THE RELATIONSHIP OF PARANOIA AND DEPRESSION Paranoia and depression are closely related states, both clinically and theoretically. It has been my experience clinically that paranoid patients can only relinquish their paranoid stance at the risk of encountering a severe depression. Part of the therapeutic difficulty in treating such patients is that one must help them to face their underlying depression and help them to bear it. Consequently, our thinking about the genesis of paranoia must take into account the relation between paranoid conditions and an underlying depressive stratum in the patient's personality structure. 偏执和抑郁症是密切相关的状态，无论是临床还是理论上。根据我的临床经验，偏执患者只有在面临严重抑郁的风险时才能放弃偏执的立场。治疗这些病人的部分困难在于必须帮助他们面对他们潜在的抑郁，并帮助他们忍受它。因此，我们对偏执的起源的思考必须考虑偏执状态和患者人格结构中潜在的抑郁层之间的关系。