Non-attuned Mind-related Comments Research Articles

Mind-mindedness in mothers of infants with excessive crying/sleeping/eating disorders

IntroductionExcessive crying, sleeping, and eating disorders are among the most prevalent mental health diagnoses in the first 3 years of life and involve significant health service use. Parents of infants with excessive crying/sleeping/eating disorders report high levels of stress, since they feel incapable of soothing and/or nurturing their baby. Infants' distress can lead to a breakdown in parents' mentalizing abilities and, more specifically, parental mind-mindedness in the parent-child interaction. Moreover, the signals of infants with excessive crying/sleeping/eating disorders tend to be equivocal and difficult to read. This also might contribute to lower parent-child interaction quality. Until now, parental mind-mindedness, which is regarded as a prerequisite for sensitivity, has not been investigated in mothers of infants with excessive crying/sleeping/eating disorders. We investigated whether mind-mindedness in mothers of infants with excessive crying, sleeping and/or eating disorders differed from a healthy control group. We supposed that mothers of infants with excessive crying/sleeping/eating disorders would use (1) less appropriate mind-related comments (AMRCs), and (2) more non-attuned mind-related comments (NAMRCs) than mothers in the control group.MethodsOur sample consisted of 44 mothers and their infants who were patients in a socio-paediatric clinic in Germany. The children were diagnosed with excessive crying, sleeping and/or eating disorders according to DC:0-5 (= clinical group). The control group was composed of 64 healthy children and their mothers. Maternal mind-mindedness was coded during a free-play interaction.ResultsResults showed that mothers of infants with excessive crying, sleeping and/or eating disorders used both more AMRCs (p = .029) as well as more NAMRCs (p = .006) than mothers in the control group.DiscussionThe findings are discussed in terms of implications for interventions (e.g., enhancing mind-mindedness trough video-feedback).

Mind-mindedness and styles of interaction of young fathers with their infants at three months: a pilot study

BackgroundFatherhood at a young age can be characterized by a multiproblematic background with several risk factors that can negatively affect father-child relationships, the father’s well-being and child’s social-emotional development.MethodsThis pilot study evaluated paternal interaction styles and mentalization in a sample of 22 young fathers and their 3-month-old infants and compared these variables with those of 22 adolescent and young mothers (the fathers’ partners). Parent-infant interaction were codified with Care-Index to evaluate styles of interaction and with Mind-Mindedness system to evaluate mentalization.ResultsThe results showed that young fathers had high scores in controlling behaviors and low scores in sensitivity, placing them in a risk range. The young father’s interaction profile did not differ from the young mother’s interaction profile. Infants had high scores in passive behaviors and low scores in cooperative behaviors, placing them in a high-risk range. Moreover, young fathers had more nonattuned mind-related comments than their partners.ConclusionsThe findings indicate that low responsiveness and low mind-mindedness characterize the quality of adolescent and young father-infant interactions, highlighting the value of providing early intervention to support the father–child relationship, enhancing the father’s sensitivity and his ability to keep the infant in mind.

Reliability and validity of representational mind-mindedness in mothers of infants

ABSTRACT Mind-mindedness (MM) refers to the parent’s ability to treat the child as an individual with a mind of his or her own. Studies have found representational and interactional MM to predict child development, but more research is needed on the validity of representational MM in parents of infants. Therefore, we examine the reliability and validity of representational MM in 46 mothers of infants. Representational MM was measured at 4 and 11 months, and interactional MM at 11 months. The results supported the reliability of representational MM by showing a moderate rank-order stability over a 7-month-period, although the stability was due to associations between representational MM and maternal age. The results also supported the validity of representational MM by showing concurrent and longitudinal associations between representational and interactional MM. Finally, the results suggested that the capacity for appropriate mind-related comments is more stable than the tendency to use non-attuned mind-related comments.

Mothers' and fathers' mind-mindedness in infancy and toddlerhood predict their children's self-regulation at preschool age.

