The head bone's connected to the neck bone: when do toddlers represent their own body topography?

Tactile localization promotes infant self-recognition in the mirror-mark test

Mirror self-recognition has been hailed by many as a milestone in the acquisition of self-awareness with respect to phylogenesis and human ontogenesis.1,2,3,4,5,6 Yet there has been considerable controversy over the extent to which species other than humans and their closest primate relatives are capable of mirror self-recognition, and to the mechanisms that give rise to this ability.1,7 One influential view is that mirror self-recognition in humans and their closest primate relatives is a cognitive advance that is a product of primate evolution, stemming from more recently evolved neural structures and networks that develop through experience-independent mechanisms during ontogenesis.1 In contrast, we show that the development of mirror self-recognition in human infants is a perception-action achievement, building on infants' ability to localize and reach to targets on the body. Infants who were given experience reaching to tactile targets on their bodies in the months prior to recognizing themselves in a mirror achieved mirror self-recognition earlier than infants in either a yoked age-matched control group or a longitudinal control group without such experience. Our results demonstrate that self-touch functions as an intermodal gateway through which infants learn how to localize and reach to stimuli on their bodies, including those that can only be seen in a mirror. These findings identify an overlooked role for the routine activity of self-touch in establishing a representation of the body and suggest that the development of human self-awareness is rooted in self-directed action.

A conceptual framework on body representations and their relevance for mental disorders

Many mental disorders are accompanied by distortions in the way the own body is perceived and represented (e.g., eating disorders, body dysmorphic disorder including muscle dysmorphia, or body integrity dysphoria). We are interested in the way these distortions develop and aim at better understanding their role in mental health across the lifespan. For this purpose, we first propose a conceptual framework of body representation that defines this construct and integrates different perspectives (e.g., cognitive neuroscience, clinical psychology) on body representations. The framework consists of a structural and a process model of body representation emphasizing different goals: the structural model aims to support researchers from different disciplines to structure results from studies and help collectively accumulate knowledge about body representations and their role in mental disorders. The process model is reflecting the dynamics during the information processing of body-related stimuli. It aims to serve as a motor for (experimental) study development on how distorted body representations emerge and might be changed. Second, we use this framework to review the normative development of body representations as well as the development of mental disorders that relate to body representations with the aim to further clarify the potential transdiagnostic role of body representations.

Exploring the development of high-level contributions to body representation using the rubber hand illusion and the monkey hand illusion

During development our body undergoes significant changes, yet we are able to maintain a coherent experience of our body and sense of self. Bodily experience is thought to comprise integration of multisensory signals (vision, touch, and proprioception) constrained by top-down knowledge of body appearance. Evidence from developmental studies suggests that low-level multisensory integration develops throughout childhood, reaching adult levels by 10 years of age. However, how high-level cognitive knowledge changes during childhood to constrain our multisensory body experience is unknown. This study describes four experiments examining high-level contributions to the bodily experience in children compared with adults using the rubber hand illusion and a monkey hand illusion. We found that children (5-17 years of age) exhibited more flexible body representations, showing stronger illusions for small and fantastical (monkey) fake hands compared with adults. Conversely, using a task indirectly capturing changes in hand size, we found that children and adults demonstrated statistically equivalent increases and decreases in hand size following illusions over large and small hands, respectively. Interestingly, at baseline children showed a bias in reporting larger hand size judgments that decreased with age. Finally, we did not find a relationship between individual differences in fantasy proneness and illusion strength for a fantastical (monkey) hand for children or adults, suggesting that developmental changes of top-down constraints are not purely driven by more diffuse boundaries between imagination and reality. These data suggest that high-level constraints acting on our multisensory body experience change during development, allowing children a more flexible bodily experience compared with adults.

