New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern

Anne Iking; Katrin Gruemer

doi:doi:10.11648/j.ajpn.20210904.12

| Peer-Reviewed

New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern

Anne Iking, Katrin Gruemer

Published in American Journal of Psychiatry and Neuroscience (Volume 9, Issue 4)

Received: 28 May 2021 Accepted: 22 June 2021 Published: 24 November 2021

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

The present article reflects on the need for Men who have sex with men (MSM) with addicted chemsex consumption behavior and presents a specified treatment concept. The individual therapeutic challenges for this group of users consists of the distinct functionalization of substance use for initiating and engaging in sexual activity as well as the resulting strong association between sexual activity and substance use and vice versa. Intensive psychotherapeutic and addiction treatment is needed to decouple substance use and sexual activity, with the ultimate goal of promoting sexual activity without substance use. This treatment initially starts with stimulus control and continues to exposure and re-initiation of sexual activities without substance use. Since the first treatment inquiries through “Aidshilfe Cologne”, the salus klinik Huerth, department of addiction care, has developed a treatment approach for MSM with addicted chemsex behavior, which is focused on the function of drugs for sexual activity and aims at encouraging a lifestyle of engaging in sexual activity without substance use. The article provides information regarding the necessity of a specific treatment approach by comparing initial data about differences between MSM with chemsex as compared to men with other substance use behavior and examines implications for the practice.

Published in	American Journal of Psychiatry and Neuroscience (Volume 9, Issue 4)
DOI	10.11648/j.ajpn.20210904.12
Page(s)	157-162
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

MSM, Chemsex, Minority Stress, Treatment Approach

References

[1]	Blomquist, P. B. et al. (2020). Characteristics and sexual health service use of MSM engaging in chemsex: results from a large online survey in England. In: Sex Transm Infect, 96: 590-595.
[2]	Bohn, A. et al. (2020). Chemsex and Mental Health of Men Who Have Sex with Men in Germany. In: Front. Psychiatry 11: 542301.
[3]	Dichtl, Graf, Sander (2016), Quadros: Modellprojekt „Qualitaetsentwicklung in der Beratung und Praevention im Kontext von Drogen und Sexualitaet bei schwulen Maennern“. Berlin: Deutsche Aidshilfe.
[4]	Dolengevich-Segal, H. et al. (2019). Drug-related and psychopathological symptoms in HIV-positive men who have sex with men who inject drugs during sex (slamsex): Data from the U-SEX GESIDA 9416 Study. In: PLoS ONE 12 (12): e0220272.
[5]	Evers, Y. J. et al. (2020). Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands. In: Preventive Medicine Reports 18: 101074.
[6]	Franke. G. H. (2000): Brief Symptom Inventory von L. R. Derogatis. Goettingen: Beltz.
[7]	Graf, N., Dichtl, A., Deimel, D., Sander, D. & Stoever, H. (2018). Chemsex among men who have sex with men in Germany: motives, consequences and the response of the support system. In: Sexual Health 15: 151-156.
[8]	Knight, R. (2018). Investments in implementation science are needed to address the harms associated with the sexualized use of substances among gay, bisexual and other men who have sex with men. In: Journal of the International AIDS Society 21: e25141.
[9]	Pfliegensdoerfer, M. (2017). Suchtberatung mit drogenkonsumierenden MSM. Erfahrungen aus der zielgruppenspezifischen (Sucht-)Beratung der Aidshilfe Koeln. In: rausch, 5./6. Jahrgang, 4-2016/1-2017, 335-342
[10]	Rosinska, M. et al. (2018). Prevalence of drug use during sex amongst MSM in Europe: Results from a multi-site bio-behavioural survey. In: International Journal of Drug Policy 55: 231-241.
[11]	Sander, D. (2017) Die besondere Vulnerabilitaet schwuler und bisexueller Maenner. Wie Diskriminierung die Gesundheitschancen sexueller Minderheiten beeinflusst. In: rausch. Wiener Zeitschrift fuer Suchttherapie, 6 (1): 266-272.
[12]	Schecke et al. (2019). Crystal Methamphetamine Use in Sexual Settings among German Men Who Have Sex with Men. In: Frontiers in Psychiatry, December 2019, Article 886.
[13]	Schweers (2019), EMIS 2017, Schwuler Sex und Schwule Gesundheit in Zahlen. In: magazin. HIV, Deutsche Aidshilfe, September 2019.
[14]	Stuart, D., A chemsex crusible: the context and the controversy, in: BMJ Sexual & Reproductive Health, London 2016, 42, 237-238.
[15]	Wolfersdorf, M. & Ploederl, M. (2016). Geschlechtsunterschiede bei Suizid und Suizidalitaet. In: P. Kolip & K. Hurrelmann (Hrsg.), Handbuch Geschlecht und Gesundheit. 2. edition (p. 265-274). Bern: Hogrefe.

