NervenarztPub Date : 2026-09-07DOI: 10.1007/s00115-026-02011-z
Jonathan Reinwald, Marc Spehr, Aet O'Leary, David Slattery, Wolfgang Weber-Fahr, Wolfgang Kelsch
{"title":"Rodent models of aggression: from mechanisms to clinical translation.","authors":"Jonathan Reinwald, Marc Spehr, Aet O'Leary, David Slattery, Wolfgang Weber-Fahr, Wolfgang Kelsch","doi":"10.1007/s00115-026-02011-z","DOIUrl":"https://doi.org/10.1007/s00115-026-02011-z","url":null,"abstract":"<p><p>Aggression is an evolutionarily conserved social behavior that becomes clinically relevant when it loses contextual and inhibitory regulation. Rodent models do not serve to reproduce the full complexity of human violence, with its legal, moral, cultural, and interpersonal dimensions. Their translational value lies instead in making core mechanisms of aggression regulation experimentally accessible. This article discusses how rodent models help to distinguish adaptive from dysregulated aggression; to select clinically informative paradigms; and to identify causal pathways that shape attack threshold, escalation, persistence, reward value, and inhibitory control. Rodent studies have mapped a multilevel control architecture in which social sensory threat is appraised through amygdala-hypothalamic pathways, hypothalamic and midbrain circuits organize attack-related behavior, and corticostriatal systems contribute to motivation and regulatory control. Rather than acting as fixed modules, these circuits are shaped by experience, internal state, sex and endocrine modulation, immune signaling, and aggression-related reward. Next-generation models should therefore complement traditional reductionist assays with longitudinal trajectories, socially embedded phenotyping, dysregulation readouts, and measures of distributed network and body-brain states. Within TRR 379, rodent models enable mechanism-focused translation by helping to identify biosignatures and modifiable pathways for future interventions in dysregulated aggression.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2026-09-01Epub Date: 2026-09-07DOI: 10.1007/s00115-026-01986-z
Michael Seidel, Thomas Pollmächer
{"title":"[Selected psychiatric aspects of disorders of intellectual development].","authors":"Michael Seidel, Thomas Pollmächer","doi":"10.1007/s00115-026-01986-z","DOIUrl":"https://doi.org/10.1007/s00115-026-01986-z","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":"97 5","pages":"429-431"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2026-09-01DOI: 10.1007/s00115-026-02005-x
Ute Habel, Sabine Herpertz, Andreas Reif
{"title":"Epidemiology of aggression and violence in mental disorders and the approach of TRR 379.","authors":"Ute Habel, Sabine Herpertz, Andreas Reif","doi":"10.1007/s00115-026-02005-x","DOIUrl":"https://doi.org/10.1007/s00115-026-02005-x","url":null,"abstract":"<p><p>Aggression in mental disorders (AMD) poses a challenge for everyday clinical practice and has far-reaching societal implications. The biological foundations of the different manifestations, developmental trajectories, and transdiagnostic and disorder-specific deficits remain largely unknown. One reason for the apparent lack of understanding of the complex mechanisms underlying AMD is the heterogeneity of both aggression and mental disorders themselves. This, in turn, hinders progress in developing effective prevention and intervention strategies. Therefore, a collaborative approach between clinical and experimental neuroscientists is required to address this issue comprehensively and in a multimodal manner. The proposed initiative aims to advance knowledge on the biological bases of AMD and its developmental course. The Transregional Collaborative Research Center 379 (TRR) will follow the Research Domain Criteria (RDoC) framework, investigating multiple aspects that characterize aggression: genetic and molecular mechanisms as well as hormonal, neural, and associated behavioral systems. Thus, the TRR aims to identify biosignatures of AMD based on multidimensional pathways that underlie the different manifestations of aggression to enable the development of tailor-made biosignature-specific prevention and intervention.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2026-09-01Epub Date: 2026-03-17DOI: 10.1007/s00115-026-01951-w
Martin Walter, Kristina Adorjan, Malek Bajbouj, Jürgen Deckert, Sabine Köhler, Klaus Lieb, Josef Priller, Claudia Schillig, Anna-Karina Schomburg, Georg Schomerus, Meryam Schouler-Ocak, Andreas Meyer-Lindenberg
{"title":"[The importance of psychiatry in the care and research of Post-COVID].","authors":"Martin Walter, Kristina Adorjan, Malek Bajbouj, Jürgen Deckert, Sabine Köhler, Klaus Lieb, Josef Priller, Claudia Schillig, Anna-Karina Schomburg, Georg Schomerus, Meryam Schouler-Ocak, Andreas Meyer-Lindenberg","doi":"10.1007/s00115-026-01951-w","DOIUrl":"10.1007/s00115-026-01951-w","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"479-484"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2026-09-01Epub Date: 2025-09-24DOI: 10.1007/s00115-025-01902-x
Daniel Kamp, Timo Jendrik Faustmann, Juha Marko Lahnakoski, Claus Lamm, Boryana Todorova, Michaela Jänner, Leonhard Schilbach
