Edited by: Theano Kokkinaki, University of Crete, Greece
Reviewed by: Livio Provenzi, University of Pavia, Italy; Hendry Ferreira Chame, Université de Lorraine, France
This article was submitted to Theoretical and Philosophical Psychology, a section of the journal Frontiers in Psychology
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Intersubjectivity refers to one person’s awareness in relation to another person’s awareness. It is key to well-being and human development. From infancy to adulthood, human interactions ceaselessly contribute to the flourishing or impairment of intersubjectivity. In this work, we first describe intersubjectivity as a hallmark of quality dyadic processes. Then, using parent-child relationship as an example, we propose a dyadic active inference model to elucidate an inverse relation between stress and intersubjectivity. We postulate that impaired intersubjectivity is a manifestation of underlying problems of deficient relational benevolence, misattributing another person’s intentions (over-mentalizing), and neglecting the effects of one’s own actions on the other person (under-coupling). These problems can exacerbate stress due to excessive variational free energy in a person’s active inference engine when that person feels threatened and holds on to his/her invalid (mis)beliefs. In support of this dyadic model, we briefly describe relevant neuroimaging literature to elucidate brain networks underlying the effects of an intersubjectivity-oriented parenting intervention on parenting stress. Using the active inference dyadic model, we identified critical interventional strategies necessary to rectify these problems and hereby developed a coding system in reference to these strategies. In a theory-guided quantitative review, we used this coding system to code 35 clinical trials of parenting interventions published between 2016 and 2020, based on PubMed database, to predict their efficacy for reducing parenting stress. The results of this theory-guided analysis corroborated our hypothesis that parenting intervention can effectively reduce parenting stress if the intervention is designed to mitigate the problems of deficient relational benevolence, under-coupling, and over-mentalizing. We integrated our work with several dyadic concepts identified in the literature. Finally, inspired by Arya Nagarjuna’s Buddhist Madhyamaka Philosophy, we described abstract expressions of Dependent Origination as a relational worldview to reflect on the normality, impairment, and rehabilitation of intersubjectivity.
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An emerging view of evolution suggests that evolution of living systems is about survival-of-the-fitted—those entities that resist entropic destruction—rather than survival-of-the-fittest—the entities with the greatest reproductive success (
As living systems are more appropriately considered as symbionts in symbiosis, as opposed to independent “individuals” existing in and of itself (
In this paper, we aim to address the gaps between these concepts in parent-child relations and a formal dyadic model that can provide heuristics for therapeutic interventions to promote the wellbeing of mother-child dyad. First, we postulate that intersubjectivity is a hallmark of quality dyadic interactions. Second, we introduce an active inference framework, namely, Free Energy Principle (FEP), to describe a person in a weakly coupled state and then propose our own dyadic active inference model to model dyadic interactions in a strongly coupled state, such that the causal link between intersubjectivity and maternal wellbeing (specifically, the reduction of parenting stress) is established. Third, we describe how maternal intersubjectivity can be impaired by problems of deficient relational benevolence, under-coupling, and over-mentalizing, with brain-based evidence for our theory. Fourth, to further corroborate our theory, we present a theory-driven literature review, using a coding system derived from our dyadic model to code recent clinically studied parenting interventions that measured parenting stress index (PSI;
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Intersubjectivity—the relation between subjects—has been a key concept in phenomenology (
The development of intersubjectivity in infants has been studied empirically since 1970’s. Among the pioneers, Colwyn Trevarthen and colleagues postulated the theory of “innate intersubjectivity” to account for the ontogeny of the active “self-and-other” awareness, stating that “
Since infancy, we live our lives alternating between a weakly coupled state, in which we are not interacting with the environments, and a strongly coupled state, in which we are intimately interacting with others, e.g., moments of parent-infant interactions. In the science of complexity, the weakly coupled and strongly coupled states instantiate different phases of a complex system. In general, phase transitions produce discontinuity in the thermodynamic free energy of a complex system, such that a simple behavior in one phase may give rise to tremendous complexity in the other phase (
The active inference framework is based on the premises that (1) perception and action of a person self-organize to minimize a quantity known as variational free energy and that (2) action selection, planning, and decision-making can be optimized by minimizing expected free energy, which quantifies the variational free energy of various actions based on expected future outcomes (
According to FEP, a living organism is a self-organizing system that maintains its characteristic phenotypic states and avoids surprising deviations from these expected states by generative processes that are self-organizing and self-evidencing. As the physical, biological processes of an organism embody its “best guess” about its environments, on average and over time the organism tends be attracted to a limited number of attractor states in the space of all possible states, with low entropy or spread in the probability density over the space of possible states, i.e., low variational free energy. Variational free energy is a measure of the upper bound of surprise or prediction error—the difference between the organism’s “best guess” beliefs about what caused its sensory states and what it observes (
Free energy principle adopts the notion of Markov blankets to define the boundary of the living system and its environments—which are partitioned as internal (systemic) states and external (environmental) states, respectively. The Markov blanket itself can be partitioned into active and sensory states, which can be differentiated as follows: active states are not influenced by external states, and sensory states are not influenced by internal states (
