Socarides C W
Int J Psychoanal Psychother. 1978;7:373-84.
A discussion of "The Transsexual Wish in a Psychotic Character" by Katherine MacVicar, M.D. This paper reviews some of the major reports gradually emerging in the psychoanalytic literature which validate the belief that beneath the desire "to change sex" may lie serious, if not overwhelming, psychopathology-even of a psychotic nature. Transsexual wishes may arise from oedipal conflict, preoedipal fixation, or schizophrenic processes. This paper briefly describes the mechanisms involved in the development of psychotic reactions in those schizophrenics who desire and undergo sexual transformation surgery.
医学博士凯瑟琳·麦克维卡所著《精神病态人格中的易性癖愿望》的讨论。本文回顾了精神分析文献中逐渐出现的一些主要报告，这些报告证实了一种观点，即即便不是压倒性的，在“改变性别”的欲望之下可能潜藏着严重的精神病理学问题——甚至是精神病性质的问题。易性癖愿望可能源于俄狄浦斯冲突、前俄狄浦斯期固着或精神分裂症过程。本文简要描述了那些渴望并接受性别转换手术的精神分裂症患者发生精神病反应的发展机制。
