Couple Therapy for Lesbian Women: Current Evidence-Base and Recommendations for Therapists

Despite the growing interest in the mental health issues of LGBTQIAPN+ people, few review studies have been published focusing exclusively on lesbian couple therapy. The aim of this study is to analyze the existing evidence in the literature on couple therapy with lesbian women, learn about existing...

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Detalles Bibliográficos
Autores: de Souza, Carolina, Antônio dos Santos, Manoel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Brasil
Institución:Universidade Presbiteriana Mackenzie (UPM)
Repositorio:Psicologia (Universidade Presbiteriana Mackenzie. Online)
Idioma:portugués
inglés
OAI Identifier:oai:ojs.editorarevistas.mackenzie.br:article/15547
Acceso en línea:http://editorarevistas.mackenzie.br/index.php/ptp/article/view/15547
Access Level:acceso abierto
Palabra clave:couples therapy
homosexuality
female
homophobia
prejudice
systematic review
terapia de parejas
homosexualidad femenina
homofobia
prejuicio
revisión sistemática
terapia de casal
homossexualidade feminina
preconceito
revisão sistemática
Descripción
Sumario:Despite the growing interest in the mental health issues of LGBTQIAPN+ people, few review studies have been published focusing exclusively on lesbian couple therapy. The aim of this study is to analyze the existing evidence in the literature on couple therapy with lesbian women, learn about existing approaches and identify knowledge gaps about their specificities. A systematic review was carried out searching for primary studies in PubMed, LILACS, PsycInfo® and Web of Science databases following the PRISMA guidelines. The inclusion criteria were: studies published between 2011 and 2023, in Portuguese, Spanish or English and that answered the review’s guiding question. Out of 789 studies retrieved, 12 records met the inclusion criteria and were selected for review. Of these, nine were empirical studies. With a low level of evidence, the studies focus predominantly on young and socioeconomically heterogeneous populations. The subject is still studied in an incipient way in the literature. There is a predominant tendency among therapists to generalize therapeutic intervention tactics used for couples who fit the heteronormative conjugality pattern. These limitations suggest the need to deconstruct the discursive effects of heteronormativity and invest in dialogical contexts and frameworks that are inclusive and sensitive to the expression of the differences manifested in lesbian couples. Future studies should focus on the need to safeguard the particularities that characterize lesbian marital dynamics in the space of couple therapy, especially in the current context of greater visibility for family configurations that diverge from the heteronormative model.