On 12 March 2012, Steven Novella, Director of General Neurology at the Yale School of Medicine, published a post about ASMR on his blog Neurologica. Regarding the question of whether ASMR is a real phenomeonon, Novella said "in this case, I don't think there is a definitive answer, but I am inclined to believe that it is. There are a number of people who seem to have independently experienced and described" it with "fairly specific details. In this way it's similar to migraine headaches – we know they exist as a syndrome primarily because many different people report the same constellation of symptoms and natural history." Novella tentatively posited the possibilities that ASMR might be either a type of pleasurable seizure, or another way to activate the "pleasure response". However, Novella drew attention to the lack of scientific investigation into ASMR, suggesting that functional magnetic resonance imaging (fMRI) and transcranial magnetic stimulation technologies should be used to study the brains of people who experience ASMR in comparison to people who do not, as a way of beginning to seek scientific understanding and explanation of the phenomenon.
The writing in this article helped me understand ASMR, but the videos don't seem to be the best examples (it doesn't help that these examples aren't very long). The best examples of what they are talking about to me would have to be the crackling of a fire. Also, whispering in my ear gives me intense tingles, but part of that may be the vibrations off of my ear drum.
There is something similar to ASMR that comes from touch… The head massager triggers it, getting lightly touched in a crowd can trigger it, etc… I have that but not ASMR,unfortunately I’m alone, so it never gets triggered. Then one day I hear about ASMr and a bunch of people who get to relax just by listening to someone heavy breathing in a youtube video and… I don’t care if this makes me look like a petty person, (life stomped on me and squeezed all my niceness out, so it’s gone now) but I hate all of you and I hope bad things happen to those you love while you have to sit by, unable to do anything. And it serves you right for being happy. No one deserves happiness. Happiness is a lie.
In addition to the effectiveness of specific auditory stimuli, many subjects report that ASMR is triggered by the receipt of tender personal attention, often comprising combined physical touch and vocal expression, such as when having their hair cut, nails painted, ears cleaned, or back massaged, whilst the service provider speaks quietly to the recipient. Furthermore, many of those who have experienced ASMR during these and other comparable encounters with a service provider report that watching an "ASMRtist" simulate the provision of such personal attention, acting directly to the camera as if the viewer were the recipient of a simulated service, is sufficient to trigger it.