‘No-one uses the word Lesbian any more. It’s so uncool. It has really negative connotations’. This is echoed by Dr K, a therapist speaking anonymously about her practice.
‘What we can’t underestimate’, says Dr K, ‘is the sheer homophobia outside middle-class liberal bubbles. “Lesbian” is at worst a grave insult, at best uncool. “The gay hierarchy is this,” she says. “At the top are gay men who can pass as straight, then camp gay men, then pretty, straight-passing lesbians. And right at the very bottom are butch lesbians. Masculine women have no cachet. But if you transition, you zoom right over the gay hierarchy to become a straight man’