{"title":"[Associations between involuntary commitment measures and the ambient temperature in inpatient psychiatric standard care : A retrospective data analysis].","authors":"Daniel Kamp, Timo Jendrik Faustmann, Juha Marko Lahnakoski, Claus Lamm, Boryana Todorova, Michaela Jänner, Leonhard Schilbach","doi":"10.1007/s00115-025-01902-x","DOIUrl":"10.1007/s00115-025-01902-x","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"485-489"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2026-09-01Epub Date: 2026-07-02DOI: 10.1007/s00115-026-01997-w
Christoph Preul, Kai Kallenberg, Tobias Neumann-Haefelin
{"title":"[When brain abscesses run in the family…].","authors":"Christoph Preul, Kai Kallenberg, Tobias Neumann-Haefelin","doi":"10.1007/s00115-026-01997-w","DOIUrl":"10.1007/s00115-026-01997-w","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"497-500"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2026-09-01Epub Date: 2026-04-14DOI: 10.1007/s00115-026-01962-7
Klaus Sarimski
{"title":"[Neurocognitive profile and vulnerability for mental health problems in selected genetic syndromes with disorders of intellectual development].","authors":"Klaus Sarimski","doi":"10.1007/s00115-026-01962-7","DOIUrl":"10.1007/s00115-026-01962-7","url":null,"abstract":"<p><p>The analysis of individual cognitive profiles and the assessment of executive function components contributes to a better understanding of the problems that children, adolescents, and adults with intellectual disabilities experience in coping with social demands. Characteristic profiles and abnormalities in executive functions in Down syndrome, fragile X syndrome, and Prader-Willi syndrome are described. These examples illustrate associations with psychological problems-so-called behavioral phenotypes-in children, adolescents, and adults with these genetic syndromes.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"444-448"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2026-09-01Epub Date: 2026-08-17DOI: 10.1007/s00115-026-02001-1
Stefan Vestring, Katharina Domschke, Claus Normann
{"title":"[(Es)ketamine: practice update].","authors":"Stefan Vestring, Katharina Domschke, Claus Normann","doi":"10.1007/s00115-026-02001-1","DOIUrl":"10.1007/s00115-026-02001-1","url":null,"abstract":"<p><p>Ketamine has been established as an anesthetic agent for decades. Around the turn of the millennium initial clinical studies demonstrated that subanesthetic doses of ketamine can exert antidepressant effects in treatment-resistant depression. These findings established the concept of an effective glutamatergic antidepressant treatment and initiated a paradigm shift. For many years, intravenous ketamine was used off-label in specialized centers; however, with the approval of intranasal esketamine, a standardized and reimbursable treatment option has now become available and the role of off-label intravenous ketamine infusion has consequently diminished in routine clinical practice. Esketamine is approved exclusively in combination with a selective serotonin reuptake inhibitor (SSRI) or a serotonin-norepinephrine reuptake inhibitor (SNRI) and requires administration in a specifically structured setting with defined monitoring. This article provides a practice-oriented update on the mechanism of action, indications, contraindications, the approved treatment regimen, safety requirements and the positioning within the therapeutic algorithm.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"504-512"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2026-09-01Epub Date: 2025-09-25DOI: 10.1007/s00115-025-01901-y
Dennis Henkel, Walter Stehling, Katja Wagemans
{"title":"[Female psychiatrists in films: origin and evolution of a gender-specific character stereotype (1935-2020)].","authors":"Dennis Henkel, Walter Stehling, Katja Wagemans","doi":"10.1007/s00115-025-01901-y","DOIUrl":"10.1007/s00115-025-01901-y","url":null,"abstract":"<p><strong>Background: </strong>In the medical world women have taken on a steadily increasing role over the last decades and are now numerically superior to men in many specialized fields. In this context psychiatry is no exception. As cinematics always reflect social developments, this fact raises the question of whether the representation of female psychiatrists in films and series takes this trend into account.</p><p><strong>Methods: </strong>Film productions presenting female psychiatrist characters were systematically identified by means of a targeted search in relevant databases and a supplementary literature search. In addition, pertinent film examples up to the twenty-first century were analyzed.</p><p><strong>Objective: </strong>The focus is on research questions relevant to social, medical and film history: Does the image of screen psychiatrists correspond to reality? Are stereotypes served or initiated? How does the portrayal differ from the male counterpart?</p><p><strong>Results and conclusion: </strong>The exemplary examination of 18 films and 1 series reveals the early emergence of a gender-specific character cliché which is still influential today: the female psychiatrist as an empathic, sensitive and emotionally active doctor who can make a successful career by virtue of these character traits but who is also emotionally and socially marginalized as a result. A chronologically structured analysis not only reveals social contexts of this stereotype but also shows mechanisms of media transmission. Reflecting on this distorted image in professional settings can help to recognize and specifically address media-induced reservations in patients.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"461-467"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}