The ability to regulate one's emotions and behaviors is essential for adaptive functioning in society. We investigated whether parental mind-mindedness-parents' tendency to treat their children as mental agents-in infancy and toddlerhood predicts school-age children's self-regulation. The sample consisted of 125 mostly Dutch and White families. We assessed mothers' and fathers' appropriate and nonattuned mind-related comments during free play with their 12- and 30-month-old child (70 girls and 55 boys). We measured children's physiological, temperamental, and behavioral self-regulation when children were 4 1/2 years old. Fathers' appropriate mind-related comments predicted children's higher temperamental and behavioral self-regulation and mothers' and fathers' nonattuned mind-related comments predicted children's lower physiological and temperamental self-regulation. Our findings emphasize the importance of both parents' mind-mindedness in children's socioemotional development. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Maternal mind-mindedness during the first year of life: Developmental trajectories and moderators.

Mind-mindedness (MM) refers to caregivers' proclivity to treat a child as having an active and autonomous mental life. It has been shown to be a powerful predictor of many developmental outcomes and to mitigate the impact of risk conditions. However, longitudinal studies on MM reporting changes over time and individual differences among mothers have been scant and quite inconclusive, mainly due to the investigation of changes between only two time points. The current study analyzes MM's developmental trajectories across four time points (3, 6, 9, and 12 months of infants' age) along with the moderating effects of four variables (maternal sensitivity, age, education, and family income). The sample included healthy mother-infant dyads (N = 93, 46 female infants), belonging to monolingual Italian predominantly middle-class families, with 15% (n = 14) classified as low income (below the relative poverty threshold). The dyads were videotaped during semistructured play interactions and transcripts were coded for appropriate mind-related comments (AMRCs) and nonattuned mind-related comments (NAMRCs). Mothers' AMRCs, compared to NAMRCs, showed more temporal stability. Both AMRCs and NAMRCs showed a linear decrease with individual differences across dyads decreasing over time, and dyads becoming increasingly similar one with the other. Low income moderated the normative trend of appropriate mind-related comments. These findings suggest that MM, while depending largely on an individual trait at earlier ages, when infants' mental states are less intelligible, adapts to the increase of infants' sociocommunicative repertoire over time. They also highlight the importance of ecological constraints on the quality of caregiving. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Mind-Mindedness and Parenting Stress: A Cross-Sectional Study in a Cohort of Mothers of 3-Month-Old Full-Term and Preterm Infants

The preterm birth of a child is a sudden event that can disturb the overall family system and its functioning. Many studies have been conducted with the aim of exploring how and the degree to which this event affects the early mother–infant dyadic relationship and maternal well-being, with often mixed findings. The present study investigates the combined effect of preterm birth and parenting stress on mind-mindedness, a parenting dimension that captures how parents represent and treat their children as separate individuals with their own mental states and activities. A hundred and ten mothers and their three-month-old infants (preterm = 54; full-term = 56) participated in the study. Mind-mindedness was assessed by coding mothers’ comments about infant’s mental states during dyadic face-to-face interaction. Parenting stress was evaluated with the Parenting Stress Index Short Form questionnaire. Mothers of preterm infants reported similar levels of appropriate and non-attuned mind-related comments to mothers of full-term infants. The reported parenting stress levels were also comparable. Interestingly, only mothers of preterm infants who reported higher stress in parenting showed more non-attuned comments during the interaction. The results underline the need to address preterm birth as a complex event, going beyond group differences and considering its interplay with other risk or protective factors in shaping children’s and parents’ adjustments and well-being.

