Langmans, Thomas;
(2025)
What About the Trans Folx? Exploring Clinicians’ Views of Trans People’s Access to Chemsex Services.
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
Aims: Chemsex is defined as a form of sexualised drug use, which has been associated with gay, bisexual and men who have sex with men (GBMSM). Chemsex services have been developed to respond to the needs of GBMSM. Research identified that trans, non-binary and gender diverse (TNBGD) people also engage in Chemsex, and service development research emphasises that Chemsex services should be supporting the needs of TNBGD individuals. This research aims to understand clinicians’ perspectives on accessibility, inclusivity and cultural competence working with TNBGD people in Chemsex services. Method: Semi-structured interviews were conducted with 15 professionals working in Chemsex services. Reflexive thematic analysis was used to assess the transcripts. Results: Four main themes were identified, including (1) Unique Factors: Exploring the Trans Chemsex Experience , (2) Embodying Intersectionality, Moving Beyond Tokenism, (3) It Starts with Staff, and (4) Tailoring Services: Addressing Different Aspects of Systemic Exclusion. Conclusion: The findings demonstrate that TNBGD people may face unique challenges or experiences whilst engaging in Chemsex, which may interact with other intersecting identities, such as neurodiversity, race and sex work. The findings also highlight the need for systemic interventions that target discrimination, ignorance and cisnormativity within services. The findings identify strategies to increase TNBGD accessibility, inclusion and staff competence, including developing bespoke training, bespoke trans-pathways, and outreach, working collaboratively with trans organisations. Findings are discussed in context, and implications for clinical practice are discussed.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | D.Clin.Psy |
| Title: | What About the Trans Folx? Exploring Clinicians’ Views of Trans People’s Access to Chemsex Services |
| Language: | English |
| Additional information: | Copyright © The Author 2025. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10214420 |
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