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 Pocket Guide to LGBTQ Mental Health: Understanding the Spectrum of Gender and Sexuality
“I f you feel uninformed or simply confused by the cur-
rent language of gender and sexuality, the Pocket
Guide to LGBTQ Mental Health, edited by Petros Levounis,
M.D., M.A. and Eric Yarbrough, M.D., will answer all your
questions. Concise and exhaustive, the book provides def-
Pocket Guide to LGBTQ
nitions, history, questions, therapeutic implications, and
explanation of social determinants of terms such as gay,
queer, questioning, allies, and many more.
Mental Health
The Pocket Guide to LGBTQ Mental Health is an in- Understanding the Spectrum of
dispensable book for psychiatrists, psychologists, and all
practitioners dealing with gender issues in their clinical Gender and Sexuality
work. This book flls an empty spot in the understanding of
gender minorities. You cannot do without it.”
Ubaldo Leli, M.D., DLFAPA, Faculty,
Columbia Center for Psychoanalytic Train-
ing and Research

“L evounis and Yarbrough collect here succinct reviews

of the important issues to understand in working with
individuals with diverse sexual orientations and gender
identities. If you’ve ever wondered what to make of the ex-
tended range of letters in the LGBTQ+ initialism, this is the
book for you. Although the focus of the chapters is mental
health, this book is valuable for those working with these
populations in any feld.”
Christopher A. McIntosh, M.D., FRCPC,
Editor-in-Chief, Journal of Gay and Lesbi-
an Mental Health

Petros Levounis, M.D., M.A., is Professor and Chair of

the Department of Psychiatry at Rutgers New Jersey Med-
ical School and Chief of Service at University Hospital in
Newark, New Jersey.
Eric Yarbrough, M.D., is in private practice in New York,
New York.
Levounis • Yarbrough

Edited by
Petros Levounis, M.D., M.A.
Cover design: Tammy J. Cordova
Eric Yarbrough, M.D.
 Pocket Guide to
LGBTQ Mental Health
Understanding the Spectrum of
Gender and Sexuality
 Pocket Guide to
LGBTQ Mental Health
Understanding the Spectrum of
Gender and Sexuality

Edited by
Petros Levounis, M.D., M.A.
Eric Yarbrough, M.D.
Note: The authors have worked to ensure that all information in this
book is accurate at the time of publication and consistent with general
psychiatric and medical standards, and that information concerning
drug dosages, schedules, and routes of administration is accurate at the
time of publication and consistent with standards set by the U.S. Food
and Drug Administration and the general medical community. As
medical research and practice continue to advance, however, therapeutic
standards may change. Moreover, specific situations may require a
specific therapeutic response not included in this book. For these reasons
and because human and mechanical errors sometimes occur, we
recommend that readers follow the advice of physicians directly
involved in their care or the care of a member of their family.
Books published by American Psychiatric Association Publishing
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Title: Pocket guide to LGBTQ mental health : understanding the
spectrum of gender and sexuality / edited by Petros Levounis, Eric
Yarbrough.
Description: First edition. | Washington, D.C. : American Psychiatric
Association Publishing, [2020] | Includes bibliographical references
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Identifiers: LCCN 2020007953 (print) | LCCN 2020007954 (ebook) |
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 Contents
Contributors . . . . . . . . . . . . . . . . . vii
Preface: LGBTQ2IAPA . . . . . . . . . . .ix

1 Lesbian: The L in LGBTQ IAPA . . . . 1

2

Daena L. Petersen, M.D., M.P.H., M.A.

Mary E. Barber, M.D.
Nix Zelin, M.D.
Eric Yarbrough, M.D.

2 Gay: The G in LGBTQ IAPA . . . . . . 17

2

Ahmad A. Mohammad, M.D., M.A.

Eric Yarbrough, M.D.

3 Bisexual: The B in LGBTQ IAPA . . . 47

2

Sarah Noble, D.O.

4 Transgender:
The T in LGBTQ2IAPA . . . . . . . . . . 61
Murat Altinay, M.D.

5 Queer:
The First Q in LGBTQ2IAPA . . . . . . 87
Sam Marcus, M.A.
E.K. Breitkopf, M.A.
 6 Questioning:
The Second Q in LGBTQ2IAPA . . . 109
Mark Joseph Messih, M.D., M.Sc.

7 Intersex:
The I in LGBTQ2IAPA . . . . . . . . . 127
Adrian Jacques H. Ambrose, M.D., M.P.H., FAPA

8 Asexual:
The First A in LGBTQ2IAPA . . . . . 145
Selale Gunal
Petros Levounis, M.D., M.A.

9 Pansexual:
The P in LGBTQ2IAPA . . . . . . . . . 159
Victoria Formosa, L.C.S.W.

10 Ally:
The Second A in LGBTQ2IAPA . . . 177
Angeliki Pesiridou, M.D.
Serena M. Chang, M.D.

Index. . . . . . . . . . . . . . . . . . . . . 189
 Contributors
Murat Altinay, M.D.
Assistant Professor of Medicine and Staff Psychiatrist, Cleve-
land Clinic Foundation, Cleveland, Ohio

Adrian Jacques H. Ambrose, M.D., M.P.H., FAPA

Child and Adolescent Psychiatrist, Massachusetts General
Hospital, Harvard Medical School, Boston, Massachusetts

Mary E. Barber, M.D.

Clinical Assistant Professor, Columbia College of Physicians
and Surgeons, New York, New York

E.K. Breitkopf, M.A.

Doctoral candidate, The New School for Social Research,
New York, New York

Serena M. Chang, M.D.

Associate Director of Psychiatry, Callen-Lorde Community
Health Center; Clinical Assistant Professor, Department of
Psychiatry and Department of Child and Adolescent Psychi-
atry, New York University, New York, New York

Victoria Formosa, L.C.S.W.

Psychotherapist, Behavioral Health Department, Callen
Lorde Community Health Center, New York, New York

Selale Gunal
Senior, Hunter College High School; American Museum of
Natural History Brown Scholar, New York, New York

Petros Levounis, M.D., M.A.

Professor and Chair, Department of Psychiatry, Rutgers New
Jersey Medical School; Chief of Service, University Hospital,
Newark, New Jersey

Sam Marcus, M.A.

Doctoral candidate, The New School for Social Research,
New York, New York

vii
Mark Joseph Messih, M.D., M.Sc.
Child and Adolescent Psychiatry Fellow, University of Roch-
ester Medical Center, Rochester, New York

Ahmad A. Mohammad, M.D., M.S.

Resident Physician, Maimonides Medical Center, New York,
New York

Sarah Noble, D.O.

Medical Director, Outpatient Behavioral Health Einstein
Medical Center, Philadelphia, Pennsylvania

Angeliki Pesiridou, M.D.

Director of Psychiatry, Callen-Lorde Community Health
Center, New York, New York

Daena L. Petersen, M.D., M.P.H., M.A.

Psychiatric Services Director of HIV Psychiatry and Gender
and Sexuality, Berkeley County Mental Health Center, South
Carolina Department of Mental Health; Staff Psychiatrist,
Berkeley Community Mental Health Center, Moncks Corner,
South Carolina

Eric Yarbrough, M.D.

Private practice, New York, New York

Nix Zelin, M.D.

Founding member and vice president of the Northeast Stu-
dent Queer Alliance, Moraga, California

Disclosures
The following contributors have indicated that they have no finan-
cial interests or other affiliations that represent or could appear to
represent a competing interest with the contributions to this book:

Adrian Jacques H. Ambrose, M.D.; E.K. Breitkopf, M.A.; Ser-

ena M. Chang, M.D.; Victoria Formosa, L.M.S.W.; Petros
Levounis, M.D., M.A.; Sam Marcus, M.A.; Mark Joseph
Messih, M.D., M.Sc.; Eric Yarbrough, M.D.

viii Pocket Guide to LGBTQ Mental Health

 Preface
LGBTQ 2IAPA

What an acronym!
What are all these letters doing up there? What do they
even mean? Are human beings really all that diverse? Well,
yes. And probably much more than what this alphabet soup
implies and what we have included in the little volume that
you are now holding in your hands.
The purpose of this book is to help clinicians (as well as
patients, parents, teachers, students, administrators, and
anyone else who is interested in how humans operate) mas-
ter the fundamentals of sexual orientation and gender iden-
tity. Building on our previous American Psychiatric
Association Publishing books (Petros was the lead editor of
The LGBT Casebook, with Jack Drescher and Mary Barber, back
in 2012, and Eric wrote the Transgender Mental Health text-
book in 2018), we have put together a pocket guide to the
wonderful world of gender and human sexuality.
For this new edition, we have asked experts in the field of
LGBTQ mental health to reflect on both the scientific litera-
ture and their own clinical experience in order to end up with
a volume that aims to be informative, practical, and easy to
read. The book is organized, very simply, in 10 chapters: les-
bians, gay men, bisexuals, transgender people, queers, ques-
tioning people, intersex people, asexuals, pansexuals, and
allied heterosexuals. Some chapters overlap because it is pos-
sible for one individual to identify with several of these iden-
tities. Each chapter begins with the psychological and
cultural context of that particular facet of human sexuality,
which includes history and definitions, as well as the twenty-
first-century reality of the people who identify with the title
of the chapter. We then address questions that well-meaning
people may ask: What would patients, their friends, their
parents, their physicians like to know about being X, Y, or Z?
Finally, we discuss some common themes that may emerge in
counseling and psychotherapy with LGBTQ2IAPA people.

