Women in homosexual relationships in Europe and the United States responded to the discrimination and repression either by hiding their personal lives, or accepting the label of outcast and creating a subculture and identity. Following World War II, during a period of social repression when governments actively persecuted homosexuals, women developed networks to socialize with and educate each other. Gaining greater economic and social freedom allowed them to determine how they could form relationships and families. With second-wave feminism and the growth of scholarship in women's history and sexuality in the late 20th century, the definition of lesbian broadened, leading to debate about the term's use. While research by Lisa M. Diamond identified sexual desire as the core component for defining lesbians,[8][a] some women who engage in same-sex sexual activity may reject not only identifying as lesbians but as bisexual as well. Other women's self-identification as lesbian may not align with their sexual orientation or sexual behavior. Sexual identity is not necessarily the same as one's sexual orientation or sexual behavior, due to various reasons, such as the fear of identifying their sexual orientation in a homophobic setting.

Portrayals of lesbians in the media suggest that society at large has been simultaneously intrigued and threatened by women who challenge feminine gender roles, as well as fascinated and appalled with women who are romantically involved with other women. Women who adopt a lesbian identity share experiences that form an outlook similar to an ethnic identity: as homosexuals, they are unified by the heterosexist discrimination and potential rejection they face from their families, friends, and others as a result of homophobia. As women, they face concerns separate from men. Lesbians may encounter distinct physical or mental health concerns arising from discrimination, prejudice, and minority stress. Political conditions and social attitudes also affect the formation of lesbian relationships and families in the open.


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The word lesbian is the demonym of the Greek island of Lesbos, home to the 6th-century BCE poet Sappho.[3] From various ancient writings, historians gathered that a group of young women were left in Sappho's charge for their instruction or cultural edification.[9] Little of Sappho's poetry survives, but her remaining poetry reflects the topics she wrote about: women's daily lives, their relationships, and rituals. She focused on the beauty of women and proclaimed her love for girls.[10] Before the mid-19th century,[11] the word lesbian referred to any derivative or aspect of Lesbos, including a type of wine.[b]

In Algernon Charles Swinburne's 1866 poem "Sapphics", the term lesbian appears twice but capitalized both times after twice mentioning the island of Lesbos, and so could be construed to mean 'from the island of Lesbos'.[13] In 1875, George Saintsbury, in writing about Baudelaire's poetry, refers to his "Lesbian studies" in which he includes his poem about "the passion of Delphine" which is a poem simply about love between two women which does not mention the island of Lesbos, though the other poem alluded to, entitled "Lesbos", does.[14] Use of the word lesbianism to describe erotic relationships between women had been documented in 1870.[15] In 1890, the term lesbian was used in a medical dictionary as an adjective to describe tribadism (as "lesbian love"). The terms lesbian, invert and homosexual were interchangeable with sapphist and sapphism around the turn of the 20th century.[15] The use of lesbian in medical literature became prominent; by 1925, the word was recorded as a noun to mean the female equivalent of a sodomite.[15][16]

The development of medical knowledge was a significant factor in further connotations of the term lesbian. In the middle of the 19th century, medical writers attempted to establish ways to identify male homosexuality, which was considered a significant social problem in most Western societies. In categorizing behavior that indicated what was referred to as "inversion" by German sexologist Magnus Hirschfeld, researchers categorized what was normal sexual behavior for men and women, and therefore to what extent men and women varied from the "perfect male sexual type" and the "perfect female sexual type".[17]

Far less literature focused on female homosexual behavior than on male homosexuality, as medical professionals did not consider it a significant problem. In some cases, it was not acknowledged to exist. Sexologists Richard von Krafft-Ebing from Germany and Britain's Havelock Ellis wrote some of the earliest and more enduring categorizations of female same-sex attraction, approaching it as a form of insanity (Ellis' categorization of "lesbianism" as a medical problem is now discredited).[18] Krafft-Ebing, who considered lesbianism a neurological disease, and Ellis, who was influenced by Krafft-Ebing's writings, disagreed about whether sexual inversion was generally a lifelong condition. Ellis believed that many women who professed love for other women changed their feelings about such relationships after they had experienced marriage and a "practical life".[19]

