Abstract
Research suggests that parental reflective functioning (PRF)—that is, the parent’s capacity to envision the mind of the child—is a key factor in understanding the child’s reflective capacities. Yet, most existing measures of PRF assume that it is a broad trait-like feature. This study investigated cross-sectional relationships between domain-specific PRF, operationalized as mothers’ estimates of the Theory of Mind (ToM) capacities of their children (mother’s ToM estimates; MTE), and ToM acquisition in 83 preschool children, using a multidimensional approach. Results showed that the accuracy of MTE was positively related to the children’s capacity for ToM, while the degree of certainty of inaccurate MTE was negatively related to ToM acquisition. The implications of these findings for the conceptualization of PRF and its relationship to ToM and other features of social cognition in children are discussed.
Highlights
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Theory of Mind (ToM) and parental reflective functioning (PRF) are multidimensional constructs.
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Associations among PRF and ToM acquisition are domain-specific.
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Inaccuracy of mother’s ToM estimates (MTE) hampers ToM development in their children.
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Higher certainty with regard to inaccurate MTE is associated with lower child ToM performance.
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References
Adrián, J. E., Clemente, R. A., & Villanueva, L. (2007). Mothers’ use of cognitive state verbs in picture-book reading and the development of children’s understanding of mind: A longitudinal study. Child Development, 78(4), 1052–1067. https://doi.org/10.1111/j.1467-8624.2007.01052.x.
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
Barlow, J., Sleed, M., & Midgley, N. (2021). Enhancing parental reflective functioning through early dyadic interventions: A systematic review and meta‐analysis. Infant Mental Health Journal, 42(1), 21–34. https://doi.org/10.1002/imhj.21896.
Blijd-Hoogewys, E. M. A., & van Geert, P. L. C. (2016). Non-linearities in theory-of-mind development. Frontiers in Psychology, 7, 1970 https://doi.org/10.3389/fpsyg.2016.01970.
Burkhart, M. L., Borelli, J. L., Rasmussen, H. F., Brody, R., & Sbarra, D. A. (2017). Parental mentalizing as an indirect link between attachment anxiety and parenting satisfaction. Journal of Family Psychology, 31(2), 203–213. https://doi.org/10.1037/fam0000270.
Camoirano, A. (2017). Mentalizing makes parenting work: A review about parental reflective functioning and clinical interventions to improve it. Frontiers in Psychology, 8, 14 https://doi.org/10.3389/fpsyg.2017.00014.
Cohen, J. (1992). A Power Primer. Psychological Bulletin, 112(1), 155–159.
de Rosnay, M., Pons, F., Harris, P. L., & Morrell, J. M. B. (2004). A lag between understanding false belief and emotion attribution in young children: Relationships with linguistic ability and mothers’ mental-state language. British Journal of Developmental Psychology, 22(2), 197–218. https://doi.org/10.1348/026151004323044573.
Denham, S. A. (1986). Social cognition, prosocial behavior, and emotion in preschoolers: Contextual validation. Child Development, 57(1), 194–201. https://doi.org/10.2307/1130651.
Devine, R. T., & Hughes, C. (2018). Family correlates of false belief understanding in early childhood: A meta-analysis. Child Development, 89, 971–987. https://doi.org/10.1111/cdev.12682.
Doan, S. N., & Wang, Q. (2010). Maternal discussions of mental states and behaviors: Relations to emotion situation knowledge in European American and immigrant Chinese children. Child Development, 81(5), 1490–1503. https://doi.org/10.1111/j.1467-8624.2010.01487.x.
Dunn, J., Brown, J., & Beardsall, L. (1991). Family talk about feeling states and children’s later understanding of others’ emotions. Developmental Psychology, 27(3), 448–455. https://doi.org/10.1037/0012-1649.27.3.448.
Dunn, J., Brown, J., Slomkowski, C., Tesla, C., & Youngblade, L. (1991). Young children’s understanding of other people’s feelings and beliefs: Individual differences and their antecedents. Child Development, 62(6), 1352–1366. https://doi.org/10.1111/j.1467-8624.1991.tb01610.x.
Ensink, K., & Mayes, L. C. (2010). The development of mentalisation in children from a Theory of Mind perspective. Psychoanalytic Inquiry, 30, 301–337. https://doi.org/10.1080/07351690903206504.
Ensink, K., Normandin, L., Target, M., Fonagy, P., Sabourin, S., & Berthelot, N. (2015). Mentalization in children and mothers in the context of trauma: An initial study of the validity of the Child Reflective Functioning Scale. British Journal of Developmental Psychology, 33(2), 203–217. https://doi.org/10.1111/bjdp.12074.
Ensor, R., Devine, R. T., Marks, A., & Hughes, C. (2014). Mothers’ cognitive references to 2-year-olds predict theory of mind at ages 6 and 10. Child Development, 85(3), 1222–1235. https://doi.org/10.1111/cdev.12186.
