In this way, we would like to express our deep concern about the state of affairs in recent months regarding the outbreak of the SARS-CoV-2 virus.
We, a large group of (GZ) psychologists, psychiatrists, orthopedagogues, (psycho-) therapists, pedagogues, coaches and other professionals in the care sector, academia and mental health care, argue that the measures to get the coronavirus under control are disproportionate and do more damage than they do good. We argue in favor of lifting all measures immediately.
We call on all politicians to provide scientific evidence for the effectiveness of the measures taken that led to this far-reaching limiting situation, for a virus comparable in terms of harmfulness, infectiousness or lethality to a severe flu virus (Facts on Covid- 19, 2020). In addition, we call for independent and critical assessment of all evidence available. Also the evidence provided by independent research agencies and dissenters. We ask politicians to ensure public access to decision-making and to require administrators to make decision-making public. We also request that consideration be given to proportionality and subsidiarity at all times (see also: doctors' burn letter). In our opinion, the 'intelligent lockdown' has had more negative than positive effects on public health, both physically (Letter doctors, 2020) and psychologically. More and more scientific publications show that the measures have an adverse effect not only on the economy, but also on health (Peeters, Stop a meter and a half away and wearing mouth masks, 2020).
In the media, we can see that Covid-19 has major implications for the physical health of many people worldwide. This is also the case in the Netherlands. According to official figures, the virus has caused thousands of illnesses, hospitalizations and just over 2020 deaths in our country alone. However, Dutch government policy is primarily aimed at dealing with the direct consequences for physical health. Unfortunately, the political and policy debate completely ignores the consequences for mental (public) health that the current government policy has entailed (Marangos et al., SCP, 1948). The 2012 WHO definition of public health embraces more than the physical: "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or other physical defects." In recent years, new insights have led to a proposal for a new, broader, definition of health: 'Health is the ability to adapt and to direct yourself, in light of the social, physical and emotional challenges of life' (Huber, XNUMX). This is the starting point of our writing.
Stress, loneliness, suicide and the increased pressure within psychiatry
Disrupting social networks, as has happened by the government, has demonstrably a strong negative effect on mental health (Wood and Bourque, 2018). The disruption of the daily routine and the idea that many people have that they are no longer in control of the situation leads to an increased stress level, which in turn leads to physical and emotional fatigue. A striking number of young people experience stress (Engbersen et al. 2020; GGD, 2020). While acute stress is not harmful in itself, persistent stress, lasting for days, weeks, or months, is harmful (Azza et al., 2019). In older people, chronic stress significantly accelerates the aging process. Chronic stress also influences the development of serious diseases such as cancer, reduces the functioning of the immune system and can lead to premature death (Dhabhar, 2014). In general, both women and men have reported low levels of psychological well-being in recent months. Anxiety, stress and severe gloom as a result of the crisis and / or the measures were experienced by roughly a third of the surveyed citizens in April and May this year (Marangos et al., SCP, 2020).
People's social rhythm is also disrupted. No less than a quarter of people have nothing to look forward to (Engbersen et al. 2020; GGD, 2020). Half of the young people between the ages of 18 and 25 feel more lonely due to the corona crisis (I&O, 2020). People who feel lonely have a higher risk of developing a serious anxiety, mood or substance disorder (deLange et al., Trimbos, 2020). Physical health effects that loneliness can lead to are, for example, strokes, high blood pressure, cardiovascular disease, sleeping problems and a reduced immune system. Not only has a link between loneliness and physical and psychological health been convincingly demonstrated, but a strong link between social isolation and mortality has long been known (Berkman, 1979). More recent studies have also shown that loneliness and death are closely related (Holt et al., 2010, 2015).
The economic recession in which we have entered Dutch government policy will lead to an increase in the number of suicides (Reeves et al., 2014). The cutbacks that will follow in the wake of the economic crisis are also expected to drive an increase in suicides (Stuckler and Basu, 2013). The Netherlands experienced a sharp increase in suicides after an economic crisis in the past, which Alicandro et al. (2019) suggest is because many people in the Netherlands are not used to setbacks. We have no reason to believe that the situation in the Netherlands will be different in the near future.
