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Lynn Harmon (left) and Diana Langshaw (right) are among nine Republicans running for four open seats on the Ross Township Board of Trustees
No other candidates submitted their photo.Vote411
.st1{fill-rule:evenodd;clip-rule:evenodd;fill:#2a2a2a}By Aya Miller | amiller2@mlive.comKALAMAZOO COUNTY
MI -- Nine Republicans are competing for four open trustee seats on the Ross Township Board of Trustees
the four winners of the August primary would run uncontested in November and win the seats
MLive has partnered with the League of Women Voters Michigan Education Fund this year to provide voters with a Vote411 election guide
Candidates filled out general information about their campaigns and answered a list of questions from the League of Women Voters
spent 25 years in the paper industry and 12 years in banking
is a project manager and has 34 years of experience working in the private manufacturing sector
Lang works in human resources and has over 20 years of experience in the field
She has also served on the boards of multiple community organizations
but owned a livestock and horticulture business in Ross Township since 1965
Sulka and White did not complete the Vote411 survey by the time of publishing
Ross Township is northeast of Kalamazoo and includes the southern half of Gull Lake
All responses in the voter guide were submitted directly by the candidate and have not been edited by the League of Women Voters
except for necessary cuts if a reply exceeded character limitations
Publication of candidate statements and opinions is solely in the interest of public service and should NOT be considered as an endorsement
The League never supports or opposes any candidates or political parties
What are your top three priorities for the office you seek
Bekes: Help Ross Township continue to be financially stable
Continue to think outside the box for Ross Township opportunities
Harmon: 1) Ensure compliance with the mission of Ross Township 2) Build upon the foundation of Ross Township as a place to raise your family in a rural environment 3) Deliver a balance budget and evaluate every dollar spent as if it were my own money
Preserve & protect our rural natural resources and groundwater
and wildlife for everyday life and recreation that includes swimming
hunting and fishing that we need to protect and preserve
Increase transparency to our residents with improved communications to our neighbors
Assessments and tax increases should never be voted on and approved by the board until all residents affected are informed by US postal mail and their voices are heard
We need to run efficiently and minimize the tax burden on homeowners
Langshaw: Keep a stable and educated staff and elected officials at the township level
Address issues citizens have whether large or small
Continue to collaborate with other townships
and citizens now and in the future through education and communication
skills and experiences would you bring to this office
Bekes: Over four years of Ross Township Trustee experience and management experience basically my entire career
I was a Chief Operating Officer for both Fletcher Paper Mill and Badger Paper Mill my last 8 years of 25 years working in the paper industry and was a Vice President at both IndyMac Bank and Wells Fargo my entire 12 years of working in the banking industry
The combination of operations experience and finance experience bodes well for the role of Ross Township Trustee
I’ve been the Board Liaison to the Planning Commission since 2020 and am also currently serving as a member of the Zoning Board of Appeals in Ross Township
customer focused private sector approach to the Township
My approach is built on a strong background of financial acumen
look for solutions that win for everyone involved
I live in the effect area of concern with PFAS and understand the impact it has on our lives
We need someone on the township board to advocate for us all during these uncertain times with PFAS
I have spent countless hours attending meetings and talking to EGLE and the EPA educating myself on the effects
causes and looking for possible solutions to get the state to cleanup
I promise to continue to fight for groundwater clean up
Langshaw: Ross Township Subcommittees since 1990
Alternate rep - Kalamazoo Water & Waste Committee
Original member & officer - Four Township Water Resources Council
President of the North American Gladiolus Council
Trustee & Secretary - International Gladiolus Hall of Fame
International Fellow Kellogg Foundation sponsored
Conveining the Community - Kalamazoo County Local Leadership
What are the major environmental issues facing your township and what activities or initiatives would you support to address them
Bekes: PFAS - I support giving citizens a choice of treatment options including the potential of bringing in public water
Solar - I support locating solar farms to the designated commercial areas within Ross Township
Water Quality - I support having residents on Sherman Lake hook up to the available sewer system (versus septic) to improve water quality
Harmon: There are two major environmental challenges facing Ross Township
The first one is protecting our ground water by pushing back on the State of Michigan to ensure contaminated ground water from surrounding areas is cleaned up before it enters Ross Township
The second issue is the attack on our farm lands from outside interests who want to destroy our rural and agricultural resources
State Government has stripped local municipalities of the right to regulate our land usage
but we are evaluating all legal means to protect our communities
protecting and preserving our groundwater and natural resources in our beautiful rural community
Immediate effort to remediate the contaminated groundwater needs to be a top priority for EGLE for Ross Twp
Residents should not be forced to pay or connect to public water if brought to our area
Only 2 wells tested above PFAS safe levels
current PFAS levels are above EPA standard
they have until 2029 to upgrade and come into compliance
Public water will not save our beautiful lands
making sure our township publishes as much material as possible to educate citizens
proecting rural character in our township through educated planning and zoning
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Head of the Department of Pediatric Dentistry at MedUni Vienna's University Clinic of Dentistry
was re-elected as President of the German Society of Pediatric Dentistry (DGKiZ) for the third time at the society's annual meeting
teaching and practice in the field of pediatric dentistry
Katrin Bekes was unanimously re-elected by secret ballot at the Board elections
which were held as scheduled at the General Assembly on September 28
2024 in Erlangen during the annual meeting of the specialist society
She will take on the responsible role of President of the society for a further two years
when she was the youngest president in the history of the specialist society
She also served as Secretary General of the DGKiZ for 11 years and can therefore look back on 16 years of board work
About the person Katrin Bekes comes from Hattingen an der Ruhr
She studied dentistry at the University of Halle-Wittenberg
where she initially worked as a research assistant at the University Clinic for Conservative Dentistry
After moving to the pediatric dentistry section there
she took over as head of the department a year later
she was appointed Professor of Pediatric Dentistry
Oral and Maxillofacial Medicine at the Medical University of Vienna and took up the position in April 2015
she has headed the Department of Pediatric Dentistry at the University Clinic of Dentistry Vienna
It is the first chair in pediatric dentistry in Austria
she also implemented the special outpatient clinic for mineralization disorders (molar incisor hypomineralization) at MedUni Vienna's University Clinic of Dentistry
Bekes has also been Vice President of the Austrian Society for Pediatric Dentistry since 2017 and is a Councillor for Austria at the European Academy for Paediatric Dentistry (EAPD) and the International Association of Paediatric Dentistry (IAPD)
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Let us suppose that there is a party in Papua New Guinea which believes that New Guinea should rightfully belong to the British
Another party holds that New Guinea can only be happy under Dutch supervision
At this point someone rises to speak and asks
‘Should New Guinea not be ruled by the Papua
who live here anyway?’ László Németh (Balatonszárszó
endemic— political regime that began to furnish the ship of the Hungarian state in 2010 has from the start provoked wide-ranging and hostile commentary
Its detractors ceaselessly articulate their critique in terms of the opposing poles of democracy and dictatorship
apparently incapable of interpreting the discourse on westernization and democracy in any framework of reference other than that of liberal democracy
They routinely source the criteria of this liberal democracy
from the practices of Western countries which they regard as the unquestioned benchmark
and see any political move in a diverging direction as an act of distancing the aberrant country (particularly the one in which they happen to live) from the West politically
This kind of discourse exhibits the unadulterated symptoms of the colonizer’s attitude of speech
in that it employs the dichotomy of the advanced centre versus the subordinated periphery
but what really matters in this juxtaposition is its cultural component
and self-determination of the nation state
colonial oversight has seen its arsenal of specific tools of colonization dwindle
to the point that it now has nothing to rely on other than the cultural hegemony of its allies in the local comprador-intellectual camp
all national forces are anti-imperialist by nature
in the age of soft colonization and hybrid neo-colonialism
the war of independence must be fought in the cultural field in the first place
Whether it appears in the guise of imperialistic internationalism or of cultural assimilation to the mother country
Thirty years after the fall of communism it seems safe to say that internationalism itself is alive and well
except that it has assumed different forms (globalization
and that the colonialist logic remains an integral part of its arsenal.4 If internationalism is indeed the ‘highest stage of capitalism’
then globalization must be seen as the ultimate consequence of liberalism
asserting that ‘The concept of humanity is an especially useful ideological instrument of imperialist expansion
and in its ethical-humanitarian form it is a specific vehicle of economic imperialism’
The forces of imperialism invariably represented empires when they served ostensibly universal ideas and values: the British Empire those of Anglo-Saxon civilization; the French those of enlightened Francophone culture; the Spanish
and Germans the norms they considered their own
The Angolan Mario de Andrade was right in concluding that ‘culturally speaking
colonization robs the natives of their distinct personality
since it amounts to nothing less than the denial of national identity’.2 This resonates with the Martiniquean Frantz Fanon’s observation that ‘The colonial situation calls a halt to national culture in almost every field
Within the framework of colonial domination there is not and there will never be such phenomena as new cultural departures or changes in the national culture’.3 Precisely for this reason
it does not matter whether it is one or another foreign power that is engaged in colonization
given that stripping the native population of its distinctive national characteristics is an inherent component of the logic of colonization
regardless of whether it appears in the guise of imperialistic internationalism or of cultural assimilation to the mother country
asserting that ‘The concept ofhumanity is an especially useful ideological instrument of imperialist expansion
From Napoleon’s attempt at European hegemony after the French Revolution (1799–1814) to the worldwide unipolar violence perpetrated in the name of Pax Americana (1991–2016)
experiments in building empires invariably sought to establish a liberal status quo
these plans were implemented in three distinct phases
1) Wherever Napoleon marched in with his Grande Armée
he brought the ideals of the revolution with him in their secular-legalist form
‘Napoleon … created inside France the only conditions under which free competition could be developed … and beyond the French borders it swept away feudal institutions everywhere
bourgeois society in France with an appropriate up-to-date environment on the European continent.’7 When in 1806 Hegel had a glimpse of the French emperor marching into Jena
he saw in him the embodiment of the conquering power of modern statehood
counter-revolutionary uprisings everywhere from the Kingdom of Spain through Tyrol to Prussia and Russia
2) The failure of the Napoleonic attempt at continental hegemony gave way to a maritime hegemony that lasted for a century (1815–1917/22) under the global British Empire
Schmitt ascribed the inception of this new global empire to the British navy
nurtured by the power the crown wielded on the seas and through commerce
The Pax Britannica rested on multiple pillars
including the productivity of industrial capitalism
relentless exploitation of the benefits of free trade
and the tailoring of the legal- political environment to conform to liberal British norms
which spanned nearly three decades following the end of the Cold War
which combined cultural conquest (the Californian ideology hallmarked by Silicon Valley
McDonald’s) alternating with ‘humanitarian intervention’ or ceaseless air strikes in the name of the Global War on Terror (bombs
the American ideology actually served to lay the foundations of what George H
it is apparent that liberalism does not and cannot feel safe unless it continues to build global systems and spread its own model to all corners of the world (because ‘democracies do not make war on one another’)
This condition suggests several conclusions: a) If an empire wishes to remain liberal
even by means of war; b) no liberalism can survive outside an imperial framework
as was the case with Pax Americana; c) an internally consistent
anti- liberal approach is at once and of necessity anti-imperialist
in that it opposes all forms of global power and universal political and economic solutions
understood as the reciprocal conditions of national and popular sovereignty
The present phase of liberal imperialism aims at creating an invisible global empire
What it envisions is not the world power of a single nation
but the amalgamation of all nation states by erasing the borders between them
‘Imperialism and nationalism represent irreconcilable positions of thought
We can endorse the view that the entire earth should be subjected to a single regime whose authority will embrace all nations; or we can seek a world of independent national states as the best form of political order.’8 Liberal imperialism imagines a world in which a single universal law reigns supreme
the anti-imperialist thought of the nationalist paradigm believes in the coexistence of independent and autonomous nation states
The prevailing European discourse after 1989 spoke in two voices
extolling the virtues of broadening federal institutional integration and the attendant gains in depth attained by Europe on the one hand and
the spread of allegedly superior values through channels afforded by these structures
The Maastricht Treaty of 1992 situated the European Union in the context of global neoliberal integration
the Union aggravated the diminishing economic autonomy of member states by abrogating some of their most important political powers in the name of the transfer of sovereignty
and envisioned the continental alliance as a ‘community of values’ which subjected member states east of the fallen Iron Curtain to the hegemony of postmodern Western liberalism
The waves of enlargement which began shortly after the democratic turn across the former Soviet satellites (2004
2013) conceived of their admission to the ‘Club of Europe’ as being contingent on their voluntary adoption of values
at the cost of meshing their gears with a ready-made discourse on civilization
This ‘normative imperialism’ (Frank Furedi) continues to be enforced by a variety of means today
including the terms of transatlantic financial integration
the decisions of federal courts of justice
and the pressure of the international media
It is apparent that liberalism does not and cannot feel safe unless it continues to build global systems
It would be difficult not to notice the degree to which the imperialist gaze of Western European powers in the nineteenth century resembles the transatlantic perspective in the late twentieth and early twenty-first centuries
which has equally been characterized by demands for a unilateral espousal of its own norms
and the comprehensive adoption of its own political system
The similarity between them is underscored by the fact that both look upon the East from a Western vantage point
invariably perceiving the former as chaotic
yet amenable to being reformed through adequate rationalization
and an imparting of the progressive thinking proper to the West
While the initial orientalism of the West was every now and then mingled with a measure of romantic paternalism
a hypocritical mercifulness toward the ‘savages’ and a questionable Christian responsibility derived from a sense of superiority
the version prevalent today is marked rather by overt disdain
These traits are echoed by many phenomena of daily experience
such as the behaviour of Western party tourists on a trip to ‘Eastern Europe’ and its depictions in the media (cf
which convey the idea that when you are in the colonies
you can do things you would never dare to do at home
Whether it was the endeavour to ‘civilize’ other parts of the world in the nineteenth century or recent efforts along much the same lines
the yardstick of change has always remained the West
Western forms and norms are universal in nature
and Westernization is the sole possible path of modernization
the entire process and value categories of accession to the EU can easily be read as a discourse of colonization
particularly if one considers that the (fringe) conditions of the ‘Eastern enlargement’ were
dictated by the central powers of the West.9 Made to fit the prerequisites of munificent admission to ‘Europeanness’
integration within the Union can only be attained subject to permission
and according to the rules of the countries that had been the largest colonial powers until the middle third of the twentieth century
It is no coincidence that the inertia of history and the gravitational force of dominant culture are jointly responsible for the resurfacing
at the turn of the twentieth and twenty-first centuries
of nineteenth-century social Darwinism in the form of neoliberal monetarism
of the civilizing attitude as human rights discourse
and of romanticizing orientalism as the lecturing of ‘East European countries’
What are actually the countries of Central and Eastern Europe continue to be taught lessons ten years after they ‘joined Europe,’ and by the same countries that once created colonial empires
The founders of the EU and the winners of the first rounds of enlargement (Belgium
and Portugal) all had colonies and acted as empires
these countries together had come to possess almost half of the inhabitable
Their holdings outside the mother countries amounted to three fourths of the colonized lands of the world
including overseas protectorates and trade settlements
Over 80 per cent of these territories belonged to three superpowers
(These ratios did not change significantly after the First World War
All that happened was that the Western Entente redistributed the colonial territories of the losers
Then their holdings dwindled to 58 per cent during the Second World War
a number of countries still command territories overseas
and Portugal.) Among the countries of Europe
only those in the West of the continent have ever had colonies
The Eastern and Central European countries were not (or
have not been) part of the colonial discourse the reading of colonization in two senses: they have never enjoyed the benefits of colonies
and they have never been colonized themselves
the increasingly visible fault line between the West and the East within the EU in reality traces the borders that used to separate the imperialist countries from those without a colonial past
This same line of demarcation was re-enacted by the Iron Curtain
and has been enriched with new nuances since it fell
Edward Said argues that in the nineteenth century the Western colonial powers created an interconnected culture of politics
and literature— the culture he calls orientalism—which served to justify the proper economic- political practices of imperialism
and administrative organization of the colonies were ensured and legitimized by a branching cultural hegemony composed of achievements in cartography
According to the reading of colonization Antonio Gramsci arrives at from his thesis on hegemony
the economic and military foundations of imperialism are superseded in importance by the ‘cultural superstructure’ which exercises hegemony over the entire system
He poses the rhetorical question of whether a financial-economic imperialism is possible without political-intellectual hegemony.11 In other words
‘the colonial project was not reducible to a simple military−economic system
