Psychotherapy With Lesbian Couples: Individual Issues, Female Socialization, and the Social Context*

Relationship patterns in lesbian couples vary systematically from relationship patterns in heterosexual couples in ways that are related to the exclusively female composition of these couples, their stigmatizable identity, and the lack of social recognition and acceptance for such family units. These patterned differences are addressed from a systemic perspective in five arenas: distance regulation and boundary maintenance, sexual expression, financial arrangements, breaking up, and stage differences in coming out and acceptance of lesbian identity.