ix
And yes, you guessed it, we’ll often abbreviate this terrific—
but admittedly messy—acronym.
Society’s understanding of gender and sexual orientation
has changed dramatically in the late twentieth and early
twenty-first centuries. When the gay civil rights movement
symbolically started with the Stonewall Riots in New York
City in 1969, LGBTQ people had been living in the closet
since ancient times. Since then, a rainbow of gender and sex-
ual identities has blossomed, giving each person the poten-
tial to express and identify themselves as they see fit.
Gender, previously thought to be strictly segregated into
male and female, is now seen as a spectrum of many and
sometimes fluid possibilities. The question is no longer
whether someone is male or female but what masculine and
feminine traits each of us possesses. We have added terms
such as genderqueer, genderfluid, gender nonbinary, inter-
sex, and transgender to our understanding of how people
live, love, work, and play.
Sexual orientation has also evolved to encapsulate the di-
versity of sexual identity, sexual behavior, and sexual attrac-
tion. Most people used to identify as straight or gay, but
many are now adopting the identities of bisexual, pansexual,
asexual, queer, and questioning. Also, how someone identi-
fies does not necessarily imply how they behave sexually or
what their sexual attractions may be. For example, men who
live on the “down low” identify as straight and sleep with
both men and women, and their sexual attraction falls closer
to the homosexual than the heterosexual end of the Kinsey
scale.
Although the range of individual expression has grown
over the past decade, equality and basic civil rights are far
from being guaranteed for those who are gender and sexu-
ally diverse. Society continues to separate people into catego-
ries, placing higher value and protections on those who fit
the “traditional” notion of what it means to be human. We
hope that this book will demystify some of the complexities
of gender and sexuality, making our world a more accepting
and inclusive place.
We would like to thank American Psychiatric Association
Publishing for the opportunity to present this pocket guide to
you and for providing space for topics that are often under-
represented. This book would not be possible without the ex-
ceptional contributions, dedication, and passion of our
coauthors, who spend their daily work advocating and serv-

x Pocket Guide to LGBTQ Mental Health

ing those who are most in need. We are also indebted to our
patients, our colleagues, our teachers, and our students, who
keep us both exhilarated and on our toes in the office, on the
wards, and in the classroom. Finally, we would like to give a
shout out to our families of origin and families of commu-
nity: We love you, and we forgive you if you don’t know the
10 letters in the acronym at the heart of our book.

Petros Levounis, M.D., M.A.

Eric Yarbrough, M.D.
Newark, New Jersey, and New York City
March 2020

Preface xi
 Chapter 1

Lesbian
The L in LGBTQ 2IAPA

DAENA L. PETERSEN, M.D., M.P.H., M.A.

MARY E. BARBER, M.D.
NIX ZELIN, M.D.
ERIC YARBROUGH, M.D.

I’m grateful for how being gay has afforded me this ability to
experience and understand love and sex, and therefore life, in
an expansive and infinite way. My sexuality is not a byprod-
uct of my past experiences with men, who I have loved, but
rather a part of myself I was born with and love deeply.
Amandla Stenberg, actress

My mother said to me, “Why do you have to

call yourself a dyke? Why can’t you be a nice lesbian?”
“Because I’m not a nice lesbian, I’m a big dyke!”
Lea Delaria, comedian

Psychological and Cultural Context

The past generation has borne witness to enormous progress
for women and for queer people. Marriage for same-sex cou-
ples, lifting of the military ban, and nondiscrimination laws
in many states have allowed freedom for queer people that
was unimaginable to older gay people. Yet this progress has
also helped reveal what work still needs to be done. Trans
women continue to face violence at high rates. Women of all

1
orientations have high rates of exposure to workplace sexual
harassment, as we have seen with the “Time’s Up” and “Me
Too” movements. Most states and institutions continue to
discriminate against gay people, with some even allowing
queer people to be fired from their jobs simply because of
their identity. The civil rights progress made may seem frag-
ile at times, and it remains easily threatened by certain polit-
ical parties and leaders. Clinicians who want to provide
sensitive care need to be aware of the current political climate
and news, both local and national, that may affect the rights
and safety of their LGBTQ+ patients.
The L in LGBTQ2IAPA stands for lesbian, an identity label
used by some women who are attracted to women. With so
many expressions of sexuality present around the world, dif-
ferent people choose to identify themselves in different ways,
and lesbian is a term that has been often associated with west-
ern culture. In both this chapter and the following chapter
about gay men, a variety of terminology will be presented for
two main sexual identities that have evolved over time.
The origin of the word lesbian comes from the island of
Lesbos and is associated with the Greek poet Sappho (c. 610–
570 B.C.E.). It was originally adopted by women who love
women and has been used over the past century in various
ways. Recently, however, to a majority of queer women, the
word lesbian sounds old-fashioned or unnecessarily separate
from gay men, or it just doesn’t fit for them. Many women are
now choosing gay or queer as an identity label, whereas oth-
ers embrace more diverse terms. The history of the LGBTQ+
community left many members feeling invisible, particularly
queer people of color. Lesbians of color may choose such
terms as BlaQ, BlaQueer, and stud, which they believe more
fully describes them, their sexual orientation, race, ethnicity,
and gender—an intersection of their identities. Some queer
women also identify as bisexual, asexual, or pansexual, as
women’s feelings of sexual desire and attraction vary greatly
mirroring the diversity of women in their own communities
(Butler 1990). Many of these identities are explored in later
chapters of this text, including Chapters 3, 8, and 9.
The strength of the LGBTQ+ community today is the vis-
ible diversity of people with varying sexual orientations and
gender identities. Gender, like sexual orientation, is no longer
limited to the binary—feminine and masculine—nor is sex
limited to female and male. Thus, the universe of women at-
tracted to other women crosses almost, if not all, of the letters

2 Pocket Guide to LGBTQ Mental Health

of the acronym. When you consider also that sexual identity
and gender identity intersect with other identities—race, eth-
nicity, country of origin, religion, for example—things can
get quite complex. These neat little letters can’t be so neatly
divided for many queer women (Levounis et al. 2012).
Below is a list of definitions connected with the lesbian
community (Lesbian, Bisexual, Gay, and Transgender Re-
source Center 2019; Trans Student Educational Resources
2019; University of California Riverside 2015). These defini-
tions are neither exhaustive nor immutable; asking a woman
about her identity term(s) and her interpretations thereof are
the only means by which to truly understand the multilay-
ered, nuanced meanings of a given term for any specific indi-
vidual. The best way to understand what a word means to an
individual person is to ask them.

• ag/aggressive: Term used by people of color to describe

masculine lesbians
• baby dyke: Young lesbian who may be early in her accep-
tance of herself as gay or queer
• bicurious: May refer to someone who is gay or straight
and also curious about desiring sex and relationships
with men or women
• bi/bisexual: Refers to people who have sexual attraction
and desire for females and males
• BlaQ/BlaQueer: People of black/African descent and/or
from the African diaspora who recognize their queer-
ness/LGBTQIA identity as a salient identity attached to
their Blackness and vice versa
• boi: A term used within queer communities of color to re-
fer to sexual orientation, gender, and/or aesthetic among
people assigned female at birth. The term is also used by
lesbians or genderqueer individuals who express or pres-
ent themselves in a culturally or stereotypically mascu-
line way.
• bull dyke: More of a historical working-class term refer-
ring to a masculine or butch lesbian
• butch: A lesbian-specific gender identity, originating in
women’s working-class communities. Associated with
the embracing of masculine gender in presentation.
• cisgender: When a person’s sex assigned at birth aligns
with their current gender identity
• demisexual: Sexual orientation in which someone feels
sexual attraction only to people with whom they have an

Lesbian 3
 emotional bond. Compared with the general population,
most demisexuals feel sexual attraction rarely, and some
have little to no interest in sexual activity. Considered to
be on the asexual spectrum.
• dyke: Initially likely used to insult lesbian or gay women
• femme: Lesbians or queer women who express or present
themselves in a culturally or stereotypically feminine way
• gay: Colloquial and affirmative term for homosexual.
May refer to men or women, although some women may
identify with the term lesbian
• lesbian: A woman erotically attracted to women; a sexual
identity
• lipstick lesbian: A lesbian or queer woman who presents
as femme or feminine and passes as heterosexual or
straight, which may be upsetting to some femme women
• pan/pansexual: A person attracted to all genders on the
spectrum
• queer: A term for people of marginalized gender identi-
ties and sexual orientations who are not cisgender and/
or heterosexual. Historically, it was a derogatory term for
LGBT people, but it was adopted in the 1990s as a sexual
identity by younger gays and lesbians and as a descrip-
tive term for scholarship (queer theory) by academics
who favored radical politics or a fluid conception of sex-
ual identity.
• same gender loving: Term used by members of the Afri-
can American/black community to express an alternative
sexual orientation
• stone butch: A lesbian who may or may not desire sexual
reciprocation from her femme sexual partners. Often, a
stone butch refers to a lesbian who does not want sexual
penetration and/or contact with genitals or breasts
• stud: An African American and/or Latina masculine les-
bian. Also known as “butch” or “aggressive.”

Despite the existence of multiple terminologies, there is

still some need to have a dedicated chapter to the “L” among
us, whatever we choose to individually call ourselves. This
chapter is dedicated to uplifting the voices of the diverse cho-
rus of women who love women. Some of the many identities
listed above might be used to describe women in this chapter.
Each timbre is distinct and unique, but shared notes are
found across the many voices.

