Metacognitive Interpersonal Therapy for Misophonia: A Single-Case Study

Background: Misophonia is a chronic condition in which the exposure to specific sounds increases the arousal and recurrence of specific intense negative emotions. We hypothesized that misophonia may be strongly related to maladaptive interpersonal schemas that create difficulties in interpersonal re...

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Published inBrain sciences Vol. 14; no. 7; p. 717
Main Authors Natalini, Eleonora, Fioretti, Alessandra, Eibenstein, Rebecca, Eibenstein, Alberto
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 17.07.2024
Subjects
Arousal
Comorbidity
Emotions
hearing disorder
Immunological tolerance
Integrated approach
maladaptive schema
Mental disorders
Metacognition
Metacognitive Interpersonal Therapy
Mindfulness
misophonia
Patients
Personality
personality disorder
Personality disorders
Sound
Tinnitus
hearing disorder
maladaptive schema
misophonia
personality disorder
Metacognitive Interpersonal Therapy
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Summary:Background: Misophonia is a chronic condition in which the exposure to specific sounds increases the arousal and recurrence of specific intense negative emotions. We hypothesized that misophonia may be strongly related to maladaptive interpersonal schemas that create difficulties in interpersonal relationships. Subjects with maladaptive interpersonal schemas think that other people try to subjugate, criticize, dominate, exploit, deceive, disregard, and humiliate them. Furthermore, these patients typically endorse a representation of self as mistreated, constricted, harmed, damaged, humiliated, impotent, inadequate, or fragile. Methods: We describe the course of a treatment of Metacognitive Interpersonal Therapy (MIT) in a young man presenting misophonia and co-occurrent obsessive–compulsive personality disorder (OCPD) and avoidant personality disorder (AvPD), with narcissistic traits and normal hearing. We collected qualitative and quantitative data at the beginning of the intervention and at 2 years follow-up. Results: The therapy aimed at increasing awareness of maladaptive interpersonal schemas and promoting a healthy self. The results reported a significant decrease in misophonia; behavioural experiments were used to increase the quality of social relationships and tolerance to the trigger sounds. Conclusions: MIT can be an effective therapy for the treatment of misophonia.
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ISSN:2076-3425
2076-3425
DOI:10.3390/brainsci14070717