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Before the maturation of higher-order cognitive functions, infants primarily communicate via bodily expressions. Their behavior adjustments are also shaped by caregiver reactions, which differ in timing, intensity, and nature. Although mentalizing, or reflective functioning, is thought to influence caregiver interactions, the literature has largely focused on mentalizing as an explicit, cognitive process. Given the inherently embodied nature of early parent-infant exchanges, this emphasis left a clear gap in capturing the implicit facets of parental mentalizing. Addressing this, the concept of "parental embodied mentalizing" (PEM) was developed, which pertains to a caregiver's implicit capacity to discern and respond to an infant's emotional states, thoughts, and intents through bodily movements, gauged via real-time, shared, kinesthetic interplays. This systematic narrative review explores the PEM construct, scrutinizing its theoretical foundations and empirical basis. We aggregate insights from relevant studies, review the current research landscape's strengths and limitations, and pinpoint areas ripe for further investigation. [ABSTRACT FROM AUTHOR]

Supported by a large body of work demonstrating the impact of infant attachment representations on subsequent development, numerous therapeutic programs have been developed to promote secure attachment, with increasing focus on parental mentalizing. Nonetheless, empirical evidence supporting their effectiveness has yet to be fully established. The current pilot study (N = 24) was designed to evaluate whether and to what extent parents' shifts in parental mentalizing following a brief attachment‐based group intervention, namely circle of security parenting (COSP; Cooper, Hoffman & Powell, 2009) can be captured using the parental embodied mentalizing instrument (PEM; Shai & Belsky, 2017). Compared to a waiting list–control group, this small‐scale study examined whether community‐based low‐risk mothers of infants aged 5–48 months show an increase in their observed PEM capacities following the intervention. Secondary self‐reported outcome variables parental stress, feeling of competence, and self‐compassion. Findings show that PEM ratings improved significantly over time in the COSP group, but not in the control group. Intervention group mother–infant dyads also presented significantly longer embodied interactions communication post intervention compared to the control group. No effects of the COSP on parental stress, competence, or self‐compassion were found. Despite the small sample size, these results tentatively suggest that COSP can improve embodied mentalizing abilities. [ABSTRACT FROM AUTHOR]

Introduction: Interest in studying the parental embodied mentalizing (PEM), which refers to implicit and non-verbal processes of parental mentalization, is relatively recent. Therefore, little is known about how PEM, in complementarity with the verbal parental mentalization, is associated with maternal characteristics regarding mother-infant interaction contexts. This exploratory study aimed to investigate the associations between the non-verbal and verbal dimensions of parental mentalizationPEM and mind-mindedness, respectively, - in relation to a wide spectrum of parental characteristics in different interactive mother-infant contexts (toys and no toys). Methods: Among a sample of 107 mother-infant dyads at moderate psychosocial risk, mothers’ sociodemographic information (age, education, and income), psychological characteristics (depression and anxiety), cognitions (self-efficacy and perceived maternal impact), and attitudes (overprotection and parental warmth) were assessed via self-report questionnaires when the infant was 4 and 8 months old. The PEM and mind-mindedness were evaluated through observation made during a videorecorded sequence of mother-infant interaction in a context of free play with and without toys at 8 months of age. Results: The results showed distinct associations between PEM and mindmindedness regarding maternal characteristics: PEM was associated with the mother’s age, education, anxiety and maternal warmth, whereas mind-mindedness was related to cognitions. Both were linked to family income. Regarding motherinfant interaction contexts (toys vs. no toys), the results indicate that the capacity to verbally and non-verbally mentalize differs. Discussion: These findings shed light on distinctive associations between non-verbal and verbal parental mentalization in relation to certain maternal characteristics, and highlight that the mother-infant interaction context may play an important role in the expression of maternal mentalizing capacity. [ABSTRACT FROM AUTHOR]