4 Pocket Guide to LGBTQ Mental Health

Questions Well-Meaning People Ask

How does a woman know whether she is a lesbian or if she

has just not met the right man yet and may grow out of it?
Questioning one’s sexual orientation is a normal part of iden-
tity development during adolescence and for some people
into adulthood. To be a supportive friend, family member, or
therapist to a woman discovering or questioning her sexual
identity, the best thing to do is to support her feelings and
awareness but let her come to an identity label on her own.
Some studies have suggested that gay women come out to
themselves later than do gay men. Others suggest that
women simply come out in a different way, discerning affili-
ation and attraction before having a sexual experience. Same-
sex attraction for women is generally not a phase one grows
out of over time. However, women can experience fluidity in
their sexual identities, with some women who come out as
gay later identifying as bisexual or pansexual. Incidentally,
some researchers have found that fluidity occurs in men too,
although it is spoken about less in the gay male community
(Savin-Williams 2017). Musician Hayley Kiyoko recounts her
experience (Denton-Hurst 2018):

I always knew that I liked girls since I was really

young. Obviously, everyone has their own personal ex-
perience with their family, but eventually my parents
were comfortable with it. It just took time. A lot of
times, people think it’s just a phase. There are also par-
ents who will be accepting of other people, but as soon
as it’s their kid, it becomes a whole other reality check.
That can be hard.

Don’t lesbians really just want to be men?

No, lesbians are women who are attracted to other women.
Sexual orientation is not the same as gender identity. If a
queer woman has a masculine gender presentation, this is
likely not a choice and does not mean that she wants to be
male—rather, her gendered behavior and presentation just
happen to be more masculine. Lesbians should not be con-
fused with transgender men. Unlike masculine cis women,
who are assigned female at birth, transgender men experi-
ence their true gender identity as male and may physically

Lesbian 5
transition their bodies to match that identity. Implying that
these individuals “want” to be men, however, is also not
quite correct and can be as hurtful as suggesting that gay
women want to be men (Levitt et al. 2012). Trans men gener-
ally feel their male identity as an “is,” a deeply felt fact, not a
“want to be.” Details of transgender identities are explored in
Chapter 4.
If a woman is in a relationship with another woman, doesn’t
that mean she is a lesbian?
No. Women of different sexual identities may have intimate
relationships with other women. Women acting on their feel-
ings of sexual attraction may have relationships with women
at different times in their lives. These women may be lesbian,
bisexual, pansexual, or heterosexual. At times, women curi-
ous about sex with other women may engage in same-sex re-
lationships even though they do not identify as lesbian,
queer, bisexual, or pansexual. Some of these women may
eventually come out as bisexual or gay, but some may con-
sider themselves straight women who have had gay relation-
ships (Diamond 2009).
Why do some women use different words for themselves?
The use of sexual orientation identity terms is dynamic and in-
dividualized. However, common societal interpretations of
these terms exist, and individuals’ choice of terms communi-
cates their sense of romantic and sexual self as an extension
and reflection of their belonging to various social communi-
ties. There is a long list of words women can use to describe
themselves, and these words likely mean different things to
different people. A list of possible identities you might come
across include lesbian, bi, bisexual, queer, pan, pansexual, om-
nisexual, butch, femme, dyke, bull dyke, baby dyke, softball
dyke, non-monosexual, non-mon, BlaQ, gynephillic, gynesex-
ual, lipstick lesbian, same gender loving, stud, aggressive, bi-
curious, boi, demiromantic, demisexual, high femme, soft
butch, stone butch, questioning, and heteroflexible.

When two women are involved, who initiates the sex? And
what do women do in bed anyway?
The idea that women are not sexual beings is a very old ste-
reotype. Women are sexual and assert themselves in relation-
ships with other women. Women may have sex with each

6 Pocket Guide to LGBTQ Mental Health

other in any of the same ways that women and men have sex.
When taking a sexual history with a queer woman patient, a
clinician should not assume the patient does or does not en-
gage in any specific activities but should ask. (A common and
incorrect stereotype, for example, has been that gay women
don’t have sex involving penetration or don’t enjoy penetra-
tion.) It is good practice to ask all patients about sexual his-
tory because what the individual calls sex and does in the
bedroom can vary from person to person.
Can you tell that a woman is gay by how she looks?
Women who love women have a variety of gender identities
across the gender spectrum. Some women identify with and
embody conventional conceptions of feminine gender ex-
pression and may use identity terms that highlight the inter-
section of their gender expression and sexual orientation
(e.g., high femme, lipstick lesbian). Conversely, some women
may identify with terms such as butch, stud, or boi, which re-
flect a queer sexual orientation and more masculine gender
expression. Furthermore, gender expression may vary over
time (e.g., becoming more masculine or more feminine—
even alternating between more feminine and more masculine
presentation). Gender expression may also encompass non-
binary gender identities. Women who love women may find
varying degrees of femininity, masculinity, and androgyny
sexually attractive in prospective intimate partners and may
be attracted to partners with similar or dissimilar gender ex-
pressions to their own.
How do I show or tell my gay family member/friend/col-
league/student/patient that I support them? I want to be af-
firming, but I don’t know how.
One important, but easily overlooked, way to show your
support is to directly state and emphasize that support, par-
ticularly when your family member/friend/colleague/stu-
dent/patient initially discusses her queer identity with you.
Be supportive and open at times when she is emotionally vul-
nerable, such as when discussing her internal explorations
and struggles with her identity, experiences of bias and dis-
crimination, or interpersonal difficulties (e.g., estrangement
from family). Statements such as “Thank you for trusting me
and sharing this important information with me. I am grate-
ful to be trusted to know more about you” are affirming and

Lesbian 7
can be expanded to introduce follow-up questions (e.g., “I re-
spect how important this is and want to make sure I am un-
derstanding what you are telling me. Can I ask you a few
questions, to help me understand better?”). When questions
come from a place of caring and a wish to understand, they
are often well received.
It is also important to be sensitive to identifying and creat-
ing space for opportunities for a woman to discuss her rela-
tionship(s) and involve her partner(s) in social and/or
medical engagement. Welcome your loved one, colleague, stu-
dent, or client and her intimate partner into the conversation.
Be open to having discussions about her intimate partner. It is
not helpful or affirming to turn down conversations about her
relationship. Recognize the person’s intimate partner as such.
Ask her how she would like you to address her intimate part-
ner. Use respectful language, referring to her date, girlfriend,
or intimate partner as an intimate partner, and do not call the
person “a friend” or use language that distorts the nature of
their relationship. Do not use slang or derogatory language
when addressing the person or her intimate partner. In es-
sence, be respectful and mindful of the words you use.

Themes That May Emerge in Therapy

There is no such thing as a single-issue struggle

because we do not live single-issue lives.
Audre Lorde, poet

ADDICTION
Although it is generally no longer true that gay bars are the
main place where queer people meet, queer people, both men
and women, have higher rates of alcohol and drug use disor-
ders than the general population. The higher risk is likely due
to minority stress—a concept that will be explained multiple
times in this text—which generally refers to the stress indi-
viduals encounter from being different from the larger popu-
lation around them. Histories of sexual and physical trauma,
which affect all women, may further increase queer women’s
risk of addictions. Queer women may benefit from recovery
services that address their complete identities and offer sup-
port from other queer women.

8 Pocket Guide to LGBTQ Mental Health

BULLYING
Although children, youth, and adult-age lesbians and queer
women may experience bullying, gender-nonconforming in-
dividuals are at highest risk to become the targets of bullying
in elementary, middle, and high school years or by school-
age peers. Girls and female youth who dress or present as
more masculine, whether or not they later identify as gay, are
often targets of bullying. Without a strong support system
and healthy self-esteem, these young people or children are
vulnerable to verbal and physical violence. Butch lesbians,
studs, or bois may be confronted with physical assaults,
which may lead them to consider or carry out self-harming or
suicidal behavior. Efforts to reduce bullying or threat of vio-
lence will provide a more validating environment for women
to express their identities.

COMING OUT
Coming out as a gay woman or lesbian may be a lengthy and
complicated process if the youth or woman fears identifying
as gay because of stigma. Lesbians and queer youth have
been thrown from their homes because of family rejection,
and the world continues to be an unsafe place for queer peo-
ple regardless of where they live. Other young lesbians have
experienced support and acceptance, allowing them the op-
portunity to move through developmental sexual milestones,
although the process is rarely a linear one. There is still out-
side influence from the community, religious organizations,
and the media, which can have an effect on a person’s iden-
tity journey. Furthermore, it is possible for people to come out
as gay or lesbian and decide later on that they no longer iden-
tify that way—remember that sexual orientation for some can
be fluid (Magee and Miller 1997).
It is important to create a safe space for individuals to ex-
plore their sexual identity issues and to ask awkward and un-
comfortable questions. It is critical that clinicians leave
judgment out of the room. Allow people to determine their
own sexual orientation and social presentation at their own
pace. It is important for people who are coming out to have
social supports to help them maintain their emotional health
and personal safety. If an individual is worried she will be
kicked out of her family and home, listen to her and honor
her fears until it is clear that she is in a safe place at home or

Lesbian 9
elsewhere. Too many LGBTQ+ young people are disowned
by their families and become homeless overnight.
Clinicians should be mindful that people who appear to
be knowledgeable about the LGBTQ+ community might also
need help with the coming out process. Even lesbian or
queer-identified moms might need help with their children
in the coming out process. Some parents in their supportive
enthusiasm have outed their children on social media, leav-
ing children and young people in an awkward and vulnera-
ble position. Children and youth should talk with their
supportive parents and family members about the different
ways to come out. Communication is key. There are pros and
cons in every situation, and children and youth need time to
reflect on these issues rather than impulsively coming out to
their larger communities.