People who already had psychological problems appear to be extra vulnerable in this context. A study by the Trimbos Institute (May 13, 2020) shows that among people who already suffer from psychiatric problems, complaints have increased by 40% since the corona crisis. Patients with obsessive-compulsive disorders (such as fear of contamination) or a panic or anxiety disorder have experienced an increase in complaints since Covid-19. The new rules also cause problems for people with autism (Sisco van Veen, De Jonge Psychiater, 2020). The disappearance of the structure as well as the contradiction of the rules is very difficult for this group. There is an increase in self-harm, suicidal thoughts, depression and psychotic symptoms in patients. The number of psychiatric admissions has risen (Mind April 2020). Social distancing rules have made social services less accessible in recent times and access to health care has been compromised. This affects the most vulnerable people in society. After all, they do not have a buffer or a strong social network that can protect them from these consequences (Stuckler et al. 2009).
It is very worrying that the negative psychological effects can still manifest themselves months to years later. Research has shown that socially isolated people with cognitive and psychiatric illnesses during an MERS outbreak are still anxious and displeased 4-6 months after quarantine lift (Kompanje, 2020).
The consequences of the corona policy have also hit hard for vulnerable families and the after-effects will continue to be felt for a long time to come. The educational disadvantage of children who need a lot of extra care and attention will increase even more. Families already living in poverty have been hit hard by the corona measures (Augeo, July 2020).
All in all, it is precisely the vulnerable people, whom the government has indicated that they want to protect them, have been disadvantaged and weakened by the policy pursued (Schippers, 2020).
Consequences of social isolation and its duration on mental health
The psychological damage of a government-imposed quarantine is very serious. Even voluntary isolation causes damage, albeit to a lesser extent. The benefits of such a quarantine must be carefully weighed against the psychological costs (Brooks et al., 2020). However, there seems to have been no careful consideration. On the one hand, the government has opted for forced, social and physical isolation of the vulnerable groups, despite the serious side effects on both physical and mental health of these vulnerable groups. It seems that too little attention has been paid to the essential needs of these people. On the other hand, employees in elderly care indicated that they wanted to wear protective clothing at an early stage, including mouth protection, but the RIVM guidelines did not initially allow this. The same guidelines still pay little attention to the importance of good ventilation. In fact, ventilation would be prohibited in care homes, even during a possible heat wave. The whole state of affairs is surprising to us.
We believe that most people in the risk groups are perfectly capable of determining for themselves whether or not they want to run certain risks, and that the people who work in these sectors can easily determine themselves how to care for vulnerable groups. should be decorated. We only applaud the fact that various care umbrella organizations want to draw up their own guidelines on this theme in the future. We are convinced that this will lead to considerably more attention for the human aspect and the human dimension (Nieuwsuur, July 2020).
Quarantine and social isolation are intended to prevent people from becoming infected with the virus and consequently becoming ill. It is generally assumed that the resistance of the insulated remains the same by the measure. However, this appears not to be the case at all (Cohen et al., 1997). With the aim of forced quarantine and social isolation, the aim is to prevent the elderly and vulnerable from becoming ill and dying. It can be said, however, that the more social and emotional commitments people have, the more resistant they are to viruses. It seems much more - according to all scientific studies on this - that isolation and quarantine actually have deadly consequences (Kompanje, 2020). Therefore, excess mortality is seen in nursing and care homes, which cannot be directly related to COVID-19.
During the SARS outbreak, subjects placed in isolation for more than 10 days showed significantly higher post-traumatic stress symptoms than those placed in isolation for less than 10 days. Confusion and anger also increased significantly (Hawryluck et al., 2004). The duration of social isolation thus influences mental health. All in all, the social isolation of many elderly people in the Netherlands lasted more than three months. With a devastating impact on the psyche of many of our frail older people, whom the cabinet claimed to protect them.
It is as if the Dutch government wanted to shoot a mosquito with a gun by imposing these measures. These measures have also created a paradoxical situation, in which not only sick or vulnerable people were left in complete isolation, but also healthy people.
Not only has the social life of many elderly people been paralyzed and the own direction of many elderly people has been drastically limited by the corona measures, the social isolation of many older and vulnerable people has also led to physical inactivity. This while just enough exercise has a positive effect on cognitive functioning, reducing depressive complaints and anxiety and on improving physical health, energy level, well-being and in general the quality of life (Conn, Hafdahl and Brown, 2009 ; Martinsen, 2008; Mead et al., 2009; Puetz, 2006; Yau, 2008).