From Hemispheric Asymmetry through Sensorimotor Experiences to Cognitive Outcomes in Children with Cerebral Palsy

Recent neuroimaging studies allowed us to explore abnormal brain structures and interhemispheric connectivity in children with cerebral palsy (CP). Behavioral researchers have long reported that children with CP exhibit suboptimal performance in different cognitive domains (e.g., receptive and expressive language skills, reading, mental imagery, spatial processing, subitizing, math, and executive functions). However, there has been very limited cross-domain research involving these two areas of scientific inquiry. To stimulate such research, this perspective paper proposes some possible neurological mechanisms involved in the cognitive delays and impairments in children with CP. Additionally, the paper examines the ways motor and sensorimotor experience during the development of these neural substrates could enable more optimal development for children with CP. Understanding these developmental mechanisms could guide more effective interventions to promote the development of both sensorimotor and cognitive skills in children with CP.

Improving Body Representation and Motor Skills with a Preschool Education Program: A Preliminary Study

Background: Body representation is described as a fundamental ability to build efficient motor skills. However, no structured and evidence-based program on body representation currently exists. This study assesses the effectiveness of a school-based body representation program (ENCOR: EN for ‘Enfant’ and COR for ‘Corps’ in French) on body representation abilities and motor skills in preschool children. ENCOR focus on body representation abilities as a foundational ability for motor skills. It was designed with teachers and occupational therapists to be autonomously achieved by teachers. Methods: Twenty-three children aged 5–6 years were included and provided with education interventions (control versus ENCOR). Results: Body representation accuracy and precision in localization increased by about 20% and 37%, respectively, in the intervention program compared to the control intervention. In the body part naming task, participants performed fewer of the most frequent errors (i.e., from 198 to 116 left-right discrimination errors). As expected, performance in the body representation tasks and the motor skills tasks were correlated at baseline. We show that motor skills improved after the ENCOR training. Conclusions: Given the need for evidence-based programs in schools, this program could efficiently help implementing body representation education on a large scale. Future studies should evaluate the effectiveness of the program on other cognitive abilities and academic outcomes.

How Action Shapes Body Ownership Momentarily and Throughout the Lifespan

Objects which a human agent controls by efferent activities (such as real or virtual tools) can be perceived by the agent as belonging to his or her body. This suggests that what an agent counts as “body” is plastic, depending on what she or he controls. Yet there are possible limitations for such momentary plasticity. One of these limitations is that sensations stemming from the body (e.g., proprioception) and sensations stemming from objects outside the body (e.g., vision) are not integrated if they do not sufficiently “match”. What “matches” and what does not is conceivably determined by long–term experience with the perceptual changes that body movements typically produce. Children have accumulated less sensorimotor experience than adults have. Consequently, they express higher flexibility to integrate body-internal and body-external signals, independent of their “match” as suggested by rubber hand illusion studies. However, children’s motor performance in tool use is more affected by mismatching body-internal and body-external action effects than that of adults, possibly because of less developed means to overcome such mismatches. We review research on perception-action interactions, multisensory integration, and developmental psychology to build bridges between these research fields. By doing so, we account for the flexibility of the sense of body ownership for actively controlled events and its development through ontogeny. This gives us the opportunity to validate the suggested mechanisms for generating ownership by investigating their effects in still developing and incomplete stages in children. We suggest testable predictions for future studies investigating both body ownership and motor skills throughout the lifespan.

What Do Children Think of Their Perceived and Ideal Bodies? Understandings of Body Image at Early Ages: A Mixed Study

Research into children’s body perceptions and ideals is scarce despite evidence of body dissatisfaction in childhood. This study aimed to understand preschoolers’ body image by employing a mixed design. Using a novel figural scale (Preschoolers’ Body Scale) that comprises four child figures ranging in BMI, 395 children ages 4–6 (54% boys) selected their perceived and ideal body and explained why they picked these bodies. Children tended to underestimate their body size and many of them desired slimmer bodies, especially girls and older participants, although body-size perception improved with age. Most children showed body satisfaction, especially boys and younger children. Ideal body choices were not always explained by beauty ideals but by physical abilities, desire to grow up, mothers’ comments, and nutrition. Many responses reflected limited body awareness, suggesting body image may not yet be fully formed in preschoolers due to their incipient cognitive development.

