Regressive alterations of the self concept

When clinicians formulate a case for treatment by dynamic psychotherapy they include an assessment of ego functions, including the capacity for self symbolization. Terminology for this purpose has been diffusely defined. This paper reviews concepts for describing self symbolization and emphasizes ways of describing the multiplicity of symbols present within any individual. Some regressive transference phenomena during treatment are briefly discussed to illustrate use of the suggested terminology in case formulation.