Here we briefly describe the concept of Markov blanket as prescribed in FEP (
This says that, statistically speaking, if
The FEP leverages the principle of minimizing variational free energy—the upper bound of surprise or prediction errors—to optimize the prior beliefs in the active inference engine. There are two ways to minimize variational free energy, i.e., perceptual inference and active inference. In perceptual inference, agents strive to update their prior beliefs, while in active inference agents change their environment (or their sampling of information from the environment) by selecting a plan or policy in a set of prior beliefs that would yield the least expected free energy (
The notion of active inference emphasizes that actions solicit a sensory outcome that informs approximate posterior beliefs about external states of the world. Such generative process in FEP renders a living organism to be participatory, or enactive in soliciting and therefore co-creating its perception of the external states, which is very different from a representationalist process by which external states generate sensory states exclusively (
Inspired by FEP (
An active inference and its environments (external states): In an active inference model, an adaptive person functions as an active inference engine—consisting of nodes (A), (S), and (I; solid circles). In a hierarchical network, (S) represents the person’s afferent sensory state and (A) represents the person’s efferent active state, both at a lower level, and (I) represents the person’s prior beliefs at a higher level. Node (E) represents environmental events as external states (dashed circle). The bidirectional arrowed line between (A) and (S) indicates the notion of active inference, that actions solicit a sensory outcome that informs approximate posterior beliefs in the internal states (I) about the external states (E). This is done by minimizing variational free energy—the upper bound of surprise or prediction errors of the active inference. Nodes (E) and (I) do not have direct effects on one another, as they are separated by nodes (A) and (S) that serve as Markov blanket. Nodes (I) and (E) are statistically independent of each other given the Markov blanket, nodes (A) and (S). That is, the nodes (I) and (E) maintain a conditional independence of each other in the model, such that if the values of the Markov blanket nodes (S and A) are known, then knowing the internal states (I) does not provide any additional information about the external states (E), and
In this model, nodes (A) and (S) are the Markov blanket of the node (E), because (A) is a
Due to the conditional independence between nodes (I) and (E), the active inference engine and its external states are in a weakly coupled (conditionally independent) state, giving rise to the apparent duality between subject (the observer) and object (the observed), because knowing the former does not provide any information about the latter, and
We need a dyadic model of two agents that are strongly coupled to model intersubjectivity that arises from subject-subject interactions. Just like ice and water are two phases of the same H2O molecules that behave distinctly (solid and liquid, respectively), the same active inference engine can behave very differently between the phases of weakly coupled and strongly coupled states—while an active inference engine maintains conditional independence between its internal and external states in a weakly coupled state, such conditional independence is diminished in a strongly coupled state, when its external states are no longer a unitary node (E), but rather another active inference engine, such that one engine’s active states (A) serve as a parent of the other engine’s sensory states (S), and
Assuming this strongly coupled state in parent-child relationship, we have published a dyadic model to account for the inverse relationship between stress and intersubjectivity (
Active inference model in a strongly coupled state: When two persons (mother as Person 1 and child as Person 2) are strongly coupled, one person’s active states become the total environmental inputs for the other person’s sensory states, and
The dyadic model of intersubjectivity that we proposed can explain why a child naturally wants to be mirrored and loved by the parent and will feel abandoned by an insensitive parent who neglects or dismisses this natural desire. Indeed, the relational benevolence—love and warmth for another person’s sake—in dyadic interactions has begun to be recognized to play a critical role in wellbeing (
Evidently, it is possible for humans to hold on to an outdated, invalid (mis)belief to the extent of becoming pathological, which is equivalent to keeping an overweighted prior in one’s active inference engine (
The misery of obsessively holding on to an invalid prior belief may be impossible for artificial intelligence (AI) programs—which can be considered as non-human inference engines (
We have postulated, in contrast to the AI programs, people suffer needlessly when they have invalid beliefs that do not reflect the reality, because invalid beliefs can cause human active inference engines to malfunction (
In other words, we postulated that when a normal active inference engine is inflicted with non-relational prior beliefs (
In accordance with our postulation, we have theorized a dyadic model to explain the inverse relationship between parenting stress and maternal intersubjectivity and identified key brain regions that may mediate this relationship using a pre- and post-test design with the evidence-based “Mom Power” parenting intervention (
Under-coupling and over-mentalizing problems ensue in a dyadic system when Person 1 discards Person 2’s active inference engine and instead reduces Person 2 to an imaginary concept, namely Imaginary E1, as if it were a node E in a weakly coupled state, as denoted in the dashed circle in the center. Such imaginary E1 is therefore responsible for Person 1’s over-mentalization of Person 2. The dashed curve between Person 1 and Person 2 indicates the under-coupling, when Person 1 tends to ignore Person 2’s attempts to minimize variational free energy and instead treat Person 2 as an object in Person 1’s conceptual thoughts. The dashed arrows to and from Imaginary E1 indicate the lack of actual generative processes to minimize variational free energy in this pathological state.
There is now preliminary neuroimaging support for brain networks that may mediate the effects of a parenting intervention on maternal intersubjectivity (
The provisional success in identifying a brain model to support the dyadic active inference model encouraged us to conduct the following theory-guided analysis of published intervention studies.
