Lesbian survivors of childhood sexual abuse: community, identity, and resilience.

Adult lesbian survivers of childood sexual abuse were interviewed using grounded and structured methods to explore the interaction between being, or coming out as, a lesbian and healing from childhood sexual abuse (CSA). A history of CSA was found to render coming out as a lesbian more complicated and often more difficult. Having or developing a lesbian identity caused significant changes in respondents' social support networks and spiritual beliefs and communities, afforded many opportunities for greater healing, and in the balance seemed to facilitate the healing process. Implications for program planning and service delivery are briefly discussed.