Ereky-Stevens, K. (2008). Associations between mothers’ sensitivity to their infants’ internal states and children’s later understanding of mind and emotion. Infant and Child Development, 17(5), 527–543. https://doi.org/10.1002/icd.572.
Flavell, J. H., Botkin, P. T., Fry, C. L., Wright, J. C., & Jarvis, P. E. (1968). The development of communication and role-taking skills in children. New York, NY: Wiley.
Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. London, UK: Routledge.
Fonagy, P., & Target, M. (2005). Bridging the transmission gap: An end to an important mystery of attachment research? Attachment & Human Development, 7(3), 333–343. https://doi.org/10.1080/14616730500269278.
Harris, P. L., Johnson, C. N., Hutton, D., Andrews, G., & Cooke, T. (1989). Young children’s theory of mind and emotion. Cognition and Emotion, 3(4), 379–400. https://doi.org/10.1080/02699938908412713.
Hogrefe, G. J., Wimmer, H., & Perner, J. (1986). Ignorance versus false belief: A developmental lag in attribution of epistemic states. Child Development, 57(3), 567–582. https://doi.org/10.2307/1130337.
Hughes, C., Adlam, A., Happé, F., Jackson, J., Taylor, A., & Caspi, A. (2000). Good test–retest reliability for standard and advanced false-belief tasks across a wide range of abilities. Journal of Child Psychology and Psychiatry, 41(4), 483–490. https://doi.org/10.1111/1469-7610.00633.
Hughes, C., Devine, R. T., & Wang, Z. (2018). Does parental mind-mindedness account for cross-cultural differences in preschoolers’ theory of mind? Child Development, 89(4), 1296–1310. https://doi.org/10.1111/cdev.12746.
Hughes, C., & Leekam, S. (2004). What are the links between theory of mind and social relations? Review, reflections and new directions for studies of typical and atypical development. Social Development, 13, 590–619. https://doi.org/10.1111/j.1467-9507.2004.00285.x.
Jańczak, M. (2021). What’s on your mind? A guide for mentalization assessment in adults. WPiK Open Access. https://doi.org/10.48226/978-83-66666-85-6.
Kim, S. (2015). The mind in the making: Developmental and neurobiological origins of mentalizing. Personality Disorders: Theory, Research, and Treatment, 6(4), 356–365. https://doi.org/10.1037/per0000102.
Krink, S., Muehlhan, C., Luyten, P., Romer, G., & Ramsauer, B. (2018). Parental reflective functioning affects sensitivity to distress in mothers with postpartum depression. Journal of Child and Family Studies, 27, 1671–1681. https://doi.org/10.1007/s10826-017-1000-5.
Laranjo, J., Bernier, A., Meins, E., & Carlson, S. M. (2014). The roles of maternal mind-mindedness and infant security of attachment in predicting preschoolers’ understanding of visual perspective taking and false belief. Journal of Experimental Child Psychology, 125, 48–62. https://doi.org/10.1016/j.jecp.2014.02.005.
Licata, M., Kristen, S., & Sodian, B. (2016). Mother–child interaction as a cradle of theory of mind: The role of maternal emotional availability. Social Development, 25(1), 139–156. https://doi.org/10.1111/sode.12131.
Lo, C. K. M., & Wong, S. Y. (2022). The effectiveness of parenting programs in regard to improving parental reflective functioning: A meta-analysis. Attachment and Human Development, 24(1), 76–92. https://doi.org/10.1080/14616734.2020.1844247.
Lundy, B. L. (2013). Paternal and maternal mind-mindedness and preschoolers’ theory of mind: The mediating role of interactional attunement. Social Development, 22(1), 58–74. https://doi.org/10.1111/sode.12009.
Luyten, P., Campbell, C., Allison, E., & Fonagy, P. (2020). The mentalizing approach to psychopathology: State of the art and future directions. Annual Review of Clinical Psychology, 16, null https://doi.org/10.1146/annurev-clinpsy-071919-015355.
Luyten, P., Campbell, C., & Fonagy, P. (2022). The fear of insignificance from a socio-communicative perspective: Reflections on the role of cultural changes in Carlo Strenger’s thinking. Psychoanalytic Psychology, 39(1), 20–26. https://doi.org/10.1037/pap0000398.
Luyten, P., Mayes, L., Sadler, L., Fonagy, P., Nicholls, S., Crowley, M., Vesper, A., Mobley, A., Stewart, T., Close, N., & Slade, A. (2009). The Parental Reflective Functioning Questionnaire-1 (PRFQ) [Unpublished manuscript]. Leuven, Belgium: KU Leuven.
