In the last few years, everyone has been talking about mentalization. But what is it, really?
Two British psychologists, Peter Fonagy and Anthony Bateman, began writing about mentalization in the late 1980’s. They introduced the term to describe the process of understanding our own behavior and that of others in terms of underlying feelings, desires, and intentions.
Often described as “holding in mind” or “thinking about thinking”, (and also called Theory of Mind) this skill is crucial for understanding other people as well as being helpful in understanding and regulating our own emotions. Mentalization allows us to reflect on our own behavior and that of those around us and to interpret its meaning.
This sort of reflection is an important skill for use in parenting. Fonagy states that for the optimal development of children, it is important for parents to imagine what their children are thinking and feeling and to keep these feelings in mind in their everyday interactions with their children. This is different from what is called “gentle parenting,” where parents meet their child’s every behavior with an explanation to the child of their feelings. In fact, you could say that gentle parenting takes mentalization to an illogical and unnecessary extreme.
Sometimes described as “having the mind in mind” or “seeing ourselves from the outside and others from the inside,” the capacity for mentalization is important for building an internal picture of how other people’s minds work.
Fonagy says that some parents have more trouble understanding what their child is thinking and feeling than others. In such cases, the parents’ feelings can get in the way of understanding what might be in their child’s mind. They may attribute the motivations that often drive them to their child, or they may attribute the motivations that were attributed to them as children to their own child. This can interfere in both really understanding their own child and in their child’s feeling understood and recognized as an individual.
Once, when my son was about a year and a half old, we were at the Bat Mitzvah of my niece. When the photos of the Bat Mitzvah girl’s late grandparents (my parents) were projected, I began to cry. My son looked at me with concern….and then offered me his bottle.
I wonder now, was this metalization on his part? At one and a half? My eighteen-month-old could relate to my feelings and he could want to comfort me. Was this more an example of empathy – which is an identification with another’s feelings – or was it mentalization? Was my son able to understand and relate to my feeling sad or was he able to understand more fully why I was feeling this way? The former would seem like a primitive form of mentalization while the latter would be a more fully developed theory of mind. I suspect that at that age, my son was not able to imagine what I was thinking and what it was that made me cry but he was able to see my sadness. Endearing – but not mentalization.
When children can more fully mentalize, starting at around age 4, this is very helpful to them. Understanding the motivations of others aids in building their own emotional regulation. If a four-year-old child can begin to understand that his friend took his toy because he had waited a long time and just could not wait any longer, he learns several things – first, that his friend was in a different position than he was. Often called alternate perspective taking, the child can realize that he had the toy and he was enjoying playing with it but his friend did not have the toy and was having a hard time waiting to play with it. This is helpful because it is much more tempting to hit someone when they take your toy if you have no understanding of why they did it.
And for parents, mentalization is important for several reasons. First, using mentalization, that is, keeping your child’s mind in mind while being his parent, helps with differentiating your feelings from your child’s and being able to understand your child’s feelings, thoughts and motivations separate from your own. This is useful when trying to maintain your own emotional regulation while dealing with your child. Second, modeling mentalization is helpful for your child’s development of this skill. We want our children to achieve theory of mind because children who are able to reflect on their own feelings and to predict the feelings of others are better able to develop good relationships, strong self-confidence and a healthy sense of self.
So what does mentalization look like in parenting? An example of a lack of mentalization would be a parent who hurries their reluctant child into the car for a pediatrician appointment saying only, “Hurry up, we’re going to be late!” The same parent, using their mentalizing function, would realize that their child might be slow in leaving because they are frightened to go to the doctor’s. The parent might remember that the last time they went, their child received a vaccination, and they would be able to keep in mind that their child might be feeling anxious about the visit. They might imagine their child thinking, “I don’t want to go!” or “I won’t go!”. The parent can choose whether or not to reflect back to their child what they realize, but their awareness of the child’s mental state can guide their actions with their child in a very helpful way.





