This article explores some of the social and clinical issues facing the many different kinds of gay and lesbian families that are becoming increasingly visible in the United States. Research findings are discussed that dispel popularly held myths and stereotypes concerning these families, gays and lesbians as parents, and their children. Clinical vignettes are presented to illustrate issues often encountered in the consulting room, some unique to gay and lesbian families and some common to all families.

In this account of an on-going reflecting team, a group of 4 therapists describe how they preserve multiple perspectives, yet join their voices to create coherent, meaningful reflections. This reflecting approach emphasizes developing a theme and creating variations on this theme, in a manner resembling a musical fugue. In addition, the practicalities of creating and sustaining a reflecting team in a private practice context are described.

At a fiftieth birthday party 17 years ago, a group of women--lesbian, bisexual, and straight--decided to create a conscious community in which they could age together. The group, where they discuss this process and support each other, is politically and personally meaningful, and a buffer against the isolation and powerlessness many aging women experience. They meet monthly, and at weekend retreats twice a year. They have become a "family of choice", sharing holidays and celebrations and supporting each other when necessary and possible. After several years, they decided to commit for life. In the group, each feels held and seen in the complex experience of aging in today's world.