Schulz approaches the case from the perspective of the patient's "internal object world," using concepts such as self-transference, self-representation, object representation, self-constancy, and splitting. He defines projective identification and shows how it is useful in understanding the transference relationship between Dr. Pearson and Mrs. X. He also sees the "self-destructive behavior" more as attempts to define the self, acknowledging it could also represent turning the anger on herself. Her