An autonomous sensory meridian response (ASMR) is a tingling sensation that usually begins on the scalp and moves down the back of the neck and upper spine. A pleasant form of paresthesia, it has been compared with auditory-tactile synesthesia and may overlap with frisson. ASMR is a subjective experience of "low-grade euphoria" characterized by "a combination of positive feelings and a distinct static-like tingling sensation on the skin." It is most commonly triggered by specific auditory or visual stimuli, and less commonly by intentional attention control. A genre of videos intended to induce ASMR has emerged, approximately 25 million of which had been published on YouTube by 2022, and categories of dedicated live ASMR streams exist on Twitch, Instagram, and TikTok. Although many colloquial and formal terms used and proposed between 2007 and 2010 included reference to orgasm, a significant majority objected to its use among those active in online discussions. Many differentiate between the euphoric, relaxing nature of ASMR and sexual arousal. However, the argument for sexual arousal persists, and some proponents have published videos categorized as "ASMRotica" (ASMR erotica), which are deliberately designed to be sexually stimulating. Early proponents of ASMR concluded that the phenomenon was generally unrelated to sexual arousal. In 2010, Jennifer Allen, a participant in an online forum, proposed that the phenomenon be named "autonomous sensory meridian response". Allen chose the words intending or assuming them to have the following specific meanings: Autonomous – spontaneous, self-governing, with or without control Sensory – about the senses or sensation Meridian – signifying a peak, climax, or point of highest development Response – referring to an experience triggered by something external or internal Allen verified in a 2016 interview that she purposely selected these terms because they were more objective, comfortable, and clinical than alternative terms for the sensation.