In my journey through the many corridors of neuroscience, few encounters have been as enriching as those shared with my friend and colleague, Professor Ludger Tebartz van Elst. Our association dates back to our training days in Professor Trimble’s lab, and over the years, both our academic interests and families have remained closely intertwined. Today, I reflect on one of Ludger’s thought-provoking presentations—an exploration into the emotional brain, with a particular focus on the amygdala, a small but powerful structure nestled deep within the temporal lobe.
Ludger is a Professor of Psychiatry and Psychotherapy and heads the Experimental Neuropsychiatry unit at the University of Freiburg. A prolific contributor to the field, he has authored over 210 peer-reviewed publications and numerous books, especially in the German language. His areas of interest span a vast neuropsychiatric landscape—from developmental disorders such as autism and ADHD to neurodegenerative conditions like Parkinson’s and dementia, as well as the autoimmune basis of psychiatric disorders. He also leads a widely recognized pan-German schizophrenia conference.

What Are Emotions, Really?

Ludger began by addressing a fundamental question: What do we mean when we talk about emotions? The word “emotion” itself is relatively modern, derived from the French émouvoir, meaning “to move.” Embedded in this etymology is a vital truth—emotion is not just a state of mind, but an impulse that moves us toward action.
Despite its ubiquitous use, the term “emotion” remains elusive, with blurred boundaries separating it from related concepts like feeling, sentiment, affect, and mood. There is no universally accepted scientific definition of emotion, even though we each intuitively understand our own emotional states.

A Pre-Analytical Knowledge System

In his 2003 book, Ludger proposed a compelling idea: emotions form a “pre-analytical knowledge system.” Unlike rational thought—which is slow, deliberate, and conscious—emotional processing is rapid, unconscious, and pattern-based. It doesn’t require attention or reflection. It simply is.
Emotions are typically event-driven; they arise not in isolation, but in response to stimuli. Think of sadness or anger—not as stand-alone experiences but as reactions to something that happened. These reactions integrate complex situational cues and are directed toward behavior: fight, flee, freeze, approach, or avoid. Even more fascinating is their social contagion. A startled antelope doesn’t just react to a lion—it triggers similar reactions in the herd, whether or not the others have seen the threat.
In this light, Ludger contrasted two major knowledge systems:
This dual-system model is foundational to understanding how we think, feel, and act.

The Role of the Amygdala

The amygdala, though often treated as a singular structure, actually consists of 13 sub-nuclei, each with specialized roles. Located in the mesial temporal lobe, it sits at the heart of the limbic system—the brain’s emotional engine.
Functionally, the amygdala is deeply interconnected with cortical and subcortical structures including the frontal, temporal, occipital, and cingulate cortices, as well as brainstem nuclei. These connections are mediated by various neurotransmitters: glutamate, GABA, dopamine, acetylcholine, among others. This complex web allows emotional signals to influence—and be influenced by—broader cognitive and motor systems.

Evolutionary Layers of the Brain

Paul Broca first identified the limbic lobe in the 19th century, followed by the Papès circuit, which linked emotional processing to the hippocampus. Later, Paul MacLean described the “triune brain”:
Historically, it was believed that emotional and rational systems were anatomically and functionally separate. But recent anatomical insights—especially from Leonard Heimer—show otherwise.
Heimer introduced the concept of the extended amygdala and demonstrated how it bridges limbic (emotional) and neocortical (rational) structures, especially through transition zones like the ventral striatum. This architecture enables the emotional and rational brains to “talk” to each other, allowing emotions to inform decisions and vice versa.

Implications for Neuropsychiatry

This framework has vast implications. Emotional regulation is central to conditions like autism, OCD, and schizophrenia. For instance, in autism, we often see what Ludger calls “meltdowns”—episodes where emotional arousal is so intense that the rational brain fails to regain control. The amygdala and hypothalamus play crucial roles here, generating emotional outputs that are not easily modulated.
He draws a key distinction between “structural” behaviors (those hard-wired and difficult to change) and “problem behaviors” (learned patterns that can be modified). Identifying and intervening in the latter offers therapeutic opportunities.
In disorders like OCD, the emotional urge—such as the compulsion to wash hands—acts almost like pain: involuntary and overwhelming. However, recognizing the patterns and triggers behind these urges is the first step toward regulation.

Alexithymia and Emotional Granularity

Another fascinating concept is alexithymia—the inability to identify and articulate one’s own emotions. Many people, especially those with autism, struggle with this. They may interpret anxiety as a “tummy ache” because they haven’t learned to recognize the feeling as anxiety.
Here, emotional granularity, or the ability to put words to feelings, becomes a protective tool. While it may be difficult to learn this intuitively, Ludger emphasizes that one can analytically train themselves to identify emotional states and respond more adaptively.

Meditation, Mindfulness & Emotional Regulation

Meditation offers a powerful example of how rational systems can regulate emotional ones. When we meditate, we engage a voluntary, conscious process that gradually influences the emotional brain. Although emotions, like pain, cannot be directly stopped, they can be modulated through trained patterns of behavior—a compelling argument for the value of mindfulness and spiritual practices.

Conclusion: Two Systems, One Brain

Ultimately, Ludger’s presentation drives home a simple but profound truth: There is only one brain. While emotional and rational systems operate differently, they are not truly separate. They are integrated, overlapping, and constantly communicating.
Each system has its strengths and vulnerabilities. The emotional brain is fast, intuitive, and social—but less precise. The rational brain is deliberate, abstract, and controlled—but slower. Understanding this duality helps us appreciate not only the neuroscience of emotion but also the human condition itself.
As I listened to Ludger speak, I couldn’t help but think: To understand emotion is to understand ourselves.

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