COMING OUT AROUND THE WORLD

The experience of coming out as a lesbian in countries out-
side of the United States lies on a spectrum of acceptance
through imprisonment and risk of death by death penalty.
Even in the United States, LGBTQ+ people do not have equal
civil rights to their straight counterparts. Individual liberties
can differ greatly depending on geographic location. Queer
people can lose their jobs, homes, access to medical care, or
parental rights despite recent civil rights progress. Be mind-
ful of people from other countries who have fled their home-
lands out of fear of persecution. Some patients may need help
with asylum because returning to their countries of birth
could mean imprisonment or death.

DEATH AND DYING

End-of-life issues for lesbian and queer women may be simple
or more complicated depending on the level of pre-preparation
that has been done legally. Some lesbians choose to legally
outline their rights and specifications for medical treatment
as well as for what they own. Death-related concerns can be-
come more complicated depending on the degree of family
support and acceptance, as well as the strength of friendships
and other social supports involved in the process. Lesbians
with strong community and family supports who lose their
lesbian spouse or intimate partner may live more satisfying
or positive lives versus spending their lives in isolation.

10 Pocket Guide to LGBTQ Mental Health

Those with fewer supports are at an increased risk for sui-
cide. Bereavement counseling and support groups are im-
portant resources for survivors. When working with patients
who are either dying or have lost a loved one, be mindful of
their social network and supports.

FAMILY
Lesbians have built families with varying degrees of biologi-
cal family members versus chosen family members. Queer
women have been having children as long as there have been
people. Whether or not they have been out about their iden-
tities during this process is another story. We know that gay
and lesbian parents have children who are no different from
the children of heterosexual parents.
Lesbians or queer women bring children to their relation-
ships in a variety of ways. Some women have children to-
gether using sperm from chosen donors. Some women come
out later in life after having had children from heterosexual
relationships. Other women choose to have children by be-
coming foster parents or through adoption. Laws around pa-
rental rights may differ from state to state. Patients should be
encouraged to be aware of the legal aspects regarding their
children. It is also important for queer parents to be aware
that their struggles with their children are typically not due
to the parent’s queer identities. Some queer mothers who
have troubled children might blame their queer identity as
the cause; however, all parents have some difficulties with
their children, and queer parents should be reminded that
this is true for them, just as for any other parent. It is import-
ant for clinicians to be aware how the many different facets of
a person’s identity can affect an already complicated parent-
child relationship.

INTERPERSONAL VIOLENCE
Gay women and lesbians, just like any person, can act in violent
ways—emotionally, verbally, physically, and sexually. Whether
they are more feminine, more masculine, or somewhere in be-
tween, women can be both the victim or perpetrator of violence
in intimate relationships. Similar to straight peers who batter,
gay women are brought up in families where domestic abuse
occurs, and individuals may experience the violence directly or
by witnessing it. Be aware of your own assumptions around

Lesbian 11
women in relationships and understand that there are many
ways in which violence can manifest.

LEGAL ISSUES
The U.S. Supreme Court guaranteed same-sex couples the
fundamental right to marry in Obergefell v. Hodges in 2015,
but, despite the new freedoms, many queer couples who
have openly married have suffered consequences due to their
expressions of love. Some have found themselves legally un-
employed through job termination, homeless after being
kicked out of their housing by homophobic landlords, or
faced with finding new health providers because their doc-
tors don’t feel they are morally obligated to treat queer peo-
ple. Political climates can vary greatly, and queer women
unfortunately have to consider potential consequences they
might face due to their sexual identity. Because of confidenti-
ality, a mental health provider’s office might be the only place
a queer woman feels safe expressing herself and asking ques-
tions about her health.

MINORITY STRESS
Ilan Meyer, Ph.D., developed a model of stress and illness in
minority populations that demonstrates that discrimination
and prejudice have an additive effect on minority individuals
at the intersection of their sexual orientation, race, ethnicity,
and gender identities (Meyer 2003). Dr. Meyer’s research has
also demonstrated that sexual minority individuals with
multiple minority identities have poorer health and mental
health outcomes due to these additive effects. Research using
the minority stress model has been effective in demonstrat-
ing the impact of social stressors on increasing risk for addic-
tion, homelessness, unemployment, isolation, sexual
violence, interpersonal violence, suicide, and homicide. In
the past, some people might have blamed a person’s identity
as the cause of their increased stressors. This turned out to be
true, but not in the way imagined. Having a minority status
in a larger homogenous community is likely the cause. If mi-
nority people were surrounded by people who were like
them, they likely would not face these medical and mental
health disparities.

12 Pocket Guide to LGBTQ Mental Health

RELIGION AND SPIRITUALITY
Despite a sordid history of religious nonacceptance, queer
people are finding many more supportive religious groups
today. Even so, many gay and lesbian women who value
their religious life and community continue to experience
loss of church and other religious communities because of
their identities. This loss may be a particularly devastating
experience for some individuals and families who have
grown up within a tight-knit religious community. Finding
themselves rejected by their community may be as or more
harmful than losing family. When meeting with an individ-
ual who is working through these loss issues, you must first
understand the seriousness of this loss in the person’s mind
and then support them through their grief process. Some re-
ligious groups are more judgmental or harsh than others.
Levels of prejudice can vary widely within religions that
have otherwise homogenous ideologies. Some religions have
been guilty of outright abusive behavior toward queer
women. Religion can often be thought of as another support
network that may need attention to ensure a person’s safety.
Gaychurch.org is a website helpful to those in need of finding
a religious home.

SAME-SEX PARENTING
Same-sex parents are visible today in schools in larger num-
bers than ever before. Same-sex parents deserve the same re-
spect from teachers and administrators given to their
heterosexual counterparts. It is important for schools to have
safe spaces for parents and children and be mindful that a
parent’s sexual identity may create unique situations de-
pending on the overall acceptance level of the community.
Queer parents will often deal with their own set of chal-
lenges. As their child ages, they will likely need to come out
all over again to a new set of people—teachers, day care pro-
viders, pediatricians. Helping parents find groups of same-
sex parents and their allies may be the most effective way to
support parents and their children. Connecting parents to
support such as COLAGE (www.colage.org) and Family
Equality (www.familyequality.org), as well as other re-
sources, may be helpful.

Lesbian 13
SUICIDE
Rates of suicide and suicidal behavior have long been identi-
fied as being significantly higher in queer people than straight
peers. LGB youth ages 10–24 years have suicidal ideation
about three times as often as heterosexual peers (Centers for
Disease Control and Prevention 2016). This is largely believed
to be likely due to minority stress, as mentioned previously.
Suicidal behavior is increased in gay female youth, and clini-
cians should be mindful of this when doing suicide assess-
ments or working with patients in crisis (Haas et al. 2011).

WOMEN OF COLOR
Everything previously said about risk factors and minority
stress needs to take into account that queer women of color
will experience increased doses of stigma and harm or even
more, depending on their intersecting identities (National
Center for Health Statistics 2012). The data on black women
being at increased risk for pregnancy complications and loss,
regardless of their socioeconomic status and access to health
care, show that minority stress is expressed in a variety of
ways. Queer ethnic minority women face increased stigma,
discrimination, and stress burden. They may also have a
harder time building a support network. Women of color
may have a more difficult time finding community within
lesbian social circles and organizations, which will likely be
majority white and may feel unwelcoming to women of
color. When working with queer women of color, consider
how a woman’s race may affect her current life stressors and
be open to conversations about race.

Conclusion
Lesbian or gay women are a diverse group who have a range
of ways in which they identify and express themselves ro-
mantically. Clinicians can provide better care by approaching
each case individually and not placing queer women into
boxes. Given the intersectionality of identity, gender, and
other factors such as ethnicity, lesbian or gay women face
many stressors that could have an impact on their mental
health, highlighting the need for attention to be placed on the
whole person.

14 Pocket Guide to LGBTQ Mental Health

 FIVE TAKE-HOME POINTS
• Women’s sexual orientation and identity are often com-
plex and can vary from individual to individual.
• The cultural landscape for queer women continues to
change. The best way to keep up is to be open to asking
friends, family, and patients about their experiences.
• Despite increased visibility and acceptance, lesbians
continue to face discrimination and risks due to mi-
nority stress.
• Try to consider queer women’s identities as multidimen-
sional, taking into account all aspects of their self when
working with them from a clinical standpoint.
• When possible, make space for queer women to talk
about their lives by creating an environment that is
judgment free.

