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Like other sexual minority groups, the lesbian community is heterogeneous and represents a diversity of race, ethnicity, class, able-bodiedness, neurotypicality, and religious backgrounds. In addition, lesbians have varied gender identities, and not all are cisgender (having a gender matching their sex assigned at birth). In this chapter, we offer an overarching perspective, grounded in this premise of heterogeneity, that encourages clinicians to understand patients as having multiple intersecting identities. This view emphasizes understanding how identities are subject to ongoing development, fluidity, and interaction depending on external social forces and internal psychodynamics.
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