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Family therapy models often do not reflect the realities and desires of many gay and lesbian couples. Therapists working with this population are left to decide whether to apply these models as they are, to discard them, or to attempt to modify them as they assist their clients. Using research findings and case examples that describe the intergenerational boundaries for gay and lesbian couples as well as the nonmonogamous relationships of gay men, this paper illustrates how therapists can adapt family therapy models to suit the needs and preferences of this client population. [ABSTRACT FROM AUTHOR]