The Human Face Becomes Mapped as a Sensorimotor Reaching Space During the First Year

Although recent behavioral and neural research indicates that infants represent the body's structure, how they engage self-representations for action is little understood. This study addressed how the human face becomes a reaching space. Infants (N = 24; 2-11 months) were tested longitudinally approximately every 3 weeks on their ability to reach to a vibrating target placed at different locations on the face. Successful reaches required coordinating skin- and body-based codes for location, a problem known as tactile remapping. Findings suggest that a functional representation of the face is initially fragmented. Infants localized targets in the perioral region before other areas (ears/temples). Additionally, infants predominantly reached ipsilaterally to targets. Collectively, the findings illuminate how the face becomes an integrated sensorimotor space for self-reaching.

Body representation in infants: Categorical boundaries of body parts as assessed by somatosensory mismatch negativity

There is growing interest in developing and using novel measures to assess how the body is represented in human infancy. Various lines of evidence with adults and older children show that tactile perception is modulated by a high-level representation of the body. For instance, the distance between two points of tactile stimulation is perceived as being greater when these points cross a joint boundary than when they are within a body part, suggesting that the representation of the body is structured with joints acting as categorical boundaries between body parts. Investigating the developmental origins of this categorical effect has been constrained by infants’ inability to verbally report on the properties of tactile stimulation. Here we made novel use of an infant brain measure, the somatosensory mismatch negativity (sMMN), to explore categorical aspects of tactile body processing in infants aged 6–7 months. Amplitude of the sMMN elicited by tactile stimuli across the wrist boundary was significantly greater than for stimuli of equal distance that were within the boundary, suggesting a categorical effect in body processing in infants. We suggest that an early-appearing, structured representation of the body into ‘parts’ may play a role in mapping correspondences between self and other.

Perceptual Representation of Own Hand Size in Early Childhood and Adulthood

Hand size perceptual distortions characterize adult human cognition. Notwithstanding the importance of uncovering how hand size representation develops in humans, studies in this field are still at a preliminary stage. Indeed, it is yet to be understood whether hand size distortions are present and reliable in early childhood and whether they differ from adults’ distortions, offering a more in-depth insight into the emergence and development of such representations. We addressed this issue by comparing 4- to 6- year-old children and adults’ representation of their own hand size, as assessed with a 2-forced choice visual perceptual task. To test participants’ ability to estimate their own hand size, children and adults judged whether pictures of their own hand, resized to appear smaller or bigger than their own hand, matched or not its actual dimension. Results show that children aged 4 to 6 years tend to underestimate their own hand size, while adults underestimate their own hand more weakly. This evidence suggests that body-parts perceptual distortions are already in place in early childhood, and thus represent a characteristic of the human body representation.

The motor system (partially) deceives body representation biases in absence of visual correcting cues

The internal models of our body dimensions are prone to bias, but little evidence exists to explain how the motor system achieves fine-grained control despite these distortions. Previous work showed that the hand representation, assessed in a dynamic task (Proprioceptive Matching Task), was less distorted compared to that measured through a static body representation task (Localization Task), suggesting that either the hand representation was updated or the motor trajectory was adjusted during movement. The present study set out to shed light on this phenomenon by administering the Localization Task before and after either the Proprioceptive Matching Task or a control condition in a within-subjects design. Our results showed that hand map biases decreased during the Proprioceptive Matching Task, but that this increase in accuracy did not carry over to the Localization Task. In other words, more accurate performance in the dynamic body representation task does not reflect a change in how the hand is represented. Rather, it likely reflects a refinement of the motor trajectory, due to the integration of multisensory information, providing interesting insights into how the motor system partially overcomes biases in body representations.

The development of body representations in school-aged children

Following the triadic taxonomy, three different body representations do exist, namely the body semantics, the body structural representation and the body schema. The development of these body representations has been widely investigated in toddlers, but several issues remain to be addressed in school age. To assess age- and gender-related changes in different body representations and to investigate the presence of different patterns of interplay between these representations of the body, 90 children (age range: 7-10) and 37 young adults (age range: 18-35) were given tasks assessing the body semantics, the body structural representation and the body schema as well as control tasks. The present results suggested that the body schema, evaluated by means of hand laterality judgments, was still not completely developed in school-aged children, whereas the body structural representation reached an adult-like pattern by the age of 9-10 years. Finally, body semantics was fully developed in school-aged children. These findings were discussed in terms of their theoretical implications, for a better understanding of body representation development; also, implications for clinical assessment of body representation disorders were discussed.