IntroductionInterest in studying the parental embodied mentalizing (PEM), which refers to implicit and non-verbal processes of parental mentalization, is relatively recent. Therefore, little is known about how PEM, in complementarity with the verbal parental mentalization, is associated with maternal characteristics regarding mother-infant interaction contexts. This exploratory study aimed to investigate the associations between the non-verbal and verbal dimensions of parental mentalization- PEM and mind-mindedness, respectively, - in relation to a wide spectrum of parental characteristics in different interactive mother-infant contexts (toys and no toys).MethodsAmong a sample of 107 mother-infant dyads at moderate psychosocial risk, mothers’ sociodemographic information (age, education, and income), psychological characteristics (depression and anxiety), cognitions (self-efficacy and perceived maternal impact), and attitudes (overprotection and parental warmth) were assessed via self-report questionnaires when the infant was 4 and 8 months old. The PEM and mind-mindedness were evaluated through observation made during a videorecorded sequence of mother-infant interaction in a context of free play with and without toys at 8 months of age.ResultsThe results showed distinct associations between PEM and mind-mindedness regarding maternal characteristics: PEM was associated with the mother’s age, education, anxiety and maternal warmth, whereas mind-mindedness was related to cognitions. Both were linked to family income. Regarding mother-infant interaction contexts (toys vs. no toys), the results indicate that the capacity to verbally and non-verbally mentalize differs.DiscussionThese findings shed light on distinctive associations between non-verbal and verbal parental mentalization in relation to certain maternal characteristics, and highlight that the mother-infant interaction context may play an important role in the expression of maternal mentalizing capacity.

Background: Maternal depression and anxiety in the perinatal period affect the quality of maternal sensitivity and mentalizing abilities. Few studies analyzed implicit mentalizing in relation to maternal distress. The aims of the study were: to examine the relation between nonverbal mentalizing - parental embodied mentalizing (PEM) - and maternal depression and anxiety, verbal mentalizing, and maternal styles of interaction; and to test PEM as a mediator of the effect of maternal distress on styles of interaction.Method: 81 mother-infant dyads have been recruited. At infant three months, maternal depression was assessed using the Edinburgh Postnatal Depression Scale, anxiety with State Trait Anxiety Inventory, and reflective functioning with Reflective Functioning Scale. Mother-infant interactions were coded with various approaches: PEM for nonverbal mentalizing, Mind-mindedness coding system for Mind-mindedness, and CARE-Index for maternal styles of interaction.Results: Maternal depression and state anxiety were negatively correlated with PEM. PEM was also negatively correlated to maternal controlling style. Mothers with psychopathological problems (vs. mothers with no psychopathological problems) had lower PEM and sensitivity and more controlling style. Moreover, maternal depression and anxiety had direct effects on maternal sensitivity and had indirect effects mediated by PEM on controlling style.Limitations: The study evaluates interactions at three months; longitudinal studies will be able to examine maternal mentalizing and sensitivity in various stages and identify the effect on the child's attachment.Conclusions: PEM is associated to maternal anxiety and depression and mediates the effects of depression and anxiety on mother controlling style. These results emphasize the importance of early prevention programs for mothers focused also on implicit mentalizing. [ABSTRACT FROM AUTHOR]

Children’s cognitive and language development is a central aspect of human development and has wide and long-standing impact. The parent-infant relationship is the chief arena for the infant to learn about the world. Studies reveal associations between quality of parental care and children’s cognitive and language development when the former is measured as maternal sensitivity. Nonetheless, the extent to which parental mentalizing – a parent’s understanding of the thoughts, feelings, and attitudes of a child, and presumed to underlie sensitivity – contributes to children’s cognitive development and functioning, has yet to be thoroughly investigated. According to the epistemic trust theory, high mentalizing parents often use ostensive cues, which signal to the infant that they are perceived and treated as unique subjective beings. By doing so, parents foster epistemic trust in their infants, allowing the infant to use the parents a reliable source of knowledge to learn from. Until recently, parental mentalizing has been limited to verbal approaches and measurement. This is a substantial limitation of the construct as we know that understanding of intentionality is both non-verbal and verbal. In this investigation we employed both verbal and non-verbal, body-based, approaches to parental mentalizing, to examine whether parental mentalizing in a clinical sample predicts children’s cognitive and language development 12 months later. Findings from a longitudinal intervention study of 39 mothers and their infants revealed that parental embodied mentalizing in infancy significantly predicted language development 12 months later and marginally predicted child cognitive development. Importantly, PEM explained unique variance in the child’s cognitive and linguistic capacities over and above maternal emotional availability, child interactive behavior, parental reflective functioning, depression, ethnicity, education, marital status, and number of other children. The theoretical, empirical, and clinical implications of these findings are discussed. [ABSTRACT FROM AUTHOR]

