Abstract
SUMMARY When gay and lesbian couples decide to become parents, they are unique as a group in always requiring the involvement of a facilitating other: a donor, surrogate, or (in the case of adopted or foster children) birth parents. This clinical paper explores common psychological and social challenges gay and lesbian couples face when using alternative reproductive technologies to attain parenthood. Between the wish and the actuality of being at home with their baby, gay and lesbian parents travel a long and winding road of choices and chances taken. The parenting partners often consist of one biological and one non-biological parent. Issues of psychological/emotional parenthood as opposed to merely biological parenthood (including assumptions of potential inequality or differential legitimacy) must be reconciled in the minds, couple relationships, family of origin relationships, and friendship support systems of the partners before and after the child's birth. The family must also navigate others' questions and assumptions as they venture ever further beyond their intimate circle and as their growing child forms relationships with peers. Specific guidelines are offered for helping couples surmount these psychosocial challenges.
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