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Numorous psychotherapeutic approaches have been put forward to better treat patients with chronic psychological problems or severe personality disorders, among them Schema Therapy (Young, Klosko & Weishaar, 2003). Within Schema Therapy, there are two important theoretical constructs: early maladaptive schemas, which are conceptualized as stable and lasting emotional, behavioral and cognitive patterns regarding ourselves, the world and other people that have their origins in childhood or adolescence and schema modes, which are current states that describe the rapid shifts in emotion, cognition and behaviour that can be seen in patients with severe personality disorders. Schema Therapy has growing popularity with clinicians in the last decade, but only a few studies have tested the empirical validity of the schema mode model. Lobbestael, van Vreeswijk, Spinhoven, Schouten & Arntz (2010) developed and evaluated the Schema Mode Inventory to assess schema modes within the framework of a questionnaire. This instrument has been translated to the German language and the psychometric properties of the instrument indicate an adequate fit to the model established in the original Dutch study (paper 1).
In Schema Therapy, on the one hand mode concepts have been proposed without a focus on one specific disorder (Young et al., 2003), but on the other hand disorder-specific concepts have been established that form the basis for manualization and research. The most popular disorder specific mode concept is that of Borderline Personality Disorder (Arntz & van Genderen, 2009). In randomized controlled trials the effectiveness of Schema Therapy for Borderline Personality Disorder in the individual setting (Giesen-Bloo, van Dyck, Spinhoven, van Tilburg, Dirksen et al., 2006) and the group setting (Farrell, Shaw & Webber, 2009) was evaluated. Whereas Schema Therapy for Borderline Personality Disorder in the individual setting has been manualized (Arntz & van Genderen, 2009), a manual for group Schema Therapy is not yet available, Therefore, particularly since this last evaluation study, there has been a need to better describe, how the Schema Therapy mode model for Borderline Personality Disorder has been applied to the group setting (papers 2 & 3) as well as how both modalities of Schema Therapy treatment, individual and group, are combined in intensive psychotherapy settings such as inpatient or day care (papers 4 & 5). Lastly the question has been put forward as to how effective Schema Therapy for Borderline Personality Disorder is in intensive treatment environments, where it is assumed that the severity of the disorders treated is even higher. It is found that a combined program of individual and group Schema Therapy for Borderline Personality Disorder is effective in the inpatient setting. Subtle variations in treatment programs in three pilot studies leave room for the discussion of possible factors influencing treatment effects (paper 6). The results of all studies are discussed on the background of Schema Therapy’s development as a new psychotherapy approach for the treatment of complex disorders.
Which factors determine whether a stimulus is consciously perceived or unconsciously processed? Here, I investigate how previous experience on two different time scales – long term experience over the course of several days, and short term experience based on the previous trial – impact conscious perception. Regarding long term experience, I investigate how perceptual learning does not only change the capacity to process stimuli, but also the capacity to consciously perceive them. To this end, subjects are trained extensively to discriminate between masked stimuli, and concurrently rate their subjective experience. Both the ability to discriminate the stimuli as well as subjective awareness of the stimuli increase as a function of training. However, these two effects are not simple byproducts of each other. On the contrary, they display different time courses, with above chance discrimination performance emerging before subjective experience; importantly, the two learning effects also rely on different circuits in the brain: Moving the stimuli outside the trained receptive field size abolishes the learning effects on discrimination ability, but preserves the learning effects on subjective awareness.
This indicates that the receptive fields serving subjective experience are larger than the ones serving objective performance, and that the channels through which they receive their information are arranged in parallel. Regarding short term experience, I investigate how memory based predictions arising from information acquired on the trial before affect visibility and the neural correlates of consciousness. To this end, I vary stimulus evidence as well as predictability and acquire electroencephalographic data.
A comparison of the neural processes distinguishing consciously perceived from unperceived trials with and without predictions reveals that predictions speed up processing, thus shifting the neural correlates forward in time. Thus, the neural correlates of consciousness display a previously unappreciated flexibility in time and do not arise invariably late as had been predicted by some theorists.
Admittedly, however, previous experience does not always stabilize perception. Instead, previous experience can have the reverse effect: Seeing the opposite of what was there, as in so-called repulsive aftereffects. Here, I investigate what determines the direction of previous experience using multistable stimuli. In a functional magnetic resonance imaging experiment, I find that a widespread network of frontal, parietal, and ventral occipital brain areas is involved in perceptual stabilization, whereas the reverse effect is only evident in extrastriate cortex. This areal separation possibly endows the brain with the flexibility to switch between exploiting already available information and emphasizing the new.