Children’s cognitive and language development is a central aspect of human development and has wide and long-standing impact. The parent-infant relationship is the chief arena for the infant to learn about the world. Studies reveal associations between quality of parental care and children’s cognitive and language development when the former is measured as maternal sensitivity. Nonetheless, the extent to which parental mentalizing – a parent’s understanding of the thoughts, feelings, and attitudes of a child, and presumed to underlie sensitivity – contributes to children’s cognitive development and functioning, has yet to be thoroughly investigated. According to the epistemic trust theory, high mentalizing parents often use ostensive cues, which signal to the infant that they are perceived and treated as unique subjective beings. By doing so, parents foster epistemic trust in their infants, allowing the infant to use the parents a reliable source of knowledge to learn from. Until recently, parental mentalizing has been limited to verbal approaches and measurement. This is a substantial limitation of the construct as we know that understanding of intentionality is both non-verbal and verbal. In this investigation we employed both verbal and non-verbal, body-based, approaches to parental mentalizing, to examine whether parental mentalizing in a clinical sample predicts children’s cognitive and language development 12 months later. Findings from a longitudinal intervention study of 39 mothers and their infants revealed that parental embodied mentalizing in infancy significantly predicted language development 12 months later and marginally predicted child cognitive development. Importantly, PEM explained unique variance in the child’s cognitive and linguistic capacities over and above maternal emotional availability, child interactive behavior, parental reflective functioning, depression, ethnicity, education, marital status, and number of other children. The theoretical, empirical, and clinical implications of these findings are discussed.

Parental Embodied Mentalizing (PEM) captures the parent's capacity to extrapolate the child's mental states from movement and respond on a nonverbal level. Little is known about PEM's relation to other established measures of parent-child interactive behavior, such as maternal sensitivity and attachment. This is investigated in a sample of four months old infants and mothers with (n = 27) and without a diagnosis of postpartum depression (n = 44). Video-recorded infant-mother interactions were coded independently using PEM and Coding Interactive Behavior. Attachment was assessed at 13 months using the Strange Situation Procedure. Sensitivity and PEM was positively associated, but only sensitivity predicted attachment security and only the nonclinical group. This indicates that PEM and sensitivity are moderately related as well as capturing different aspects of infant-mother interactions. The study confirms previous findings of sensitivity predicting attachment in nonclinical groups. More research is required to further understand predictors of attachment in clinical samples. [ABSTRACT FROM AUTHOR]

Parental mentalizing-recognizing that children are separate psychological entities, who have their own thoughts, wishes, and intentions that motivate their behaviors-is traditionally considered a verbal, linguistic capacity. This paper aimed to examine the relation between parental verbal mentalizing (parental reflective function; PRF) and its nonverbal form-parental embodied mentalizing (PEM)-and how both constructs contribute to parents' subjective experience of parenting, namely parental stress and coparental alliance. 68 mothers and their three-months-old babies were observed to assess PEM, interviewed to code PRF, and completed self-reports of coparental alliance and parental stress. PEM was found to be positively correlated with PRF. Mediation analyses revealed that higher PEM, but not PRF, was associated with lower parental stress, mediated by positive reports of coparental alliance. The findings support adopting a multifaceted approach when studying parental mentalizing, both in terms of assessing parental mentalizing beyond its verbal expressions to include also embodied aspects, as well as investigating its impact beyond infant development to include the familial context within it operates. Conceptual, empirical and clinical implications are discussed. [ABSTRACT FROM AUTHOR]

