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From various theoretical approaches it seems to be rather well established that the Zhang–Rice (ZR) singlet state should play an important role in doped high-temperature superconducting (HTSC) oxides. Yet the conclusion that a one-band model is capable of describing many of the unusual physics observed in HTSC compounds has been questioned because the pz states of the oxygen atoms in the planes as well as those of the apical oxygen atoms hybridize with the Cu d3z2-r2 orbitals and induce a mixing of the in-plane states with the out-of-plane bands. It is shown that electron–lattice coupling and polarizability effects modify the electronic structure of the effective Hamiltonian considered here.