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The most general and widest uses of the term symbiosis are studied. It is a particular type of relationship with different levels, correlated with what has been called 'dialogue'. Pollock studies the mutually stimulating, circular reverberations which take place between mother and child. As the ego matures, new cycles appear which are reflected by the way the previous cycle was handled while, at the same time, modifying the future one. Nevertheless, the symbiotic relationship is not simply a communication and is not limited to any particular developmental stage. For instance, manifestations can be created in a symbiotic relationship. The binomial and timeless interrelationship at times can produce 'symbiotic systems' and even structures that neither of the two participants could have produced alone.
The author suggests as potential areas of investigation: the specific characteristics of each partner in relationship with the symbiotic process as well as those which do not participate in the symbiotic process; the different ways by which the interaction of this process could or could not alter or modify any of the specific components of the two personalities; what mechanisms might appear crucial or incidentally appear in a particular symbiotic association; a more thorough description of the different levels of symbiosis during different periods of the patient's life; and, finally, whether it can be determined that there is a characteristic pattern of interaction which could differentiate a specific symbiotic state from other symbiotic manifestations.