but was underpinned by a discursive infrastructure
a whole apparatus of knowledge’.12 In this reading
the hegemony of the colonists was truly deepened with the tools of culture and symbolic systems.13 If a colonizer succeeded
in having the natives contemplate themselves through his lens
then culture in the broad sense of the term enabled him to achieve a legitimacy far stronger than could have been secured by any other means
The colonizers always strove to perpetuate the subjugation of local populations
Every theoretical and practical criterion of classical colonialism has manifested itself since the end of the 1980s in the way the West looks and acts upon our region
the former stereotypes about the inhabitants of colonies (despotism
lack of self-reliance) have been consistently reiterated
in the late twentieth and the early twenty-first centuries
imperialistic theory has adopted other names
and colonialist practices have assumed divergent forms
including financial sanctions (the withholding of funds)
Western dominance remains the name of the game
Yet the colonialist attitude underpinning the operation of the EU is getting stronger and more unmistakable
along with its characteristic stance towards institutions
The imperialist agenda has grown more mellow
and overall culture is increasingly superseded by legal discourse as the medium of its legitimization
The lords of expectations governing globalization
and liberal democracy—let us call them the ‘Davos Men’ (Samuel P
Huntington) or the ‘Atlantic Ruling Class’ (Kees van der Pijl)—are associated less and less with specific states and more and more with international (federal
the torch of imperialism is carried not by state actors but by entities best described as inter-state (EU
the natives only have their own national parties to rely on to represent and advocate their interests—we ourselves
which is the Irish-language meaning of Sinn Féin
the driving force behind Ireland’s fight for independence
not so much by main military force as by foisting their mentality upon the natives
They achieved this primarily by harping on backwardness
and aggrandizing their assumed superiority as conquerors
The direct acquisition of colonies may have been accomplished by means of armed occupation and commercial exploitation
but they were secured for the long term through cultural subjection
and ideological reasoning which portrayed subjugation as necessary
The project of colonization was completed when this view had gained wide currency and acceptance
Achille Mbembe points out that ‘the universalization of imperialism cannot be explained by the violence of coercion alone: it was a consequence too of the fact that many colonized people agreed
to become consciously complicit in a fable which they found attractive in a number of respects’.14 The most faithful ally of colonizers is the sense of inferiority and shame—if the native is convinced that his beliefs are irrational
and that he must feel embarrassed about them
decolonization will not truly begin while doing so
they must make sure that the centre of gravity commanding identification coincides with the very core of their own morality
The most cohesive force holding a colonial system together lies in the hearts and minds of people
the work of broadening this cultural hegemony will be less effective if entrusted to officials and officers of colonial administration arriving from overseas than if it is left to natives who speak the local language and know the local customs
and will therefore present the codes of colonization as self-evident and valid
This group is that of the comprador intellectuals
Every age throughout colonial history had its own compradors
who often lent not only their talent but their hearts and convictions to the cause of advocating the superiority
and rationality of the political and social system of imperial centres
They were the ones whom a leader of the Mau-Mau uprising in Kenya described as belonging to ‘a black European class’
eager to bolster and justify British colonial practices locally
The interests of the colonizers are thus best represented by natives who have internalized the values of colonization
This is tantamount to the admission that the colonized do not exist as a political entity (Edward Said)
to the degree that his overall identity depends solely on the colonizers
and his existence only makes sense in the context of colonization
‘the total result looked for by colonial domination was indeed to convince the natives that colonialism came to lighten their darkness’
This is the model emulated by the topographical mindset of the comprador intelligentsia today
which qualifies a state as Western if it seeks to institutionalize liberal democracy
regardless of its actual geographical and cultural traits and situation
In their role of mediators imparting meaning to the system
like the original conquerors and the colonists of today
are ‘stationed temporarily’ in each location
This marks the fundamental anthropological difference between the ‘anywheres’ and the ‘somewheres’.17 One might add that this comprador sentiment has a habit of arming itself with supercilious
cosmopolitan cocksureness and blatant contempt for everything domestic
The recognition of the ‘Washington consensus’ after 1989 not only brought the ‘American control of Europe’ (Béla Pokol) within reach
but at once established a cultural hegemony in which a unilateral naturalization of norms from the West served as a key condition for participating in global integration
who had been living in the United States for over thirty years
that ‘America can be in no sense a model for a small
Central European nation’.18) This colonial practice is followed to this day in the form of a peculiar soft imperialism
the attitude of dictating civilization today manifests itself in the hardline version of the one that characterized the age of colonial empires
some people continue to spread the colonizers’ cultural code among the natives
adopting the conquerors’ manners of speech and preaching the superiority of their norms
László Németh said that ‘we are being sent “saviours” appointed from the outside … these advisers
understand precious little about the actual state of Hungarians
turn against that which has been built here for the protection of the natives and which can question their own jurisdiction and competence’.19
If we stay within the framework of colonial discourse
it will make sense why the heirs to the servants of Soviet colonists from 1945 to 1989 (the technocrats of the late Kádár era
and the socialist party MSZP) and the harbingers of the new colonialists (the ‘democratic opposition,’ liberal intellectuals
the SZDSZ party—Alliance of Free Democrats) joined forces against the shy and timid proponents of native interests
The political-economic-intellectual pact of post- communism ‘promoted the social development of the centre to the status of a universal model
and portrayed social formations deviating from that model … as being responsible for the country’s falling behind’
The line of demarcation between colonialists (with their in situ acolytes) and the natives (with their own representatives) is far more decisive than the internal conflicts dividing the locals
two natives respectively on the left and the right who share a native awareness (i.e.
the same national culture) have more affinity with each other than with any local or foreign representative with an imperialist/colonialist attitude who happens to stand on the same political side of the spectrum with them in the general sense
nationally-minded right can hardly be accused of imperial ambitions
tends to be willing to serve the prevailing
the definitive deep current of the political and ideological conflict does not spring from an internal constellation but from the relationship to external forces
The choice of national or international equates to that between native resident or foreign colonialist
the new colonial expectations in Hungary were conveyed by an elite that had swiftly closed ranks following the democratic turn
critically minded intellectuals of the ‘democratic opposition’
To paraphrase the title of a book published in 1978 by György Konrád and István Szelényi
not only had the Road of Intellectuals to Class Power come to its end
but the class of what Gábor Fodor called ‘the reformist ideological continuum’ had become fully formed
This class served the post-communist era in simultaneous roles as its praetorian guard
and mastermind of its political and cultural programmes
The pillars supporting the consensus among this bipolar elite of compradors were provided by their shared desire to perpetuate the discourse of modernization
unconditional respect for ‘market mechanisms’
The medium transmitting this consensus was supplied by the public discourse of intellectuals
The comprador elite did not have a single original idea that would have sprung from Hungarian soil; it was
The paradigm of emulation lasted so long as there was something to imitate
all they were left with was intellectual vacancy and pining over illiberalism
adopted by the liberal democratic intelligentsia in March 1989
contained every single element of the neoliberal ‘crisis management’ package submitted by the IMF two months before (deregulation
Appearing on two facing pages of the volume
the three most important principles of the Programme are articulated as follows: 1) ‘the MARKETPLACE is the field where human activities are assessed and measured against one another’; 2) [in a system built on an organization of society answering the needs of the marketplace] ‘the spheres of CULTURE and POLITICS cannot rely on any core value other than that of tolerance’; finally
has always been synonymous with Western Europe
Our region experienced the great moments of its history when the goal of catching up with Europe was elevated to the ranks of politics.’ We are thus not an independent entity
The famous ‘Blue Book’ of the SZDSZ can then be read as a political script of the neocolonial hegemony that prevailed in Hungary from 1990 to 2010
This becomes even more apparent in view of the cultural agenda intimately linked with it
the points of which (‘the state is a bad steward’
Westernization) all aimed at preventing a national reversal or recovery after 1989
To cut a long story short: the goal was simply to replace one brand of imperial internationalism with another
The process is illustrated well by what George Soros said to a reporter in his entourage in Temesvár (today Timișoara in Romania) in 1993: ‘Just write that the former Soviet Empire is now called the Soros Empire.’
When Hungary’s comprador elite held direct executive power (1994–1998
it implemented an economic policy tailored to meet the expectations of the ‘Washington consensus’ (deregulation
thereby setting the country on a path of ‘maldevelopment’ that was eerily similar to postcolonial
Hungary was smoothly enmeshed within the post-Cold War neoliberal system of global structures (EU
whenever they ruled during the post- communist era (1990–2010)
were always able to indirectly put into action the Western-liberal values and the monetarist attitudes informing them
which imbued the increasingly impertinent inroads of transatlantic political and economic influence with the glossy colours of progress and belonging to the West
It is as if the lines written by Fanon about the comprador bourgeoisie after their countries clinched independence were really about us: this class ‘identifies itself with the Western bourgeoisie
from whom it has learnt its lessons’; at home ‘it lives to itself and cuts itself off from the people’; it has ‘nothing better to do than to take on the role of manager for Western enterprise
and it will in practice set up its country as the brothel of Europe’
A decisive part of this programme consisted of popularizing the transformation of the political system
and of bolstering the authority of those who articulated expectations by which to measure the success of the transformation
The machinery of Western-liberal hegemony— with its essential cogwheels of the left-liberal daily press
a string of economists and philosophers arriving or returning from abroad
and the host of opinion formers associated with the ‘democratic opposition’—continues to preach the indiscriminate naturalization of Western standards as an indispensable condition of belonging to the centre
even at the cost of negating native values and interests
This is none other than the age-old and well-known psyche driven by self-abnegation
with its inferiority complex and compulsion to meet expectations
This programme of self-colonization certainly had its antecedents to draw on
who was long regarded as the unquestioned foremost authority on regime change
treated the narrative of falling behind (a narrative eminently suited for the purpose) in rather eloquent terms
Bibó went so far as to say that ‘In terms of social and political development
Hungary kept abreast of the West during the first five hundred years of our national history
but it got stuck in the early sixteenth century
to hit upon its straight path to progress’.28 According to Bibó
Hungarian society has been continually and gradually falling behind the West for half a millennium
Bibó provides a relentless description of the ‘stalling of social development in Hungary’
the ‘cul-de-sac’ of the country’s evolution
the ‘misery of a small state in Eastern Europe’
and its sheer inability to catch up with and master the incontrovertible historic achievements that have added up to Western progress as we know it
foreshadowed the copycat of self-colonization as a future reference in the politics of history
The fact that the validity of this extremely harmful ‘intellectual myth of salvation’ (András Lánczi) was called into question at a time when the liberal project was shaken to its foundations worldwide and the post-communist era edged close to its end
serves as yet another piece of evidence for the close correlation between these phenomena
more or less coincided with the twilight of the liberal intelligentsia and the loss of confidence of the post-communist economic-political elite between 2006 and 2010
holding out for us the promise of rescue—the opportunity to finally accomplish the decolonization of our minds
The two-thirds parliamentary mandate won at the general elections in 2010
and 2018 provided the government with a massive legitimacy with which it was easier to attain political results in the interest of the natives
Further help came with major world events such as the 2015 migration crisis
the Brexit referendum and Donald Trump’s ascent to the presidency in 2016
and the sovereigntist- populist wave sweeping across Europe
Simón Bolívar attributed the liberation of the peoples of Latin America not simply to the weakening of Spain as a colonialist power and the victorious armed combat of the natives
but also to the fact that ‘the tie that bound [America] to Spain has been severed
Only a concept maintained that tie and kept the parts of that immense monarchy together.’ As he wrote in the same letter in 1815
‘We have been harassed by a conduct which has not only deprived us of our rights but has kept us in a sort of permanent infancy with regard to public affairs.’ The veil of colonization goes hand in hand with the voluntary acceptance of this infancy
We cannot grow up without tearing the former to shreds
although in Hungary the ‘party of natives’ clinched a constitution-changing majority three times in eight years
and the course of the world had taken another direction by the second half of the 2010s
all this has been in vain if the narrative of colonization is permitted to survive unscathed
most institutions of the liberal cultural hegemony have remained untouched
What I mainly have in mind is not tangible culture as embodied by the media
one might say that between 2008 and 2016 the colonial lords themselves lost heart
and even witnessed malfunctions on their own turf (especially Trump’s public reneging on the ‘Washington consensus’ and Great Britain’s secession from the EU)
the local comprador bourgeoisie lost its political-economic hegemony
although the cultural hegemony of the comprador intellectuals is still alive and well as we speak
which has been responsible for interiorizing the mindset of colonization
along with its cohorts in non-governmental organizations and various other activists
remain free to spread the ‘colonial mentality’
the attitude of ‘let’s dare to dream small’
and to advocate the mission of permanent emulation that can be traced from Bibó to Jászi
and ‘liberal democracy’ began to drift away from their original meaning
they have become mere parts of the arsenal employed in exerting political influence and perpetrating acts of collective psychological terror
whose deliberately extended meaning also renders them eminently suitable for exercising cultural leverage
They serve to patch together the now fragmented discourse on falling behind
to undermine the desire for autonomy and independence
and to herd people back into the fold of the colonial mind
and it is not our desire to be thrust back into darkness.’ Telling tales of history and assigning meaning to them is a mild but all the more efficacious means of maintaining the old rule
This kind of narrativizing is aptly characterized by the proverb that ‘until the lions have their own historians
the history of the hunt will always glorify the hunter’ (quoted by Chinua Achebe in an interview)
Colonizers always had their local profiteering helpers
the most effective of whom distinguished themselves by endowing colonization with meaning and thus became instrumental in spreading the point of view of the conquerors among the natives
the role of the insider as intermediary between the occupying lords and their subjects proved almost more essential than that of external military force and commercial transmission
While the classical comprador-bourgeoisie is engaged in trade
selling resources and building infrastructure
and the armed staff of the garrisons are empowered to secure the background for these activities by means of an apparatus of disciplining detractors and offenders
it really depends on the mediators whether the colonizers ultimately succeed in ingraining their codes and delivering their message to their intended audience—in other words
whether they are able to have their own world view interiorized
the permanent designation of the centre and the periphery
along with a final and unappealable hierarchy of values assigned to them or
the definition of the political notions describing the colonial regime once and for all
until the cultural hegemony of the colonizers has been shaken off
This may happen before the colonial system actually unravels
and may not take place even after the colonists have departed
This tallies with the view of Thomas Sankara
who said that ‘[w]e have to work at decolonizing our mentality and … recondition our people to accept themselves as they are’
The domestic adherents of (neo)liberal world hegemony like storytelling
they have concocted a great number of interpretations in an attempt to explain what has been happening in Hungary since 2010
from ‘fascistoid mutation’ to ‘autocratic capitalism’ and ‘the mafia state’
The latter expression has been popularized by a trilogy entitled Post-Communist Mafia State: The Case of Hungary (2013–2015)
whose authors themselves happen to match to a tee the portrait gallery depicting the comprador intellectuals of the post-communist era
their pet phrase was adopted by George Soros when he spoke against Hungary in Davos in January 2017
this rather inane label has been augmented by seemingly more professional explanations with the aim of winning acceptance
as is usually the case) for the academic consensus that has been trendy in the pivotal states of the Union
Non-governmental organizations and various other activists
which have a habit of advancing swiftly from the status of scholarly terminology to the ranks of political slogans
are sourced from the specialized discipline of so-called transitology
a school of political science devoted to scrutinizing the fulfilment in ‘new democracies’ of various criteria defining Western/transatlantic liberal democracy
Experts in the field study these processes in the historical context shaped by the fall of dictatorships in Southern Europe and Latin America in the mid-1970s
the transformation of postcolonial systems in Africa and Asia
and the regime changes in Central and Eastern Europe in 1989–90
Representing an inherently Western point of view
this theory contemplates ‘democracy’s third wave’ (Samuel P
Huntington) as a prelude to the ‘end of history’ (Francis Fukuyama)
which is consummated in the marriage of love between global communism and liberal democracy
Transitologists claim that the work of transition has ultimately failed or
the global discourse on falling behind must be upheld
calibrating the moral-political yardstick to Western liberal democracy
Fareed Zakaria voiced concerns over the ‘rise of illiberal democracy’
this was followed by a magnum opus on ‘competitive authoritarian regimes’ which
documentary description of ‘hybrid systems’ after the Cold War
subsuming them under the category of ‘competitive authoritarianism’
the bulletins of international capital and the global liberal elite (Financial Times
for the narrative that sets up parallels between Orbán
and Bolsonaro to suggest that ‘these’ are all leaders of one and the same dictatorial counter-revolution
which seeks to undo the achievements of the liberal revolution since 1989
this only proves that global liberalism is in its death throes everywhere.)