The role of the media and the OMT communication plan
In recent months, newspaper radio and TV makers seemed to be almost uncritically following RIVM, OMT and the cabinet. Where the press should be critical and prevent unilateral government communication, the editor-in-chief of de Volkskrant even argued for censorship (Pieter Klok, March 2020), because it would be sensible 'to draw one line as a country, and that line to support ', which presupposes that the adult Dutch population itself would not be able to weigh information against each other from different angles.
In our opinion, the task of journalism is to bring news as objectively and neutrally as possible, aimed at finding the truth and critically controlling power. It is precisely the diversity of all opinions and expertise that is present in a society that is essential to achieve knowledge gathering and enrichment and cumulation of knowledge.
Our vision is supported by the Journalism Code (Journalism Code, 2008).
We would like to emphasize that professional literature shows that critical thinking improves the decision-making process in uncertain times (Bénabou, 2013). Group thinking, on the other hand, leads to the fact that important information is ignored and alternatives are not taken seriously (Janis, 1971). We advocate nuance, refinement and customization and we miss that. There is now a wealth of information and knowledge about corona-related issues in mental health care, academia and care, which is insufficiently pointed out or acted upon.
The official narrative that a lockdown was necessary, that this was the only possible solution, and that everyone was behind this lockdown, made dissenters, influencers, and experts reluctant to express a different opinion (Whiten, 2019). Not without reason, because alternative opinions and media are often ignored or ridiculed and hammered. We have also been surprised at the many videos and articles by dissenters, including many experts, that have been and will be removed from social media; we do not think this is appropriate in a free, democratic constitutional state, especially as this leads to tunnel vision. This policy also paralyzes and feeds society's fear and anxiety. In this context, we reject the intention to censure dissenters in the European Union (EurLex, June 2020).
The way in which the media approached the Coronavirus - the daily statistics with a one-sided focus on deaths - led to a lot of stress, anxiety and concern among the Dutch population. This has a negative effect on the immune system and leads to multiple mental health problems not related to Covid-19 (Torales et al., 2020; Zhou et al., 2020), including gloominess and depression, insomnia, increased agitation and PTSD (Holmes et al., 2020; van Hoof, 2020). The way Covid-19 has been framed by politics and media has also done no good to the situation. War terms were popular and warlike language was not lacking. There has been frequent talk of a "war" with an "invisible enemy" who must be "defeated." The use in the media of phrases such as 'frontline care heroes' and 'victims of Corona' has further fueled fear, as has the idea that we are dealing with a 'killer virus' globally. Journalism currently focuses too little on rational and too much on emotional reporting. This gives extra stress and this stress can also contribute to provoking a psychosis in people with a psychosis sensitivity (Brown et al., 2020).
We call on the media to take their responsibility as yet, by putting the figures in proportion and in perspective in the context of independent journalism, calling on public administration (WOB) and demanding insight into the calculation models used in the RIVM.
Dutch citizens are held accountable for their responsibility for others. At the same time, personal responsibility, as well as autonomy and self-determination, is strongly undermined by the various restrictive control measures, the commandments and the prohibitions and the click lines. This contradictory message can - consciously or unconsciously - lead to inner conflict, frustration and confusion. Furthermore, responsibility is increasingly being placed on children and young people, which we find very worrying. Children are held accountable for a responsibility towards parents, which concerns a systemic reversal. Parents take care of children, not the other way around. When children are (educated) with the idea that they are responsible for the health and even life or death of their parents, or grandfathers or grandmothers, they are assigned a potential perpetrator role, with all the psychological and social consequences (see the literature on family systems and offender victim dynamics). Furthermore, children are now being taught to view their fellow human beings as dangerous, which undermines the foundations of a healthy future society.
Own control over health also means that individuals have their own responsibility. Targeted investment in prevention can prevent many adverse effects. We lack simple lifestyle advice to promote the immune system, stress reduction, exercise, nutrition and a healthy day and night rhythm (Exercise as the new normal, 2020).
The current and future situation
We do not endorse the current mouth mask obligation in public transport. The mask in public transport must be a non-medical mask. This is an incongruent message, and this 'solution' offers false security. There is insufficient scientific evidence to encourage the use of mouth masks. On the other hand, there is sufficient scientific evidence that wearing a mouth mask due to the limited inhalation of fresh air can actually lead to health problems; decrease of oxygen saturation in the blood, increase of the pulse and the development of headache complaints and concentration problems. We would like to draw attention to this issue, especially in view of the voices surrounding a general mouth mask obligation. We expressly call for not to succumb to political pressure or pressure from public opinion, but to make scientifically sound decisions (Nut masks not proven, May 2020).
