Reality is colored by representations of the bodily self through a wide gamut of behavior. The self may be viewed as a phallus, anal product, breast or mouth, and the world may be similarly viewed. These fantasies must, of course, be analyzed. Sometimes they reflect deformations of the body ego and failure of individuation from the mother. They are narcissistic identity disorders rather than psychoses or borderline states, and their successful treatment requires studying the 'reality testing function of symptoms'. Compulsions and acting out may represent defense against symbiosis with the mother. In creative imagination the body ego impresses itself on surrounding reality and tests, constructs, and expands it.