The notion that sexual activity between women is necessary to define a lesbian or lesbian relationship continues to be debated. According to feminist writer Naomi McCormick, women's sexuality is constructed by men, whose primary indicator of lesbian sexual orientation is sexual experience with other women. The same indicator is not necessary to identify a woman as heterosexual. McCormick states that emotional, mental, and ideological connections between women are as important or more so than the genital.[32] Nonetheless, in the 1980s, a significant movement rejected the desexualization of lesbianism by cultural feminists, causing a heated controversy called the feminist sex wars.[33] Butch and femme roles returned, although not as strictly followed as they were in the 1950s. They became a mode of chosen sexual self-expression for some women in the 1990s. Once again, women felt safer claiming to be more sexually adventurous, and sexual flexibility became more accepted.[34]

More discussion on gender and sexual orientation identity has affected how many women label or view themselves. Most people in western culture are taught that heterosexuality is an innate quality in all people. When a woman realizes her romantic and sexual attraction to another woman, it may cause an "existential crisis"; many who go through this adopt the identity of a lesbian, challenging what society has offered in stereotypes about homosexuals, to learn how to function within a homosexual subculture.[36] Lesbians in western cultures generally share an identity that parallels those built on ethnicity; they have a shared history and subculture, and similar experiences with discrimination which has caused many lesbians to reject heterosexual principles. This identity is unique from gay men and heterosexual women, and often creates tension with bisexual women.[25] One point of contention are lesbians who have had sex with men, while lesbians who have never had sex with men may be referred to as "gold star lesbians". Those who have had sex with men may face ridicule from other lesbians or identity challenges with regard to defining what it means to be a lesbian.[37]

Researchers, including social scientists, state that often behavior and identity do not match: women may label themselves heterosexual but have sexual relations with women, self-identified lesbians may have sex with men, or women may find that what they considered an immutable sexual identity has changed over time.[7][38] Research by Lisa M. Diamond et al. reported that "lesbian and fluid women were more exclusive than bisexual women in their sexual behaviors" and that "lesbian women appeared to lean toward exclusively same-sex attractions and behaviors." It reported that lesbians "appeared to demonstrate a 'core' lesbian orientation."[8]

A 2001 article on differentiating lesbians for medical studies and health research suggested identifying lesbians using the three characteristics of identity only, sexual behavior only, or both combined. The article declined to include desire or attraction as it rarely has bearing on measurable health or psychosocial issues.[39] Researchers state that there is no standard definition of lesbian because "The term has been used to describe women who have sex with women, either exclusively or in addition to sex with men (i.e., behavior); women who self-identify as lesbian (i.e., identity); and women whose sexual preference is for women (i.e., desire or attraction)" ... "The lack of a standard definition of lesbian and of standard questions to assess who is lesbian has made it difficult to clearly define a population of lesbian women."[7] How and where study samples were obtained can also affect the definition.[7]

The varied meanings of lesbian since the early 20th century have prompted some historians to revisit historic relationships between women before the wide usage of the word was defined by erotic proclivities. Discussion from historians caused further questioning of what qualifies as a lesbian relationship. As lesbian-feminists asserted, a sexual component was unnecessary in declaring oneself a lesbian if the primary and closest relationships were with women. When considering past relationships within appropriate historic context, there were times when love and sex were separate and unrelated notions.[40] In 1989, an academic cohort named the Lesbian History Group wrote:

Because of society's reluctance to admit that lesbians exist, a high degree of certainty is expected before historians or biographers are allowed to use the label. Evidence that would suffice in any other situation is inadequate here... A woman who never married, who lived with another woman, whose friends were mostly women, or who moved in known lesbian or mixed gay circles, may well have been a lesbian. ... But this sort of evidence is not 'proof'. What our critics want is incontrovertible evidence of sexual activity between women. This is almost impossible to find.[41] be457b7860

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