Even now that the virus seems relatively extinct, many people experience increased stress, not so much because of the threat of the virus, but more because of all the measures that have been and are being taken. The measures have still not all been reversed, although they are currently unable to pass the test of reasonableness and fairness. Because the measures lack scientific support and empirical support, more and more people are looking for a satisfactory explanation outside the mainstream media. The belief or idea that major events must have major causes is growing (Leman and Cinnirella, 2007). Previous studies have shown that it is important for people to experience a sense of control and control over their own lives. The current experience of lack of control over one's own life appears to be a breeding ground for conspiracy theories and superstitions (Huang and Whitson, 2020).
People also seem to think that the greater the sacrifice they make, the more they contribute to controlling the virus. We have seen in the Netherlands how young, perfectly healthy people voluntarily quarantined for weeks to sometimes months, the effect of which has no scientific evidence, but does have harmful consequences for both their own mental health and the economy (Elliot and Devine, 1994 ). There is currently a dichotomy in society, between those who adhere very strictly and strictly to the measures and people who do not or less strictly. This dichotomy leads to tensions and polarization.
There is evidence that the virus will self-extinguish after some time, regardless of the measures taken, for example because Covid-19 may be a seasonal virus. However, people tend to think that a decrease in the number of sick and dead is due to their good adherence to hygiene measures (such as quarantine, and keeping a meter and a half away). They underestimate the real cause of the decline and overestimate their own contribution (Ben-Israel, 2020; Ederer, 2020).
The fear of germs and the suspicion of people who may carry them is widespread. There is great fear among the population of a second wave of the virus. For this reason, many people live in constant fear, are hyper-alert and wary. Since the virus is mild for the vast majority of people, fear of the virus becomes a bigger problem than the actual virus itself. After all, fear also changes the biology of the body. Our body will increasingly adapt to this fear; our cells go into protection mode to survive, rather than grow to thrive. The body puts the immune system on the back burner or even switches it off. Prolonged presence of anxiety and stress changes the physiology of the body (Lipton, 2014).
In the above comprehensive - but by no means complete - list, we have only looked critically at Dutch policy. The consequences of the policy pursued for mental health are also immense worldwide. Experts internationally warn that the suicide rate will at best increase by 25% due to the Covid-19 situation (From corona to suicide crisis, 2020). We have ignored other global consequences of the measures, such as poverty and famine, that will take many millions of lives.
National policy lacks substantiation or. an analysis of proportionality or subsidiarity, while the social, social and psychological damage that a large part of the Dutch population has suffered and still suffers is hardly manageable. We are increasingly worried about the seclusion and speed with which hypotheses and opinions that are not widely supported by experts and relevant experts from the field are embedded in policy.
A number of core questions remain unanswered for the time being.
Why is it still communicated as if it were a killer virus?
Why are people forced to quarantine against their will?
Why are people obliged to keep a distance of one and a half meters from each other, for a virus that is comparable in terms of harmfulness, infectiousness or lethality to the influenza virus (De Wit and van der Rhee, 2020; see also the political debate on 25 June last. , Minister de Jonge, IFR 0,32-1.00)?
Why are we held accountable for our responsibility for the health of others, but not for our own health?
Why are people obliged to wear non-functional mouth masks on public transport?
The fear that has arisen in society, social isolation, the lack of physical contact, the XNUMX meter distance rule, the enormous pressure on parents who work at home, the (sometimes) major concerns about the economic consequences and professional security and the uncertainty the duration of the measures, to this day, have a huge effect on psychological and emotional well-being. The Cabinet's measures have intervened very profoundly in the personal life of the Dutchman. The damage caused by the measures in the psychosocial domain is immense and cannot be expressed in monetary terms.
All in all, we conclude that there is more evidence against the health promoting effect of the current measures than before. In our opinion, the number of 'victims' that the Coronavirus entails does not justify current plans to restructure our entire society into a 'one and a half meter society'. The impact of the Coronavirus is not so great that we would have to change our entire society permanently, with all the consequences that entails (Noordhoek, Corona the truth in 7 minutes, 2020).