Taken together, my data show that conscious perception and its neuronal correlates display a remarkable degree of flexibility and plasticity, which should be taken into account in future theories of consciousness.
The current work investigated the association of trait anxiety and the neural efficiency of cognitive processing for affectively neutral (not threat-related) information. In a sample of 46 healthy volunteers, three fMRI experiments were conducted to test the prediction derived from attentional control theory (Eysenck et al., 2007) that high as compared to low trait-anxious individuals expend more neural effort on tasks requiring the top-down control of attention to reach a given level of performance. In a colour-word Stroop task requiring the inhibition of irrelevant stimulus information and associated responses as well as in a working-memorymanipulation task requiring the shifting of attention between items in working memory, trait anxiety (as measured with the State-Trait Anxiety Inventory; Spielberger et al., 1970) was positively associated with task-related increases in the activation of two adjacent regions in the right dorsolateral prefrontal cortex (DLPFC). The finding that along with a stronger activation of this brain region commonly implicated in top-down control processes, the high-anxious subjects showed equal (working memory manipulation) or worse (Stroop) performance when compared to low-anxious subjects, does support the assumption that processing is less efficient in the high anxious. However, in contrast to the predictions, trait anxiety did not show a significant association with task-related brain activation in a task-switching paradigm requiring shifting between task sets. It is discussed how different attentional control demands of the task may account for differences in the effects of trait anxiety on overt behavioural performance and underlying neural processes. In addition to DLPFC activation, trait anxiety modulated the functional connectivity of distributed regions involved in processing of the Stroop and the working-memory-manipulation task. It is discussed how the observed differences in regional DLPFC activation and network connectivity relate to each other. A possible interpretation suggests that activation increases in the DLPFC reflect an attempt to compensate for suboptimal connectivity by investing more effort in prefrontally supported control processes. Overall, the current work shows an association of trait anxiety with the neural efficiency of cognitive processing in affectively neutral tasks involving attentional control. Furthermore, it suggests that investigations of neural efficiency should take into account difference in functional integration in addition to regional activation.
The construct diversity describes the collective amount of differences among members within a social unit. The present dissertation is based on the assumption that, through engagement with diversity, people acquire an understanding of what role diversity plays in the societies, organizations, work groups, or other social units they are part of. This understanding of the role diversity plays in a given social unit provides a vantage point from which people will engage with diversity in the future. These vantage points from which people engage with diversity are the general subject matter of the present dissertation. Two main research questions are addressed in this regard: First, whether the role diversity is given in a particular context does have effects on groups and the individual members therein. Second, if such effects exist, it seeks to explore the processes and mechanisms they are based on. Both questions are addressed from different perspectives in the three main chapters of this dissertation. Chapter 5 contains two meta-analyses on the effects of diversity beliefs and diversity climates. Diversity beliefs are individual attitudes that describe the degree to which diversity is ascribed an instrumental value for achieving beneficial outcomes or avoiding detrimental ones. Diversity climates depict such a value of diversity on the group-level. Building on the social identity approach, I explain how diversity beliefs and climates can obviate diversity’s detrimental effects and foster beneficial ones. As both diversity beliefs and climates can cause such effects, they are considered together in the main analyses in the chapter. In the first part of the chapter, a meta-analysis on these moderator effects of diversity beliefs/climates is presented (k = 23). The majority of studies that addressed such effects reported significant results. The patterns of these results showed that, in general, diversity will be more positively related to beneficial outcomes the more it is valued. However, the analysis also revealed that there are at least two types of patterns of this moderation. So far, it cannot be explained which pattern will occur under what circumstances. In the second part of the chapter, a meta-analysis on the main effects of diversity beliefs/climates on beneficial outcomes is presented (k = 71). These effects did not receive much attention in the primary studies. Based on the social identity approach and the fact that diversity is a ubiquitous feature of modern organizations, I argue that they are important nonetheless. The meta-analysis revealed a significant positive main effect of diversity beliefs on beneficial outcomes (r = .25; p < .0001). However, the effect sizes varied considerably across studies. Both moderator and main effects were found across a broad array of outcomes, study designs, levels of analysis, and operationalizations of the constructs involved. They were found irrespective of whether diversity beliefs or diversity climates were considered. The heterogeneity of results in the meta-analyses suggests that there is still much to be learned about when differences in vantage points from which people engage with diversity will have an effect and about the processes that underlie these effects. Chapter 6 is, therefore, predominantly concerned with these underlying processes. Most of the previous research has treated pro-diversity beliefs and pro-similarity beliefs as opposite poles of one underlying continuum. There is, however, evidence