Cross-cultural comparison of maternal mind-mindedness among Australian and Chinese mothers

Evidence suggests that parental mind-mindedness is important for children’s social-emotional development; however, almost all research exploring mind-mindedness has been conducted with families from Western backgrounds. The current study explored cross-cultural differences in mind-mindedness based on observed real-time interactions between urban Australian (N = 50, Mage = 30.34 years, SD = 3.14) and urban mainland Chinese (N = 50, Mage = 29.18 years, SD = 4.14) mothers and their toddlers (Australian: Mage = 18.98 months, SD = 0.87; Chinese: Mage = 18.50 months, SD = 2.25). Controlling for education, the Australian mothers used a higher proportion of appropriate mind-related comments and were less likely to use non-attuned mind-related comments than their Chinese counterparts, adjusting for total number of comments. Transcript analysis showed that the Australian mothers used more mental state terms referring to desires and preferences than Chinese mothers. Findings are discussed in relation to cultural influences in child-rearing goals, beliefs, and values and the need for cross-cultural validation of the mind-mindedness construct.

Video-feedback attachment based intervention aimed at adolescent and young mothers: effectiveness on infant-mother interaction and maternal mind-mindedness

ABSTRACT The study examined the effectiveness of PRERAYMI (Promoting Responsiveness Emotion Regulation and Attachment in Young Mothers and Infants) attachment-based intervention programme aimed at adolescent mother-infant dyads. The intervention used video-feedback and developmental guidance to promote maternal mind-mindedness and sensitivity. 32 adolescent mother-infant dyads in the intervention group were compared to 12 adolescent mother-infant dyads in the control group. Maternal mind-mindedness and maternal/infant styles of interaction were evaluated, at the pre-treatment (infant 3 months) and at the post-treatment (infant 9 months). The results indicated the effectiveness of the intervention in enhancing mind-mindedness, with more mind-related comments and fewer non-attuned mind-related comments, maternal sensitivity and infant cooperative behaviour, and in reducing maternal controlling behaviour, in the intervention group. Changes in mother/infant interaction styles or in mind-mindedness in the control group were not detected. The attachment based medium term intervention helped to improve adolescent mother-infant relationship, which is otherwise potentially at risk.

Evaluating Mindful With Your Baby/Toddler: Observational Changes in Maternal Sensitivity, Acceptance, Mind-Mindedness, and Dyadic Synchrony.

Studies on the effectiveness of mindful parenting interventions predominantly focused on self-report measures of parenting, whereas observational assessments of change are lacking. The present study examined whether the Mindful with your baby/toddler training leads to observed changes in maternal behavior and mother–child interaction quality. Mindful with your baby/toddler is a 8- or 9-week mindful parenting training for clinically referred mothers of young children (aged 0–48 months), who experience parental stress, mother–child interaction problems, and/or whose children experience regulation problems. The study involved a quasi-experimental non-random design including a sample of 50 mothers who were diagnosed with a mood disorder (n = 21, 42%), an anxiety disorder (n = 7, 14%), post-traumatic stress disorder (n = 6, 12%), or other disorder (n = 7, 14%). Mothers completed a parental stress questionnaire and participated in home observations with their babies (n = 36) or toddlers (n = 14) during a waitlist, pretest, and posttest assessment. Maternal sensitivity, acceptance, and mind-mindedness were coded from free-play interactions and dyadic synchrony was coded from face-to-face interactions. Sensitivity and acceptance were coded with the Ainsworth’s maternal sensitivity scales. Mind-mindedness was assessed by calculating frequency and proportions of appropriate and nonattuned mind-related comments. Dyadic synchrony was operationalized by co-occurrences of gazes and positive facial expressions and maternal and child responsiveness in vocal interaction within the dyad. Coders were blind to the measurement moment. From waitlist to pretest, no significant improvements were observed. At posttest, mothers reported less parenting stress, and were observed to show more accepting behavior and make less nonattuned comments than at pretest, and children showed higher levels of responsiveness. The outcomes suggest that the Mindful with your baby/toddler training affects not only maternal stress, but also maternal behavior, particularly (over)reactive parenting behaviors, which resulted in more acceptance, better attunement to child’s mental world, and more “space” for children to respond to their mothers during interactions. Mindful with your baby/toddler may be a suitable intervention for mothers of young children with (a combination of) maternal psychopathology, parental stress, and problems in the parent–child interaction and child regulation problems.