Man is a social being and the biological urge for touch and connection is deeply embedded in our genes; this is indispensable for humans. Keeping a meter and a half away is not normal and unnatural (Derksen, Scientist critical of keeping a meter and a half away, 2020). We therefore believe that showing humanity should never be an act of resistance, let alone punishable (Schippers, I have a dream, 2020). Targeted interventions based on the principle that everyone is responsible for protecting their own health are much better for mental health and offer better protection.
Taking all this into account, we are therefore astonished at the introduction of the Urgent Act, which, without solid scientific support, will make the current emergency measures legal. The government relies on 'the importance of public health'.
As a professional group, we want to clearly state that, in our estimation and from our profession, the current measures are more harmful to public health than good. After all, health is more than just the absence of illness and does not only concern the physical aspect. In our opinion, both physical and mental health are jeopardized by the current measures. At the moment, the measures do not seem to be very scientifically based, but are mainly politically motivated.
We draw attention to and call for an open discussion, in which everyone who works in (mental) healthcare and within the academic field can and may speak out, without fear of repercussions.
This letter was signed by concerned and involved care providers and academics from all over the Netherlands.
In a personal capacity (in alphabetical order, 86 early signatories):
Mrs. Drs. Appelman, Hester, psychologist, Zutphen
Mr. Dr. Appelo, Martin, psychologist and publicist, Den Andel
Mrs. Msc. Baal, Sabine van, transformation coach, Rijen
Ms. BSc. Bagman, Rowena, psychologist, Hoogvliet
Mr. Baldé, Peter, GZ psychologist, The Hague
Ms. BSc. Baydar, Hale, nurse (non-practicing), Spijkenisse
Mrs. Drs. Beydals, Roswitha, psychologist and working as POH-GGZ, Amsterdam
Ms. BSc. Boer, Liza de, specialized home counselor for mental health care, Maastricht
Mrs. Boer, Sheryl de, holistic coach, The Hague
Mr. Bsc. Booty, Arvid, executive coach, Drachten
Ms. Derks, Elma, NLP coach and respiratory therapist, Breda
Mrs. Drs. Derks, Tosca, GZ Psychologist, Amersfoort
Mr. Dommelen, Roel van, naturopathic therapist, Koningslust
Mr. Dr. Village, Michiel van, health scientist, Animals
Mr. L. Ac Drachten, Ronald, acupuncturist and holistic coach, Rotterdam
Ms. BSc. German, Marjon, NAH ambulatory assistant, Amersfoort
Mrs. Drs. Ekdom, Liselore van, orthomolecular lifestyle physician and life coach, Hilversum
Ms. MSc. Geoffrey, Anja, psychotherapist, Kleve
Ms. MSc. Grain harvest, Juïce, remedial educationalist, Deventer
Mrs. Haakman, Adriënne, energetic therapist, Nijmegen
Ms. BSc. Harinandansingh, Shantie, educator, Oud-Vossermeer
Mr. Drs. Heijnes, Marcel, founder of the Healing Reset Method, specialist in chronic back, neck and shoulder complaints, 's-Hertogenbosch
Ms. BSc. Hogewoning, Rosanne, educationalist, Leiden
Mrs. Drs. Jansen, Monique, occupational psychologist, Vught
Mrs. Jonge, de, Brigitte, body therapist, Oppenhuizen
Ms. BSc, Kater, Kitty registered therapist BCZ and coach, Tiel
Mrs. Drs. Knarren, Marcia, psychologist and mindfulness trainer, Brunssum
Mr. Drs. Kooy, Ronald, GZ psychologist, Utrecht
Mrs. Drs. Korevaar, Paula, GZ psychologist, Bilthoven
Ms. BSc. Kraan, Leonora, naturopathic therapist, Apeldoorn
Mrs. Drs. Kroeze, Wendy, SKJ psychologist, Nijmegen