that people can hold both types of beliefs simultaneously. Therefore, I propose that both diversity in certain aspects and similarity in other aspects can simultaneously constitute valid and valued parts of an organization’s identity, and that, hence, identifying with the organization can create two forms of solidarity among the employees: organic solidarity – based on meaningfully and synergistically interrelated differences, and mechanic solidarity – based on the common ground that all employees share. Furthermore, I propose that both forms of solidarity can coexist and that both are positively related to the quality of collaboration within the organization. Thus, organizational identification is proposed to influence quality of collaboration indirectly through both organic and mechanic solidarity. These propositions were tested with regard to the collaboration of different teams within two organizations: a German university (Study 1, N = 699) and a Taiwanese hospital (Study 2, N = 591). The results from both studies confirm the predictions. However, the relative importance of each form of solidarity varied across study contexts and across different facets of the quality of collaboration. Chapter 7 also builds on the findings from the meta-analyses and is again predominantly focussed on the processes underlying the effects of diversity beliefs and diversity climates, yet from a different angle. Previously, diversity beliefs and climates have often been discussed with regard to their potential to influence whether diversity will lead to more and deeper elaboration of information within the group. In chapter 7 a theoretical model is developed that complements these cognitive processes by addressing the emotional side of diverse groups. Central to the model is the assumption that group diversity can stimulate group members to engage with each other emotionally, resulting in higher levels of state affective empathy: an emotional state which arises from the comprehension and apprehension of fellow group members’ emotional state. State affective empathy, in turn, is known to lead to a variety of beneficial team processes that can ultimately enhance individual and group-level performance. Thus, the central proposition of the model is that the relationship between diversity and performance is mediated through state affective empathy. The other propositions in the model specify moderators that determine when diversity will indeed have this empathy-stimulating effect. Diversity beliefs and climates are considered second-order moderators that shape the relationship between diversity and empathy through their influence on the first-order moderators. In general, it is proposed that diversity is related to empathy more positively if it is valued by the group or its members. In summary, the results from the meta-analyses in chapter 5, the results from the field studies in chapter 6, and the theoretical arguments presented in chapter 7 can be interpreted such that differences in vantage points from which people engage with diversity can indeed affect groups and their members. Therefore, the first research question of the present dissertation can be answered affirmatively from three different perspectives. However, it also became clear that there is still much uncertainty about the mechanisms underlying these effects. In line with the second research question of the present dissertation, these mechanisms were examined more closely in chapter 6 and 7. The field studies in chapter 6 highlighted the role of identification as the driving force behind the effects of different vantage points on diversity. Furthermore, they also corroborate the proposition that valuing diversity and valuing similarity can be co-occurring phenomena that both influence the collaboration within the group positively. The theoretical model presented in chapter 7 opens up a new emotional way in which diversity beliefs and climates can influence whether diversity will lead to better or worse performance. In sum, therefore, also with regard to the second research question of the present dissertation, progress has been made.
In human neuroscientific research, there has been an increasing interest in how the brain computes the value of an anticipated outcome. However, evidence is still missing about which valuation related brain regions are modulated by the proximity to an expected goal and the previously invested effort to reach a goal. The aim of this dissertation is to investigate the effects of goal proximity and invested effort on valuation related regions in the human brain. We addressed this question in two fMRI studies by integrating a commonly used reward anticipation task in differential versions of a Multitrial Reward Schedule Paradigm. In both experiments, subjects had to perform consecutive reward anticipation tasks under two different reward contingencies: in the delayed condition, participants received a monetary reward only after successful completion of multiple consecutive trials. In the immediate condition, money was earned after every successful trial. In the first study, we could demonstrate that the rostral cingulate zone of the posterior medial frontal cortex signals action value contingent to goal proximity, thereby replicating neurophysiological findings about goal proximity signals in a homologous region in non-human primates. The findings of the second study imply that brain regions associated with general cognitive control processes are modulated by previous effort investment. Furthermore, we found the posterior lateral prefrontal cortex and the orbitofrontal cortex to be involved in coding for the effort-based context of a situation. In sum, these results extend the role of the human rostral cingulate zone in outcome evaluation to the continuous updating of action values over a course of action steps based on the proximity to the expected reward. Furthermore, we tentatively suggest that previous effort investment invokes processes under the control of the executive system, and that posterior lateral prefrontal cortex and the orbitofrontal cortex are involved in an effort-based context representation that can be used for outcome evaluation that is dependent on the characteristics of the current situation.