Infant massage is popular in the United Kingdom and is increasingly considered as an intervention to support early parent-infant relationships. In order to use this method most effectively, it is helpful to identify its roots and how it might continue to develop as an intervention. This paper will address these topics, beginning with an introduction outlining the theoretical and research context for supporting early relationships. This is followed by an overview of the diverse international origins of infant massage and how pioneers translated this practice into western cultures. Reference is made to the evidence base for the use of infant massage and hypotheses are offered about the mechanisms within infant massage programmes that may support parent-infant relationships. The article concludes by speculating how current research, specifically into pa ental embodied mentalizing, might further benefit the practice of infant massage [ABSTRACT FROM AUTHOR]

- Parental mentalizing-parents' capacity to appreciate, even unconsciously, the infant's mental states and their role in motivating behavior-is related to infant attachment security and other social and cognitive capacities. Yet virtually all current measurements of parental mentalizing rely on parents' semantic and verbal expressions. Despite the demonstrated value of this approach, exclusive reliance on verbal processes may fail to fully capture interactive mentalizing processes. Reflecting an embodied relational perspective for investigating parent-infant interaction, this article introduces parental embodied mentalizing, which refers to parents' capacity to (a) implicitly conceive, comprehend, and extrapolate the infant's mental states from the infant's whole-body movement, and (b) adjust their own kinesthetic patterns accordingly. It concludes by outlining directions for future research. [ABSTRACT FROM AUTHOR]

Interest in studying the relative contributions of verbal (e.g., maternal mind-mindedness [MM]) and non-verbal dimensions (i.e., parental embodied mentalizing [PEM]) of parental mentalization to child socio-emotional development is relatively recent. To date, only one study has addressed this issue in relation to child attachment security, suggesting a complementary and unique contribution of each one. The purpose of the present study was to further examine the specific contribution of PEM to infant attachment security by considering MM. In addition, this study aimed to explore the mediating role of maternal sensitivity linking PEM, MM to infant attachment security within 110 mother-infant dyads at moderate psychosocial risk. The two dimensions of parental mentalization (PEM and MM) were assessed on the basis of observations made during a videorecorded sequence of mother-child interactions in a context of free play with and without toys when the infants were 8 months old. The Maternal Behavior Q-Sort was used to measure the mothers' sensitivity in a natural setting based on observations of daily mother-child interactions, also when the infants were about 8 months old. Attachment security was measured using The Strange Situation Procedure at infant age 16 months. The results showed positive correlations between maternal sensitivity and both verbal and non-verbal measures of parental mentalization. The mediation analyses first revealed that PEM had a significant indirect effect on attachment security, with sensitivity being identified as a mediator in this association. No indirect effect linking MM and attachment security via sensitivity was observed. These results highlight the contribution of PEM to maternal sensitivity and show maternal sensitivity to be a factor that partly explains the influence of PEM on attachment security in children. [ABSTRACT FROM AUTHOR]

- Parental embodied mentalizing (PEM)-defined as the 'parental capacity to (a) implicitly conceive, comprehend, and extrapolate the infant's mental states (such as wishes, desires, or preferences) from the infant's whole-body kinesthetic expressions and (b) adjust one's own kinesthetic patterns accordingly'-represents the first known attempt to conceptualize parental mentalizing in a theoretical and empirical framework that moves beyond parents' verbal and declarative capacities toward the infant's realm of experience: that of quality of movement, rhythms, space, time, sensations, and touch. This response article discusses the implicit nature of PEM in light of emerging neuroscientific evidence showing that independent mechanisms subserve implicit and explicit mentalizing. It argues that the development of children's sense of ownership and agency at the embodied level necessitates the interpersonal encounter, mediated by parental embodied mentalizing. [ABSTRACT FROM AUTHOR]