Jalaluddin Rumi (Mathnawi I, 23–31)
Using Rumi’s poem as a metaphor, when primary caregivers are somehow laden with the problems of
We used PubMed database to search for randomized controlled trials (RCTs) reported in English in the last 5 years prior to January 14, 2021, using the following keywords: “Parenting intervention,” “RCT” or “randomized controlled trial,” and “PSI.” We found 52 studies that met inclusion criteria and screened out 17 of them due to the following reasons: (1) the lack of PSI total score as an outcome variable, (2) the absence of comparisons between a intervention condition and a control/baseline condition, or (3) the presence of a medical condition, e.g., traumatic brain injury in the child, that may originate from and/or result in complications in the social environments beyond the parent-child dyads. The list of the final 35 studies reviewed and the coding results for each study are presented in
The coding of studies included in the theory-guided quantitative analysis.
PMID | First author | Journal | Year | Target population | Sample size per group | Tx effect on PSI |
Component 1 |
Component 2 |
Component 3 |
32817266 | Medoff CB | Pediatrics | 2020 | Parents of infants who underwent surgery for congenital heart disease | Tx |
0 | 0 | 1 | 0 |
32432487 | Cala Cala LF | Clin Pediatr (Phila) | 2020 | Low income new mothers | Tx |
1 | 1 | 0 | 1 |
32027150 | Ross AM | J Fam Psychol | 2020 | Military families | Tx |
0 | 0 | 1 | 1 |
31808376 | Whittemore R | Diabetes Educ | 2020 | Parents of youths w/Type 1 diabetes mellitus | Tx |
1 | 1 | 1 | 1 |
31583748 | Poehlmann-Tynan J | Infant Ment Health J | 2020 | Parents of preschool children | Tx |
0 | 0 | 0 | 1 |
31342445 | Rollins PR | J Autism Dev Disord | 2019 | Parents of children w/autism spectrum disorder | Tx |
1 | 1 | 1 | 1 |
31522896 | Chen H | Patient Educ Couns | 2020 | Parents of children w/congenital cataract | Tx |
1 | 1 | 1 | 0 |
31107793 | Knight RM | J Pediatr Gastroenterol Nutr | 2019 | Mothers of children w/behavioral feeding disorder | Tx |
1 | 1 | 1 | 1 |
31222789 | McCarter DE | J Adv Nurs | 2019 | Mothers w/depression and anxiety symptom | Tx-I |
0 | 0 | 0 | 0 |
31165715 | Sawyer A | J Med Internet Res | 2019 | New mothers w/depression and parenting problems | Tx |
0 | 1 | 0 | 0 |
31023190 | O’Shea A | Psychiatr Serv | 2019 | Mothers w/schizophrenia spectrum or mood disorder | Tx |
1 | 1 | 1 | 1 |
30804992 | Sgandurra G | Neural Plast | 2019 | Parents of low-risk preterm infants | Tx |
1 | 1 | 1 | 0 |
29855840 | Lutenbacher M | Matern Child Health J | 2018 | Hispanic mothers of newborns | Tx |
1 | 1 | 1 | 0 |
29953626 | Ericksen J | Infant Ment Health J | 2018 | Mothers w/a range of postnatal mental disorders, e.g., depression | Tx |
1 | 1 | 1 | 1 |
29921144 | Luby JL | Am J Psychiatry | 2018 | Parents of children w/early developed depressive symptoms w/comorbidity of externalizing disorder. | Tx |
1 | 1 | 1 | 1 |
29413437 | Kaltenbach K | Drug Alcohol Depend | 2018 | Mothers w/opioid use disorder | Tx |
0 | 0 | 0 | 0 |
28929582 | Hemdi A | Child Care Health Dev | 2017 | Mothers of chiildren w/autism spectrum disorder | Tx |
1 | 0 | 1 | 1 |
28881303 | Lachman JM | Child Abuse Negl | 2017 | Parents of children at risk for maltreatment | Tx |
1 | 1 | 1 | 1 |
28830853 | Boogerd E | J Med Internet Res | 2017 | Parents of child w/type 1 diabetes | Tx |
0 | 0 | 0 | 0 |
28739559 | Sawyer MG | J Med Internet Res | 2017 | New mothers | Tx |
0 | 0 | ||
28647759 | Rosenblum KL | Arch Womens Ment Health | 2017 | Mothers w/at least one of the following conditions: 1. a mother’s history of childhood maltreatment, 2. adult interpersonal violence, 3. past or current depression and anxiety. | Tx |
1 | 1 | 1 | 1 |
28512921 | Jones SH | J Child Psychol Psychiatry | 2017 | Parents w/bipolar disorder | Tx |
1 | 1 | 1 | 1 |
28464006 | Koushede V | PLoS One | 2017 | Expectant mothers | Tx |
0 | 0 | 0 | 1 |
28410972 | Luthar SS | Womens Health Issues | 2017 | Mothers w/work related burnout in medical settings | Tx |
1 | 1 | 1 | 1 |
27306883 | Thijssen J | Child Psychiatry Hum Dev | 2017 | Parents of children w/ADHD | Tx |
1 | 1 | 1 | 1 |
27624608 | Ehrensaft MK | J Prim Prev | 2016 | Mothers in college w/relatively high parental stress | Tx |
1 | 1 | 1 | 1 |
27878951 | Hodes MW | J Appl Res Intellect Disabil | 2017 | Parents w/mild intellectual disabilities or borderline intellectual functioning | Tx |
1 | 1 | 1 | 1 |
27710006 | DeVoe ER | Psychol Trauma | 2017 | Parents in military service about to be deployed | Tx |
1 | 1 | 1 | 1 |
27464071 | Natrasony C | Phys Occup Ther Pediatr | 2016 | Mothers of children w/gross-motor delays | Tx |
0 | 0 | 1 | 0 |
27449367 | Castel S | Early Hum Dev | 2016 | Parents of preterm infants | Tx |
1 | 1 | 1 | 1 |
26446726 | Bagner DM | J Abnorm Child Psychol | 2016 | Mothers from underserved population | Tx |
0 | 1 | 1 | 0 |
27258925 | Leung C | Res Dev Disabil | 2016 | Parents of preschool children w/developmental disabilities | Tx |
0 | 1 | 1 | 0 |
27302544 | Ngai FW | J Psychosom Res | 2016 | Mothers w/postpartum depression | Tx |
1 | 0 | 0 | 1 |
26986919 | Walton K | Can J Public Health | 2016 | Parents of preschool children | Tx |
1 | 0 | 1 | 1 |
26939716 | Fonagy P | Infant Ment Health J | 2016 | Mothers at risk for mental health issues | Tx |
1 | 1 | 1 | 1 |
* Raters 1 and 2 differed in the coding.
