This paper examines the three paradigms that intersect when working with lesbian couples affected by domestic violence. The intersection of these three paradigms-family systems theory, lesbian and gay affirmative therapy, and the feminist analysis of domestic violence-creates a dilemma for lesbian therpists working in rural areas or small cities. Without the support of domestic violence services developed for or within the lesbian community, or a lesbian/gay community committed to acknowledging domestic violence, the lesbian affirmative therapist must balance the needs of the lesbian client with the feminist analysis of violence. This article outlines strategies that protect abused lesbians, without prematurely sacrificing the lesbian couple's relationship.
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Arlene S. Istar (1996) studied this question.