Resources
Association of American Medical Colleges: Sexual and gen-
der minority health resources. Washington, DC, Associa-
tion of American Medical Colleges, 2019. Available at:
www.aamc.org/initiatives/diversity/lgbthealthresources
Association of LGBTQ Psychiatrists: www.aglp.org
International Lesbian, Gay, Bisexual, Trans and Intersex As-
sociation: https://ilga.org
National LGBT Health Education Center: www.lgbthealth
education.org

References
Butler J: Gender Trouble: Feminism and the Subversion of Identity.
London, Routledge, 1990
Centers for Disease Control and Prevention: Sexual Identity, Sex of
Sexual Contacts, and Health-Risk Behaviors Among Students in
Grades 9-12: Youth Risk Behavior Surveillance. Atlanta, GA: U.S.
Department of Health and Human Services, 2016

Lesbian 15
Denton-Hurst T: How Hayley Kiyoko lived her truth and became the
“queen savior” of pop. San Francisco, CA, PopSugar, June 21,
2018. Available at: www.popsugar.com/entertainment/Hayley-
Kiyoko-LGBTQ-Pride-Month-Interview-44888006. Accessed Jan-
uary 23, 2020.
Diamond LM: Sexual Fluidity: Understanding Women’s Love and
Desire. Cambridge, MA, Harvard University Press, 2009
Haas AP, Eliason M, Mays VM, et al: Suicide and suicide risk in les-
bian, gay, bisexual, and transgender populations: review and rec-
ommendations. J Homosex 58(1):10–51, 2011 21213174
Lesbian, Bisexual, Gay, and Transgender Resource Center: LGBTQA+
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http://lbgtrc.msu.edu/educational-resources/glossary-of-lgbtq-
terms. Accessed January 28, 2020.
Levitt HM, Puckett JA, Ippolito MR, Horne SG: Sexual minority
women’s gender identity and expression: challenges and sup-
ports. J Lesbian Stud 16(2):153–176, 2012 22455340
Levounis P, Drescher J, Barber ME: The LGBT Casebook. Washing-
ton, DC, American Psychiatric Publishing, 2012
Magee M, Miller DC: Lesbian Lives: Psychoanalytic Narratives Old
and New. Hillsdale, NJ, Analytic Press, 1997
Meyer IH: Prejudice, social stress, and mental health in lesbian, gay,
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dence. Psychol Bull 129(5):674–697, 2003 12956539
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nomic status and health, in Health, United States, 2011. Hyatts-
ville, MD, National Center for Health Statistics, 2012. Available
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ary 25, 2020.
Savin-Williams RC: Mostly Straight: Sexual Fluidity Among Men.
Cambridge, MA, Harvard University Press, 2017
Trans Student Educational Resources: LGBTQ+ definitions. Trans
Student Educational Resources, 2019. Available at: www.trans
student.org/definitions. Accessed January 28
University of California Riverside: LGBT terminology. Riverside
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dents673.ucr.edu/docsserver/lgbt/terminology.pdf. Accessed
January 28.

