The document discusses four approaches to representing object inheritance in a relational database: table per concrete class with implicit polymorphism, table per concrete class, table per class hierarchy, and table per subclass. It explains the advantages and disadvantages of each approach, noting that table per class hierarchy has the best performance for polymorphic queries but can lose data integrity, while table per subclass best maintains normalization but requires more joins. The best strategy depends on an application's polymorphic query and association needs versus data integrity and performance factors.