Touching! An Augmented Reality System for Unveiling Face Topography in Very Young Children

Developmental body topography, particularly of the face, is a fundamental research topic in the current decade. However, empirical investigation of this topic for very young children faces a number of difficulties related to the task requirements and technical procedures. In this study, we developed a new task to study the spatially-sensed position of facial parts in a self-face recognition task for 2.5- and 3.5-year-old children. Using the technique of augmented reality (AR) and 3D face tracking technology, we presented participants with their projected self-image on a screen, accompanied by a digital mark located on parts of their face. We prepared a cheerful visual and auditory reward on the screen when participants showed correct localization of the mark. We then tested whether they could indicate the position of the mark on their own faces and remain motivated for task repetition. To assess the efficacy of this task, 31 2.5- and 11 3.5-year-old children participated in this study. About half of the 2.5-year-olds and 80% of the 3.5-year-olds could perform more than 30 trials. Our new task, then, was to maintain young children’s motivation for task repetition using the cheerful visual and auditory reward. The analysis of localization errors suggested the uniqueness of spatial knowledge of self-face in young children. The efficacy of this new task for studying the development of body image has been confirmed.

Reaching to the Self: The Development of Infants' Ability to Localize Targets on the Body

This study focused on the development of infants' sensorimotor knowledge about the layout of their bodies. Little is known about the development of the body as a reaching space, despite the importance of this skill for many self-directed adaptive behaviors, such as removing foreign stimuli from the skin or scratching an itch. A new method was developed in which vibrating targets were placed on the heads and arms of 7- to 21-month-old infants (N = 78) to test reaching localization of targets. Manual localization improved with age, and visual localization was associated with successful reaching. Use of the ipsilateral or contralateral hand varied with body region: Infants primarily used the ipsilateral hand for head targets but the contralateral hand for arm targets, for which ipsilateral reaches were not biomechanically possible. The results of this research highlight a previously understudied form of self-knowledge involving a functional capacity to reach to tactile targets on the body surface.

The Development of Tactile Perception

Touch is the first of our senses to develop, providing us with the sensory scaffold on which we come to perceive our own bodies and our sense of self. Touch also provides us with direct access to the external world of physical objects, via haptic exploration. Furthermore, a recent area of interest in tactile research across studies of developing children and adults is its social function, mediating interpersonal bonding. Although there are a range of demonstrations of early competence with touch, particularly in the domain of haptics, the review presented here indicates that many of the tactile perceptual skills that we take for granted as adults (e.g., perceiving touches in the external world as well as on the body) take some time to develop in the first months of postnatal life, likely as a result of an extended process of connection with other sense modalities which provide new kinds of information from birth (e.g., vision and audition). Here, we argue that because touch is of such fundamental importance across a wide range of social and cognitive domains, it should be placed much more centrally in the study of early perceptual development than it currently is.

'Thin people … they're healthy': young children's understanding of body weight change

BACKGROUND

While research has investigated negative stereotyping of fat body shapes, little has focused on young children's understanding of the mechanisms, motivations and consequences of weight change.

OBJECTIVES

To investigate children's understanding of how weight change is achieved, people's motivation for weight change, and the consequences of weight loss or weight gain.

METHODS

One hundred children (mean age 5.2, 38 girls) read a book in which one of the main characters (male/female according to the child's sex) was either healthy weight or overweight. Afterwards, this character was described as gaining or losing weight, and drawings which depicted the child in the story as either healthy weight or overweight were presented to the child and discussed. An audio-recorded semi-structured interview followed and transcripts were analysed using thematic analysis.

RESULTS

Nearly all children described the weight/shape change and attributed this to food more frequently than exercise. Weight loss was viewed positively and both motivations and consequences grouped under two master themes (physical and social reasons). No clear gender differences were observed in these responses.

CONCLUSIONS

Talking with 5-year-olds showed them to be observant and knowledgeable, especially about motivations for and consequences of weight change. For those working to improve children's health literacy, this suggests receptiveness to early and fact-based education.