16 Pocket Guide to LGBTQ Mental Health

Exploring the Variety of Random
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Virg. duplex Com. SS. Gervasii et Protasii M. Sil veri i Papre et
Martyris. Aioysii Gonzagse Conf! duplex* Paulini Episc. et Conf.
Vigilia. Nam S, Joannis Baptistae, d u pl. i cl. Gulielmi Abb. duplex.
Com, Oct. Joannis et Pauli M. d, Com, Oct. De Oct. Nativ. S. Joannis,
semid Leonis II. Papie et Conf. semid. Coni. Oct. et Vigiliae. Petri et
Pauli A post. dupl. i. cl. Com. S. Pauli Ap. dup. maj. Com. S. Petri et
Oct. S. Joannis Bapt. JULIUS. Dom. j. Pretiosissimi Sanguinis D. N. J.
C. dupl. 2 cl. Com. Dnicae. Oct.S. Joannis Baptistae dupl. Com. Oct.
SS. Apost. Visitatio B. M. V, dupl. 2 cl. Com. SS. Processi et
Martiniani M. De Octava, semidupiex De Octava. Antonii Marbe
Zaccaria Conf. dupl, Com Oct.
 XXIV ICalendariiim . CE.UI D.M. 21 e Prid. 6 20 f Non. 7 IQ
g viij 8 l8 A vij 9 17 b vj 10 l6 c V 1 1 15 d iv 12 14 e iij 13 13 f Prid.
r4 12 g Idib. 15 XI A xvij 16 IO b xvj 17 9 c XV 18 S d xiv 19 7 e xiij
20 6 f xij 21 5 g xj 22 4 A X 23 3 b ix 24 2 c viij 25 . " 1 d vij 26 * e
vj 27 29 f V 28 28 g iv 29 27 A iij 30 25-26 b Prid. 3i Oct. SS. A post.
Petri et Pauli, lupi Cyrilli et Methodii Ep. Conf. dupl Elisabeth Reginae
Port. Vid.semidL Septem Fratrum et SS. Rufius ac Secundae Mart.
semid. Pii I., Papae et Martyris. Joannis Gualberti Abb. dupl. Com.
SS. Naboris et Felicis Mart. Anacleti Papae et Mart. semid.
Bonaventurae Ep., C. et I). dupl. Henrici Imperat. Conf. semid. t>.
M. V. de Monte Carmeio. duplex majus. Alexii Confessoris, semid.
Camilli de Lellis Conf. dupl. Com. SS. Symphorosae cum 7 Filiis M.
Vincentii a Paulo Conf. duplex. Hieronymi VEmiliani C. duplex. Com.
S. Margaritae V. et M. Praxedis Virginis. Maria; Magdalenae, Pcenit.
dupl. Apollinaris Ep. et Mart. dupl. Com. S. Liborii Ep. et Conf. Vig. et
Com. S. Christinae V. et M. Jacobi Apost, duplex 2. cl. Com. S.
Cbristophori Mart. Annre Matris B. M. V. dup. 2. cl. Pantaleonis Mart.
Nazarii, Celsi et Victoris 1. MM. ac Innocentii 1. P. et C. semid.
Marthae Virg. sem. Com. SS. Felicis II., Pap., et Soc. MM. Abdon et
Sennen. Mart. Ignatii de Loyola Conf. duplex. AUGUSTUS. 25.24 c
Kal. x ! 23 d iv 2 22 e iij 3 21 f Prid. 4 Petri ad Vincula, dup. maj.
Com. S. Pauli Apost. et SS. Maeliabaeorum Mart. Alphonsi Mari?e de
Ligorio Episc. Conf. et Doct. duplex. Com, S. Stephani I. Papa; et
Mart. Inventio S. Stephani Protom. sem. Dominici Confessoris, dupl.
maj
 K. I 19 18 17 16 15 14 13 12 ti 10 9 8 7 6 • 5 4 3 2 1 29 28
27 26 24 Kalendarium, XXV D.M. Non, 5 viij 6 vij 7 vj 8 V 9 iv 10 iij ii
Prid. 12 Idib. 13 xix 14 xviij 15 xvij 16 xvj 17 XV 18 xiv T9 xiij 20 xij
21 xj 22 X 23 ix 24 viij 25 vij 26 vj 27 V 28 iv 29 iij 30 Prid. 3i majus.
ransfiguratio Domini, dupl. maj. Com. SS. Xysti II. Papae, Felicissimi
et Agapiti Mart. Cajetani Thienaei Conf. duplex. Com. S. Donati Ep.
et Mart. Cyriaci, Largi et Smaragdi Mart. semid. Vigilia. Com. S.
Romani Mart. Laurentii Martyris, dup. 2. cl. De Oct. semid. Com. SS.
Tiburtii et Susannae Martyrum. Clarae Virg. duplex. Com. Oct. De
Oct. semid. Com. SS. Hippolyti et Cassiani Mart. De Oct. semid.
Com, Vigiliae et S Eusebii Conf. Assumptio B. M. V. dupl. 1. cl. Dom.
infra Octavam Assumpt. S. Joachim Conf. Patris B. M. V. dup. 2. cl.
Com. Dnioae. Hyacinthi C. dupl. Com. Oct. Octava S. Laurentii, dupl.
Com. Oct Assumpt. De Oct. sem. Com, S. Agapiti M. De Octava.
Bernardi Abb. Conf. et Eccl. Doct. dupl. Com. Oct. Joannae
Franciscae Fremiotde Chantal Vid. dupl. Com. Oct. Oct. Assumpt. B.
M. V.dupl. Com. SS. Timothei et Soc. Mart. Philippi Benitii Conf. dup.
Com. Vig. Bartholomaei Apost. duplex 2. cl. (Romae die 25). Ludovici
Regis Conf. semid. (Romae die 26). Zephyrini Papae et Mart. Josephi
Calasanctii Conf. dupl. Augustini Ep., Conf. et Doctduplex. Com. S.
Hermetis Mart. Decollatio S. Joannis Bapt. dup. maj. Com. S.
Sabinae Mart. Rosae Limanae Virg. duplex. Com. SS. Felicis et
Adaucti Mart. Raymundi Nonnati Conf. dup).
 xxvj K ale n darium SEPTEMBER. 23 f Kal. 1 /Egidii Abb.
Com. SS. duodecim Fra* trum Mart. 22 21 20 £ b iv Prid. 2 3 4
Stephani Hungarise Regis C. semid. 19 c Non. 5 Laurentii Justiniani
E. C.semid. l8 d viij 6 17 e vij 7 l6 f vj 8 Nativitas B. M. V. dupl. 2.
cl.Com. S. Hadriani Mart. Dom. infra Oct. SS. Nominis B. M. V. duplex
majus. Com. Dnicse. 15 I V 9 De Oct. semid. Com. S. Gorgonii M. 14
iv io Nicolai de Tolentino Conf. dup . Com. Oct. 13 b iij 11 De Oct.
semid, Com, SS. Proti et Prid. Hyacinthi, Mart. 12 C 12 De Octava. !I
d Idib. 13 De Octava. 10 e xviij 14 Exaltatio S. Crucis, duplex majus.
Com, Oct. Q f x vij 15 Octava Nativit. B. M. V. dup, Com S.
Nicomedis, Mart. Dom. iij. Septem Dolorum B.M.V dupl. maj. Com
Dfiicae. g xvj 16 Cornelii et Cypriani Pont, et M. i semid. Come S.
Euphemiae et Soc. Mart. 7 A XV 17 Impressio SS. Stigmatum S.
Francisci Conf. duplex. 6 b xiv 18 Josephi a Cupertino Conf. duplex. 5
c xiij i9 Januarii Ep. et Soc. Mart. duplex. 4 d xij 20 Eustachii et Soc.
Mart. dupl. Commemoratio. Vigiliae. 3 e xj 21 Matthaei Ap. et Evang.
duplex 2. cl. 2 f X 22 Thomae a Villanova Ep. C. dup!. Com. S.
Mauritii et Soc. M. I g ix 23 Lini Papae et Mart. semidupl. Com
S.Theclae Virg. et Mart. * A viij 24 B. M. V. de Mercede, duplex
majus. b vij 25 sB c vj 26 Cypriani et Justinae Virg. Mart. »7 d V 27
Cosmae et Darniani Mart. semidupl.
 Kalendarium. xxvij c.e. i, d D M 25- ao e iv 28 *5' f >ij 29
-3 g Prid. 30 Wenceslai Ducis et. Mart. semidupl. Dedicatio S,
Michaelis Archang. duplex 2. cl. Hieronymi Presb. C. et D. duple v.
OCTOBER. A Kal. 1 b VJ 2 c V 3 d iv 4 e iij 5 f Prid. 6 g Non. 7 A vi i j
8 1 »> VI j 9 5 c vj ro ? d V' 1 1 e iv 12 ) f iij *3 ) g Prid. M 5 A Idib.
1 5 b xvij 16 5 c xvj 17 5 d XV 18 1 e xiv i9 ? f' viii 20 1 g x’ij 21 c A
xj 22 1) X 23 ) b ix 24 3 d viij 25 1 r vij 26 5 f vj 27 5 S V 28 4 A iv
29 lj dj 30 7 C Prid. 31 * Doni. j. Solem»itas SS. Rosarii B. M. V.
duplex 2 classis. Com. E>ominiem. Remigii Ep. et Conf. semid. ad
lib. vel simplex de praecepto. Angelorum Custodum, duplex majus.
Krancisci Conf. duplex majus. Placidi et Sociorum Mart. Brunonis
Confessoris, duplex. Marci Pappet Conf. Com. SS. Sergii et Soc. Mart.
Birgittm Viduae, duplex. Dionysii, Episc. , Rustici et Eleutherii Mart.
semid. Francisci Borgia; Conf. semid, Eduardi Regis Conf. semid.
Callisti I. Papae et Mart. duplex. Teresiae Virginis, duplex. Hedwigis
Vidiuc, semiduplex. Luere Evangelistae, duplex 2 classis. Petri de
Alcantara Conf. duplex. Joannis Cantii Conf. duplex. Hilarionis Abb.
Com. SS. Ursulae et Soc. Virg. et Mart. Chrysanthi et Dariae Mart.
Evaristi Papai et Mart. Vigilia. Simonis et Judse A p. duplex 2. classis.
Vigilia.
 xxviij Kalendarium. NOVEMBER. C.E/L.D. D.M. ai d Kal. 1
Omnium Sanctorum, dupl. 1. cl. ao e iv 2 Com. Omnium Fidelium
Defunctorum, dupl et de Oct. Omnium Sanctorum, semid, 19 f iij 3
De Octava. 18 g Prid. 4 Caroli Episc. et Conf. duplex. Com. Oct. et
SS. Vitalis et Agricolae Mart. l7 A Non. 5 De Octava. 16 1) viij 6 De
Octava. 15 c vij 7 De Octava. M d vj 8 Oct. Omnium Sanctorum,
duplex. Com. SS. IV. Coronat. Mart. 13 e V 9 Dedicat, Archibasilicae
SS. Salvatoris, dupl. majus. Com. S. Theodori Mart. 12 f iv 10
Andreae Avellini Conf. dupl. Com. S. Tryphonis, etc. Mart. 11 g iij 11
Martini Episc. et Conf. duplex. Com. S. Mennae Martyris. io A Prid. 12
Martini I. Papae et Mart. semid. 9 b Idib. T3 Didaci Confessoris,
semid. 8 c xviij T4 Josaphat Episc. et Mart. duplex. 7 d xvij 15
Gertrudis Virginis, duplex. 6 e xvj 16 5 f XV 17 Gregorii Thaumat. E.
C. semid. 4 g xiv 18 Dedic. Basilicarum SS. Petri et Pauli Apost.
duplex majus. 3 A xiij 19 Elisabeth Viduae, duplex. Com. S. Pontiani
Papae et Mart. 2 b xij 20 Felicis de Valois Conf. duplex. 1 c xj 21
Praesentatio B. M. V. duplex majus. * d X 22 Caeciliae Virg. et Mart.
duplex. 29 e ix 23 Clementis I. Papae et Mart. duplex Com. S.
Felicitatis Martyris. Joannis a Cruce Conf. duplex. Com. S. Chrysogoni
Mart. 28 f viij 24 27 g vij 25 Catharinae Virg. et Mart. duplex. 25. 26
A vj 26 Silvestri Abb. dupl. Com. S. Petri Alexandrini Episc. et Mart.
25. 24 b V 27 23 c iv 28 22 d i>j 29 Vig. Com. S. Saturnini Mart. 21
e Prid. 30 Andreae Apostoli, dupl. 2. cl.
 Kalendarium, xxix DECEMBER C.E.L.D. D.M 20 f Kal. 1 19 g
iv 2 18 A Kj 3 17 b Prid. 4 16 C NTon. 5 15 d viij 6 14 e vij 7 f vj 8 12
g V 9 II A iv 10 IO 9 b c iij Prid. 11 12 8 d Idib. 13 7 e xix r4 6 f xviij
T5 5 g xvij 16 4 A xvj 17 3 b XV 18 2 c xiv 19 1 d xiij 20 * e xij 21 29
28 f f xj X 22 23 A ix 24 26 b viij 25 2S- 25 c vij 26 24 d vj 27 23 e V
28 22 f iv 29 21 g nj 30 19- 20 A Prid. 3i Bibianae Virg. et Mart.
