Berne's major contribution to psychotherapy theory was his development of the concept of subdivisions of the ego. More recent writers have deviated from Berne's description of ego states. In this article states of the ego are defined, intrapsychic functions are clarified, and the role of defense mechanisms is reexamined. Self-generated ego images are explained and their internal influence described. The article concludes with a definition of health based on the integrative function of the Adult ego state.
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