An explanation of who lesbians are, how psychotherapy with this population is unique, how therapists and patients are influenced by homophobia and what the therapist brings to the therapeutic relationship. It presents models of lesbian-affirmative psychotherapy and offers guidelines for therapists. Preface, Acknowledgments, PART I. THE CONTEXT OF THERAPY, 1. Introduction, 2. Psychology and the Lesbian Experience, 3. The Therapist, PART II. THE CONTENT OF THERAPY, 4. Clinical Issues, 5. Lesbian Identity Formation, 6. Lesbian Relationships, 7. Special Issues, 8. Toward a Psychology of Lesbianism, Appendix A: Exercises, Appendix B: Annotated Bibliography, Appendix C: Resources, References, Name Index, Subject Index