Abstract After reviewing some of the major themes and trends in research on lesbians, lesbian couples, and lesbian families, I argue for a cultural perspective and an ethnographic stance in clinical work with this population. “Story” and “ritual” are suggested as examples of the many possible cultural lenses that can be useful in such practice, and illustration of how these cultural lenses can be worn in the therapeutic conversation are offered. A cultural perspective makes easy alliance with post‐modern thinking and notions of the de‐privileging of “expert” knowledge.