To meet Component 1 (promotion of relational benevolence through enhancing awareness of the child’s internal states and the importance of love and warmth in dyadic interactions), a treatment (Tx) should have ALL of the following: 1. Specific own child in question; 2. Education on child’s social developmental needs, including the development of secure attachment in the child’s prior beliefs, which are only made possible through dyadic interactions; and 3. Emphasize the importance of the caregiver’s positive stance, e.g., warmth, love, sensitivity, etc.
To meet Component 2 (intervention to reduce under-coupling), a Tx should have ALL of the following: 1. Asking the parent to realistically observe the child’s behaviors, with sufficient consistency with what another observer would agree, i.e., valid observation; 2. Education of behavioral techniques contingent on actual feedback from the child’s response during parent-child interactions.
To meet Component 3 (intervention to reduce over-mentalizing), a Tx should have ALL of the following: 1. Skill training on how to observe one’s thoughts and feelings with non-judgmental stance, without necessarily reacting to thoughts and feelings, e.g., mindfulness; 2. Education on how one’s moods and beliefs may negatively influence one’s projection/mentalizing of others and may increase distress tolerance when parents are in negative moods, e.g., feeling frustration.
The Components 1–3 in the coding scheme corresponded to the three components of the dyadic active inference model, which we developed and presented above to address the problems of
The outcome variable, the Tx effect on PSI, was coded according to the following rule: If there was a statistical significant difference in PSI (total score) between the intervention (Tx) and Control groups, as a significant Group main effect or a Time-by-Group interaction effect, or a within-subject difference from a baseline, such that the PSI total score was lower in the Tx than the control condition, then the Tx effects of PSI was coded as “1” (positive effect), otherwise as “0” (negative effect).
The coding of Components 1–3 showed superb inter-rater reliability between the two raters. For Component 1, Rater 1 coded 23 studies as “1” and 12 studies as “0.” The two raters’ coding were identical for all 35 studies, except one study (#20), which Rater 1 and 2 coded as “0” and “1,” respectively. The inter-rater reliability for Component 1 was very high (measurement of agreement kappa = 0.935, asymptotic standard error = 0.064, approximate
The non-parametric correlations (Kendall’s Tau-B and
The non-parametric correlations (Kendall’s Tau-B and
Tx effect on PSI | Component 1 | Component 2 | Component 3 | |
Tx Effect |
1 | |||
Component 1 | 0.620 |
1 | ||
Component 2 | 0.539 |
0.539 |
1 | |
Component 3 | 0.620 |
0.239 | 0.264 | 1 |
** p-value < 0.005.
The associations between each of the three Components and the coding of the outcome variable were independently tested using the directional association test, Sommer’s
The cross tabulations of the treatment effect on PSI and the coding of three components.
Tx effect on PSI |
||||
Coding | Negative (Total # = 12) | Positive (Total # = 23) | Sum of row | |
Component 1 | 0 | 9 | 3 | 12 |
1 | 3 | 20 | 23 | |
Component 2 | 0 | 7 | 2 | 9 |
1 | 5 | 21 | 26 | |
Component 3 | 0 | 9 | 3 | 12 |
1 | 3 | 20 | 23 |
Additionally, to test the additive effects of Components 1, 2, and 3 on the outcome variable (Tx effect on PSI), we computed the sum of coding for each study (which yields a possible total value of 0, 1, 2, or 3). The directional association, treating the sum of coding as independent variable and PSI as dependent variable, was significant (Sommer’s
The cross tabulations of the treatment effect on PSI and the sum of coding.