Cite This Article

Plain Text BibTeX RIS

APA Style

Anne Iking, Katrin Gruemer. (2021). New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern. American Journal of Psychiatry and Neuroscience, 9(4), 157-162. https://doi.org/10.11648/j.ajpn.20210904.12

Copy | Download

ACS Style

Anne Iking; Katrin Gruemer. New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern. Am. J. Psychiatry Neurosci. 2021, 9(4), 157-162. doi: 10.11648/j.ajpn.20210904.12

Copy | Download

AMA Style

Anne Iking, Katrin Gruemer. New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern. Am J Psychiatry Neurosci. 2021;9(4):157-162. doi: 10.11648/j.ajpn.20210904.12

Copy | Download

@article{10.11648/j.ajpn.20210904.12,
  author = {Anne Iking and Katrin Gruemer},
  title = {New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {9},
  number = {4},
  pages = {157-162},
  doi = {10.11648/j.ajpn.20210904.12},
  url = {https://doi.org/10.11648/j.ajpn.20210904.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20210904.12},
  abstract = {The present article reflects on the need for Men who have sex with men (MSM) with addicted chemsex consumption behavior and presents a specified treatment concept. The individual therapeutic challenges for this group of users consists of the distinct functionalization of substance use for initiating and engaging in sexual activity as well as the resulting strong association between sexual activity and substance use and vice versa. Intensive psychotherapeutic and addiction treatment is needed to decouple substance use and sexual activity, with the ultimate goal of promoting sexual activity without substance use. This treatment initially starts with stimulus control and continues to exposure and re-initiation of sexual activities without substance use. Since the first treatment inquiries through “Aidshilfe Cologne”, the salus klinik Huerth, department of addiction care, has developed a treatment approach for MSM with addicted chemsex behavior, which is focused on the function of drugs for sexual activity and aims at encouraging a lifestyle of engaging in sexual activity without substance use. The article provides information regarding the necessity of a specific treatment approach by comparing initial data about differences between MSM with chemsex as compared to men with other substance use behavior and examines implications for the practice.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern
AU  - Anne Iking
AU  - Katrin Gruemer
Y1  - 2021/11/24
PY  - 2021
N1  - https://doi.org/10.11648/j.ajpn.20210904.12
DO  - 10.11648/j.ajpn.20210904.12
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
SP  - 157
EP  - 162
PB  - Science Publishing Group
SN  - 2330-426X
UR  - https://doi.org/10.11648/j.ajpn.20210904.12
AB  - The present article reflects on the need for Men who have sex with men (MSM) with addicted chemsex consumption behavior and presents a specified treatment concept. The individual therapeutic challenges for this group of users consists of the distinct functionalization of substance use for initiating and engaging in sexual activity as well as the resulting strong association between sexual activity and substance use and vice versa. Intensive psychotherapeutic and addiction treatment is needed to decouple substance use and sexual activity, with the ultimate goal of promoting sexual activity without substance use. This treatment initially starts with stimulus control and continues to exposure and re-initiation of sexual activities without substance use. Since the first treatment inquiries through “Aidshilfe Cologne”, the salus klinik Huerth, department of addiction care, has developed a treatment approach for MSM with addicted chemsex behavior, which is focused on the function of drugs for sexual activity and aims at encouraging a lifestyle of engaging in sexual activity without substance use. The article provides information regarding the necessity of a specific treatment approach by comparing initial data about differences between MSM with chemsex as compared to men with other substance use behavior and examines implications for the practice.
VL  - 9
IS  - 4
ER  -