If there is a discipline where it makes sense to pose Gramsci’s rhetorical question of whether science is not itself a ‘political activity’
transitology is but a typical imperial rationalization
which teaches the ways in which the values of an expansionist empire can be mastered
and its logic of operation adopted with no strings attached
Transitology arrogates to itself the definition of democracy and monopolizes its meaning
which evolved with a view to national interests and domestic values
this is precisely why the current Hungarian political system is problematic in the eyes of the transitologist
the representative of a discipline that really serves no purpose other than those of territorial oversight
They would point out that these systems contained elements of both and
(There is a rigorous classification for you!)
the ‘hybrid regime’ has a layered typology
Each of these labels refers to a model that is no longer an autocracy but not yet liberal democracy
normative scale by which the implementation of liberal democracy is measured operates as a sort of checklist
each of these criteria gauges the vindication of liberal democracy against the yardstick of enabling the broadest possible freedom of powers not under democratic control (non-governmental organizations
More cracks appeared in the early twenty- first century
marring the integrity of transitology as a set of criteria measured by Freedom House country reports and rule of law indices
bolstered by mainstream political literature
and made compulsory by global political-economic centres
Something had to be done about a state of affairs in which not all ‘new democracies’ had attained liberal democracy
not to mention that certain attempts at doing so had backfired and begun to exhibit signs of what was described as authoritarian governance—in short
that liberal democracy had failed to become the universally accepted model
The solution consisted of coming up with the nebulous phrase of ‘hybrid regime’
used to denote systems regarded by the pundits as being neither open democracies nor closed and
of the strictest possible constraints placed upon public entities enjoying legitimation by the people (heads of state
This methodology of assessment is closely linked to the greater scope of the discourse on rule of law
which expects a country to enforce principles (transparency
disclosure) that can be interpreted broadly enough to be used smartly against political opponents
It invariably sanctions any defiance of the centre’s normative
All of this is further related to the threat posed to the model of national
majority democracy by the powers wielded by international courts of justice.33 It comes down to international bureaucracy versus majority democracy and national sovereignty
Arguments posited on the notion of the ‘hybrid regime’ are well-suited to the task of keeping the colonial logic intact
news coverage in daily papers and on television
and petitions routinely feature the perception that Hungary derailed from the tracks of progress in 2010
no longer meets the criteria of liberal democracy and
has detached itself from the Western consensus
with their higher respect for the exactitude of terminology
tend to use the subservient phrase of ‘competitive authoritarian regime’ or
attesting to a measure of independent thought
of ‘externally constrained hybrid regime’ to describe the political arrangement in Hungary since 2010
the moment they enter the limelight of the greater public
they begin to speak about the ‘age of hybrid counter- revolution’
sometimes wasting no time in providing advice on ‘how to overthrow Orbán’s hybrid regime’.34 As for what to do about this phenomenon in practical terms
we now have a Hungarian translation of a manual on how to make a copy/paste revolution (Srdja Popovic
Commentaries like these cannot be simply dismissed as further attempts on the part of foreign actors to meddle in Hungary’s internal affairs
who fall in line with a string of interventionists from the American Deputy Chief of Mission (acting more like a proconsul) in Budapest from 2013 to 2014
through the subversive machinations of NGOs funded by Soros to the coordinated action of the opposition in the winter of 2018–19
Efforts to roll back countries liberated from colonial rule are exemplified by the destabilization of Congo between 1960 and 1965
accomplished by methods that seem relevant today
reflecting the rather wide- ranging experience of Africa at the time
‘The essence of neo-colonialism is that the State which is subject to it is
independent and has all the outward trappings of international sovereignty
In reality its economic system and thus its political policy is directed from outside.’ 35 Admittedly
the Cold-War arsenal of recolonialization has now been replaced by softer
striving all along to refrain from offending the sensibilities of the ‘international community’
today it is by construing that very sensibility that efforts continue to discipline maverick countries
using the alternative techniques of broad condemnation
the Article 7 proceedings are the parachute commando of our age
A liberal New York journalist positively hostile to the changes in Hungary has provided an eloquent example of the resentment and furious antagonism that a national action against the local representatives of imperial structures is capable of provoking
The Hungarian government’s decision to subject the Budapest university of George Soros to the domestic laws in force triggered a concerted assault on Hungary
The article in question is merely an afterword to this commotion
but it does contain a passage worth quoting at length
because of the zeal with which it conveys the unadulterated colonialist attitude of the Central European University
‘Soros had conceived the school during the dying days of communism’
‘to train a generation of technocrats who would write new constitutions
and lead the post-Soviet world into a cosmopolitan future
would “become a prototype of an open society”
CEU has been the barricades of a civilizational struggle
where liberalism would mount a defense against right-wing populism
The fate of the university was a test of whether liberalism had the tactical savvy and emotional fortitude to beat back its new ideological foe.’ Well
Another telltale symptom is the vehemence of international protest elicited by the abolition of the privileges of certain ‘ideological apparatuses’ (Althusser)
the defence of Soros’s university marshalled a wide range of forces from the American deep state through the ‘international academic community’ to the European People’s Party
while the gainsayers of the transformation of academia by the state point-blank declared that ‘we have our vested connections and are determined to mobilize half the world’
The concept of humanity is an especially useful ideological instrument of imperialist expansion
Central and Eastern Europe has been the subject of a back-rolling experiment
fuelled by the local hostility toward migration and the solidarity of the Visegrád Group
The alliance of the domestic opposition is organized in a quasi- franchise system from Warsaw to Prague
a perpetual war of unforeseeable outcome and a National Anticorruption Directorate (DNA)
while Bosnia and Herzegovina is troubled by its admitted migrants
and North Macedonia has even had its government overthrown
do not seek to establish sovereign democracies but rather governments resembling a pilotless aircraft
Even if used only as an analogy or metaphor
there is no term more apt than colonization to describe the relationship in which Hungarian society
the military force of colonization is virtual
and its administrative implementation coalescent with the institutions of global integration
its voice of culture still speaks loudly enough
and local vicars have lost some of their leverage
Liberation from colonial rule usually takes place in three phases: 1) first
removing the most obvious yokes of colonization; 2) this is followed by economic decolonization
which amounts to shaking off a more indirect form of colonization; 3) the final stage is that of cultural/mental decolonization
in the course of which the tools of independence and self- determination are augmented by a nationalism capable of generating identity and cohesion.38 Ewa M
Thompson calls attention to the tendency of some Western researchers to frown upon the strengthening of national feeling after the colonial era in Asia and Africa
as if to insinuate that building an identity with the nation as its core value
The Eurasianist Nikolai Trubetzkoy suggested early on
that though the order of colonization had firmed up owing to economic domination
its most distinctive feature consisted of the cultural superiority of the colonizers
liberation was unimaginable without simultaneously ensuring the consolidation and independent development of a unified national culture
If we remain a colony in the cultural sense
and standards to be dictated by rear-guard comprador intellectuals
we will not have won complete independence even if we manage to step up advocacy of native interests and detach ourselves from the centres of colonialism in the economic sense
freedom from colonial rule begins in the minds of people
culture is a weapon in the struggle for independence
when occupation is carried out not by armies but by cognitive means
Edward Said points out that ‘Belgian rule in the Congo may have come to an end in 1960 but that does not mean the effects of Belgian rule have also ended’
the relaxation or even cessation of colonial control are simply not enough
An efficacious advocacy of the natives must simultaneously aim to fortify their own proper identity and to pave a consistently independent political path for them
unless they want to remain colonized long after the colonizers have left
Representing indigenous interests implies both the protection of local culture and the operation of a domestic political model appropriate for that culture
The two prerequisites presuppose each other by necessity
there can be no pro- native model without a truly indigenous culture
The elaboration of our ‘Hungarian identity’ (László Németh) and a governance serving the interests of Hungarians constitute the double-edged sword of independence
The disorienting erosion of identity is a vital part of the discourse which seeks to perpetuate the cultural hegemony of colonization
The scientific and political labels under the umbrella term of ‘hybrid regime’ serve as clever instruments of the linguistic-political campaign which articulates its aversion to the periphery
in terms of its endorsement of the values and interests of the centre that is global liberal democracy
It represents nothing but the age-old colonialist attitude
The aspect of colonization that is the most difficult to eradicate consists of its use of increasingly less tangible
Robbing the natives of their self-awareness
and the indoctrination of their inferiority are more hard-hitting weapons than any armed occupation
an underhanded operation is clearly more efficient
and less messy than deploying tanks or dropping bombs
The key strategy today is not to vanquish the adversary by main force but to persuade the population of the enemy
Wars are no longer fought primarily in the battlefields but in the consciousness of people
the would-be victors must stage their landings on the shores of the mind
Part of this cognitive warfare is the relegation of people to the eternal fate of natives
in which any shift toward independence is cut short by their being at the mercy of financial markets
the pressures exerted by the media and NGOs
which insists on treading its own path on its own resources
and whose government is committed to protecting the native population
inevitably poses a peril to the invisible empire
This article was originally published in Hungarian in the 2 (2020) issue of the journal Kommentár
Hungarian Conservative is a quarterly magazine on contemporary political
philosophical and cultural issues from a conservative perspective
Metrics details
Targeted protein degradation (TPD) is an emerging therapeutic modality with the potential to tackle disease-causing proteins that have historically been highly challenging to target with conventional small molecules
In the 20 years since the concept of a proteolysis-targeting chimera (PROTAC) molecule harnessing the ubiquitin–proteasome system to degrade a target protein was reported
where numerous companies have disclosed programmes in preclinical and early clinical development
With clinical proof-of-concept for PROTAC molecules against two well-established cancer targets provided in 2020
the field is poised to pursue targets that were previously considered ‘undruggable’
we summarize the first two decades of PROTAC discovery and assess the current landscape
We then discuss key areas for the future of TPD
including establishing the target classes for which TPD is most suitable
expanding the use of ubiquitin ligases to enable precision medicine and extending the modality beyond oncology
Prices may be subject to local taxes which are calculated during checkout
targets acute myeloid leukemia blasts and leukemia stem cells
Discovery of CRBN E3 ligase modulator CC-92480 for the treatment of relapsed and refractory multiple myeloma
The myeloma drug lenalidomide promotes the cereblon-dependent destruction of Ikaros proteins
Lenalidomide causes selective degradation of IKZF1 and IKZF3 in multiple myeloma cells
Lenalidomide induces ubiquitination and degradation of CK1alpha in del(5q) MDS
Identification of a primary target of thalidomide teratogenicity
Structure of the DDB1-CRBN E3 ubiquitin ligase in complex with thalidomide
Development of targeted protein degradation therapeutics
Protacs: chimeric molecules that target proteins to the Skp1-Cullin-F box complex for ubiquitination and degradation
Harnessing the power of proteolysis for targeted protein inactivation
PROTACs: an emerging therapeutic modality in precision medicine
Targeted protein degradation: current and future challenges
Small-molecule approaches to targeted protein degradation
Ubiquitin-mediated proteolysis: biological regulation via destruction
Proteolysis-targeting chimeras as therapeutics and tools for biological discovery
Targeted degradation of KRAS by an engineered ubiquitin ligase suppresses pancreatic cancer cell growth in vitro and in vivo
Targeted destruction of c-Myc by an engineered ubiquitin ligase suppresses cell transformation and tumor formation
Structural basis for the recognition of hydroxyproline in HIF-1 alpha by pVHL
Structure of an HIF-1alpha-pVHL complex: hydroxyproline recognition in signaling
Small-molecule inhibitors of the interaction between the E3 ligase VHL and HIF1alpha
Targeting the von Hippel-Lindau E3 ubiquitin ligase using small molecules to disrupt the VHL/HIF-1alpha interaction
Catalytic in vivo protein knockdown by small-molecule PROTACs
Selective small molecule induced degradation of the BET bromodomain protein BRD4
Immunomodulatory agents lenalidomide and pomalidomide co-stimulate T cells by inducing degradation of T cell repressors Ikaros and Aiolos via modulation of the E3 ubiquitin ligase complex CRL4(CRBN)
Anticancer sulfonamides target splicing by inducing RBM39 degradation via recruitment to DCAF15
Structural complementarity facilitates E7820-mediated degradation of RBM39 by DCAF15
Selective degradation of splicing factor CAPERalpha by anticancer sulfonamides
Structural basis and kinetic pathway of RBM39 recruitment to DCAF15 by a sulfonamide molecular glue E7820
Aryl sulfonamides degrade RBM39 and RBM23 by recruitment to CRL4-DCAF15
Targeted protein degraders crowd into the clinic
Targeted protein degradation as a powerful research tool in basic biology and drug target discovery
Evolution of cereblon-mediated protein degradation as a therapeutic modality
Androgen receptor degradation by the proteolysis-targeting chimera ARCC-4 outperforms enzalutamide in cellular models of prostate cancer drug resistance
Targeting nuclear receptors with PROTAC degraders
Defining the human C2H2 zinc finger degrome targeted by thalidomide analogs through CRBN
a transcription factor implicated in Duane radial ray syndrome
Oral selective estrogen receptor downregulators (SERDs)
a breakthrough endocrine therapy for breast cancer
Estrogen receptors as therapeutic targets in breast cancer
an androgen receptor (AR) PROTAC degrader in patients (pts) with metastatic castrate-resistant prostate cancer (mCRPC) following enzalutamide (ENZ) and/or abiraterone (ABI)
an orally bioavailable estrogen receptor degrading PROTAC for the treatment of patients with breast cancer
112th Annual Meeting of the American Association for Cancer Research 1116 (AACR
Prey for the proteasome: targeted protein degradation-a medicinal chemist’s perspective
Samarasinghe, K. T. G. et al. Targeted degradation of transcription factors by TRAFTACs: TRAnscription Factor TArgeting Chimeras. Cell Chem. Biol. https://doi.org/10.1016/j.chembiol.2021.03.011 (2021)