Luyten, P., Mayes, L. C., Nijssens, L., & Fonagy, P. (2017). The parental reflective functioning questionnaire: development and preliminary validation. PLoS ONE, 12, e0176218 https://doi.org/10.1371/journal.pone.0176218.
Luyten, P., Nijssens, L., Fonagy, P., & Mayes, L. C. (2017). Parental reflective functioning: Theory, research, and clinical applications. Psychoanalytic Study of the Child, 70, 174–199. https://doi.org/10.1080/00797308.2016.1277901.
Meins, E., & Fernyhough, C. (2010). Mind-mindedness coding manual, Version 2.0.
Meins, E., Fernyhough, C., Arnott, B., Leekam, S. R., & de Rosnay, M. (2013). Mind-mindedness and theory of mind: Mediating roles of language and perspectival symbolic play. Child Development, 84(5), 1777–1790. https://doi.org/10.1111/cdev.12061.
Meins, E., Fernyhough, C., Russell, J., & Clark-Carter, D. (1998). Security of attachment as a predictor of symbolic and mentalising abilities: A longitudinal study. Social Development, 7(1), 1–24. https://doi.org/10.1111/1467-9507.00047.
Meins, E., Fernyhough, C., Wainwright, R., Clark-Carter, D., Das Gupta, M., Fradley, E., & Tuckey, M. (2003). Pathways to understanding mind: Construct validity and predictive validity of maternal mind-mindedness. Child Development, 74(4), 1194–1211. https://doi.org/10.1111/1467-8624.00601.
Meins, E., Fernyhough, C., Wainwright, R., Das Gupta, M., Fradley, E., & Tuckey, M. (2002). Maternal mind–mindedness and attachment security as predictors of theory of mind understanding. Child Development, 73(6), 1715–1726. https://doi.org/10.1111/1467-8624.00501.
Midgley, N., Ensink, K., Lindqvist, K., Malberg, N., & Muller, N. (2017). The development of mentalizing. In Mentalization-based treatment for children: A time-limited approach. (pp. 15-37). American Psychological Association. https://doi.org/10.1037/0000028-002.
Nijssens, L., Luyten, P., & Bales, D. L. (2012). Mentalization-based treatment for parents (MBT-P) with borderline personality disorder and their infants. In N. Midgley & I. Vrouva (Eds.), Keeping children in mind: Mentalization-based interventions with children, young people and their families (pp. 79-97). New York, NY: Routledge.
Nijssens, L., Luyten, P., Malcorps, S., Vliegen, N., & Mayes, L. (2021). Parental reflective functioning and theory of mind acquisition: A developmental perspective. British Journal of Developmental Psychology, 39(4), 584–602. https://doi.org/10.1111/bjdp.12383.
Nijssens, L., Vliegen, N., & Luyten, P. (2020). The mediating role of parental reflective functioning in child social–emotional development. Journal of Child and Family Studies, 29(8), 2342–2354. https://doi.org/10.1007/s10826-020-01767-5.
Pazzagli, C., Delvecchio, E., Raspa, V., Mazzeschi, C., & Luyten, P. (2018). The parental reflective functioning questionnaire in mothers and fathers of school-aged children. [journal article]. Journal of Child and Family Studies, 27, 80–90. https://doi.org/10.1007/s10826-017-0856-8.
Peterson, C., & Slaughter, V. (2003). Opening windows into the mind: mothers’ preferences for mental state explanations and children’s theory of mind. Cognitive Development, 18(3), 399–429. https://doi.org/10.1016/S0885-2014(03)00041-8.
Premack, D., & Woodruff, G. (1978). Does the chimpanzee have a theory of mind. Behavioral and Brain Sciences, 1(4), 515–526. https://doi.org/10.1017/s0140525x00076512.
Rosso, A. M., & Airaldi, C. (2016). Intergenerational transmission of reflective functioning. Frontiers in Psychology, 7. https://doi.org/10.3389/fpsyg.2016.01903.
Rosso, A. M., Viterbori, P., & Scopesi, A. M. (2015). Are maternal reflective functioning and attachment security associated with preadolescent mentalization? [Original Research]. Frontiers in Psychology, 6(1134). https://doi.org/10.3389/fpsyg.2015.01134.
Rostad, W. L., & Whitaker, D. J. (2016). The association between reflective functioning and parent–child relationship quality. Journal of Child and Family Studies, 25(7), 2164–2177. https://doi.org/10.1007/s10826-016-0388-7.
Ruffman, T., Slade, L., & Crowe, E. (2002). The relation between children’s and mothers’ mental state language and theory-of-mind understanding. Child Development, 73(3), 734–751. https://doi.org/10.1111/1467-8624.00435.
Rutherford, H. J. V., Booth, C. R., Luyten, P., Bridgett, D. J., & Mayes, L. C. (2015). Investigating the association between parental reflective functioning and distress tolerance in motherhood. Infant Behavior and Development, 40, 54–63. https://doi.org/10.1016/j.infbeh.2015.04.005.