Caregiver’s Mind-Mindedness in Early Center-based Childcare

ABSTRACTRecent studies suggest that mind-mindedness is an important element of caregiver–child interactions in family and childcare context. This study investigated caregivers’ mind-mindedness in a nationally representative Dutch sample and its relation with structural quality factors (i.e., group size, caregivers’ education and work experience, group type, and situation) and caregivers’ interactive skills. Participants were 99 caregivers recruited in 50 childcare centers. Mind-mindedness was assessed with observations during free-play and lunch situations in infant, preschool, and mixed-age groups (0–4-year-olds). Caregivers’ appropriate and nonattuned mind-related comments were coded as individual (over/toward one child) or group related (over or toward more than one child). Caregivers’ interactive skills were assessed using the Caregiver Interaction Profile (CIP) scales. Research Findings: Caregivers generally refer to children’s desires, thoughts, and emotions in about 10% of their verbal interactions, with a low incidence rate of nonattuned comments (< 1%). Mind-mindedness was found to be significantly associated with structural quality characteristics and caregivers’ interactive skills. Caregivers with greater interactive skills produced fewer individual and more group appropriate mind-minded comments in mixed-age groups. Practice or Policy: We discuss the relevance of mind-minded comments at individual and group level for the future study of mental-state talk in early childhood education and care.

Maternal mind-mindedness and its association with attachment: the case of Arab infants and mothers in Israel

ABSTRACTWe examined the association between maternal Mind-Mindedness (MM) and secure attachment in an Arab sample in Israel. Seventy-six infant–mother dyads were observed during free play to assess maternal MM and in the Strange Situation Procedure to assess attachment. Mothers of secure infants were hypothesized to use more appropriate and fewer non-attuned mind-related comments than mothers of insecure infants. The results showed that mothers of secure infants used more appropriate mind-related comments than mothers of disorganized infants, with no significant differences compared to mothers of ambivalent infants. Also, mothers of secure infants used less non-attuned mind-related comments than both mothers of disorganized infants and mothers of ambivalent infants. In addition, the findings showed that: (1) mothers of secure infants were most likely to show the combination of high appropriate and low non-attuned mind-related comments; (2) mothers of disorganized infants were most likely to show the combination of high non-attuned and low appropriate mind-related comments; and (3) a nonsignificant trend indicated that mothers of ambivalent infants were most likely to show a combination of high appropriate and high non-attuned mind-related comments.The findings support the relevance of MM in an Arab sample.

The mindedness of maternal touch: An investigation of maternal mind-mindedness and mother-infant touch interactions

Increasing evidence shows that maternal touch may promote emotion regulation in infants, however less is known about how parental higher-order social cognition abilities are translated into tactile, affect-regulatory behaviours towards their infants. During 10 min book-reading, mother-infant sessions when infants were 12 months old (N = 45), we investigated maternal mind-mindedness (MM), the social cognitive ability to understand an infant’s mental state, by coding the contingency of maternal verbal statements towards the infants’ needs and desires. We also rated spontaneous tactile interactions in terms of their emotional contingency. We found that frequent non-attuned mind-related comments were associated with touch behaviours that were not contingent with the infant’s emotions; ultimately discouraging affective tactile responses from the infant. However, comments that were more appropriate to infant’s mental states did not necessarily predict more emotionally-contingent tactile behaviours. These findings suggest that when parental high-order social cognitive abilities are compromised, they are also likely to translate into inappropriate, tactile attempts to regulate infant’s emotions.

Mothers' Early Mind-Mindedness Predicts Educational Attainment in Socially and Economically Disadvantaged British Children.