Transforming targeted cancer therapy with PROTACs: A forward-looking perspective
Tripartite degrons confer diversity and specificity on regulated protein degradation in the ubiquitin-proteasome system
Mechanisms of substrate recognition by the 26S proteasome
Extended pharmacodynamic responses observed upon PROTAC-mediated degradation of RIPK2
Lessons in PROTAC design from selective degradation with a promiscuous warhead
Mutant-selective degradation by BRAF-targeting PROTACs
BAF complex vulnerabilities in cancer demonstrated via structure-based PROTAC design
Targeted degradation of SLC transporters reveals amenability of multi-pass transmembrane proteins to ligand-induced proteolysis
The dTAG system for immediate and target-specific protein degradation
In vitro and in vivo degradation of programmed cell death ligand 1 (PD-L1) by a proteolysis targeting chimera (PROTAC)
Targeted degradation of oncogenic KRAS(G12C) by VHL-recruiting PROTACs
Bioorthogonal chemistry: fishing for selectivity in a sea of functionality
New electrophiles and strategies for mechanism-based and targeted covalent inhibitor design
Tailored bioorthogonal and bioconjugate chemistry: a source of inspiration for developing kinetic target-guided synthesis strategies
Experimental and computational approaches to estimate solubility and permeability in drug discovery and development settings
Oral druggable space beyond the rule of 5: insights from drugs and clinical candidates
Two decades under the influence of the rule of five and the changing properties of approved oral drugs
Mapping the efficiency and physicochemical trajectories of successful optimizations
Practical application of ligand efficiency metrics in lead optimisation
Lipophilic efficiency as an important metric in drug design
Strategies toward discovery of potent and orally bioavailable proteolysis targeting chimera degraders of androgen receptor for the treatment of prostate cancer
Poongavanam, V. & Kihlberg, J. PROTAC cell permeability and oral bioavailability: a journey into uncharted territory. Future Med. Chem. https://doi.org/10.4155/fmc-2021-0208 (2021)
Current strategies for the design of PROTAC linkers: a critical review
Solution conformations shed light on PROTAC cell permeability
Impact of linker length on the activity of PROTACs
a first in class androgen receptor degrading PROTAC for the treatment of men with metastatic castration resistant prostate cancer
112th Annual Meeting of the American Association for Cancer Research 1115 (AACR
Cereblon modulators: low molecular weight inducers of protein degradation
A cereblon modulator (CC-220) with improved degradation of Ikaros and Aiolos
Structural basis of lenalidomide-induced CK1alpha degradation by the CRL4(CRBN) ubiquitin ligase
A novel cereblon modulator recruits GSPT1 to the CRL4(CRBN) ubiquitin ligase
Phenotypic screening with target identification and validation in the discovery and development of E3 ligase modulators
DT2216-a Bcl-xL-specific degrader is highly active against Bcl-xL-dependent T cell lymphomas
Utilizing PROTAC technology to address the on-target platelet toxicity associated with inhibition of BCL-XL
Principles of ubiquitin-dependent signaling
Targeted protein degradation: expanding the toolbox
Mechanisms of action of the novel sulfonamide anticancer agent E7070 on cell cycle progression in human non-small cell lung cancer cells
Discovery of novel antitumor sulfonamides targeting G1 phase of the cell cycle
Structural basis of indisulam-mediated RBM39 recruitment to DCAF15 E3 ligase complex
Discovery of a molecular glue promoting CDK12-DDB1 interaction to trigger cyclin K degradation
The CDK inhibitor CR8 acts as a molecular glue degrader that depletes cyclin K
Rational discovery of molecular glue degraders via scalable chemical profiling
Degradation of CCNK/CDK12 is a druggable vulnerability of colorectal cancer
Molecular mechanisms of cereblon-based drugs
Targeting the E3 ubiquitin ligases DCAF15 and cereblon for cancer therapy
Small-molecule MDM2/X inhibitors and PROTAC degraders for cancer therapy: advances and perspectives
Targeted protein degradation by chimeric small molecules
Degradation of proteins by PROTACs and other strategies
HaloPROTACS: use of small molecule PROTACs to induce degradation of halotag fusion proteins
Rapid and direct control of target protein levels with VHL-recruiting dTAG molecules
Advances in targeted degradation of endogenous proteins
Targeted protein degradation tools: overview and future perspectives
Integrated cross-study datasets of genetic dependencies in cancer
Functional genomics identify distinct and overlapping genes mediating resistance to different classes of heterobifunctional degraders of oncoproteins
Acquired resistance to BET-PROTACs (proteolysis-targeting chimeras) caused by genomic alterations in core components of E3 ligase complexes
Cellular resistance mechanisms to targeted protein degradation converge toward impairment of the engaged ubiquitin transfer pathway
Multiple cereblon genetic changes are associated with acquired resistance to lenalidomide or pomalidomide in multiple myeloma
IKZF1/3 and CRL4(CRBN) E3 ubiquitin ligase mutations and resistance to immunomodulatory drugs in multiple myeloma
Structural assembly of cullin-RING ubiquitin ligase complexes
Structural regulation of cullin-RING ubiquitin ligase complexes
NEDD8 nucleates a multivalent cullin-RING-UBE2D ubiquitin ligation assembly
NEDD8 and ubiquitin ligation by cullin-RING E3 ligases
The increasing complexity of the ubiquitin code
UbiHub: a data hub for the explorers of ubiquitination pathways
System-wide modulation of HECT E3 ligases with selective ubiquitin variant probes
Mechanism of ubiquitin ligation and lysine prioritization by a HECT E3
Structural insights into the mechanism and E2 specificity of the RBR E3 ubiquitin ligase HHARI
Structural studies of HHARI/UbcH7~Ub reveal unique E2~Ub conformational restriction by RBR RING1
Two distinct types of E3 ligases work in unison to regulate substrate ubiquitylation
Ubiquitin ligation to F-box protein targets by SCF-RBR E3-E3 super-assembly
Modular PROTAC design for the degradation of oncogenic BCR-ABL
K-Ras(G12C) inhibitors allosterically control GTP affinity and effector interactions
Targeting KRAS mutant cancers with a covalent G12C-specific inhibitor
RAS-targeted therapies: is the undruggable drugged
The KRAS(G12C) inhibitor MRTX849 provides insight toward therapeutic susceptibility of KRAS-mutant cancers in mouse models and patients
The clinical KRAS(G12C) inhibitor AMG 510 drives anti-tumour immunity
Exploring targeted degradation strategy for oncogenic KRAS(G12C)
A chemoproteomic approach to query the degradable kinome using a multi-kinase degrader
Mapping the degradable kinome provides a resource for expedited degrader development
Unifying catalysis framework to dissect proteasomal degradation paradigms
Molecular recognition of ternary complexes: a new dimension in the structure-guided design of chemical degraders
Structural basis of PROTAC cooperative recognition for selective protein degradation
Plasticity in binding confers selectivity in ligand-induced protein degradation
Electrophilic PROTACs that degrade nuclear proteins by engaging DCAF16
Covalent ligand screening uncovers a RNF4 E3 ligase recruiter for targeted protein degradation applications
Harnessing the anti-cancer natural product nimbolide for targeted protein degradation
Chemoproteomics-enabled discovery of covalent RNF114-based degraders that mimic natural product function
A nimbolide-based kinase degrader preferentially degrades oncogenic BCR-ABL
Bardoxolone conjugation enables targeted protein degradation of BRD4
Harnessing the E3 Ligase KEAP1 for targeted protein degradation
Henning, N. J. et al. Discovery of a covalent FEM1B recruiter for targeted protein degradation applications. bioRxiv https://doi.org/10.1101/2021.04.15.439993 (2021)
E3 ligase ligands for PROTACs: how they were found and how to discover new ones
Building ubiquitination machineries: E3 ligase multi-subunit assembly and substrate targeting by PROTACs and molecular glues
Highly accurate protein structure prediction for the human proteome
Accurate prediction of protein structures and interactions using a three-track neural network
PROteolysis TArgeting Chimeras (PROTACs) as emerging anticancer therapeutics
Proteolysis targeting chimeras (PROTACs) are emerging therapeutics for hematologic malignancies
Epigenetics of muscle- and brain-specific expression of KLHL family genes
Identification of KLHL41 mutations implicates BTB-kelch-mediated ubiquitination as an alternate pathway to myofibrillar disruption in nemaline myopathy
KLHL40 deficiency destabilizes thin filament proteins and promotes nemaline myopathy
A novel brain-enriched E3 ubiquitin ligase RNF182 is up regulated in the brains of Alzheimer’s patients and targets ATP6V0C for degradation
The TRIM9/TRIM67 neuronal interactome reveals novel activators of morphogenesis
The structural differences between a glycoprotein specific F-box protein Fbs1 and its homologous protein FBG3
and SCF complex formation for a lectin family of ubiquitin ligases
A selective BCL-XL PROTAC degrader achieves safe and potent antitumor activity
Discovery of PROTAC BCL-XL degraders as potent anticancer agents with low on-target platelet toxicity
Cancer testis antigens in sarcoma: expression
function and immunotherapeutic application
A cancer-specific ubiquitin ligase drives mRNA alternative polyadenylation by ubiquitinating the mRNA 3′ end processing complex
Degradation of AMPK by a cancer-specific ubiquitin ligase
A comprehensive guide to the MAGE family of ubiquitin ligases
Cellular and disease functions of the Prader-Willi syndrome gene MAGEL2
Antibody conjugation of a chimeric BET degrader enables in vivo activity
Antibody-mediated delivery of chimeric BRD4 degraders
Part 2: improvement of in vitro antiproliferation activity and in vivo antitumor efficacy
Cancer therapies based on targeted protein degradation — lessons learned with lenalidomide
Bruton tyrosine kinase degradation as a therapeutic strategy for cancer
Kinase inhibition in autoimmunity and inflammation
Snapshots and ensembles of BTK and cIAP1 protein degrader ternary complexes
Delineating the role of cooperativity in the design of potent PROTACs for BTK
PROTAC-mediated degradation of bruton’s tyrosine kinase is inhibited by covalent binding
Targeting the C481S ibrutinib-resistance mutation in Bruton’s tyrosine kinase using PROTAC-mediated degradation
PROTAC-induced BTK degradation as a novel therapy for mutated BTK C481S induced ibrutinib-resistant B-cell malignancies
Investigational IRAK-4 inhibitors for the treatment of rheumatoid arthritis
IRAK4 kinase activity is redundant for interleukin-1 (IL-1) receptor-associated kinase phosphorylation and IL-1 responsiveness
Assessing IRAK4 functions in ABC DLBCL by IRAK4 kinase inhibition and protein degradation
Targeting IRAK4 for degradation with PROTACs
and biological evaluation of IRAK4-targeting PROTACs
Opportunities for small molecules in cancer immunotherapy
The next generation of immunotherapy for cancer: small molecules could make big waves
Proteasomal and lysosomal degradation for specific and durable suppression of immunotherapeutic targets
Genome-wide CRISPR screens in primary human T cells reveal key regulators of immune function
Hematopoietic progenitor kinase1 (HPK1) mediates T cell dysfunction and is a druggable target for T cell-based immunotherapies
The advantages of targeted protein degradation over inhibition: an RTK case study
Tau: enabler of diverse brain disorders and target of rapidly evolving therapeutic strategies
Tau reduction prevents neuronal loss and reverses pathological tau deposition and seeding in mice with tauopathy
Current and future treatments in Alzheimer disease: an update
Persistent repression of tau in the brain using engineered zinc finger protein transcription factors
Discovery of a Keap1-dependent peptide PROTAC to knockdown Tau by ubiquitination-proteasome degradation pathway
A novel small-molecule PROTAC selectively promotes tau clearance to improve cognitive functions in Alzheimer-like models
Early clinical PET imaging results with the novel PHF-tau radioligand [F-18]-T807
Targeted degradation of aberrant tau in frontotemporal dementia patient-derived neuronal cell models
Lewy body pathology in Alzheimer’s disease
Specific knockdown of alpha-synuclein by peptide-directed proteasome degradation rescued its associated neurotoxicity
A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington’s disease chromosomes
Strategies to investigate ubiquitination in Huntington’s disease
Allele-selective lowering of mutant HTT protein by HTT-LC3 linker compounds
Discovery of small molecules that induce the degradation of huntingtin
Small molecule degraders of the hepatitis C virus protease reduce susceptibility to resistance mutations
A SARS-CoV-2 protein interaction map reveals targets for drug repurposing
Drug development and medicinal chemistry efforts toward SARS-coronavirus and Covid-19 therapeutics
Structural basis for inhibition of the RNA-dependent RNA polymerase from SARS-CoV-2 by remdesivir
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Degradation of HER2 by Cbl-based chimeric ubiquitin ligases
A recombinant chimeric protein specifically induces mutant KRAS degradation and potently inhibits pancreatic tumor growth
Specific knockdown of endogenous tau protein by peptide-directed ubiquitin-proteasome degradation
bioPROTACs as versatile modulators of intracellular therapeutic targets including proliferating cell nuclear antigen (PCNA)
An affinity-directed protein missile system for targeted proteolysis
Identification of a universal VHH framework to graft non-canonical antigen-binding loops of camel single-domain antibodies
Fluorescent fusion protein knockout mediated by anti-GFP nanobody
Nanobody-targeted E3-ubiquitin ligase complex degrades nuclear proteins
Exquisitely specific anti-KRAS biodegraders inform on the cellular prevalence of nucleotide-loaded states
RNA-PROTACs: Degraders of RNA-binding proteins
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An E3 ligase guide to the galaxy of small-molecule-induced protein degradation
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This refers to the mechanism of action of a small-molecule drug
whereby its function is transiently recruited to a target protein in a catalytic manner (for example
ubiquitylation by an E3 ligase recruited by a proteolysis-targeting chimera (PROTAC))
resulting in a pharmacological effect (degradation of the protein) that drives a phenotype
This contrasts with occupancy-driven pharmacology
whereby the function of a target protein is directly blocked by a small-molecule inhibitor
The dosage (a range of concentrations) of a drug that provides efficacious therapy and is safe (without toxic side effects)
Proteins that may not have an enzymatic function on their own
but serve as protein–protein interaction hubs to recruit and orient signalling complexes
An allele-specific tagging system that uses a protein of interest (POI) fused to a FKBP12(F36V) construct that allows specific degradation of the fused POI via an FKBP12(F36V) binder linked to a cereblon (CRBN) or a von Hippel–Lindau (VHL) ligand
A chemical reaction that occurs inside a living organism without altering its biology
A set of physicochemical property guidelines for small molecules that indicate the likelihood of a small molecule being orally bioavailable in humans
It is more of a rule of thumb than an absolute rule
and many approved drugs fall outside the rule of 5
The time required for the amount or concentration of a protein to be reduced by 50% under physiological conditions
It is a measure of the propensity of a protein to be degraded by the ubiquitin–proteasome system (UPS)
Proteins with short half-lives are rapidly degraded by the UPS (constantly being turned over)
whereas proteins with long half-lives are more stable
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Providing teletherapy requires a unique therapeutic approach and mastery of the teletherapy context. We aimed to develop a self-report scale for therapeutic interventions pertinent to teletherapy, and to examine its relationship with teletherapy process variables, and therapists’ attitudes towards teletherapy technology.
A total of 839 therapists participated in a survey study that included standardized measures of therapeutic process (real relationship, working alliance, therapeutic presence), attitudes towards and intention to use teletherapy in the future, and a list of 13 teletherapy intervention items that we hypothesized to be specific to the teletherapy format.
Twelve of the 13 teletherapy intervention items loaded on one factor, with good reliability. The 12-item Teletherapy Intervention Scale was positively related to working alliance, the real relationship, therapeutic presence in teletherapy sessions, as well as to positive attitudes towards teletherapy and intention to use teletherapy in the future.