Teachers' Influence on Weight Perceptions in Preschool Children

AIM

This study examined the influence of teachers, mothers, and children themselves on weight misperceptions of preschool children.

BACKGROUND

Preschool children should have correct perceptions of their weight and develop a positive body image and healthy weight-control behaviors throughout childhood.

METHODS

This study used a descriptive cross-sectional design based on the biopsychosocial model. We analyzed 388 triads of Korean children aged 3-6 years, their mothers, and teachers.

RESULTS

Children's body mass index (BMI) and weight satisfaction, mothers' BMI; teachers' education level, BMI, perception of and satisfaction with children's weight, body image, and attitude toward obesity were predictors of children underestimating their weight. Mothers' education level and BMI; teachers' BMI, satisfaction with children's weight, and body image were predictors of children overestimating their weight.

CONCLUSIONS

Teachers influence weight misperceptions of preschool children. Intervention programs for teachers should incorporate more accurate perceptions of children's weight and promote healthy body image.

Development of Body Part Vocabulary in Toddlers in Relation to Self-Understanding

To better understand young children's ability to communicate about their bodies, toddlers' comprehension and production of 27 common body part words was assessed using parental report at 20 and 30 months (n = 64), and self-awareness was assessed using mirror self-recognition. Children at both ages comprehended more body part words that referred to themselves than to others' bodies, and more words referring to locations that they could see on themselves than to those they could not see. Children with more advanced mirror self-recognition comprehended and produced more body part words. These findings suggest that with age and better understanding of the self, children also possess a better understanding of the body, and they provide new information about factors that affect how young children begin to talk about their own and others' bodies. They should be useful for practitioners who need to ask children about their bodies and body parts.

Two-year-olds' understanding of self-symbols

This study investigated 48 2.5-year-olds' ability to map from their own body to a two-dimensional self-representation and also examined relations between parents' talk about body representations and their children's understanding of self-symbols. Children participated in two dual-representation tasks in which they were asked to match body parts between a symbol and its referent. In one task, they used a self-symbol and in the other they used a symbol for a doll. Participants were also read a book about body parts by a parent. As a group, children found the self-symbol task more difficult than the doll-task; however, those whose parents explicitly pointed out the relation between their children's bodies and the symbols in the book performed better on the self-symbol task. The findings demonstrate that 2-year-old children have difficulty comprehending a self-symbol, even when it is two-dimensional and approximately the same size as them, and suggest that parents' talk about self-symbols may facilitate their understanding.

When the body is time: spatial and temporal deixis in children with visual impairments and sighted children

While there is mounting evidence explaining how concrete concepts are processed, the evidence demonstrating how abstract concepts are processed is rather scant. Most research illustrating how concrete and abstract concepts are processed has been obtained from adult populations. Consequently, not much is known about how these concepts are processed by children, especially those with sensorimotor impairments. This paper reports a study in which groups of children who were either visual-motor impaired (VMG), blind (BG), or sighted (CG) were requested to perform deictic gestures for temporal and spatial concepts. The results showed that: (i) spatial pointing was performed faster than temporal pointing across all groups of children; (ii) such difference in pointing times occurred also within groups; and (iii) the slowest pointing times were those of the blind children followed by the VMG and the CG children, respectively. Additionally, while CG children correctly performed the pointing tasks, VMG and, particularly, BG children relied on a form of deixis known as autotopological (or personal) deixis. The results thus suggest that deprivation or lack of sensorimotor experience with the environment affects the processing of abstract concepts and that a compensatory mechanism may be to rely on the body as a reference frame.

Human toddlers' attempts to match two simple behaviors provide no evidence for an inherited, dedicated imitation mechanism