^emiduplex. Francisci Xaverii Conf. dupL majus. Petri Chrysologi E.,
C. et D. dupL Corn S. Barbarae V. M. Sabbae Abbatis com. Nicolai
Episc. et Conf. duplex. Ambrosii Episc., C. et D. dupl. Vig. Immac.
Concept. B.M. V. duplex i cl. De Octava, semiduDlex. De Oct. semid.
Com. S. Melchiadis Papae et Mart. Damasi I. P. et C. semid. Com
Oct. De Octava. Luciae Virg. Mart. duplex. Com. Oct. De Octava.
Oct. Immac. Concept. duplex. Eusebii Episc. et Mart. semidupiex.
Vigilia. S. Thomae Apost. duplex 2 cl. Vigilia. Nativitas D. N. J. C.
duplex 1. cl. Stephani Protom. dupl. 2. cl. Com. Octavae. Joannis
Apost. et Evang. dupl. 2. cl. cum com. Octavarum. SS- Innocentium,
Mart. dupl. 2. cl. Com. Octavarum. Thomae Cantuariensis Episc. et
Mart. duplex, Com, Octt. De Dom. infra Oct. Nativit. vel de Oct. cum
com. Octt. Silvestri I., P. C. duplex, Com. Octt. Haec Epacta 19 nigra
numquam est in usu, nisi quan« do eodem anno concurrit cum
Aureo numero xix.
 Duae Cahellae EX RUBRICIS GENERALIBUS BREVIARII
EXCERPTA. In quarum prima statim videri poterit de quo
celebrandum erit Officium si, plura eodem die Festa occurrant. In
secunda vero, quomodo Officio praecedens concurrat in Vesperis
cum Officio sequentis diei. Ex utraque Tabella hoc ordine reperietur
quod quaeritur. Primum inveniatur numerus positus in quadrangulo
illo, in quo Festa, de quibus est controversia sibi invicem occurrunt :
deinde legatur regula juxta dictum numerum descripta, et ex ea
clare videbitur quid sit agendum. Exempli gratia : Quadrangulus, in
quo sibi invicem occurrunt Duplex primae classis et Dominica primae
classis, erit qui est in angulo superiori primae Tabellae, in quo
signatus est numerus i., quia si ad eum tam Duplex quam Dominica
praedicta ex eorum locis recto tramite pergerent, in eo sibi invicem
occurrerent. Regula autem juxta dictum numerum apposita sic habet
: I. Translatio de primo , Officium de secundo. Id est Duplex primae
classis praedictum transferatur, et Officium fiat de Dominica primae
classis : quia cum in his regulis dicitur : de primo seu praecedenti,
intelligitur de Festo in superiori parte Tabellae apposito, ut Duplex
praedictum ; cum de secundo vel sequenti, de Festo in inferiori parte
sub numeris apposito, ut Dominica praedicta. In aliquibus autem
quadrangulis nullus appositus est numerus, vel quia nullus occursus,
neque concursus esse potest, vel quia in propriis locis adnotatur in
Breviario quid sit agendum. Scire tamen oportet quae sint Duplicia
primae et secundae classis, et majora per annum, et quae
Dominicae, et Feriae majores dicantur. DUPLICIA i. CLASSIS, In
quibus nulla fit Commemoratio quorum cumque Festorum
occurrentium, nisi prout supra in Rubricis» Nativitas Domini.
Epiphania Domini. Pascha Resurrectionis, cum tribus antecedentibus
et duobus sequentibus diebus. . Ascensio Domini.
 Pentecostes, cum duobus sequentibus diebus. Festum
Corporis Christi. Festum SS. Cordis Jesu. Immaculata Conceptio B.
M. V. Annuntiatio et Assumptio B. M. V. Nativitas S. Joannis
Baptistae. Festum S. Joseph Sponsi B. M. V. Virginis. Festum SS.
Apostolorum Petri et Pauli. Festum Omnium Sanctorum. Dedicatio
propriae Ecclesiae. Patronus vel Titulus Ecclesiae. DUPLICIA II.
CLASSIS, In quibus de Simplicibus fit commemoratio in Laudibus
tantum : de aliis ut in Rubricis. Circumcisio Domini. _ XXX) Festum
SS. Nominis Jesu. Festum SS. Trinitatis. Festum Pretiosissimi
Sanguinis D. N. J. C. Inventio S. Crucis. Purificatio B. M. V. Visitatio »
» Nativitas » » Solemn.S. Rosarii B.M. V. Dedicatio S. Michaelis
Archangeli. Festum Patrocinii S. Joseph Sponsi B. M. V. Natalitia
undecim Apostolorum. Festa Evangelistarum. Festum S. Stephani
Protomartyris. Festum SS. Innocentium Martyrum. Festum S.
Laurentii, Martyris. Festum S. Annae Matiis B. Mariae V. Festum S.
Joachim Patris B. Mariae V. DOMINICvE MAJORES DIVIDUNTUR IN
DUAS CLASSES DOMINICAE I. CLASSIS, Quae numquam
omittunturPrima Adventus. Prima Quadragesimae. Passionis.
Palmarum. Paschae. In Albis. Pentecostes. Trinitatis. DOMINICAS II.
CLASSIS, Quae non omittuntur, nisi occurrente Duplici j. classis ; et
tunc de iis fit com. in utrisque Vesperis, et Laudibus. Secunda j Tertia
Adventus. Quarta 1 Dominica Septuagesimae. Dominica
Sexagesimae. Dominica Quinquag. Secunda Tertia 1 Quadrag.
Quarta '
 XXX1J DUPLICIA MAJORA PER ANNUM, Quae aliis
Duplicibus minoribus praeferuntur. Transfiguratio Domini. Exaltatio
sanctae Crucis. Dedicat. Archibasilicae SS. Salvatoris. Duo Festa VII.
Dolorum. 'i td Commem, de Monte Carmelo Festum ad Nives ' <5
SS. Nominis. 1 De Mercede ) t> M v Praesentatio I B* V’ Apparitio S.
MichaelisArchangeli. Festum SS. Angelorum Custodum. Decollatio S.
Joannis Baptistae. Cathedra S. Petri Apostoli utraque. Festum
ejusdem ad Vincula. Conversio S. Pauli Apost. Commem. S. Pauli
Apost. Dedicat. Basilicarum SS. Petri et Pauli, Apost. Festum S.
Joannis ante Portam Latinam. Festum’ S. Barnabae Apostoli. Festum
S. Benedicti Abbat Festum S. Dominici Conf. Festum S. Francisci
Assisien. Conf. Festum S. Francisci Xaverii, Conf. Festum Patronorum
minus Principalium. FERIAE MAJORES, De quibus semper fit
commemoratio. Adventus. Quaedragesimae. Quatuor Temporum.
Secunda Rogationum. CATALOGUS FESTORUM Quaeuti primaria vel
secundaria retinenda sunt, ex Decretis generalibus S. R. C. diei xxvij.
Augusti 1893 et v. Februarii 1895. FESTA PRIMARIA IN KALENDARIO
UNIVERSALI § I. Duplicia j. classis. Festum Nativitatis Domini.
Epiphania. Pascha Resurrectionis. Ascensio Domini. Pentecostes.
Festum Corporis Christi. Immaculata Conceptio, Annuntiatio et
Assumptio B. M. V. Nativitas S. Joannis Bapt. S. Joseph Sponsi B. M.
V. SS. Apost. Petri et Pauli. In Festo Omnium Sanctorum. Dedicatio
propriae Ecclesiae. Titulus Ecclesiae. Patronus principalis regionis, vel
dioecesis aut loci.
 § II. Duplicia secundae classis. Circumcisio Domini. Festum
SS. Trinitatis. Purificatio ^ Visitatio > B. Mariae V. Nativitas /
Dedicatio S. Michaelis Archangeli. Natalitia undecim Apost. Festa
Evangelistarum. S. Stephani Protomart. SS. Innocentium Mart. S.
Laurentii, Mart. S. Annae, Matris B. M. V. S. Joachim, Patris B. M. V. §
III. Duplicia majora pei annum. _ Transfiguratio Domini. Dedicatio
Archibasilicae SS. Salvatoris. Dedicatio S. Mariae ad Nives. _ _ xxxiij
SS. Angelorum Custodum. Dedicatio Basilicarum SS Petri et Pauli,
Apost. S. Barnabae. S. Benedicti Abbatis. S. Dominici Confessoris. S.
Francisci Confessoris. S- Francisci Xaverii Conf. Patronorum minus
Principalium. § IV. Alia Duplicia per annum. Dies Natalitia vel quasi
Natalitia uniuscujusque Sancti. Pro aliquibus locis S. Gabrielis
Archangeli. S. Raphaelis Archangeli. Dies Natalitia, vel quasi Natalitia
uniuscujusque Sancti. Commem. Sanctorum quorum Corpora vel
Reliquiae in ecclesiis dioeceseos asservantur. FESTA SECUNDARIA IN
KALENDARIO UNIVERSALI. § L Duplicia primae classis. Sacratissimi
Cordis Jesu. § II. Duplicia secundae classis. SS. Nominis Jesu.
Inventio S. Crucis. Pretiosiss. Sanguinis D. N. J- C, Solemnitas SS.
Rosarii B. M. V. Patrocinium S. Joseph, Sponsi B. M. V. § III. Duplicia
majora. Exaltatio S. Crucis. Duo festa Septem Dolorum B. M. V.
Commem. B. M. V. de Monte Carmelo. Nominis J De Mercede j B. M.
V. Praesentatio j Apparitio Sancti Michaelis Archangeli. Decollatio S.
Joannis Baptistae. Cathedra S. Petri Apost. utraque. Ejusdem ad
Vincula. Conversio et Com. S. Pauli Apostoli.
 xxxiv S. Joannis ante Portam Latinam Pro aliquibus locis.
Officia Mysteriorum et Instrumentorum Passionis D. N. J. C. SS.
Redemptoris. S. Familiae Jesu, Mariae et Joseph. Purissimi Cordis
Mariae. Desponsatio, Maternitas, Puritas, Patrocinium B. M. V.
Translatio Almae Domus B. M. V. Exspectatio Partus B. M. V. Auxilium
Christianorum. Prodigiorum B. M. V. Apparitio B. M. V. Imm.
Manifestatio B. M. V. Immaculata a Sacro Numismate. Commem. 00.
Summ. Pontificum. Item alia quaecumque Festa sive Domini, sive B.
M. V. sub aliquo peculiari titulo, sive Sanctorum, praeter eorumdem
natalem diem, uti Inventionis Corporum, Translationis, Receptionis,
Patrocinii et hisce similia.
 AD PRIMAM TABELLAM. 1. Notandum, quod Duplex
quodcumque, etiam Patroni et Tituli Eccle[ siae, vel Dedicationis
ejusdem, occurrens in Vigilia Nativitatis Domini et Pentecostes, in die
Circumcisionis, in die Octava Epiphaniae, in Feria quarta Cinerum, ac
in tota majori Hebdomada, et infra Octavam Paschae et Pentecostes,
in Ascensione Domini, in Festo Corporis Christi, in Festis
Immaculatae Conceptionis, Annuntiationis, et Assumptionis B. M. V.,
in | Nativitate sancti Joannis Baptistae, in Festo S. Joseph, SS.
Apostolorum Petri et Pauli, et Omnium Sanctorum, transfertur, si
