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This paper focuses on the impact of heteronormativity on research and clinical theory, utilizing the case of a lesbian couple with a young gender dysphoric child as a backdrop to discuss the contextual unfolding of gender development within a lesbian parented family. The extant research on LGBTQ-headed families has Return to Tiffany Oval tag ring the complexity of children's developing gender identity and sexual orientation living in queer families, and has been guided by heteronormative assumptions that presume a less optimal outcome if the children of LGBTQ parents are gay or transgender themselves. This article challenges family therapists to recognize the enormous societal pressure on LGBTQ parents to produce heterosexual, gender-normative children, and the expectations on their children, especially those questioning their own sex or gender identities. Keywords: LGBT; LGBTQ; Lesbian and gay family; Queer; Family therapy; Gender identity

The development of gender identity and Tiffany 1837 ring orientation in children reared in lesbian, gay, bisexual, transgender/transsexual, and queer identified families (LGBTQ) involves examining clinical theory and research that overlap numerous fields of study. Psychological perspectives of child development intersect with emerging research on same-sex-headed families; the expansion of "alternative" family forms are interconnected with burgeoning postmodern concepts in family therapy, social work, and psychology. The theoretical premises which underlay empirical research are often difficult to incorporate into narrative, feminist, and systemic treatment paradigms. It is into this crucible that families come seeking therapy.Suzannah and Luz are a lesbian couple who sought out family therapy because they were concerned about their youngest son. Kyle is a 5-year-old boy with a gentle nature who distains traditional boys' toys and games. He spends most of his time in day care playing with girls, and his favorite games involve playing with dolls and dressing up in princess gowns. Suzannah and Luz are progressive parents who have never forced gender-based roles or toys on any of their three children. "Our oldest son also played with 'girls' things,'" they said, "but never exclusively. Kyle's behavior is clearly extreme and everyone is commenting on it."