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Trans Sex: Clinical Approaches to Trans Sexualities and Erotic Embodiments

Lucie Fielding, PhD, MA, LMHCA
Publication Date:
May 24, 2021
Taylor & Francis
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Despite the increasing visibility of trans and non-binary folx in media, political representation, and popular culture, their sexual lives and erotic embodiments are woefully under-attended-to in both scholarship and clinical practice. The aim of this book is to equip providers with both conceptual frameworks and concrete tools for better engaging their trans, non-binary, and gender expansive clients in pleasure-centered discussions of sexual health.

Challenging the dominant images of trans sexualities that appear in the existing literature, such as an emphasis on avoiding gender dysphoria, the preservation of sexual function, or on sexual losses that may arise as a result of transition pathways, Trans Sex offers a pleasure-positive approach to working with trans clients. Providing concrete clinical practices and practical activities that utilize social justice, intersectional trans feminism, and radical queer theory as key conceptual frameworks, this groundbreaking text is designed to be accessible to a wide range of providers. This book draws on Fielding’s experiences as both a trans client/patient and as a therapist to shift and expand the conversation and includes contributions from other trans and non-binary providers working at the intersection of gender-affirmative care and sexuality.

Trans Sex seeks to move trans sexualities from the margins of gender-affirmative clinical practice, to center pleasure, and to spark creativity and empathic attunement within the client-provider relationship. Whether they be mental health or medical providers, trainees, or seasoned practitioners in gender-affirmative work or sexualities, readers will be able harness creative strategies to enhance their practice and become more imaginative providers.



Lucie Fielding, PhD, MA, LMHCA's Profile

Lucie Fielding, PhD, MA, LMHCA Related seminars and products

Lucie Fielding, PhD, MA, LMHCA, Resident in Counseling (she/they) is a queer, non-binary femme, and a therapist practicing in Virginia and Washington. She holds an MA in Counseling Psychology at Pacifica Graduate Institute (2018) as well as a PhD in French from Northwestern University (2008), where she specialized in erotic literature. Their background in literature attunes them to the many ways that cultural scripts inscribe themselves on our bodies and can inform our embodied erotic lives. In addition to their work as a therapist, Lucie teaches in the Sex Therapy Certificate Program at Antioch University-Seattle. They are the author of Trans Sex: Clinical Approaches to Trans Sexualities and Erotic Embodiments (2021), which was named a finalist for a 2022 Lambda Literary Award (Lammy) in the Transgender-Nonfiction category. You can find out more about Lucie at or follow them on Twitter (@Lucie_Fielding) and Instagram (@sexbeyondbinaries).

Speaker Disclosures:
Financial: Lucie Fielding has employment relationships with Antioch University and Creating Change, PLLC. She receives royalties as a published author. Lucie Fielding receives a speaking honorarium from Psychotherapy Networker and PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Lucie Fielding is a member of the American Association of Sexuality Educators, Counselors and Therapists.


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