Relations between mothers' mind-mindedness (appropriate and nonattuned mind-related comments) at 8months (N=206), and children's educational attainment at ages 7 (n=158) and 11 (n=156) were investigated in a British sample. Appropriate mind-related comments were positively correlated with reading and mathematics performance at both ages but only in the low-socioeconomic status (SES) group. Path analyses showed that in the low-SES group, appropriate mind-related comments directly predicted age-11 reading performance, with age-4 verbal ability mediating the relation between appropriate mind-related comments and age-7 reading. In contrast, maternal sensitivity and infant-mother attachment security did not predict children's educational attainment. These findings are discussed in terms of genetic and environmental contributions to reading and mathematics performance.

Reflective functioning, maternal attachment, mind-mindedness, and emotional availability in adolescent and adult mothers at infant 3 months

ABSTRACTThe study evaluated reflective functioning (RF), maternal attachment, mind-mindedness, and emotional availability among 44 adolescent mother–infant dyads and 41 adult mother–infant dyads. At infant age 3 months, mother–infant interaction was coded with the mind-mindedness coding system and Emotional Availability Scales; mother attachment and RF were evaluated with the Adult Attachment Interview (AAI). Adolescent mothers (vs. adult mothers) were more insecure and had lower RF; they were also less sensitive, more intrusive and hostile, and less structuring of their infant’s activity; they used fewer attuned mind-related comments and fewer mind-related comments appropriate to infant development. In adult mothers, the Mother Idealizing and Lack of Memory AAI scales were correlated to non-attuned mind-related comments and the Father Anger scale to negative mind-related comments. In adult mothers, RF was associated with sensitivity. This was not the case with adolescent mothers. In both groups of mothers, there were no associations between sensitivity and mind-mindedness.

Proof of concept of a mind-mindedness intervention for mothers hospitalized for severe mental illness.

Studies 1 and 2 investigated how maternal severe mental illness (SMI) related to mothers' mind-mindedness (appropriate and nonattuned mind-related comments). Study 1 showed that mothers with SMI (n = 50) scored lower than psychologically well mothers for both appropriate and nonattuned comments, whereas mothers with SMI in Study 2 (n = 22) had elevated levels of nonattuned comments. Study 2 also tested the efficacy of a single-session video-feedback intervention to facilitate mind-mindedness in mothers with SMI. The intervention was associated with a decrease in nonattuned comments, such that on discharge, mothers did not differ from psychologically well controls. Study 3 assessed infant-mother attachment security in a small subset of intervention-group mothers from Study 2 (n = 9) and a separate group of standard care mothers (n = 30) at infant mean age 17.1 months (SD = 2.1). Infants whose mothers completed the intervention were more likely to be securely attached and less likely to be classified as insecure-disorganized than those of mothers who received standard care. We conclude that a single session of video-feedback to facilitate mind-mindedness in mothers with SMI may have benefits for mother-infant interaction into the second year of life.

Mother-Child Attachment From Infancy to the Preschool Years: Predicting Security and Stability.

Relations between maternal mind-mindedness (appropriate and nonattuned mind-related comments), children's age-2 perspective-taking abilities, and attachment security at 44 (n=165) and 51 (n=128) months were investigated. Nonattuned comments predicted insecure preschool attachment, via insecure 15-month attachment security (44-month attachment) and poorer age-2 perspective-taking abilities (51-month attachment). With regard to attachment stability, higher perspective-taking abilities distinguished the stable secure groups from (a) the stable insecure groups and (b) children who changed from secure to insecure (at trend level). These effects were independent of child gender, stressful life events, and socioeconomic status (SES). The contribution of these findings to our understanding of stability and change in attachment security from infancy to the preschool years is discussed.