Influential theories of imitation have proposed that humans inherit a neural mechanism - an "active intermodal matching " (AIM) mechanism or a mirror neuron system - that functions from birth to automatically match sensory input from others' actions to motor programs for performing those same actions, and thus produces imitation. To test these proposals, 160 1- to 2½-year-old toddlers were asked to imitate two simple movements- bending the arm to make an elbow, and moving the bent elbow laterally. Both behaviors were almost certain to be in each child's repertoire, and the lateral movement was goal-directed (used to hit a plastic cup). Thus, one or both behaviors should have been imitable by toddlers with a functioning AIM or mirror neuron system. Each child saw the two behaviors repeated 18 times, and was encouraged to imitate. Children were also asked to locate their own elbows. Almost no children below age 2 imitated either behavior. Instead, younger children gave clear evidence of a developmental progression, from reproducing only the outcome of the models' movements (hitting the object), through trying (but failing) to reproduce the model's arm posture and/or the arm-cup relations they had seen, to accurate imitation of arm bending by age 2 and of both movements by age 2½. Across age levels, almost all children who knew the word 'elbow' imitated both behaviors: very few who did not know the word imitated either behavior. The evidence is most consistent with a view of early imitation as the product of a complex system of language, cognitive, social, and motor competencies that develop in infancy. The findings do not rule out a role for an inherited neural mechanism, but they suggest that such a system would not by itself be sufficient to explain imitation at any age.

Perceptual and neural response to affective tactile texture stimulation in adults with autism spectrum disorders

Autism spectrum disorders (ASD) are associated with differences in sensory sensitivity and affective response to sensory stimuli, the neural basis of which is still largely unknown. We used psychophysics and functional magnetic resonance imaging (fMRI) to investigate responses to somatosensory stimulation with three textured surfaces that spanned a range of roughness and pleasantness in a sample of adults with ASD and a control group. While psychophysical ratings of roughness and pleasantness were largely similar across the two groups, the ASD group gave pleasant and unpleasant textures more extreme average ratings than did controls. In addition, their ratings for a neutral texture were more variable than controls, indicating they are less consistent in evaluating a stimulus that is affectively ambiguous. Changes in brain blood oxygenation level-dependent (BOLD) signal in response to stimulation with these textures differed substantially between the groups, with the ASD group exhibiting diminished responses compared to the control group, particularly for pleasant and neutral textures. For the most unpleasant texture, the ASD group exhibited greater BOLD response than controls in affective somatosensory processing areas such as the posterior cingulate cortex and the insula. The amplitude of response in the insula in response to the unpleasant texture was positively correlated with social impairment as measured by the Autism Diagnostic Interview-Revised (ADI-R). These results suggest that people with ASD tend to show diminished response to pleasant and neutral stimuli, and exaggerated limbic responses to unpleasant stimuli, which may contribute to diminished social reward associated with touch, perpetuating social withdrawal, and aberrant social development.

Perceptions of self in 3-5-year-old children: a preliminary investigation into the early emergence of body dissatisfaction

The main objective of this study was to investigate normal weight and overweight preschool children's ability to understand conceptualizations of body image and their association with parental perceptions of their child's body. One hundred and forty-four children aged 3-5 years were interviewed (68 girls and 76 boys) regarding their body image and their satisfaction with such. Parents completed a questionnaire that probed socio-demographic characteristics as well as their perceptions of their child's body image. Results showed that (1) children's misperceptions corresponded to those held by their parents. Specifically, overweight children and their parents underestimated the child's body size. (2) Gender differences in body dissatisfaction were consistently observed and were similar to those seen in adolescents and adults. It was determined that children's inaccuracies were not a result of developmental limits, that is, the participants' inability to understand the concepts measured.

Comprehension and production of body part labels in 2- to 3-year-old children

This study examined which body part labels children could (i) produce when the experimenter touched different locations on her own body, asking each time 'What's this?' and (ii) comprehend by touching the correct locations on their own bodies in response to the experimenter asking 'Where's the [body-part label]?'. Seventeen children aged between 26 and 41 months, tested in a repeated measures procedure, were presented with 50 different body part stimuli in 200 test trials per child. Overall, the children produced fewer body part labels than they could comprehend. The accuracy of children's responses depended on (i) the location or extent of each body part (facial and broad body features were better known; joints and features in or attached to broad body parts the least well known); (ii) the amount of sensory (but not motor) representation each body part has in the human cortex; and (iii) whether a body part was commonly named by caregivers. These results present a precise mapping of the body parts that young children are able to name and locate on their own bodies in response to body part names; they suggest several possible determinants of lexical-semantic body knowledge and add to the understanding of how it develops in childhood.