1. Introduction: Queer and Trans Madness: Struggles for Social Justice -- 2. Reclaiming the Lunatic Fringe: Toward a Mad-Queer-Trans Lens -- 3. Expanding the Struggle Against Queer and Trans Pathologization: Challenging Biomedicalism -- 4. The Biomedical Model in Practice I: Encounters with Mental Health Care Practitioners -- 5. The Biomedical Model in Practice II: Inpatient Chart Documentation on Trans and Non-Binary People -- 6. Creating Social Change: The Emancipatory Promise of Queer and Trans Madness.

Queer and Trans Madness: Struggles for Social Justice urges those invested in social justice for 2SLGBTQ people to interrogate the biomedical model of mental illness beyond the diagnoses that specifically target gender and sexual dissidence. In this first comprehensive application of Mad Studies to queer and trans experiences of mental distress, Pilling advances a broad critique of the biomedical model of mental illness as it pertains to 2SLGBTQ people, arguing that Mad Studies is especially amenable to making ense of queer and trans madness. Based on empirical data from two qualitative research studies, this book includes analyses of inpatient chart documentation from a psychiatric hospital and interviews with those who have experienced distress. Using an intersectional lens, Pilling critically examines what constitutes mental health treatment and the impacts of medical strategies on mad queer and trans people. Ultimately, Queer and Trans Madness: Struggles for Social Justice explores the emancipatory promise of queer and trans madness, advocating for more resources to respond to crisis and distress in ways that are non-coercive, non-carceral, and honour autonomy as well as interdependence within 2SLGBTQ communities. Merrick Daniel Pilling is Assistant Professor of Women's and Gender Studies in the School of Social Work at the University of Windsor in Windsor, Ontario, Canada. He is co-editor of Interrogating Psychiatric Narratives of Madness: Documented Lives.