Copy | Download

Author Information

Anne Iking

Department of Addiction Care, Salus Klinik Huerth, Huerth, Germany
Katrin Gruemer

Department of Addiction Care, Salus Klinik Huerth, Huerth, Germany

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Anne Iking, Katrin Gruemer. (2021). New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern. American Journal of Psychiatry and Neuroscience, 9(4), 157-162. https://doi.org/10.11648/j.ajpn.20210904.12

Copy | Download

ACS Style

Anne Iking; Katrin Gruemer. New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern. Am. J. Psychiatry Neurosci. 2021, 9(4), 157-162. doi: 10.11648/j.ajpn.20210904.12

Copy | Download

AMA Style

Anne Iking, Katrin Gruemer. New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern. Am J Psychiatry Neurosci. 2021;9(4):157-162. doi: 10.11648/j.ajpn.20210904.12

Copy | Download

@article{10.11648/j.ajpn.20210904.12,
  author = {Anne Iking and Katrin Gruemer},
  title = {New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {9},
  number = {4},
  pages = {157-162},
  doi = {10.11648/j.ajpn.20210904.12},
  url = {https://doi.org/10.11648/j.ajpn.20210904.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20210904.12},
  abstract = {The present article reflects on the need for Men who have sex with men (MSM) with addicted chemsex consumption behavior and presents a specified treatment concept. The individual therapeutic challenges for this group of users consists of the distinct functionalization of substance use for initiating and engaging in sexual activity as well as the resulting strong association between sexual activity and substance use and vice versa. Intensive psychotherapeutic and addiction treatment is needed to decouple substance use and sexual activity, with the ultimate goal of promoting sexual activity without substance use. This treatment initially starts with stimulus control and continues to exposure and re-initiation of sexual activities without substance use. Since the first treatment inquiries through “Aidshilfe Cologne”, the salus klinik Huerth, department of addiction care, has developed a treatment approach for MSM with addicted chemsex behavior, which is focused on the function of drugs for sexual activity and aims at encouraging a lifestyle of engaging in sexual activity without substance use. The article provides information regarding the necessity of a specific treatment approach by comparing initial data about differences between MSM with chemsex as compared to men with other substance use behavior and examines implications for the practice.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - New Challenge for Addiction Care-MSM with Chemsex Consumption Pattern
AU  - Anne Iking
AU  - Katrin Gruemer
Y1  - 2021/11/24
PY  - 2021
N1  - https://doi.org/10.11648/j.ajpn.20210904.12
DO  - 10.11648/j.ajpn.20210904.12
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
SP  - 157
EP  - 162
PB  - Science Publishing Group
SN  - 2330-426X
UR  - https://doi.org/10.11648/j.ajpn.20210904.12
AB  - The present article reflects on the need for Men who have sex with men (MSM) with addicted chemsex consumption behavior and presents a specified treatment concept. The individual therapeutic challenges for this group of users consists of the distinct functionalization of substance use for initiating and engaging in sexual activity as well as the resulting strong association between sexual activity and substance use and vice versa. Intensive psychotherapeutic and addiction treatment is needed to decouple substance use and sexual activity, with the ultimate goal of promoting sexual activity without substance use. This treatment initially starts with stimulus control and continues to exposure and re-initiation of sexual activities without substance use. Since the first treatment inquiries through “Aidshilfe Cologne”, the salus klinik Huerth, department of addiction care, has developed a treatment approach for MSM with addicted chemsex behavior, which is focused on the function of drugs for sexual activity and aims at encouraging a lifestyle of engaging in sexual activity without substance use. The article provides information regarding the necessity of a specific treatment approach by comparing initial data about differences between MSM with chemsex as compared to men with other substance use behavior and examines implications for the practice.
VL  - 9
IS  - 4
ER  -

Copy | Download