Transsexuality 易性癖 I would like to mention briefly another syndrome in which the paranoid process seems to play a central role, namely, transsexualism. There is considerable controversy—often more emotional than enlightening—surrounding this entity and the current application of surgical approaches in dealing with it(Baker,1969; Pauly,1965). The syndrome has been carefully studied and discussed by Stoller (1968). The delusional quality of the patient's belief that he or she belongs to the opposite sex than that indicated by genital anatomy has been variously noted(Northrup,1959; Worden and Marsh,1955; Socarides,1969). My purpose here is only to indicate that the syndrome focuses on a belief that is rigidly maintained in the face of conflicting evidences and is apparently sustained by inner needs and pressures. The paranoid process would consequently seem to play a significant role. There is also evidence to suggest that effective intervention early enough—preadolescent or before—can modify gender role preference(Green et al.,1972). 我想简单地提一下另一种综合症，在这种综合症中，偏执过程似乎起着中心作用，即易性癖。围绕着这个实体和当前外科手术方法在处理它中的应用，有相当大的争议——通常更多的是情绪化的而不是启发性的(Baker,1969;保利,1965)。Stoller(1968)对该综合征进行了仔细的研究和讨论。患者认为自己属于异性，而非生殖器解剖所显示的性别，这种妄想性的特质已经被各种各样的人注意到(Northrup,1959; Worden and Marsh,1955; Socarides,1969)。我在这里的目的只是说明，这种综合症集中在一种信念上，这种信念在面对相互矛盾的证据时被严格地维持着，而且显然是由内在的需求和压力支撑着的。因此，偏执过程似乎发挥了重要作用。也有证据表明，足够早的有效干预——青春期前或更早——可以改变性别角色偏好(Green et al.，1972)。