Sabbagh, M. A., & Seamans, E. L. (2008). Intergenerational transmission of theory-of-mind. Developmental Science, 11(3), 354–360. https://doi.org/10.1111/j.1467-7687.2008.00680.x.
Schiborr, J., Lotzin, A., Romer, G., Schulte-Markwort, M., & Ramsauer, B. (2013). Child-focused maternal mentalization: A systematic review of measurement tools from birth to three. Measurement, 46(8), 2492–2509. https://doi.org/10.1016/j.measurement.2013.05.007.
Scopesi, A. M., Rosso, A. M., Viterbori, P., & Panchieri, E. (2015). Mentalizing abilities in preadolescents’ and their mothers’ autobiographical narratives. The Journal of Early Adolescence, 35(4), 467–483. https://doi.org/10.1177/0272431614535091.
Sharp, C., & Fonagy, P. (2008). The parent’s capacity to treat the child as a psychological agent: Constructs, measures and implications for developmental psychopathology. Social Development, 17(3), 737–754. https://doi.org/10.1111/j.1467-9507.2007.00457.x.
Sharp, C., Fonagy, P., & Goodyer, I. M. (2006). Imagining your child’s mind: Psychosocial adjustment and mothers’ ability to predict their children’s attributional response styles. British Journal of Developmental Psychology, 24, 197–214. https://doi.org/10.1348/026151005x82569.
Slade, A. (2005). Parental reflective functioning: An introduction. Attachment and Human Development, 7, 269–281. https://doi.org/10.1080/14616730500245906.
Steele, H., Steele, M., Croft, C., & Fonagy, P. (1999). Infant-mother attachment at one year predicts children’s understanding of mixed emotions at six years. Social Development, 8(2), 161–178. https://doi.org/10.1111/1467-9507.00089.
Symons, D. K., Fossum, K.-L. M., & Collins, T. B. K. (2006). A longitudinal study of belief and desire state discourse during mother–child play and later false belief understanding. Social Development, 15(4), 676–692. https://doi.org/10.1111/j.1467-9507.2006.00364.x.
Taumoepeau, M., & Ruffman, T. (2006). Mother and infant talk about mental states relates to desire language and emotion understanding. Child Development, 77(2), 465–481. https://doi.org/10.1111/j.1467-8624.2006.00882.x.
Taumoepeau, M., & Ruffman, T. (2008). Stepping stones to others’ minds: Maternal talk relates to child mental state language and emotion understanding at 15, 24, and 33 months. Child Development, 79(2), 284–302. https://doi.org/10.1111/j.1467-8624.2007.01126.x.
Tompkins, V., Benigno, J. P., Kiger Lee, B., & Wright, B. M. (2018). The relation between parents’ mental state talk and children’s social understanding: A meta-analysis. Social Development, 27(2), 223–246. https://doi.org/10.1111/sode.12280.
Wellman, H. M. (2012). Theory of mind: Better methods, clearer findings, more development. European Journal of Developmental Psychology, 9(3), 313–330. https://doi.org/10.1080/17405629.2012.680297.
Wellman, H. M. (2018). Theory of mind: The state of the art. European Journal of Developmental Psychology, 15(6), 728–755. https://doi.org/10.1080/17405629.2018.1435413.
Wellman, H. M., Cross, D., & Watson, J. (2001). Meta-analysis of theory-of-mind development: The truth about false belief. Child Development, 72(3), 655–684. https://doi.org/10.1111/1467-8624.00304.
Wellman, H. M., & Liu, D. (2004). Scaling of Theory-of-Mind tasks. Child Development, 75(2), 523–541. https://doi.org/10.1111/j.1467-8624.2004.00691.x.
Wellman, H. M., & Woolley, J. D. (1990). From simple desires to ordinary beliefs: The early development of everyday psychology. Cognition, 35(3), 245–275. https://doi.org/10.1016/0010-0277(90)90024-e.
Wimmer, H., & Perner, J. (1983). Beliefs about beliefs: Representation and constraining function of wrong beliefs in young children’s understanding of deception. Cognition, 13(1), 103–128. https://doi.org/10.1016/0010-0277(83)90004-5.
Zeegers, M. A. J., Colonnesi, C., Stams, G. J. M., & Meins, E. (2017). Mind matters: A meta-analysis on parental mentalization and sensitivity as predictors of infant–parent attachment. Psychological Bulletin, 143, 1245–1272. https://doi.org/10.1037/bul0000114.
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Nijssens, L., Luyten, P., Malcorps, S. et al. Knowing Your Child’s Mind and Its Relationship with Theory of Mind Acquisition. J Child Fam Stud (2023). https://doi.org/10.1007/s10826-023-02613-0
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DOI: https://doi.org/10.1007/s10826-023-02613-0