Aspects specific to the practice of teletherapy may be successfully captured by a self-report scale, and adequately navigating the challenges and opportunities of teletherapy might enhance the therapeutic process. Further studies are needed to provide additional validation of the scale, and in how to best use this Teletherapy Intervention Scale in research and clinical training.
Volume 14 - 2023 | https://doi.org/10.3389/fpsyg.2023.1206960
Introduction: Providing teletherapy requires a unique therapeutic approach and mastery of the teletherapy context
We aimed to develop a self-report scale for therapeutic interventions pertinent to teletherapy
and to examine its relationship with teletherapy process variables
and therapists’ attitudes towards teletherapy technology
Method: A total of 839 therapists participated in a survey study that included standardized measures of therapeutic process (real relationship
attitudes towards and intention to use teletherapy in the future
and a list of 13 teletherapy intervention items that we hypothesized to be specific to the teletherapy format
Results: Twelve of the 13 teletherapy intervention items loaded on one factor
The 12-item Teletherapy Intervention Scale was positively related to working alliance
therapeutic presence in teletherapy sessions
as well as to positive attitudes towards teletherapy and intention to use teletherapy in the future
Discussion: Aspects specific to the practice of teletherapy may be successfully captured by a self-report scale
and adequately navigating the challenges and opportunities of teletherapy might enhance the therapeutic process
Further studies are needed to provide additional validation of the scale
and in how to best use this Teletherapy Intervention Scale in research and clinical training
This increased self-disclosure appeared to be related to an increase in self-disclosure of the patient
and might thus indeed have been therapeutic (Luo et al.
Interestingly, although some boundaries were loosened, other boundaries became easier to keep. Among the several advantages noted regarding teletherapy, for example therapists found it easier to start and end the sessions on time in teletherapy than they did in their in-person sessions (Aafjes-van Doorn et al., 2022)
another opportunity in teletherapy is accessing the patients’ home environment via the screen
Many therapists were also able to take advantage of the opportunity to actively ask and gain more insight into the patients’ home
The first aim of our study was to develop a therapist self-report scale for the use of therapy interventions pertinent to teletherapy based on findings from previous qualitative studies on patients’ and therapists’ experiences of teletherapy (Aafjes-Van Doorn et al., 2023; Békés et al., 2023)
we aimed to explore how this newly developed Teletherapy Intervention Scale relates to the teletherapy process
specifically the therapeutic relationship (therapeutic alliance and real relationship)
and attitudes towards teletherapy and future intention to use it
English speaking licensed therapists and therapists in training were eligible to participate if they had conducted teletherapy via videoconferencing at least once in the past 3 years
Participants were recruited via professional email listservs for clinicians from different mental health professions
information about the study was posted on international social media groups for mental health professionals worldwide (Facebook
therapists completed an about 20-min anonymous survey
and standardized psychotherapy process measures
Participants did not receive any compensation for completing the survey
All study data were collected between March 08
a period of time during which the COVID-19 incidence rate was relatively low and the social restrictions and mask requirements had been lifted in most countries
The study was approved by the [local - omitted for peer review] institutional review board
The individual items and standardized measures used in this survey can be found at https://osf.io/qa382/?view_only=ab5158d0656845a6af654937d5b3470e. The instruction of the standardized measures was adapted to ask participants to respond considering their “typical experience” in teletherapy [adapted from Lin et al. (2021) and Probst et al. (2021)]
We included 13 new items that reflect therapists’ mastery of the teletherapy setting
their use of the opportunities and counteracting the inherent challenges specific to the teletherapy setting
The items were developed based on a review of previous qualitative studies on therapists’ experiences regarding the specifics of the teletherapy process and interventions
Authors of previous qualitative studies on teletherapy acted as experts in reviewing and editing these items so that they capture the essence of therapists reported experience [omitted for peer review]
Items aimed to capture ways that therapists cope with and counteract certain challenges posed by teletherapy (e.g.
being active in sessions to compensate for a sense of disconnection
verbalize feelings to compensate for reduced nonverbal cues
being more humane as opposed to professional to facilitate a sense of closeness despite physical distance)
other items are related to positive experiences despite the challenges (e.g.
managing to feel focused in session and attuned to the patients despite commonly experienced challenges with these
deepening the sessions despite a pull to stay on a more superficial level)
while other items described taking advantage of opportunities arising through the tele-sessions (e.g.
exploring the patients’ home environment
to 5 - Very typical: (1) I share my personal experiences with my patients; (2) I am emotionally attuned to my patients; (3) I am active in session
trying to engage the patient and direct the session; (4) I express my feelings not only in my face/tone
but I also verbalize my feelings explicitly; (5) To understand my patient’s feelings I rely on nonverbal signals; (6) I let patients see me as I really am; (7) I am fully focused and present in the sessions; (8) The sessions are deep
intense (as opposed to superficial); (9) We connect as humans besides professional and patient; (10) I tend to start and end my sessions on time; (11) I am comfortable with the use of silences in my sessions; (12) I make active efforts to connect emotionally with my patient; (13) I express curiosity about the patients’ home environment
the Chronbach’s alpha of this scale was 0.84
Therapeutic alliance was assessed with the Working Alliance Inventory - Short Revised - Therapist (WAI-SRT; Hatcher and Gillaspy, 2006). The WAI-SRT is a 10-item scale that uses a five-point Likert scale, ranging from seldom (1) to always (5). Following Bordin’s (1979) theoretical model
Cronbach’s α for teletherapy WAI-SRT was 0.89
The Real Relationship Inventory Therapist Form (RRI-T; Gelso et al., 2005) was used to assess the real relationship
It includes scales measuring realism and genuineness
The RRI-T has altogether 24 items to rate on a 5-point Likert scale from Strongly Disagree (1) to Strongly Agree (5)
Cronbach’s α for the RRI-T overall score was 0.87
for the subscales realism and genuineness were 0.73 and 0.76
The Therapeutic Presence Inventory Therapist (teletherapy-T; Geller et al., 2010) is a 21-item self-report questionnaire regarding the therapist’s in-session experience with various aspects of therapeutic presence
Participants respond on a 7-point Likert sale
ranging from Not at all (1) to Completely (7)
Cronbach’s alpha was 0.80 for this scale in our sample
the UTAUT-T’s Cronbach’s alpha was 0.79
First, to identify the latent constructs associated with the ratings on the 13 teletherapy intervention items, we conducted exploratory factor analyses (EFAs). EFA is recommended when identifying the factor structure of a newly developed measure with limited evidence to specify a prior factor model (Fabrigar et al., 1999)
We used the Maximum likelihood (ML) method because there was no evidence of severe non-normality in the distributions of measured variables
We used the Promax with Kaiser normalization rotation method
Two criteria were used to determine the number of factors retained; (1) Assessing rating scores of the 13 items
such that factors with eigenvalues above one were retained; (2) Inspecting a scree plot of the observed eigenvalues ordered from largest to smallest
looking for natural break or drop-off point where the curve flattens off
and using the number of data points above the drop-off point as an indicator of number of factors to retain
we calculated Cronbach’s alphas to assess the internal consistency of the scale
to establish relationships between teletherapy interventions and other variables
first we used zero-order Pearson correlations and independent samples t-tests to establish whether the Teletherapy Intervention Scale was related to demographic variables
and self-reported primary therapeutic orientation
we controlled for significant variables when running Pearson correlational analyses between Teletherapy Intervention Scale and therapeutic alliance
and attitudes towards teletherapy and intention to use teletherapy in the future variables
We created a binary variable for self-reported primary therapeutic orientation
which included cognitive and/or behavioral (CBT) approaches versus process-oriented approaches (including humanistic
Gender was treated as a binary variable (1 = female
The small number of nonbinary participants (n = 9) were removed for this covariate analysis
All statistical analyses were conducted using IBM SPSS Statistics (Version 28)
we decided to remove this item from the scale and continue with a 12-item one factor solution
We calculated internal consistency of the scale and correlations with other study variables using this 12-item scale
Scree Plot of the 13 Teletherapy Intervention Items in the Exploratory Factor Analysis
The 12-item scale’s Chronbach’s alpha was 0.83
Inter-scale correlation coefficients were all r > 0.30
In this study we aimed to develop a self-report scale to assess interventions specific to teletherapy
This new Teletherapy Intervention Scale intends to assess mastery of teletherapy
coping with and counteracting challenges and using opportunities inherent in the teletherapy setting
We also examined the relationship between the Teletherapy Intervention Scale and other process variables in teletherapy regarding the therapeutic relationship
and therapists’ attitudes towards teletherapy technology and intention to use it in the future
Exploratory factor analysis showed that 12 items out of the originally included 13 items of the Teletherapy Intervention Scale could be conceptualized as representing one underlying construct
(“I share my personal experiences with my patients”)
possibly because it was not seen as therapeutic per se
or reflects a therapeutic stance more generally
rather than a unique teletherapy experience
The Teletherapy Intervention Scale was positively related to the therapeutic alliance
which provides preliminary support for the Teletherapy Intervention Scale’s validity
since it implies that using teletherapy interventions may results in being able to create a better therapeutic relationship with patients and being more present in teletherapy sessions
Importantly, conceptually, the better use of teletherapy specific interventions by the therapists may relate to better therapeutic outcomes as well. There is strong evidence for the relationship between the therapeutic relationship and symptom improvement both in teletherapy (Norwood et al., 2018) and in in-person therapy (Cataldo et al., 2021; Smith et al., 2022)
and given the relationship between teletherapy interventions and relational variables in our study
teletherapy interventions might also relate to better outcomes in teletherapy
the newly developed Teletherapy Intervention Scale could also be used by graduate schools and training institutes to aid the development of skills in teletherapy
be used as an observer-rated competency scale when evaluation video recorded teletherapy sessions
to assess how therapists in training navigate the unique aspects of the teletherapy process
It could also be used as a self-report scale for therapists themselves when they review their own work and want to identify micro skills they need to target in their deliberate practice
This scale could also be used more generally as a concrete tool to teach therapists about research findings on the teletherapy process and how it might impact their own clinical practice
Several limitations and future directions can be identified
this study reported on the initial development and validation of a Teletherapy Intervention Scale
It is surprising that 3 years after the start of the sudden transition to teletherapy
no therapy intervention scale has been developed that taps into the teletherapy context specifically
this initial development of the teletherapy intervention scale is important
a further limitation is that the validity of the standardized scales of working alliance
real relationship and therapeutic presence could be questioned
given that these measures were used to assess the therapists’ experiences with their typical in-person sessions and teletherapy sessions
rather than a specific session with a specific patient as originally intended by the standardized scales
our study reported on therapists’ perspectives of the frequency of used interventions
We know from previous research that therapists might not be the best judge of what interventions they actually use in their therapy sessions
Further studies are needed to explore differences in therapeutic interventions in in-person and teletherapy settings as perceived not only by therapists but also by patients
and to provide practical guidelines for training and clinical practice in using teletherapy interventions
our study did not include treatment outcomes; future studies should assess the potential relationship between the use of teletherapy interventions and treatment efficacy
This study is unique in that it operationalizes how exactly therapeutic interventions in teletherapy are different from interventions used in in-person therapy
It reports on the development of a scale for teletherapy interventions which captures therapists’ mastery over the inherent challenges and opportunities of teletherapy
our findings indicate that certain interventions in teletherapy sessions appear unique to teletherapy and that therapists using these may also be able to experience better relational quality in their teletherapy sessions
be more present in their teletherapy sessions
and had more positive views of and intention to continue using teletherapy
The raw data supporting the conclusions of this article will be made available by the authors
The studies involving human participants were reviewed and approved by Western IRB
The patients/participants provided their written informed consent to participate in this study
and wrote up the first draft of the manuscript
XL collected data and edited the manuscript
All authors contributed to the article and approved the submitted version
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations
Any product that may be evaluated in this article
or claim that may be made by its manufacturer
is not guaranteed or endorsed by the publisher
The Supplementary material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1206960/full#supplementary-material
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Aafjes-van Doorn
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Aafjes-van Doorn
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Aafjes-van Doorn
Grappling with our therapeutic relationship and professional self-doubt during COVID-19: will we use video therapy again
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Békés
Psychotherapists’ challenges with online therapy during COVID-19: concerns about connectedness predict therapists’ negative view of online therapy and its perceived efficacy over time
Békés
The development of a self-report scale to assess therapists’ acceptance of online psychotherapy via video conferencing
Békés
Stretching the analytic frame: analytic therapists’ experiences with remote therapy during COVID-19
Békés
Adjusting to a new reality: consensual qualitative research on therapists’ experiences with teletherapy
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Received: 16 April 2023; Accepted: 11 July 2023; Published: 02 August 2023
Copyright © 2023 Békés, Aafjes-van Doorn, Luo, Balarajan and Hopwood. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)
distribution or reproduction in other forums is permitted
provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited
in accordance with accepted academic practice
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*Correspondence: Vera Békés, dmVyYS5iZWtlc0B5dS5lZHU=
†These authors share first authorship
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ANTON Du Beke has been a staple of Strictly Come Dancing ever since he waltzed onto our TV screens in 2004
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Hannah has over 25 years of experience in marketing and communication - in the telecommunications, technology and pharmaceutical industries.
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The couple sparked rumours they’d tied the knot after Hannah wore an engagement ring and wedding band during the first day of Chelsea Flower Show in May 2017
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The couple live in a four-bedroom property in Buckinghamshire worth an estimated £800,000.
CAUGHT OUT AGAIN!Jamie Borthwick wooed me with talk of marriage while dating 2 other womentv falloutThe biggest TV co-star feuds ever - from This Morning duo to The X Factor judgesThe Strictly stalwart’s spokesman later confirmed they had indeed got married on the quiet following the birth of their twins
The couple were keen to start a family and tried to conceive for years, before deciding to give IVF a shot
The twins are named George and Henrietta
After appearing on Michael McIntyre's Big Show in December 2018, Hannah drew a lot of comparisons with one very famous face
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One wrote on Twitter: "I’m sure Anton du Beke’s wife is married to Prince Edward."
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WITH Strictly's 20th anniversary special airing in September
The Sun takes a look at which celebs have been confirmed for the new series:
Our journalists strive for accuracy but on occasion we make mistakes. For further details of our complaints policy and to make a complaint please click this link: thesun.co.uk/editorial-complaints/
You can read the interview in English below
What topics and subject areas are at the focus of this year’s Tranzit Festival
Can and does the festival intend to thematise
Tranzit has always been both the same and different each year
This is especially true for the four-day major event held in Tihany
which has followed a similar schedule for over half a decade while managing to remain up-to-date
The main theme remains fundamentally similar: Tranzit serves as a conceptual and practical arena for the creation of an independent
the exact themes change every quarter and every year
And I have intentionally phrased the dichotomy of war and peace as either-or
as opposed to the points of the compass as and-and
These are related to smaller thematic groups
or the processes taking place in the first third of the 21st century
such as the impending global paradigm shift and cultural sovereignty
the Tihany Tranzit has functioned as an ‘ideological expo,’ and this August
it combines all the excitement of a political festival
Which presentations and programmes will in your view be the most important
As the programme is quite diverse and lasts from morning to early evening
there are competing roundtable discussions and debate forums vying for attention every hour
so providing a detailed list would be lengthy and unjust to omit anyone
I can reveal that the ministerial-level presentations in the morning and the domestic political debates after lunch interest me greatly
I find the intellectual and personal calibre on the other side so poor that I expect little intellectual excitement from the participation of opposition figures
I’m eternally optimistic: even amidst the greatest moments of nonsense
Much of the public discourse takes place within echo chambers
Engaging in debates is a must; arguments need to be tested
shadowboxing is an important part of the training regimen
and marksmanship skills are honed on the shooting range
There are definitely no echo chambers in Tihany
The occasional critical voice or internal debate is always present
As long as it’s constructive and driven by a communal intent rather than individual posturing
and as long as it doesn’t stoop to personal attacks
how is conservative thought faring domestically and globally
the structure of cultural hegemony is changing
thanks partly to the government’s efforts of the past 12–13 years and the voluntary organising and intellectual work of many
and I notice that the national-conservative side produces two or three times more ideology-focused books
not to mention the quality of the publications
and talent development produce more knowledge
and deeper understanding than the leftist-liberal milieu
which is essentially just defending the fortress of literature
This means two things for us: a lot of humility and even more work
Following the controversies around the Opera and the Liszt Academy
the so-called ‘culture war’ has been reinvigorated
What are your thoughts on its current state
Viktor Orbán spoke about the difference between systems and eras
considering the former as political operations
and the latter as a broadly understood cultural content ensemble
the liberal intelligentsia fights its little seasonal culture war
but they really wanted to create a bigger issue from the appointments of director generals to public cultural institutions as well
the answer to the question is that in this country
the left-liberal intelligentsia is waging a culture war
while we are fighting for our own national culture
This is not a party issue or a left-right matter because if we succeed
there will still be people reading and writing in Hungarian in the next thousand years
Click here to read the original article.
