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Trans Women and HIV “In the face of high levels of stigmatisation and prejudice against trans people, this book offers an important contribution to knowledge. It takes a nuanced and insightful approach to a neglected area—trans women and HIV—and it will be of interest to practitioners, policy makers, and those who are concerned with health, sexuality, and gender.” —Prof. Surya Monro, University of Huddersfield, UK “As a psychological practitioner providing clinical education and training to the next generation of mental health workers, I believe that this timely and relevant book highlights the importance of understanding the phenomenological perspective of sexual and ethnic diversity in the medical and psychiatric models. The case studies bring to life the people behind the labels, integrating the context and theoretical foundations to provide an empathic, resilience-based model to promote psycho-medical well-being interventions. This book also offers a way forward with recommendations for policy makers and programme developers managing health risks and health promotion.” —Dr. Joann Griffith, De Montfort University, Leicester, UK “Trans women living with HIV may be uncounted in datasets. This book details exquisitely the complex intersectional aspects of stigma faced by this group, exposing its structurally violent and disempowering nature. Jaspal notes the struggle to construct an identity characterised by “self-esteem, continuity, belonging and authenticity”, compounded by HIV status, and the coping mechanisms that may be adopted to deal with transphobia, sexism and racism. It is a powerful and essential work, and for clinicians offers important, practical recommendations that we must strive better to embed into HIV care and prevention services. We are left with a key question needing urgent attention—how can we all discourage concealment and self-isolation among trans women living with HIV, to reduce stigma, and improve health overall?” —Dr. Tristan J. Barber, Royal Free Hospital, London, UK

Rusi Jaspal

Trans Women and HIV Social Psychological Perspectives

Rusi Jaspal School of Social Sciences Nottingham Trent University Nottingham, UK

ISBN 978-3-030-57544-1 ISBN 978-3-030-57545-8 (eBook) https://doi.org/10.1007/978-3-030-57545-8 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are