Ms. BSc. Stool, Sandra van der, multi-essence therapist, Uden
Ms. BSc. Kuik, Jeannette van, child, youth, educator coach, teacher of child coaching, Ugchelen
Mrs. Drs. Lambeck, Marga, Gestalt psychotherapist & aqua therapist, Assen
Mr. BSc. Lasschuyt, Harry, nurse psychogeriatrics, Nijmegen
Mrs. Msc. Laurier, Talitha, political scientist and body-oriented (psycho) therapist, The Hague
Mr. BSc. Lebbink, Hanco, osteopath, Heerlen
Ms. BSc. Lions, Jenneke van, natural medicine therapist, Gouderak
Ms. Linden, Chiara van der, nature-oriented professional therapist and children's coach, Vlaardingen
Ms. MSc. Lubbers, Marleen, educator, Zaandam
Mrs. Drs. Manolova, Vania, psychotherapist, Nijmegen
Mr. Msc. Marckmann, Iwan, acupuncturist and chiropractic, Nootdorp
Mrs. Drs. Meulengraaf, Mariëtte van, company psychologist and anthroposophic conversation psychotherapist, Nuenen
Mrs. Dr. Moscovich, Hila, psychotherapist, Nijmegen
Ms. BSc. Muijzenberg, Channah van den, coordinator, Soesterberg
Mr. MA. Muijzenberg, Hans van den, transpersonal therapist, Utrecht
Ms. MSc. Muskee-Overbeek, Petra, case manager dementia,
Mrs. Drs. Neijman, Sheila, positive psychologist, Science of Happiness, Leiden
Mrs. Oldersma, Susanna, personal coach, Alphen aan den Rijn
Mr. Drs. Ortiz Buijsse, Mario, medical advisor, Delft
Ms. BSc. Pelt, Maaike van, trauma coach, Amsterdam
Mrs. Plompen, Christi, holistic coach, Veenendaal
Mrs. Drs. Punching, Madelon, independent coach, Amsterdam
Mrs. Putten, Helene van, lucky coach, Vlaardingen
Mr. BSc. Ramautar, Arwind H., aspiring hypnotherapist, Rotterdam
Ms. MSc. Rietman, Kirsten, educator, Alphen aan den Rijn
Ms. BSc. Romeijn, Mirry, EFT practitioner and TRE provider, for stress reduction and trauma treatment, Sliedrecht
Mrs. Ing. Rooij, van - de Vries, Milou, paramedical natural medicine therapist, Maarssen
Mrs. Drs. Rutten, Gabrielle, physician and Novet certified EFF practitioner, Amsterdam
Ms. Samson, Ellis, coach Experiential Learning with Horses, Zeist
Ms. BSc. Sanna, Claudia, paramedical natural medicine therapist and SKJ youth care worker, Heerhugowaard
Mrs. Prof. Dr. Schippers, Michaéla, Professor of Psychology, Rotterdam
Ms. BSc. Schonewille, Nicoline, psychodiagnostic employee, Deventer
Mrs. Drs. Schreuder, Marieke, applied psychologist (development & education), therapist and stress counselor, Nijmegen
Mrs. Drs. Simons, Yvonne, health scientist, Rijnsburg
Mrs. Smits, Karen Smits, coach, Valkenswaard
Mrs. Drs. Solinge, Monica, GZ psychologist, Amsterdam
Mr. BSc. Stolzenbach, Max, psychiatric nurse, Tegelen
Mrs. Drs. Tillema-Schoon, Renate, psychiatrist, Eindhoven
Mrs. Drs. Turnhout, Patricia van, psychotherapist, Halderberge
Ms. Quint, Romy, relationship therapist, Lunteren
Mrs. Drs. Valkenberg, Irene, psychologist, Maastricht
Mrs. Drs. Van Heugten, Mariëlle, psychologist and trauma therapist, Koningslust
Ms. Vandewall, Sanne, naturopathic therapist, (pediatric) nurse, Hulsberg
Mr. BSc. Vererst, Mike, holistic health expert, Eindhoven
Mr. BSc. Verhulst, Sander, educational counselor, Eindhoven
Ms. BSc. Verkaart, Muriel, case manager and practitioner GGZ team, Amsterdam
Ms. BSc. Versteeg, Gretha, shiatsu therapist, Vuren
Mrs. Msc. Vis, Van Heemst, Marloes, psychologist io, Boskoop
Ms. BSc. Voorthuijzen, Eke, youth and family coach, Heineroord
Mrs. Drs. Wannee, Cornelie, psychologist, Zutphen
Mr. MSc. Weel, Ramon, psychologist, Oosthuizen
Mrs. Mr. Werff, van der, Magriet, personal leadership coach, Groningen
Ms. MSc. White, Kinga de, psychologist, Simpelveld
Ms. Zeven, Anna, soul coach, counselor, The Hague