Tx effect on PSI |
||||
Sum of coding | Negative effect (Total # = 12) | Positive effect (Total # = 23) | Total # each row | % Positive effect |
0 | 4 | 0 | 4 | 0% |
1 | 5 | 1 | 6 | 16.67% |
2 | 3 | 6 | 9 | 66.67% |
3 | 0 | 16 | 16 | 100% |
A monotonically increasing relation between the sum of coding of the studies included in the theory-guided quantitative analysis (on the
To explore relative contributions of three Components to the Tx effects on PSI, we examined the variance of the outcome variable (Tx effect on PSI) explained by the three Components, by performing logistic regression tests with different methods, namely enter, forward, and backward. In the enter model, all three Components were entered simultaneously as predictors, and they totally explained 79.8% of the total variance of the Tx effect on PSI, with 75% accuracy in predicting negative Tx effects (9 out of 12) and 95.7% accuracy predicting positive Tx effects (22 out of 23). In the forward model, Component 3 was selected to be the first single predictor that predicted the outcome the most, which explained 44.8% of the total variance, and subsequently Component 1 was added to the model, which additionally explained another 32.0% of the total variance, resulting in 76.8% of variance explained by Components 1 and 3. In the backward model, all three Components were initially included and subsequently Component 2 was removed from the model as its removal only reduced the total variance explained from 79.8 to 76.8%. Taken together, Components 1 and 3 were two relatively distinct predictors that explained 44.8 and 32% variances of the Tx effect on PSI, respectively, while Component 2 showed little added value in explaining the variance, which perhaps was due to its collinearity with Component 1. Together with correlation data presented in
The theory-guided quantitative analysis of clinical studies of parenting interventions demonstrated the following points: (1) Evaluating parenting interventions on the basis of the three identified components motivated by the dyadic active inference model turned out to be useful and yielded consistent results in gaging the success or the failure of parenting interventions, and (2) the review’s findings seem to suggest the importance of including three identified therapeutic components to be implemented in the development of parenting interventions.
To relate our work to the literature of developmental psychology succinctly, here we integrate the work that we presented above with the dyadic concepts that were identified in a systematic review of 82 unique studies on mother-infant dyadic processes, namely, Mutuality, Reciprocity, Attunement, Contingency, Coordination, Matching, Mirroring, Reparation, and Synchrony (
In
The relevance of present work to the literature of dyadic process as summarized in
Dyadic concepts | The concepts’ definition provided in |
The concepts’ relevance to the dyadic active inference model in our work | The concepts’ relevance to the coding system of interventions |
Mutuality | Mutual contribution of the interactive partners, which might not be equal in terms of frequency and intensity of the behaviors of the two partners. | The necessity of using a dyadic model to describe and understand person-person interactions in a strongly coupled state. | Component 1 (promotion of symbiotic benevolence) |
Reciprocity | Reciprocal influence between interactive partners. | The interaction at the level of nodes S and A between two partners at one moment will produce an effect on each person’s internal model at the level of node M at the next moment after the interaction. | Component 1 (promotion of symbiotic benevolence) |
Attunement | Sharing of actions and intentions which includes maternal identification of infant’s inner feelings/states and infant’s comprehension that the mother is referring to his own original state. | Attunement is very similar to intersubjectivity. As the internal modal (node M) of one partner is closely related to intentions that cause actions (node A) and feelings (node S) of the other partner subsequently causes internal model (node M), attunement is achieved when the mother’s M of infant is consistent with the infant’s M of his or her own nodes S and A. | Component 1 (promotion of symbiotic benevolence) |
Contingency | Reciprocal adjustment of |
Contingency reflects the operational working of an active inference engine in which one’s internal model is optimized. The learning occurs after encountering surprisal and using perceptual inferences to minimize variational free energy. Skills are acquired after using active inference to minimize expected free energy. | Component 2 (intervention to reduce under-coupling) |
Coordination | Bidirectional rhythmic exchanges characterized by specific timing and turn taking which facilitates the reciprocal prediction of future behavioral states. | Coordination is similar to the contingency in a strongly coupled state, wherein two persons take turn to observe, mirror, and respond to one another, creating rhythmic time-contingent dynamic relationships. | Components 2 (intervention to reduce under-coupling) |
Matching | Simultaneous exhibition of the same affective and/or behavioral state by the mother and the infant. | Matching occurs in a strongly coupled state, wherein one person’s node A causes the other’s node S and |
Components 2 (intervention to reduce under-coupling) |
Mirroring | Exaggerated/marked reflection of |
Mirroring is a special form of matching when matching may be more deliberately or intentionally performed than simultaneous matching. Mirroring can happen bidirectionally. | Components 2 (intervention to reduce under-coupling) |
Reparation | Dyadic process in which unmatched dyadic states are transformed in matched dyadic states producing an opportunity to learn interactive strategies and to achieve better stress and emotion regulation. | Reparation is the minimization of dyadic stress by using the surprisal or prediction errors in a dyadic interaction to update the internal model(s) to minimize the surprisal in the next interaction. Because stress is proportional to the surprise, the reduction of surprise can reduce stress. | Components 1 (promotion of symbiotic benevolence) and 2 (intervention to reduce under-coupling) |
Synchrony | Degree of congruence between |
Synchrony indexed by any observable indicators may reflect the degree of intersubjectivity as conceptualized in our dyadic model. | Components 1 (promotion of symbiotic benevolence) and 2 (intervention to reduce under-coupling) |
The first two of the nine dyadic concepts identified in
Apparently, the above description of the first cycle—which involves attunement, contingency, coordination, and mirroring—is compatible with our description of the dyadic active inference engines that are strongly coupled—that is, by virtue of the coupling between the two engines’ nodes (As) and (Ss) at the lower level, which result in the mirroring of the two agents, the attunement between the two engines’ (I) nodes are achieved at the higher level.
Similarly, the above description of the second cycle—matching and the reparation of an unmatched state—is consistent with the process of perceptual and active inferences to update the prior beliefs such that the variational and expected free energy can be minimized eventually.
