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Slam – intravenous consumption of drugs in a sexual context – appeared within the gay community. The obvious identity issues associated with this new sexual practice and use of drugs, invite us to consider the clinical experiment through a gender approach. The article proposes to observe and question the identity suffering and its social, unconscious, political, and historical determinants by means of what the author defines as the “gay gender.” At the limit of individual necessities of identity construction come to be opposed the collective concerns of the community, sometimes making the individual wear the heavy toll of an identity conquest. The unconscious determination of the subject crosses the social and cultural concerns of the individual in the identity, and these must be examined in their divergence and their overlaps to improve the understanding of a phenomenon as spectacular as the slam and to draw some clinical and therapeutic perspectives.