personality and cognitive characteristics were found related to having synesthesia (in general) rather then to particular synesthesia subtypes. This supports the existence of a general synesthetic 'trait', over the notion of relatively independent 'types' of synesthesia. In further support, exploratory analyses showed that a measurement of synesthetic strength (number of subtypes of synesthesia) correlates with stronger findings (increased "Openness", "Fantasizing", and "Emotionality", and decreased "Conscientiousness"). In conclusion, results are in line with the notion of a general synesthetic 'trait', and this synesthetic trait is associated with particular personality traits and cognitive characteristics.

A synesthete might inform you that McDonald’s is ‘all wrong’, as obviously their large letter M has the completely wrong color. While synesthesia is now well accepted as a ‘real’ phenomenon, what underlies the highly specific and consistent additional sensations is a topic of debate. What sets synesthetic mechanisms apart from those involved in ‘normal’ associations? In this presentation, we first discuss the possible neurobiological underpinnings. A review study has shown six brain regions related to synesthesia. Furthermore, results from structural as well as functional connectivity studies show hyperconnectivity in the synaesthete’s brain. Second, the behavioral characteristics that set synesthetes apart from non-synesthetes are discussed. One problem in obtaining a clear model of synesthesia is that currently, most studies are performed on particular types of synesthesia (in particular colored letters/numbers). We present rare cases of synesthesia (taste/smell with sounds) and e...

In grapheme-color synesthesia, a number or letter can evoke two different and possibly conflicting (real and synesthetic) color sensations at the same time. In this study, we investigate the relationship between synesthesia and executive control functions. First, no general skill differences were obtained between synesthetes and non-synesthetes in classic executive control paradigms. Furthermore, classic executive control effects did not interact with synesthetic behavioral effects. Third, we found support for our hypothesis that inhibition of a synesthetic color takes effort and time. Finally, individual differences analyses showed no relationship between the two skills; performance on a 'normal' Stroop task does not predict performance on a synesthetic Stroop task. Across four studies, the current results consistently show no clear relationship between executive control functions and synesthetic behavioral effects. This raises the question of which mechanisms are at play in synesthetic 'management' during the presence of two conflicting (real and synesthetic) sensations.

Perception is inherently subjective, and individual differences in phenomenology are well illustrated by the phenomenon of synesthesia (highly specific, consistent, and automatic cross-modal experiences, in which the external stimulus corresponding to the additional sensation is absent). It is unknown why some people develop synesthesia and others do not. In the current study, we tested whether neural markers related to having synesthesia in the family were evident in brain function and structure. Relatives of synesthetes (who did not have any type of synesthesia themselves) and matched controls read specially prepared books with colored letters for several weeks and were scanned before and after reading using magnetic resonance imaging. Effects of acquired letter-color associations were evident in brain activation. Training-related activation (while viewing black letters) in the right angular gyrus of the parietal lobe was directly related to the strength of the learned letter-colo...

One of the most astonishing properties of synesthesia is that the evoked concurrent experiences are perceptual. Is it possible to acquire similar effects after learning cross-modal associations that resemble synesthetic mappings? In this study, we examine whether brain activation in early visual areas can be directly related to letter-color associations acquired by training. Non-synesthetes read specially prepared books with colored letters for several weeks and were scanned using functional magnetic resonance imaging. If the acquired letter-color associations were visual in nature, then brain activation in visual cortex while viewing the trained black letters (compared to untrained black letters) should predict the strength of the associations, the quality of the color experience, or the vividness of visual mental imagery. Results showed that training-related activation of area V4 was correlated with differences in reported subjective color experience. Trainees who were classified ...

One of the most astonishing properties of synesthesia is that the evoked concurrent experiences are perceptual. Is it possible to acquire similar effects after learning cross-modal associations that resemble synesthetic mappings? In this study, we examine whether brain activation in early visual areas can be directly related to letter-color associations acquired by training. Non-synesthetes read specially prepared books with colored letters for several weeks and were scanned using functional magnetic resonance imaging. If the acquired letter-color associations were visual in nature, then brain activation in visual cortex while viewing the trained black letters (compared to untrained black letters) should predict the strength of the associations, the quality of the color experience, or the vividness of visual mental imagery. Results showed that training-related activation of area V4 was correlated with differences in reported subjective color experience. Trainees who were classified as having stronger 'associator' types of color experiences also had more negative activation for trained compared to untrained achromatic letters in area V4. In contrast, the strength of the acquired associations (measured as the Stroop effect) was not reliably reflected in visual cortex activity. The reported vividness of visual mental imagery was related to veridical color activation in early visual cortex, but not to the acquired color associations. We show for the first time that subjective experience related to a synesthesia-training paradigm was reflected in visual brain activation.

The recent sharp increase in studies on synesthesia has taught us a lot about this fascinating condition. Still, while we define synesthesia as ‘the mixing of senses’, the great majority of synesthesia studies focus on only one synesthesia type (in particular grapheme-color synesthesia). In this study, a large group of subjects are tested on the presence or absence of different types of synesthesia. Efforts to recruit a re- presentative sample of the Dutch population, not related to or aware of synesthesia as a research topic, helped counter a selection bias or a self-report bias in our subject group. A sharp increase in synesthesia prevalence was found, at least partially due to including many different types of synesthesia in the sy- nesthesia ‘diagnoses’. The five synesthesia types reported in the Novich et al (2011) study were obtained; Colored Sequences, Colored Music, Colored Sensations, Spatial Sequences, Non-Visual Sequelae, as well as an additional synesthesia type, Sequence-Personality. No differences were found between synesthetes and non-synesthetes in education level, handedness, age, and sex. The synesthetes showed increased intelligence as compared with matched non-synesthetes. This was a general effect rather than bound to a specific cognitive domain or to a specific (synesthesia-type to stimulus-material) relationship. The ex- pected effect of increased “Openness” in synesthetes was obtained, as well as two unexpected effects in personality traits (increased “Neuroticism” and decreased “Conscientiousness”). We also found increased “Emotionality” (experiencing emotions) and increased “Fantasizing”, but synesthetes did not differ in cognitive appraisal of emotions (identifying/analyzing/verbalizing of emotions). The personality and cognitive characteristics were found related to having synesthesia (in general) rather then to particular synesthesia subtypes. This supports the existence of a general synesthetic ‘trait’, over the notion of re- latively independent ‘types’ of synesthesia. In further support, exploratory analyses showed that a measurement of synesthetic strength (number of subtypes of synesthesia) correlates with stronger findings (increased “Openness”, “Fantasizing”, and “Emotionality”, and decreased “Conscientiousness”). In conclusion, results are in line with the notion of a general synesthetic ‘trait’, and this synesthetic trait is associated with particular personality traits and cognitive characteristics.