In sum, the above description of coordination at the behavioral level and attunement at the intentional level is consistent with the two levels of an active inference engine, the behavioral coupling between the dyad’s nodes (As) and (Ss) in the lower level and the approximation of the dyad’s prior beliefs in nodes (Is) in the higher level, respectively, (see
In the fourth column of
In short, by proposing the causal relationship among deficient relational benevolence due to invalid beliefs, under-coupling, and over-mentalizing that would result in excessive stress and impaired intersubjectivity, we believe that our work complemented Provenzi et al.’s comprehensive review work by addressing the following issues: (a) how dyadic interactions can influence maternal wellbeing, which is acknowledged by
While we have postulated that the hallmark of quality dyadic processes is intersubjectivity, how is intersubjectivity—the awareness of self and others—even possible in the first place? The answer depend on the “worldviews”—ontological and epistemological assumptions implicitly or explicitly used to understand any phenomena in this world—that are brought into the studies of awareness (mind) and/or metaphysics (mind-body relation;
As already described in the beginning,
Most physicists would agree that, ontologically, the universe is fundamentally relational, and, epistemologically, to be observable is to be interactable in physics (
“…
The notion of participatory universe suggests that all information is relationally dependent upon the existence of observations or observers whereas the existence of observations or observers is relationally dependent upon the ingredients of the universe. The observer here may be a living system, which is modeled as an active inference engine, or simply a quantum-system measuring apparatus that solicits and thus co-creates the outcomes of observing an incoming event.
To summarize the relational worldview underlying active inference and participatory universe, we resort to the notion of “Dependent Origination” that can be abstractly expressed in the following equation:
Colloquially, Eq. 1 should read “Effect is an interactive product of Cause by Condition.”
Both Cause and Condition are factors participating in an interaction that produces Effect. Among these factors, some are called “Cause,” if they maintain certain
For example, fruit is an interactive product of its seed and other factors such as soil, bacteria, water, sunlight, farmer, etc. In this case, the fruit is Effect, the seed is Cause, and other factors are Conditions. There is systemic continuity between the seed (Cause) and fruit (Effect) because the seed and fruit belong to the same system defined by the same genes that they carry (systemic), but they never co-exist simultaneously in the temporal succession of seed and fruit (continuity). In contrast, while the other factors (soil, bacteria, water, sunlight, farmer, etc.) are necessary to produce the fruit, they are designated as Conditions because they lack the systemic continuity with either the seed or the fruit.
The interactive product, designated by the sign “×” in Eq. 1, renders Eq. 1 as a non-linear formula. Mathematically, the non-linearity mandates that Effect is neither a linear transformation of Cause, nor Condition, nor a linear combination thereof.
Interestingly, Eq. 1 can serve as a mathematical expression of the ultimate nature of reality, namely “Emptiness,” that has been established by Arya Nagarjuna, the founder of Madhyamaka School of Buddhist Philosophy, in the following reasoning:
“Neither from itself,
Nor from another,
Nor from both,
Nor without a cause,
Does anything whatever, anywhere arise.” (
Arya Nagarjuna’s reasoning on Emptiness can be translated in terms of Eq. 1, as follows:
“Neither from self” means that the Effect is not a linear transformation of its Cause—, e.g., although the fruit and seed carry the same genes, the fruit is not identical to the seed or a scaled-up version of the seed.
“Nor from other” means that the Effect is not a linear transformation of its Condition—, e.g., the fruit is not identical to soil, bacteria, water, sunlight, farmer, etc., that do not even share the same genes with the fruit.
“Nor from both” means that the Effect is not a linear combination of the Cause and Condition—, e.g., the fruit is not just the sum of the seed, soil, bacteria, water, sunlight, farmer, etc. that do not have any interactions among them.
“Nor without a cause” means that the Effect is not something other than an interactive product of Cause by Condition—, e.g., the fruit does not come to exist without being the effect of the interactions among the seed, soil, bacteria, water, and other conditions.
“Does anything whatever, anywhere arise” means that nothing can be observed without following the ultimate nature of the participatory universe.
In short, Eq. 1 is not only an abstract expression of “Dependent Origination,” but also an axiomatic translation of Arya Nagarjuna’s reasoning on “Emptiness.” The resulting functional equivalence between “Emptiness” and “Dependent Origination” is eloquently reflected in the pith of Buddhist wisdom, as Je Tsongkhapa (1357–1419) stated in his masterpiece “In Praise of Dependent Origination” (
—Je Tsongkhapa, translated by Geshe Thupten Jinpa.
The consistency between the Buddhist wisdom and John A. Wheeler’s notion of participatory universe becomes evident when we summarize experimental evidence demonstrated in those delayed-choice experiments (
Altogether, the relational worldview in the current context specifically refers to the notion that Effect is as an interactive product of Cause by Condition, which can be equivalent to the notions of Dependent Origination and the ultimate nature of reality, Emptiness, in Buddhist Philosophy as well as the notion of Participatory Universe in Physics.
In the following sections, we will use similar abstract expressions to describe how intersubjectivity and active inference framework can be understood as additional special cases of this relational worldview.
(
Intersubjectivity—the awareness of self and other’s intentions and feelings—is relational, because the effect of awareness in intersubjectivity depends on the interactive coupling between the participants. Here we apply the abstract expression of Dependent Origination to the nature of awareness and intersubjectivity.
