Szpital Uniwersytecki w Krakowie, Poradnia Seksuologiczna przy Klinice Dorosłych, Dzieci i Młodzieży.
Uniwersytet Jagielloński, Instytut Psychologii.
Psychiatr Pol. 2023 Feb 28;57(1):89-105. doi: 10.12740/PP/OnlineFirst/140141.
As the social consent for seeking help in the area of psychosexual health increases, specialists observe the current socio-cultural changes and the new phenomena they give rise to be reflected in their patients. One of these relatively new phenomena is chemsex. It is a distinct form of combining highly specific psychoactive substances and sexual activity, practised almost exclusively by men. Due to the heightened health risks, connected both with the drugs used and the frequent lack of protection during sexual activity, international public health institutions consider chemsex a health problem of men who have sex with men (MSM). Although the introduction of MSM as a category in the 1990s - mainly in the context of HIV - was based on important epidemiological premises (the behaviour, not the identification, is what is important in the context of risk), it is neglecting sexual identity that may be one of the missing links in the intersectional understanding and appropriate addressing of problematic chemsex. The article is addressed especially to psychiatrists, psychologists, psychotherapists, addiction and sexologists working with this group of patients.
随着人们在性心理健康领域寻求帮助的社会认可度不断提高，专家们观察到当前的社会文化变化以及由此产生的新现象在他们的患者身上得到了体现。其中一个相对较新的现象是嗑药性行为。这是一种将特定的精神活性物质和性行为结合在一起的独特形式，几乎只在男性中流行。由于使用的药物和性行为中经常缺乏保护，导致健康风险增加，国际公共卫生机构将嗑药性行为视为男男性行为者（MSM）的健康问题。尽管 MSM 作为一个类别在 20 世纪 90 年代被引入，主要是在 HIV 的背景下，这是基于重要的流行病学前提（在风险背景下，重要的是行为，而不是身份），但忽视性认同可能是理解和妥善解决有问题的嗑药性行为的交叉性问题的缺失环节之一。本文主要针对与这一群体患者合作的精神科医生、心理学家、心理治疗师、成瘾专家和性学家。