Hungarian Conservative is a quarterly magazine on contemporary political, philosophical and cultural issues from a conservative perspective.
Volume 12 - 2021 | https://doi.org/10.3389/fpsyg.2021.648503
This article is part of the Research TopicRecent Empirical Research and Methodologies in Defense MechanismsView all 17 articles
Despite many theoretical and clinical writings
the theorized connection between defense mechanisms and adult attachment in depressed patients has received little empirical attention
This is the first study to examine patients’ defense mechanisms in relation to their attachment in a clinical sample of depressed patients and also the first to use observer-rated measures for assessing both defense mechanisms and attachment
we aimed to investigate the relationship between patients’ attachment and their use of defense mechanisms in psychotherapy sessions
as well as patterns of change over treatment
We conducted a secondary analysis of data from a randomized controlled trial of 30 patients receiving psychotherapy for major depression
Session transcripts were previously coded for defense mechanisms using the Defense Mechanisms Rating Scales
and depression severity data were collected by the clinician-rated HRSD-17 and the self-report BDI-II
Patients’ attachment was assessed in two transcripts
one in an early session and a second in a late session
using the novel observer-rated Patient Attachment Coding System
preoccupied attachment-related characteristics were significantly positively related to overall defensive functioning and negatively related to Depressive immature defenses
preoccupied attachment-related characteristics were negatively correlated with Non-depressive immature defenses
early-phase defense use was related to late phase attachment; specifically
early neurotic and immature Depressive and Non-depressive defenses predicted an increase in avoidant
whereas immature Non-depressive defenses predicted a decrease in preoccupied attachment-related characteristics over the course of treatment
after controlling for early attachment effects
The results imply a longitudinal relationship between defenses and change in attachment-related characteristics over the course of treatment in a depressed sample and warrant further research about the relationship between defenses and attachment during psychotherapy
Patients’ attachment-related differences and defense mechanisms are the two main aspects of personality functioning and are thought to be important predictors of symptom severity and psychotherapy outcome (Blatt and Levy, 2003; Perry, 2014; Dagan et al., 2018; Perry et al., 2020)
Despite increasing interest in the topic over the past few years
there is still little empirical research conducted on the associations between defense mechanisms and patient’s attachment
we sought to address this important gap in the literature by empirically examining the relationship between patients’ attachment-related characteristics and their use of defense mechanisms in treatment sessions conducted as part of a previous RCT for depression
Ainsworth and colleagues proposed that infants seek proximity with their caregiver in one of three ways: secure
involving actively seeking proximity if they generally expect the caregiver to be available when they are distressed; avoidant
they seem to defensively inhibit their search for physical proximity; and resistant (or ambivalent)
if they expect the caregiver to be unpredictable or inconsistent leading to constantly monitoring their proximity to the caregiver even when he or she is within reach
Later work showed that these infant differences are robustly predicted by parent’s attachment representations, as assessed in a semi-structured interview, the Adult Attachment Interview (AAI; Main et al., 1985)
parents of secure infants in the AAI appear to openly access their own representations and memories of their relationships with their parents and are termed “secure-autonomous.” Parents of avoidant infants seem to shift their attention away from discussing attachment relationships and stressful episodes and are termed “dismissing,” while parents of resistant infants appear to focus excessively on such topics and are termed “preoccupied.”
Certain defense mechanisms are prominent in the interpersonal patterns that convey the effect of attachment insecurity on psychological distress, such as depression. For example, dismissing attachment classifications seem to be associated with denying one’s own weaknesses and those of one’s attachment figures (Main et al., 2002)
preoccupied attachment may be associated with hyperactivating the expression of distress and maintaining a consistent focus on negative emotions
which may work to gain and maintain others’ proximity – at least in the short term
Given the importance of attachment security and defense mechanisms in the development of psychopathology, such as depression (Høglend and Perry, 1998; Martin-Joy et al., 2017) and their general importance in treatment formulations (e.g., Fonagy, 2001; Eagle, 2013)
it is important to better understand the relationship between these two processes
the overall aim of our study was to investigate the relationship between patients’ attachment and their use of defense mechanisms in psychotherapy for depression
as well as any patterns of change over time
where attachment style was assessed as a predictor of defense use
we aimed to explore the role of defense mechanism in predicting changes in in-session attachment-related characteristics over treatment
we explored the following two research questions:
What is the relationship between depressed patients’ in-session attachment-related characteristics and their defense mechanisms
We hypothesized that patients with secure attachment would exhibit higher overall defensive functioning
we also expected that patients with insecure attachment
specifically avoidant and preoccupied patterns
Does patients’ defensive functioning in the early session predict their attachment security in the late phase of treatment
We expected that patients’ overall defensive functioning
and amount of mature or immature defense use
early in treatment would predict attachment-related characteristics in the late phase of treatment
early Depressive Immature defense use would predict insecure (avoidant and preoccupied) attachment-related characteristics in the late phase of treatment
This study reports on secondary analyses of existing treatment data collected as part of a previously conducted randomized controlled treatment trial (RCT) of 30 patients undergoing treatment for major depression (see Perry et al., 2021 for a detailed description of the RCT)
Inclusion criteria in the study were having acute recurrent major depression and a 17 or higher score on the Hamilton Depression Rating Scale; exclusion criteria included psychotic or bipolar type I disorders
substance use or dependence serious enough to interfere with therapy
and an effective response to antidepressant medications
The clinician-rated Hamilton Depression Rating Scale (HRSD-17; Hamilton, 1960) was used to assess depression levels pre-and post-treatment
The HRSD-17 is a 17-item semi-structured interview
which assesses depression on a 5-point Likert scale
The HRSD-17 has demonstrated good internal consistency in previous studies with a mean alpha of 0.79 across studies
in our report Cronbach’s alpha=0.83
The self-report Beck Depression Inventory II (BDI-II; Beck, et al., 1996) was also administered pre-and post-treatment. The BDI-II is a widely used 21-item measure of Depressive symptoms experienced during the previous week, using a four-point Likert scale. Internal consistency of the BDI-II has been reported to be good in several studies, for example, a Cronbach alpha of 0.90 has been reported (Storch et al., 2004)
Cronbach’s alpha for BDI-II was 0.96 in the present report
the coder assesses the frequency and intensity of 40 different discourse markers as they occur in a transcript
which are grouped into five main scales used to assign a final main attachment classification to the patient: Proximity seeking
and Contact maintaining which are associated with Secure attachment; Avoidance which is associated with Avoidant attachment; and Resistance which is associated with Preoccupied attachment
is used as a global score of security which encompasses the five main PACS scales
although a person may exhibit predominantly secure attachment characteristics
they may also exhibit some avoidant and resistant markers
four clinical psychology doctoral students completed a one-week comprehensive training workshop in the use of the PACS taught by the developer (A.T.) and attended weekly reliability consensus meetings on practice transcripts for 3months following the training workshop
When their ICC with the developer of the PACS reached 0.80 or above
the students started coding the session transcripts for the study
Session transcripts were randomly assigned across the four raters
the raters received ongoing intensive supervision from the developer of the PACS
Inter-rater reliability was calculated on 29 (50%) out of 58 coded sessions
and the ICC between the developer and the coders was 0.85
From the available session transcripts already coded on the DMRS
two sessions per treatment were coded with the PACS
one session from the early phase of treatment (the second session) and a session at the late phase of treatment (the penultimate session)
altogether resulting in a sample of 60 PACS coded sessions
the total sample of 30 treatments was used
Two patients were dropped out during treatment; therefore
the cross-sectional analysis at the early phase was based on n=30
whereas the analyses at the late phase of treatment and the change across treatment included n=28
The use of an existing data set and observer ratings meant that there were no missing attachment or defense scores
To compare initial attachment and defense scores across the three treatment arms
The small number of patients in each treatment modality only allowed us to conduct pilot comparisons and to report effect sizes and not values of p
The attachment and defense variables were not normally distributed (skewness and kurtosis more than twice the standard error)
attachment scores on the Balance scale were significantly positively skewed
due to the high prevalence of insecure patients in the sample (n=21)
non-parametric tests of defenses and attachment were used in subsequent analyses
Wilcoxon signed-rank test was used to compare attachment and defenses in the early and late phases of the treatments
A paired samples t test was used to compare self-rated and observer-rated depression scores at pre-and post-treatment
Spearman’s rho correlations were used to analyze the relationship between variables on the DMRS and the PACS
Linear regression analysis was used to examine whether early-phase defensive functioning predicted late-phase attachment
For checking the assumptions for the regression models
we confirmed that the data contained approximately normally distributed errors with equal variance and met the assumptions of homogeneity of variance and linearity
Two-tailed tests of significance were applied throughout
Given the exploratory nature of the examinations and the relatively low power
we did not apply a correction for multiple correlations
All statistical analyses were conducted using SPSS 24.0
Average overall defensive functioning (M=4.88; SD=0.57) early in treatment fell into the level usually associated with acute depression or personality disorders and was comparable to other mixed outpatient groups reported in the literature [M=4.62, SD=0.27, t(49)=1.93, p=ns.; Perry and Henry, 2004]. Table 1 shows the means
and significant changes in the relevant variables
Early-phase PACS and defense variables differed in the three treatment arms
Pilot comparison using Eta-squared showed that variance in early treatment PACS variables across the three treatment arms was Balance η2 =0.010
and Resistance η2 =0.154; and variance based on the treatment arms in early-phase defense variables ranged between Neurotic defenses η2 =0.035 and ODF η2 =0.108
Based on these significant relationships between DMRS defenses early in treatment and PACS scales in the late phase of treatment
we conducted linear regressions to establish whether defense use (DMRS Immature
Neurotic defenses) in the early phase predicts attachment-related characteristics (PACS Avoidance
Resistance scales) in the late phase of treatment
after controlling for early levels of attachment-related characteristics
Since the DMRS Immature defenses category can be divided into the two mutually exclusive subcategories of Depressive immature defenses and Non-depressive immature defenses
we substituted these subcategories in the regression model
rather than the less specific DMRS Immature defense category
We used stepwise regression to assess the unique contribution of Depressive and Non-depressive defenses in predicting the change in attachment-related characteristics
both early Depressive and Non-depressive immature defenses significantly predicted late-phase PACS Avoidance after controlling for baseline PACS Avoidance (B=6.47
early Non-depressive immature defenses (but not Depressive immature defenses) negatively predicted PACS Resistance at the late phase of treatment
after controlling for early PACS Resistance (B=−18.56
early DMRS Neurotic defenses significantly predicted late-phase PACS Avoidance after controlling for early PACS Avoidance (B=−0.3.84
Early-phase DMRS Neurotic defenses did not predict late-phase PACS Resistance significantly after controlling for early Resistance (B=5.16
This pilot study is the first to examine patients’ defense mechanisms in relation to their attachment in a clinical sample of depressed patients and also the first to use observer-rated measures for assessing both defense mechanisms and attachment
the present study explored the role of early-phase defense mechanisms in predicting changes in attachment-related characteristics over the course of psychotherapy
We first hypothesized that patients with higher overall defensive functioning
and less Immature defenses would be associated with more attachment security across all sessions
We found that attachment security (PACS Balance) and PACS Avoidance were not related to defenses
but PACS Resistance was positively associated with overall defensive functioning at the early phase of treatment and negatively associated with Depressive Immature defenses in the early phase
PACS Resistance was also negatively associated with Non-depressive immature defenses at the late phase of treatment
Our second hypothesis was partly supported
in that early-phase Immature and Neurotic defense use was related to late-phase attachment-related characteristics
both Depressive and Non-depressive immature defense use and Neurotic defense use
were associated with more late-phase PACS Avoidance
even after controlling for early-phase PACS Avoidance levels
more Non-depressive defense use during the early phase of therapy predicted less PACS Resistance at the late phase
after controlling for the effect of early PACS Resistance levels
The positive relationship between overall defensive functioning and preoccupied attachment-related characteristics at the early phase of treatment may be explained by the fact that defensive functioning is usually at its lowest
not at the beginning of psychotherapy but somewhat later in treatment
when the patient is more deeply engaged in working on difficult topics in therapy
even though attachment-related characteristics may be detected already in early sessions
defense style of the patient when dealing with stressful conditions (or topics) may only be displayed later in therapy or across several sessions
we assessed defenses and attachment in only one session transcript from each time point
The last sessions before termination often trigger attachment-related issues and may bring up relational insecurities
which might result in bias toward lower defensive functioning and more insecure attachment characteristics than what the patient would typically display
Although this treatment trial allowed for a pilot comparison between three different psychological treatments
the variability in the number of sessions and length of therapy across the three treatment arms (an average of 21 sessions in CBT
and 62 in PDT) limited the ability to interpret the temporal relationship between defenses and attachment in our study
Future studies using more sessions per treatment may more reliably assess change processes during the course of treatment
Another explanation for the relative lack of a cross-sectional relationship between defenses and attachment-related characteristics might also be methodological
Both defense mechanisms and attachment were coded across whole therapy sessions
and summary scores for both constructs were used in the subsequent analyses
It is thus possible that unrelated segments were coded as defense and as attachment episodes
future studies implementing a more fine-grained approach focusing on identifying episodes when defense and attachment events overlap in the transcripts may more accurately reflect the association between specific defense mechanisms and attachment-related characteristics
the widely varying prevalence of the three attachment styles in our sample limited a fair comparison of patients with different attachment classifications
It is important to also note that the comparison of the results based on self-report and observer-rated methods is limited
due to the inherent differences occurring when studying phenomena at least partly outside of awareness
Findings obtained by self-report measures may not be directly translatable to results with observer-rated methods
increase in avoidance and decrease in preoccupied characteristics thus might be considered as a possible proxy for improvement in attachment-related problems within insecure attachment
The longitudinal (but not cross-sectional) findings of our pilot study support the theorized connection between defense mechanisms and adult attachment in depressed patients, as well as the few empirical findings that examined this association in non-clinical samples. These studies found that insecure attachment is typically associated with the less adaptive defense mechanisms (e.g., Prunas et al., 2019)
Whereas our study did not find the expected relationship between attachment and defense variables in the same session
our findings showed that neurotic and immature defenses are related to change and possibly
improvement in insecure attachment over the course of treatment
the type of instrument used to assess attachment uniquely contributed to the explanation of variance in depression symptoms among adolescents
and studies including self-report tools reported bigger effect sizes compared to those based on interviews and observations
Although beyond the scope of the current investigation
it would be interesting to examine whether similar patterns between attachment and defenses would emerge if self-report assessments of attachment were used
the PACS observer-rated coding system at the moment does not include the fourth attachment category Unresolved/disorganized (insecure) attachment
The inclusion of an additional attachment category may differentiate within the large proportion of patients currently classified as Preoccupied in our study
Another limitation of this study is the relatively small sample size
which allowed for running correlations on the higher order defense and attachment categories
but did not allow for testing regression or mediation models on defense levels or individual defenses
The considerable differences in treatment length
especially the significantly longer psychodynamic therapies
also limit the generalizability of our results regarding temporal changes
we could only report initial comparisons across treatment arms
Given that some of the effect sizes across treatment modalities were large (Avoidance η2=0.158
further studies with larger sample sizes (powered to assess between-treatment effects) are warranted
this study can be seen as an exploratory pilot study
and larger-scale studies should examine the exact nature of the relationship between defense mechanisms and attachment security
A better understanding of the connections between insecure attachment and immature defenses with specific symptom clusters might induce clinicians to assess and intervene both on manifest symptoms and on defensive and relational styles
to help improve severe symptoms in depressed patients during the course of treatment
Identifying these mechanisms may offer novel targets for the treatment of depression
Using the PACS system to study patients’ attachment in session transcripts illustrates the potential clinical relevance of applying post hoc observer-rated measurements within the context of a highly controlled research design
These observer codings are not only relevant with regard to the research insights they provide
but also might provide a useful clinical training tool to graduate students
who are interested in learning more about the psychotherapy process and how to attune their interventions to different types of patients
developing simple observer-rated methods that require minimal or no training to use are warranted
These methods could provide tools for clinicians to assess their patients’ defensive and attachment-related patterns in situ
which has the potential to significantly enhance case formulation and tracking treatment-related changes over time
The data analyzed in this study is subject to the following licenses/restrictions: The IRB decision did not allow publishing the dataset. Requests to access these datasets should be directed to dmVyYS5iZWtlc0B5dS5lZHU=
The studies involving human participants were reviewed and approved by the Research Ethics Committee of the Jewish General Hospital in Montreal
Canada (original RCT) and Yeshiva University’s IRB (WIRB)
JP: providing data from the original RCT and conceptual contribution
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.648503/full#supplementary-material
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Received: 31 December 2020; Accepted: 26 August 2021; Published: 27 September 2021
Copyright © 2021 Békés, Aafjes-van Doorn, Spina, Talia, Starrs and Perry. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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(Vienna, 04 May 2022) Katrin Bekes, Head of Paediatric Dentistry at the Department of Dentistry of MedUni Vienna, was confirmed in post at the spring meeting of the German Society of Paediatric Dentistry (DGKiZ) in Würzburg and unanimously re-elected president.