According to the Buddhist science of mind, the nature of awareness is fundamentally relational, described as follows:
“The nature of cognition is stated to be awareness, and the nature of consciousness is said to be clear (or luminous) and aware. ‘Clear’ here expresses the essential nature of consciousness, and ‘aware’ expresses its function. ‘Clear’ also indicates: (1) that consciousness is beyond the nature of matter, which is characterized as tangible and obstructive, so it is clear in nature; (2) that just as reflections appear in a mirror, any internal or external object whatsoever—good or bad, pleasant or unpleasant—can appear in consciousness, so consciousness is luminous in that it illuminates objects; and (3) that the essential nature of consciousness is not contaminated by the stains of mental afflictions such as attachment, so its nature is clear or luminous.” (
The relational nature of the awareness is often likened to a clear lampshade or mirror metaphorically, as discussed in our previous work (
Here we describe the mirror-like nature of the awareness in terms of the abstract expression of Dependent Origination. For an object, A, let a subject’s awareness of A be “A-ness,” which is called the “qualia” of perceiving A. As Effect is an interactive product of Cause by Condition, “A-ness” is an interactive product of subject (Cause) and objects (Conditions), which include the object A and other environmental conditions, e.g., the subject’s visual system and other physical environments. Note that the subject, not the object A, is designated as Cause because the qualia as Effect is a subjective experience that has the systemic continuity with the subjectivity of the subject, whereas the object A does not have such systemic continuity. Therefore, in the realm of awareness, Eq. 1 can be re-expressed as follows:
Using the mirror metaphor of the mind, the qualia “A-ness” is like the image in the mirror (Effect), the subject’s mind is like the mirror (Cause), and the object A is like an object placed in front of a mirror (Condition).
In parallel, the object A should be changed after the subject-object interaction too. There should be a counterpart to Effect[Qualia], which can be re-expressed as follows:
wherein Effect[Object A’] denotes the post-interaction object A, with the object A as its Cause and the subjects of awareness and environmental objects (e.g., the brain system and lights in the room) as its Conditions. Due to the subject x object interaction, such Effect[Object A’] is effectively infusing the object with certain “mental energy” in a process called “cathexis.” We will further discuss the concept of cathexis in the context of active inference framework below.
As the Ubuntu proverb says, “I am because you are,” there is no independent subject “I” that can be designated without also simultaneously designating the objects of “other” in relation to the “I.” The intersubjective awareness is a relational awareness of self and other. Trevarthen made a distinction between primary and secondary intersubjectivity (
The primary intersubjectivity is considered innate and mainly characterized by
Secondary intersubjectivity, which emerges around 9 months of age, incorporates objects into the mother–infant interactions, forming a person-person-object triadic relationship (
Here we focus on how to understand primary intersubjectivity in terms of the abstract expression of the relational worldview. Let Eqs 2a, 2b be applied to dyadic processes wherein two subjects, Person 1 (P1) and Person 2 (P2), are strongly coupled in their person-person interactions.
For Person 1,
For Person 2,
The notations, Effects, on the left side of the equations are: Effect[“P1×P2–ness” in P1] denotes P1’s qualia about P1 × P2 dyadic interactions, i.e., “P1 × P2-ness,” and Effect[“P2 × P1–ness” in P2] denotes P2’s qualia about P2 × P1 dyadic interactions, i.e., “P2 × P1-ness.” The notations on the right side of the equations are: Cause[P1] or Cause[P2] denotes P1 or P2’s mirror-like awareness as the subjects; Condition[P1 × P2] or Condition[P2 × P1] refers to the conditions that interact with the mirror-like awareness, which can be any objects or behaviors of the dyadic system, e.g., the dyad’s brains, bodies, verbal or physical behaviors, during the dyadic interactions.
As mentioned above, the Buddhist notion of mirror-like awareness suggests that “the essential nature of consciousness is not contaminated by the stains of mental afflictions such as attachment, so its nature is clear or luminous.” (
The relational worldview—Effect is an interactive product of Cause by Condition—can be applied to understand the active inference framework. In the active inference framework, actions in active inference co-create the perceptions with the incoming event, which is analogous to the facts that actions of measuring co-create the effects of the measurement of the quantum systems in delayed-choice experiments in Physics. When a person or agent is modeled as an active inference engine, the engine serves as the subject that interacts with an object in the external world. As an example, here we apply the abstract expression of Dependent Origination to the active inference process in the four-node network (
Let nodes (A), (S), and (I) of an active inference engine be the Cause and node (E) in the external state be objects or events be the Condition that interacts with the Cause in Eq. 1. Now we have a pair of expressions as follows:
For the effect on the active inference engine,
wherein Effect[nodes (A’), (S’), (I’)] designates the active inference engine
For the effect on the external state,
wherein Effect[node (E’)] designates the external state after the Cause by Condition interaction. Notably, the subject-by-object interaction effect on the object is denotated as the “cathexis” here, because it potentially entangles the object with certain orientation or propensity of the subject. For example, Edward Tolmen construed the process of cathexis as the learned tendency to associate certain objects with certain drives, which is one of the major determinants of choice behaviors, e.g., why meat lovers tend to satisfy their hunger with meat (positive cathexis) rather than non-meat products (negative cathexis;
In the neuroscience literature, the cathexis effect is usually conceptualized in terms of the construct of incentive value—a positive or negative cathexis of an object is construed as a positive or negative incentive value of the object, respectively, (
The question is, after the negative incentive value of the solution has been established, what would the rat do when it is put in a salt-deprived state and then encounters the same salty solution again? This is the question ingeniously answered in an animal study, which showed that when the rat re-encountered the very salty solution after being put in a salt-deprived state surgically, it immediately ran toward and consumed the very salty solution appetitively (
As explained above, the non-linearity in those abstract expressions of Dependent Origination, including Eq. 4b, mandates the following three rules mathematically: The effect of Cause-by-Condition interaction, node (E’), is not identical to (1) any linear transformation of node (E), (2) nor a linear transformation of nodes (A), (S), (I), and (3) nor a linear combination of all four nodes. Hence, the incentive value of an object,
The above axiomatic reasoning based on the non-linearity of Eq. 4b is corroborated by the experiments conducted by
This experimental refutation of the representationalist account of the cathexis of incentive value is potentially relevant to the refutation of the representationalist account of active inference, as noted in the FEP literature (
As we abstractly denoted the relational worldview as the notion of Dependent Origination—Effect is an interactive product of Cause and Condition, a realist worldview presents a stark contrast. Realism can be defined as follows:
In other words, the realism assumes a non-participatory universe wherein an object’s ultimate
The incompatibility between the realist and relational worldviews is clearly evident in preceding discussions offered here. First, in contrast to the non-linearity in the abstract expression of relational worldview (Eqs 1–4), Eq. 5 is a linear function. Second, in contrast to Eqs 1–4, the subject or the apparatus used to make observation plays no roles at all in Eq. 5.