Sensitive attunement to infants’ internal states: operationalizing the construct of mind-mindedness

This paper focuses on caregiver sensitivity, its relation to mind-mindedness (caregivers’ attunement to their infants’ internal states), and how well both constructs predict infant attachment security. The seminal Baltimore research on sensitivity and its relation to attachment security is summarized, highlighting the conclusion that mothers in the insecure-resistant and insecure-avoidant categories could not be distinguished on the basis of sensitivity. The contrast between the complex, sophisticated construct detailed in the original studies and the broad-based nature of the sensitivity coding scale is discussed. This paper argues that we should return to Ainsworth, Bell, and Stayton’s (1971, 1974) original emphasis on the caregiver’s ability to perceive things from the child’s point of view in defining a measure of the quality of early infant–caregiver interaction. This approach led to the development of the construct of mind-mindedness. There are two mind-mindedness indices: caregivers’ tendency during infant–caregiver interaction to (a) comment appropriately on their infants’ putative thoughts and feelings (appropriate mind-related comments), and (b) misread their infants’ internal states (non-attuned mind-related comments). Both indices predict independent variance in infant–caregiver attachment security, and together can distinguish between the secure, avoidant, and resistant categories. The specific, multidimensional nature of mind-mindedness complements the global construct of sensitivity.

Mind‐Mindedness and Theory of Mind: Mediating Roles of Language and Perspectival Symbolic Play

Relations among indices of maternal mind-mindedness (appropriate and nonattuned mind-related comments) and children's: (a) internal state vocabulary and perspectival symbolic play at 26months (N=206), and (b) theory of mind (ToM) at 51months (n=161) were investigated. Appropriate comments were positively associated with ToM, but were unrelated to internal state language and perspectival symbolic play. Nonattuned comments were negatively correlated with internal state language and perspectival symbolic play, but were unrelated to ToM. Path analyses indicated that the best fit model assumed: (a) indirect links between nonattuned comments and ToM via children's perspectival symbolic play, (b) a direct link between appropriate comments and ToM, and (c) an indirect link between appropriate comments and ToM via children's concurrent receptive verbal ability.

Mind-Mindedness as a Multidimensional Construct: Appropriate and Nonattuned Mind-Related Comments Independently Predict Infant-Mother Attachment in a Socially Diverse Sample.

In a socially diverse sample of 206 infant-mother pairs, we investigated predictors of infants' attachment security at 15 months, with a particular emphasis on mothers' tendency to comment appropriately or in a non-attuned manner on their 8-month-olds' internal states (so-called mind-mindedness). Multinomial logistic regression analyses showed that higher scores for appropriate mind-related comments and lower scores for non-attuned mind-related comments distinguished secure-group mothers from their counterparts in the insecure-avoidant, insecure-resistant, and insecure-disorganized groups. Higher scores for appropriate mind-related comments and lower scores for non-attuned mind-related comments also independently predicted dichotomous organized/disorganized attachment. General maternal sensitivity predicted neither attachment security nor organization, although sensitivity was found to relate to dichotomous secure/insecure attachment specifically in the context of low socioeconomic status. The findings highlight how appropriate and non-attuned mind-related comments make independent contributions to attachment and suggest that mind-mindedness is best characterized as a multidimensional construct.

Mother- Versus Infant-Centered Correlates of Maternal Mind-Mindedness in the First Year of Life.

We investigated whether maternal mind-mindedness in infant-mother interaction related to aspects of obstetric history and infant temperament. Study 1, conducted with a socially diverse sample of 206 eight-month-old infants and their mothers, focused on links between maternal mind-mindedness and (i) planned conception, (ii) perception of pregnancy, and (iii) recollections of first contact with the child. The two indices of mind-mindedness (appropriate and nonattuned mind-related comments) related to different aspects of obstetric history, but no strong associations were seen with socioeconomic status, maternal depression, or perceived social support. In Study 2, we found good temporal stability in both indices of mind-mindedness in a sample of 41 infant-mother dyads between 3 and 7 months. Neither index of mind-mindedness related to infant temperament. We conclude that mind-mindedness is best characterized as a facet of the specific caregiver-child relationship, while also being influenced by stable cognitive-behavioral traits in the mother.