The election was scheduled to take place at the last annual meeting in Regensburg in September 2021 but, due to the coronavirus pandemic, this congress was held in a virtual format and the general meeting postponed until this year's spring meeting in Würzburg. A total of more than 400 paediatric dentists met in the Bavarian city on the river Main to discuss current scientific and clinical topics relating to paediatric dentistry.
The aim of the DGKiZ is to promote research, teaching and clinical practice in the field of paediatric dentistry, including primary prevention. It currently has just under 1900 members. At the spring meeting, Katrin Bekes was re-elected President of the Society. She first assumed the post back in 2019, when she became the youngest president in the history of the DGKiZ. She had also served as Secretary General of the Society for 11 years.
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Volume 12 - 2021 | https://doi.org/10.3389/fpsyg.2021.705699
Therapists’ forced transition to provide psychotherapy remotely during the COVID-19 pandemic offers a unique opportunity to examine therapists’ views and challenges with online therapy
This study aimed to investigate the main challenges experienced by therapists during the transition from in-person to online therapy at the beginning of the pandemic and 3 months later
and the association between these challenges and therapists’ perception of the quality of the relationship with their online patients
and therapists’ attitudes and views about online therapy and its efficacy at these two timepoints
As part of a large-scale international longitudinal survey
we collected data from 1,257 therapists at two timepoints: at the start of COVID-19
when many therapists switched from providing in-person therapy to online therapy
when they had had the opportunity to adjust to the online therapy format
therapists reported on perceived challenges
quality of working alliance and real relationship
and their views on online therapy’s efficacy compared to in-person therapy
Factor analysis of individual survey items at both timepoints identified four different types of challenges among this therapist sample: Emotional connection (feeling connected with patients
Distraction during sessions (therapist or patient)
and Therapists’ boundaries (professional space
Older and more experienced therapists perceived fewer challenges in their online sessions
all four types of challenges were associated with lower perceived quality of the therapeutic relationship (working alliance and real relationship)
and more negative attitudes toward online therapy and its efficacy
perceived challenges with three domains – Emotional connection
and Therapists’ boundaries significantly decreased – whereas challenges in the fourth domain – Distraction – increased
therapists’ concerns about being able to connect with patients online appeared to be the most impactful
in that it predicted negative attitudes toward online therapy and its perceived efficacy 3 months later
above and beyond the effect of therapists’ age and clinical experience
Clinical and training implications are discussed
In recent years, a body of pre-pandemic research has shown that online therapies’ and in-person therapies are comparable with regard to the quality of the working alliance (e.g., Simpson and Reid, 2014), and that online therapy can be similarly effective (Simpson, 2009; Backhaus et al., 2012)
therapists’ concerns about online therapy persisted and had hindered the uptake of online therapy via videoconferencing
regardless of age and therapeutic orientation
were apprehensive about offering online therapy
and reluctant to integrate online therapy work into their regular practices
Most psychotherapists had little training and experience in providing online psychotherapy pre-pandemic
but nevertheless had multiple concerns about this therapy format
With the COVID-19 pandemic starting in early 2020
the involuntary mass transition to online therapy drastically changed this landscape
Following restrictions imposed to manage the COVID-19 pandemic
many therapists had to move their practice online
regardless of their previous attitudes and concerns about online therapy
Providing online therapy became an accepted necessity
and many therapists suddenly gained extensive experience with this therapy format
Age has been theorized to also have an impact on attitudes toward technology use (Venkatesh et al., 2012), and younger age is often associated with being more technology savvy. In the context of online psychotherapy, pre-pandemic studies found no relationship between age and attitudes toward online therapy (Liu et al., 2015; Hennemann et al., 2017); however
therapists of all ages’ sudden and en masse transition to online therapy might have posed specific challenges to therapists based on their age and experience
even though younger generations might have had more preliminary experience with video conferencing
which they might have used more for personal communication purposes
clinically more experienced therapists might have had the advantage of having developed more solid and transferable therapy skills that could be more easily adapted to the new online platform
we aim to investigate therapists’ perceived challenges with providing online therapy during the pandemic
and to identify how these challenges shaped their experiences and attitudes toward online therapy during the pandemic
Our main research questions were threefold: (1) What are the main challenges experienced by therapists during the transition to online therapy and do these challenges differ among therapists of different ages and levels of experiences
What challenges did therapists experience 3 months later
and how did these experienced challenges change over time
(2) How do therapists’ perception of the quality of the relationship (working alliance and real relationship) with their online patients at the start of the pandemic relate to their perceived challenges at baseline and at the 3-month follow-up
(3) How do perceived challenges at the beginning of the pandemic and 3 months later relate to therapists’ attitudes toward online therapy and its efficacy at these two timepoints
when controlling for relevant covariates (age and experiences)
Descriptive characteristics of the therapists (N = 1257)
therapists were asked about perceived challenges with switching from in-person to online therapy
and its efficacy compared to in-person sessions
we also assessed the therapists’ perception of the quality of the online therapeutic relationship (working alliance and real relationship)
The sub-sample of participants who completed the 3-month follow-up measurement (N = 320) did not differ significantly on any demographic variables or in their attitudes and views on the efficacy of online therapy from the therapists who only provided baseline data
All therapists were asked to report the challenges they experienced with conducting online therapy at baseline as well as at follow-up
what are the main challenges for you using online therapy
(Multiple answers possible).” Response options (yes or leave blank) were based on theoretical and clinical writings about challenges in online therapy pre-Covid and included the following 11 possible challenges: Technical/internet problems
Difficult to read patient’s emotions
Difficult to feel connected with the patient
Difficult for me to find a professional space for the online session
Difficult for the patient to find a suitable space for the online session
Risk of me getting distracted during session
Risk of a patient getting distracted during session
Participants also had an option to report “other” challenges
Cronbach’s alpha in the current study was 0.84 at baseline
The UTAUT-T consists of 21 items about various aspects of online therapy that are scored on a Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree)
“I find online therapy works well for patients,” and “I feel apprehensive about using online therapy” (reverse item)
Higher scores indicate a more positive attitude toward online therapy
Cronbach’s α was 0.64 in this study
To examine how therapists perceived the efficacy of online therapy in comparison to in-person therapy
we included the following item to the baseline and follow-up survey; “How do you view online therapy now?” Responses were rated on a five-point Likert scale; Definitely less effective than in-person therapy (1); Somewhat less effective than in-person therapy (2); As effective as in-person therapy (3); Somewhat more effective than in-person therapy (4); and Definitely more effective than in-person therapy (5)
After identifying the best-fitting factor structure
responses of participants were re-coded based on whether they endorsed any challenges for each specific factor
Chi-Square tests were used to examine differences between endorsement of challenges at baseline and 3-month follow-up for the participants who provided both baseline and follow-up data
Exploratory factor analysis of individual survey items at baseline and 3-month follow-up indicated a best-fitting model of four factors (model fit indices and factor loadings are shown in Tables 1, 2)
The four different types of perceived challenges were: Emotional connection (therapists’ difficulties in feeling connected with patients
Distraction (therapist or patient getting distracted during sessions)
Patient privacy (difficulties with confidentiality or in patient’s finding a private space for therapy)
and Therapist boundary (therapists’ issues with creating a professional workspace and boundaries)
The indicators for the items about technical/internet problems and for scheduling challenges did not load on any factors and were not associated with any of the outcome variables; therefore
they were removed from the subsequent analyses
Model fit indices for exploratory factor analyses of perceived challenges at baseline (N = 1,257) and 3-month follow-up (N = 320)
and Patients’ privacy were endorsed as challenges approximately equally (52.3
respectively) at the beginning of the pandemic
whereas Therapists’ boundary issues were less of a concern (28.5%)
About one-third of the therapists endorsed challenges in Technical/internal problems (68.8%) and only a small proportion reported challenges in Scheduling (6.9%)
Therapists’ age and clinical experience were significantly negatively related to all four types of challenges at baseline, that is, older and more experienced therapists perceived fewer challenges of any kind in their online sessions. These correlations remained significant after applying a Bonferroni correction for multiple testing. Results of the Pearson correlations are presented in Table 3
Pattern loadings for the four-factor dimensional model at baseline (N = 1,257) and 3-month follow-up (N = 320)
and Patients’ privacy were endorsed at the rate of 49.4
whereas the endorsement of challenges in Therapists’ boundary was at 22.2%
Difficulties with technical/internet problems and with scheduling were endorsed at 79.7 and 2.2%
age and clinical experiences were only related to difficulties with Therapists’ boundary and to Distractions
but not to Emotional connection and Patients’ privacy
When comparing the endorsements of challenges at baseline and the 3-month follow-up for people who had data at both timepoints (N = 320)
we found significant decreases in difficulties in Emotional connection (54.1% at baseline vs
Therapists’ boundary (28.7% at baseline vs
Patients’ privacy (60.0% at baseline vs
we noticed significant increase in difficulties of Distraction (57.5% at baseline vs
p < 0.001) and Technical/internet problems (68.8% at baseline vs
all perceived challenges seemed to have decreased 3 months after the start of the pandemic except for the increases in difficulties in Distractions of patients and therapists and in Technical/Internet problems
At baseline, both working alliance and real relationship were significantly negatively related with challenges in Emotional connection (see Table 4)
Working alliance was also significantly negatively related to challenges in Therapists’ boundaries
The real relationship at baseline was significantly related with challenges in Emotional connection at the 3-month follow-up
indicating that the genuineness of the therapeutic relationship was associated with less perceived challenges in Emotional connections 3 months later
Working alliance at baseline was significantly negatively related to challenges in Distraction at 3-month follow-up
indicating that poor working alliance at baseline may predict getting more distracted during online sessions 3 months later
Pearson correlations between categories of perceived challenges
and attitudes and perceived efficacy of online therapy at baseline and 3-month follow-up
Both attitudes and views on the efficacy of online therapy significantly improved from baseline to the 3-months follow-up assessment (t = −7.45
all types of challenges were associated with negative attitudes toward online therapy
and all but Patients’ privacy issues were associated with negative perceived efficacy of online therapy
only challenges with Emotional connection at baseline were negatively associated with attitudes and perceived efficacy of online therapy at 3-month follow-up
only perceived challenges with Emotional connection (but not the other challenge categories) at follow-up remained associated with more negative attitudes toward online therapy and its efficacy at follow-up
Two separate linear regressions were conducted to examine if the challenges reported at baseline predicted attitudes toward online therapy and its efficacy at follow-up
while controlling for the effect of age and clinical experience
Challenges with Emotional connection (B = −0.50
p = 0.001) and challenges with Patients’ privacy (B = −0.30
t = −2.27 p = 0.03) at baseline predicted more negative attitudes toward online therapy at the 3-month follow-up (ΔR2 = 0.11)
whereas age and clinical experience did not significantly contribute to these predictions
challenges with Emotional connection (B = −0.71
p < 0.001) and challenges with Patients’ privacy (B = −0.23
p < 0.001) at baseline predicted lower levels of perceived efficacy of online therapy at 3-month follow-up (ΔR2 = 0.15)
The COVID-19 pandemic provided a unique context in which to better understand therapists’ attitudes toward online therapy and how those attitudes change over time
we aimed to examine therapists’ perceived challenges with online therapy during the early months of the pandemic
we examined the main challenges experienced by therapists during the transition from in-person to online therapy at the start of the pandemic and 3 months later
and their associations with therapists’ perception of the quality of the relationship with their online patients and their attitudes toward online therapy and its efficacy at these two timepoints
Results indicated that initially many therapists reported multiple relational
they reported fewer challenges 3 months later
Factor analysis of individual survey items at both timepoints indicated four different types of challenges: Emotional connection (difficulty with emotionally connect to the patient)
Distraction (therapist or patient being distracted during sessions)
Patients’ privacy (private space and confidentiality)
Therapists’ boundaries (professional work space and issues with boundary setting)
Therapists’ age and clinical experience were significantly negatively related to all four challenge categories
older and more experienced therapists perceived fewer challenges in their online sessions
perceived challenges with Emotional connection
and Therapists’ boundaries significantly decreased
whereas challenges around Distractedness increased
Only perceived challenges with Emotional connection (but not the other three challenge categories) remained associated with more negative attitudes toward online therapy and its efficacy
therapists who reported a therapeutic relationship that was sufficiently genuine (high real relationship scores) early in the pandemic perceived less challenges regarding emotional connection 3 months later
Therapists who reported more challenges with Patients’ privacy issues at baseline subsequently perceived online therapy to be less efficacious
Challenges with Emotional connectedness at the start of the pandemic predicted more negative attitudes toward online therapy as well as its perceived efficacy 3 months later
therapists often did not have experience with the online therapy format
and lacked training and knowledge of its efficacy
which might have led to more negative initial views
Over time and with gaining more experience of practicing online therapy
as we did not ask participants about the exact nature of their experienced distractions at each timepoint
Future qualitative research is needed to better understand the nature of these distractions for patients and therapists over time
therapists still feel challenged by the relational aspects of online therapy
and this challenge has a significant and long-term impact on their attitudes and views on online therapy and its efficacy
Acknowledging and addressing challenges regarding feeling and expressing empathy
and reading patients’ emotions in online sessions should now be a central part of therapist training
our results support the notion that first-hand experience with online therapy reduces negative attitudes toward online therapy and its efficacy
Our findings indicate that even under the stressful circumstances of a global pandemic and the involuntary transition to online therapy instead of in-person
experiencing the ability to overcome initial challenges and personally learning what it is like to provide online therapy led to more positive attitudes toward online therapy and its efficacy
Although at this point even the short-term future of online therapy is uncertain
an important implication of these results is to expose psychology trainees to the online therapy format early enough so that they can learn skills of how to manage challenges related to online therapy
Training of junior therapists appears to be especially important in this regard
younger and less experienced therapists appeared to be more challenged by the switch to online therapy compared to their older and more clinically experienced counterparts
this survey study did not examine the experienced challenges of participating therapists’ respective patients
Patients’ attitudes are important to examine
especially because the online interventions are designed for and paid by patients and might have been especially crucial in this time of global distress
Therapists might be willing to encounter challenges as part of their professional duties; however
as they are the people who pay for services and their treatment outcomes might be ultimately affected
The patients’ experienced challenges during this forced transition to online therapy are thus arguably the most important
Future studies might benefit from a 360-degree perspective on the online therapy experiences
including viewpoints from patients and clinical supervisors
the survey responses on therapists’ challenges and perceived efficacy of online therapy were single items that
although based on theory and clinical writings
The development of standardized scales of experienced challenges in (transitioning to) online therapy as well as its perceived efficacy is warranted
this empirical study applied only quantitative measures
and thus did not provide contextual insights into the specific therapists’ circumstances
Future research designs may benefit from the inclusion of a qualitative approach and might be able to tease apart what parts of the therapists’ experiences resulted from the unique situation of COVID-19 and what part reflects online therapy more generally
the COVID-19 pandemic has provided a unique context in which to examine therapists’ perceived challenges in providing online therapy
not just based on preconceived worries but based on involuntary extensive experience
Therapists in our study struggled with connecting emotionally with patients
and with maintaining their own boundaries in sessions
These challenges initially led to less positive views on the therapeutic relationship
except that therapists became more easily distracted in online sessions over time
Concerns about being able to connect with patients were the most impactful
as it predicted negative attitudes toward online therapy and its perceived efficacy over time
therapists’ views on online therapy and its effectiveness become more positive over time
Results will need to be replicated in online therapy sessions outside of the pandemic
as it is possible that the societal unrest and high-stress context influenced therapists’ perceived professional challenges and openness to new technologies
More research and professional training is needed to address the challenges faced by therapists when transitioning to online therapy
especially around the ability to emotionally connect with patients online and how to manage distractibility that is inevitable in an online therapy format
The data analyzed in this study are subject to the following licenses/restrictions: The datasets may be available on request. Requests to access these datasets should be directed to VB, dmVyYS5iZWtlc0B5dS5lZHU=
The studies involving human participants were reviewed and approved by the Yeshiva University’s Western IRB
VB and KAD contributed to collecting the data and writing the manuscript
TP and LH contributed to collecting the data and finalizing the manuscript
The China American Psychoanalytic Alliance supported the data collection in China
Psychotherapists’ vicarious traumatization during the COVID-19 pandemic
A scoping review of machine learning in psychotherapy research
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Comparative fit indexes in structural models
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Copyright © 2021 Békés, Aafjes-van Doorn, Luo, Prout and Hoffman. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)
*Correspondence: Vera Békés, dmVyYS5iZWtlc0B5dS5lZHU=
Reading"How to successfully revive..."