This incompatibility may point to the innate possibility of the cessation of suffering, i.e., healing. We postulated in
In fact, invalid beliefs are deeply embedded in the realist worldview or beliefs. In Buddhism, such realist beliefs are called conceptual thoughts (
“Action and misery having ceased, there is nirvana. Action and misery come from conceptual thought. This comes from mental fabrication. Fabrication ceases through emptiness.” (Nagarjuna, 1995) Ch. 18, V. 5
We have discussed the types of conceptual thoughts and levels of mental fabrication, as well as how these processes adversely influence the active inference processes of the brain in thinking about compassion elsewhere (
According to Buddhism, suffering is rooted in invalid beliefs and the cessation of suffering is guaranteed because all views laden with invalid beliefs are incompatible with the ultimate nature of reality (
Among the initial steps toward this goal, what we hoped to clarify through the abstract expressions presented above is the critical importance of cultivation of an inward, reflective contemplation, including being aware of one’s own prior beliefs in his or her internal states, the difference between the relational and realist worldviews underlying his or her prior beliefs, and the incompatibility between the realist worldview and the relational worldview concerning the nature of reality. Promoting such awareness is primarily an educational, contemplative work on changing beliefs and behaviors that are thought to hinder healthy dyadic interactions. By applying the abstract expressions and formal dyadic model to the study of the parenting interventions as an example domain, we indeed found that the cultivation of inward contemplation (i.e., Component 3 in the coding system) played a critical role in the efficacy of parenting interventions for reducing stress.
—
—David Bargal (
In this hypothesis and theory paper, our work is presented with
First, we used a well-established framework, namely Free-Energy Principle, to provisionally construe a dyadic active inference model of intersubjectivity. Specifically, two persons, as active inference engines, are strongly coupled when one person’s action causes the other’s feeling and
Second, the results from quantitative evaluation of reviewed studies suggest that (1) the presence of any one of the three components was associated with success of parenting stress interventions and (2) the more components were included in an intervention, the more likely it was effective in reducing parenting stress. Pragmatically speaking, future intervention programs designed to attenuate parenting stress, regardless of any specific clinical therapeutic orientation, should consider the implementation of the three components to reduce parenting stress by enhancing the level of intersubjectivity in parent-child dyads.
Third, we integrated our work with decades of research in developmental psychology by comparing our work with the dyadic concepts identified in a recent systematic comprehensive review of dyadic processes (
Fourth, using abstract expressions of Dependent Origination—Effect is an interactive product of Cause by Condition—in multiple domains, we explored the normality, impairment, and rehabilitation of intersubjectivity through the lens of the relational worldview.
In short, we presented an overarching framework grounded in the relational worldview for understanding the nature of reality. Articulating the relational worldview as effectively as possible may be the key to unlock the Team Human’s potentials to overcome human-made problems. While we desperately need to rebuild a viable Team Human to respond to multiple planetary challenges (wars, violence, climate change, poverty, erosion of trust, collapse of democracy, etc.), we suggest that the rehabilitation of intersubjectivity should take a center stage in our collective effort to mitigate harms that are caused by humans.
The original contributions presented in this study are included in the article/supplementary material; further inquiries can be directed to the corresponding author.
SH is the principal developer of the theoretical framework and hypotheses and writer of the manuscript, he created the figures in the study. YN has collaborated with SH in developing and refining the theoretical framework, he also co-wrote the manuscript. MG contributed to quantitative analysis of parenting intervention studies, especially in reviewing and coding of those studies. JS co-wrote the manuscript and supported the research involved in the manuscript. All authors contributed to the article and approved the submitted version.
This work has been supported by the Research Foundation for the State University of New York (SUNY), University of Utah Department of Anesthesiology, and the National Institutes for Health (NIH), and National Institute on Drug Abuse (NIDA) R01 DA047336.
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.