To form, shape, or fashion something; to give form or expression to an idea.
From Latin efformare, from ex- (out) + formare (to form). Used in Late Latin theological and philosophical writing to describe the act of giving definite shape to thought or matter.
Medieval theologians used 'efform' when discussing how God gave form to creation—it was a more precise, technical term than 'make' or 'create,' implying the careful shaping of potential into actual being.
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