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we are actually still using the same typographic principles and the same typefaces that were designed in the first century of movable type,” explains the Rotterdam-based designer Nóra Békés
with her friend and ongoing collaborator Céline Hurka
Nóra has released a new book Reviving Type
providing an insight into the importance of historical typefaces
and how they can be revived today for a contemporary audience
Many of the type designs that we see and use today (whether we know it consciously or otherwise) originate from Renaissance or Baroque models
based on the former in the first place.” Consequently
“It is important to understand the relationship between typographic genres,” she tells It’s Nice That
“as well as the historical constructions and how they work technically.”
making a revival typeface is a great educational tool
As exemplified in Nóra and Céline’s new book
to design a revival typeface involves in-depth research
an understanding of the history and craft of the original typeface in question
not to mention how the design has evolved over the years
the topic of type revival also provides a more general insight into history
typography and printing inherently entwine and affect modern language
“The interesting thing here,” says Nóra on the interconnectedness of typography
“is that the designer-researcher does not just read a readymade history
but is triggered to look for multiple sources of various kinds (from punches and matrices
to old printed books and contemporary research articles).” The creative pair first became interested in the subject while studying together at The Hague’s Royal Academy of Art
Building up their individual practices since
with a focus on archival research and type-centred design
have always been attracted to archives for its “magical aura that gives you the feeling that you are entering a secret world.”
By working with the delicate nature of historical archives – where the interaction is extremely limited – the duo came to question the value of the research
“What do you get out of your visit?” asks Céline
and take-away that you can create from your research
It investigates the very core of the archive material itself
Reviving Type allows us to further comprehend design ideas from the past
and combine elements of someone else’s design with one’s own typographic penchants
“Making a type revival is so much more than copying printed type into a digital font,” exerts Nóra
“It involves just as many design decisions as making a typeface from scratch – plus a lot of research and the smell of 500-year-old ink.”
Further Infowww.revivingtype.com
Jynann Ong
Jynann joined It’s Nice That as an editorial assistant in August 2018 after graduating from The Glasgow School of Art’s Communication Design degree
In March 2019 she became a staff writer and in June 2021
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A radio host in Australia successfully broke the Guinness World Record for "longest audio-only live stream"
termed the show "a very unusual radio show"
Australian radio personality Mario Bekes broke a Guinness World Record by hosting a 55-hour and 26-minute marathon talk show on Alive 90.5 FM
The record-breaking radio host's challenge began on April 30 and continued until May 1
who also hosts the inspirational podcast "Life: The Battlefield," was prohibited from using music
or listener calls while attempting the record
The lengthy broadcast featured advice given to the audience as well as interviews with a number of guests
Bekes' health was being monitored by a doctor
After going to the gym and getting a cup of coffee
Mario started things off in the early morning
Due to the vibrant energy of the studio and the encouragement of his team
he remained upbeat for the first few hours of the attempt
Bekes set the record for the longest audio-only live stream with the show's final duration of 55 hours and 26 minutes
breaking the previous mark of 53 hours and 1 minute set by British radio hosts Matt Hall and Dan Ramsden in 2020
Xi will hold bilateral talks with Putin on strategic ties and issues on international and regional agenda
Sources say there was "alleged impropriety" in publicity
Swindon and Greater Manchester area on suspicion of "terrorism offences"
Closed-door “general congregations” allow cardinals to discuss challenges new pontiff will face
Numerous reports say VOA was preparing to resume broadcasts next week
Copyright © 2025. The News International, All Rights Reserved | Contact Us | Authors
Fotó: mediadrumimages/influencedfx / Northfoto
Pianist Ying Ho and cellist Jonathan Békés's extraordinary recital was a gift
There was so much to love about this duo it’s difficult to know where to start
Pianist Ying Ho and cellist Jonathan Békés had a unanimity of conception throughout
and an extraordinary level of communication
Both players had a wonderful sense of foreground and background; they switched from one to the other so seamlessly
Schumann’s Fantasy Pieces opened the program
Békés and Ho gave us an understated opening that then seemed to blossom from the heart with beautifully nuanced phrasing
and a wonderful feeling for the sometimes fragmentary nature of the music
The duo followed this with the fifth movement of Messiaen’s Quartet for the End of Time
Békés spoke beautifully and profoundly about what it might mean to be writing music from a concentration camp
and as I listened I marvelled at the resilience of the human spirit
that can produce such beauty and religious devotion amidst such adversity
moving from the intimacy of a whisper to outpourings of heartfelt passion
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It is hard to find words to do justice to Jonathan Békés' magical performance with Mark Letonja and the TSO
This month’s concert highlights from ABC Classic
James Wannan’s devilishly difficult execution seemed effortless on the viola
earning him MVP (Most Valuable Player) of the concert
with Konstantin Shamray coming a close second
Pianist Karen Smithies and cellist Jonathan Békés are a match made in heaven and this recital showcased the art of musical conversation at its best
The Tasmanian String Quartet emerged because of the impact of COVID-19 on music in Tasmania
and is proving to be an impressive chamber ensemble
An afternoon filled with joy from Tasmanian Symphony Orchestra musicians
Check out our playlists from our latest issue
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reviews and features to your inbox each Saturday
All is now set as renowned gospel artists such as Tosin Bee
Michael Akingbala and others will be performing at Agege for Christ Crusade
Organized by Fountain of Hosanna Church of Christ
the annual program tagged The Gates of Hell shall not prevail program will commence from the 31st of August to the 3rd of September
the crusade will hold at Agege Stadium and guests will have the opportunity to enjoy both spiritual as well as material ministrations
the host and General Overseer of Fountain of Hosanna Church of Christ
Prophet Kehinde Abiodun stated that the 4-day program was inspired by the Holy Spirit to reach out to the world with the gospel of Christ
“Our mandate to this generation is to preach the gospel of Christ
deliver people from the chains of the devil and prepare the world for the second coming of Christ
Jesus Christ is still the same as yesterday
We will also be interceding for our political leaders and the destiny of Nigeria as a country”
According to the organizers of this crusade
buses will be stationed at strategic locations within Lagos state and its environs to convey people to and fro the event venue
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"haunted by an autumnal sadness," "but the sadness of compassion, not pessimism." - Diana McVeagh
Recorded live in concert by ABC Classic at Federation Concert Hall, Hobart 27/5/2022 Engineer Veronika Vincze. Producer Toby Frost.
Ludwig van Beethoven: King Stephen, Overture, Op 117Franz Schubert: Symphony No 3 in D, D200Edward Elgar: Cello Concerto in E minor, Op 85
Jonathan Békés (cello)Tasmanian Symphony OrchestraMarko Letonja (conductor)
Cellist Jonathan Békés performs with the Tasmanian Symphony Orchestra. Image by Melanie de Ruyter
Arts, Culture and Entertainment, Music, Acoustic, Chamber Music, Chamber Music, Classical Music, Composer, Orchestral, StringsTracklist03:01Played at 03:01King Stephen: Overture [07'27]Composer
Tasmanian Symphony Orchestra + Jonathan Békés (cello)
Fasch: Concertos, Orchestral Suite, 449 210-2
Tatjana Ruhland (flute) + Florian Wiek (piano) + Gesa Jenne-Dönneweg (violin) + Ingrid Philippi (viola)
Download the ABC listen app for free music podcasts and playlists
STRICTLY legend Anton Du Beke fought back tears on TV last night as he opened up about his mum's secret health battle
The 57-year-old got very emotional as he spoke about his mother Ascensión on Kate Garraway's Life Stories on Wednesday night
Anton joined Strictly Come Dancing in 2004 and was living with his mum at the time
he got visibly upset as she's currently not very well
because it was only me and mum because we were together it was just me and mum."
he continued: "She's not been well
and it makes me sad because what we were talking about earlier as well
In the same episode Anton revealed how he was drunkenly abused by their father as a child because he dreamed of becoming a dancer
The dancer was repeatedly called "gay" by his dad Antal who staunchly disapproved of his ballroom ambitions
Anton's sister Veronica was in the audience as he discussed the trauma of his teen years at the hands of their Hungarian father.
I don't think he was quite so impressed with Anton dancing
He was not a nice person when he was drunk."
Anton also bravely revealed for the first time how he was once stabbed by Antal in a drunken rage on Boxing Day after a row
He told Kate: "It came to a head one evening. I ended up in hospital for three days
"This is the first time I’ve even mentioned it
I’m sure my friends and family don’t even know."
Úgy tűnik nem található semmi ezen a helyen
IMPRESSZUM
SZERZŐI JOGOK
ADATVÉDELEM
FELHASZNÁLÁSI FELTÉTELEK
Deputy Prime Minister Zsolt Semjén on Friday awarded the Pro Cultura Minoritatum Hungariae prize to 13 persons and organisations working to preserve the culture of Bulgarian
Roma and other ethnic minorities in Hungary
Ivan Kariliev received the award for his four-decade work to preserve the culture and religious life of ethnic Bulgarians in Hungary
Publisher Athéna Görög and the Sirtos orchestra received the prize for promoting Greek culture and folk music
Zoltán Gyula Halmi and Zoltán Patyi were awarded as dance teachers and choreographers promoting Romanian folk music and dances
the founder and chef of the Kira restaurant in Békés
was awarded for his work promoting traditional Roma cuisine
Other awardees included the Croatian Traditions Association
the St Kinga Choir of ethnic Poles in Hungary and the Pécs-Baranya National Association of ethnic Germans
Pro Cultura Minoritatum Hungariae was founded in 2005
Another headline failure as in it does not make sense in English,” Hungary’s first Roma restaurant was awarded!” – it either has to be ‘rewarded’ or (and preferably) ‘received an award’
and website in this browser for the next time I comment
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Damilola and Bukola have recounted how their marital journey has so far been
In a chat with Tope Omogbolagun, the couple opened up on the secret of their marriage of 11 years.
Damilola: I met her in church during anointing service
she knew before me that I would be her husband
but I got to know later after God revealed her to me
Bukola: I knew that he was my husband by divine instruction
I also knew before him that he was the will of God for me and I waited for him to hear from the Lord
It was tough waiting for him because during the waiting time he called me one day and told me to stop coming to his house so that the lady he was dating wouldn’t think he was double dating
I visited his house regularly because he stayed close to Ebute-Meta
not too far from where I usually held rehearsals at our church headquarters
Most of the rehearsals were vigils and I attended anointing service at Abule Odu the next day
He usually attended the anointing service too
so I always stopped by at his house to make my journey easy to the programme
That was why I usually went to his house so that we could attend services together
When he knew that I was his wife and he was convinced
Damilola: It was tough because before then
I had my plans initially to be in the United States to marry a medical doctor
because He had a better purpose for both of us
He revealed her to me but before then I had ‘innocently’ told her not to visit my house so that it wouldn’t appear that I was double-dating as I had a fiancé
I had another lady I was dating after the US plan didn’t work
So when I knew afterwards that she’s the one for me
Thank God for my covenant brother and friend
For how long did you court before marriage
What stood out for you on your wedding day
Bukola: Everything about our wedding day was awesome
starting from the engagement to the church service and the reception
The church service was a concert and the reception was awesome
Everything stood out from the beginning to the end
There was the part where the pastor asked the congregation that
“Is anyone here that objects to this union?” I prayed to God not to allow anyone to raise their hand because of my past escapades
What lessons have you learnt from marriage
Bukola: One thing I held onto before marriage was that it must work and also no room for divorce
The two statements have kept me going till today and forever it will be
We’ve been through many things but the Lord has kept us
We do argue over things but as the Bible says in Ephesians chapter 4 verse 26
“We shouldn’t let the sun go down on our anger.’’ We have decided never to go to bed angry
we must talk through any disagreement and this has really kept us going
We are good talkers; we don’t hide things from each other because it’s difficult to do
What is your advice to young people on marriage
They should make sure that they are in tune with the Holy Spirit
Don’t marry of your will but of God’s will
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