transferri valeat, aliter de eo fit Commemoratio ipso die quo cadit,
vel penitus omittitur, ut ponitur in propriis Rubricis. 2. Infra Octavam
Epiphaniae fit tantum de Duplicibus primae classis occurrentibus cum
commemoratione Octavae. Alia Festa novem Lectionum in prima die
libera post Octavam perpetuo celebrantur : de Simplicibus vero fit
tantum commemoratio, ut supra. e 3. Infra Octavam Corporis Christi,
de Semiduplici occurrente, fit tantum commemoratio, neque fit de
Duplici translato, nisi sit primae vel secundae classis, et de ea,
quocumque adveniente Duplici fit Commemoratio. 4. Infra illas
Octavas, in quibus fit de Festis occurrentibus, de Semiduplici,
occurrente in Dominica, fit Commemoratio, uti alias juxta Rubricas.
5. De Octava Nativitatis Domini, Epiphaniae, et Corporis Christi,
semper fit commemoratio, quocumque Festo in illis occurrente. 6. De
aliis Octavis, quae non sunt in Kalendario, nihil fit a Feria quarta
Cinerum usque ad Dominicam in Albis, et a Vigilia Pentecostes usque
ad Festum SS. Trinitatis inclusive, et a die 17 Decembris usque ad
Epiphaniam. 7. Dies Octavae numquam transfertur : ideo quamquam
Nativitas S. Joannis Baptistae occurrens in die Corporis Christi,
transferatur in diem sequentem ; non tamen transfertur Octava, sed
de ea fit tantum commemoratio in Officio de Octava Corporis Christi.
8. Si accidat ut Patronus loci, vel Titulus Ecclesiae descriptus sit
eodem die in Kalendario cum aliis Sanctis, qui separari queunt, in ea
Ecclesia, vel in loco, fit tantum de Titulari, vel Patrono. Alii si in dicto
Kalendario descripti . sint sub ritu Duplici majori, vel
 xxxvj Prima Tabella. occurrat Duplex primae classis. Duplex
secundae classis. Duplex per annum majus. Duplex Doctoris
Ecclesiae. Duplex per annum minus. Dies infra Octavam. Dies
Octava. Semiduplex. Simplex. S. Maria in Sabbato. Feria major.
Vigilia. 1. Translatio de primo, Officium de secundo. 2. Officium de
primo, translatio de secundo. 3. Commem, de primo, Officium de
secundo. 4. Officium de primo, commemoratio de secundo. 5. Nihil
de primo, Officium de secundo. 6. Officium de primo, nihil de
secundo. 7. Officium de digniori, commemoratio de minus digno. 8.
Officium de digniori, translatio de minus digno. minori , aut
Semiduplici, transferuntur perpetuo in diem primam liberam, et de
eis fiat Officium Semiduplex. Si vero sint ex Duplicibus j. aut ij.
classis, similiter in diem primam liberam perpetuo transferantur, et
de eis fiat Officium sub eodem ritu, ac si propria die celebrarentur. Si
autem in Kalendario omnes sint tamquam Festum Simplex, de eis
nihil fit. 9. De Feriis Adventus et Quadragesimae, quando de eis non
fit Officium, fit Commemoratio in utrisque Vesperis et Laudibus
cujuscumque Festi : de Quatuor
 Prima Tabella. xxxvij eobent tsie Temporibus, et1 Feria
secunda Rogationum ac Vigiliis, in Laudibus tantum. Si vero aliqua
Vigilia occurrat in Adventu, Quadragesima , et Quatuor Temporibus
vel in diebus Festorum duplicium primae classis sive Patroni vel Tituli
, aut Dedicationis Ecclesiae, de ea nihil fit, nec etiam in Laudibus.
 xxxviij Secunda Tabella. H&uamjo Dominica j. et ij. classis,
Dominica per annum, Duplex primae classis, Duplex secundae
classis, Patronus seu Titulus Ecclesiae, Duplex per annum majus,
Duplex per annum minus, Semiduplex, Dies Octava, Dies infra
Octavam, 1. Totum de sequenti, nihil de praecedenti. 2. Totum de
praecedenti, nihil de sequenti. 3. Totum de sequenti, commem, de
praecedenti. 4. Totum de praecedenti, commemoratio de sequenti.
5. Capitulum de sequenti, commemoratio de praecedenti. 6. Totum
de digniori, commemoratio, de minus digno : in paritate dignitatis, a
Capitulo de sequenti. Simplex, et Sancta Maria in Sabbato, Feria et
Vigilia non concurrunt. Notandum , quod in j. Vesperis diei Octavae
Ascensionis et Corporis Christi , aliorumque Festorum primariorum
Domini , totum Officium fit de Octava, cum Commemoratione
praecedentis Festi Duplicis, nisi fuerit Festum solemne principale, aut
j. vel ij. classis : quia tunc de Festo fieret Officium , et
Commemoratio de Octava. 2. In ij. Vesperis diei Octavae Festorum
Domini, si primaria fuerint et solemniora uti Epiphaniae , Paschae ,
Ascensionis, aliorumque, de sequenti Duplici, si concurrat, fit tantum
Commemoratio , nisi hoc fuerit j. vel ij. classis ; quia tunc de eo
fieret Officium et de Octava Com 
 Secunda Tabella. xxxix concurrit* 0 4 3 4 4 3 3 3 3 3 0 0 4
34433111022424446464!444444436342242
4440464!4444446131444544531314443453
3 1 1 1 5 . 4 4 5 4 4 5 3 1 3 1 4 0 0 3 4 3 3 3 1 1 1 5 0 > S. Maria in
Sabb. » Die infra Octavam. » Die Octava. > Simplici. i> Semiduplici.
> Dupl. perann. min. > Dupl. perann. maj. ) Patr. seu Tit. Eccl. >
Duplici ij. classis. > Duplici j. classis. lm Diiica quacumque.
inemoratio. Die Octava Corporis Christi in ij. Vesperis nulla fit
Commem, sequentis Duplicis (Sacratissimi Cordis Jesu) nisi concurrat
cum die Octava S. Joannis Baptistae , et tunc Vesperae erunt de
Octava Corporis Christi, cum Commemoratione Octavae S. Joannis.
3. Diebus Octavis Festorum primariorum B M. V. etiam particularibus
alicujus Religionis. Angelorum, S. Joannis Baptistae , S. Joseph et
Sanctorum Apostolorum de praecedenti, vel sequenti Duplici minori
fit tantum Commemoratio. 4. In secundis Vesperis Duplicis primae
classis fit Commemoratio de Festis
 xl Oratio S. Augustini. duplicibus et semiduplicibus reductis
ad modum Simplicis tantummodo, si hujusmodi . Commemoratio
facienda sit die sequenti. In Duplicibus tamen secundae classis de
dictis Festis fit Commemoratio in utrisque Vesperis ad instar Octavae
et Dominicae, uti in Rubricis generalibus de
Commemorationibusdictum est : non fit vero Commemoratio de die
infra Octavam, nisi quando de ea fieri debeatOfficium die sequenti.
5. Cum plures fiunt Commemorationes, servetur hic ordo : Post
Orationem Officii currentis, 1. de Dominica privilegiata, 2. de die
Octava, 3. de Duplici majori, 4. de Duplici minori ad instar
Simplicium redactis, 5. de Dominica communi. 6. de die infra
Octavam Corporis Christi, 7. de Semiduplici, 8. de die infra Octavam
communem, ad simplicem ritum pariter redactis, 9. de Feria majori
vel Vigilia, 10. de Simplici. oratio sancti Hugustim A PAPA URBANO
VIH. EDITA. Ante oculos tuos, Domine, culpas nostras ferimus, et
plagas quas accepimus, conferimus. Si pensamus malum quod
fecimus, minus est quod patimur, majus est quod meremur. Gravius
est quod commisimus, levius est quod toleramus. Peccati poenam
sentimus, et peccandi pertinaciam non vitamus. In flagellis tuis
infirmitas nostra teritur , et iniquitas non mutatur. Mens segra
torquetur, et cervix non flectitur. Vita in dolore suspirat, et in opere
non se emendat. Si exspectas, non corrigimur : si vindicas, non
duramus. Confitemur in correctione, quod egimus: obliviscimur post
visitationem quod flevimus. Si extenderis manum, facienda
promittimus : si suspenderis gladium , promissa non solvimus. Si
ferias, clamamus ut parcas : si peperceris, iterum provocamus ut
ferias. Habes, Domine, confi 
 Oratio S Augustini tentes reos : n6vimus quod nisi dimittas,
recte nos perimas. Praesta, Pater omnipotens, sine merito, ,quod
rogamus, qui fecisti ex nihilo, qui te rogarent. Per Christum
Dominum nostrum. Arnen. Gregem tuum, Pastor aeterne, non
deseras, it. Sed per beatos Apostolos tuos perpetua defensione
custodias. Protege, Domine, populum tuum ad te clamantem, et
Apostolorum tuorum patrocinio confidentem. a). Perpetua
defensione custodias. Orate pro nobis, sancti Apostoli Dei. at. Ut
digni efficiamur promissionibus Christi. Oratio. raesta, quaesumus
omnipotens Deus : ut nullis nos permittas perturbationibus concuti ,
quos in Apostolicae confessionis petra solidasti. Per Dominum, a).
Arnen, mploret, clementissime Domine, nostris _ xlj opportunam
necessitatibus opem devote a nobis prolata meditatio, qua sanctus
olim Joannes Chrysostomus, in hac Basilica conditus, te cum
beatissimis Apostolis Petro et Paulo representavit sic colloquentem :
Circumdate hanc novam Sion, et circumvallate eam : hoc est,
custodite, munite, precibus firmate: ut quando irascor in tempore, et
orbem terrae concutio , aspiciens sepulcrum vestrum numquam
desiturum, et quae libenter propter me geritis stigmata, iram
misericordia vincam, et obhanc percipiam vestram intercessionem.
Etenim quando Sacerdotium et Regnum video lacrymari, statim quasi
compatiens ad commiserationem flector, et illius meae vocis
reminiscor : Protegam Urbem hanc propter David servum meum, et
Aaron sanctum meum, Domine, fiat, fiat : Arnen, Arnen.
 xlij Orationes ante et post Officium, ©ratio DICENDA ANTE
DIVINUM OFFICIUM. Aperi, Domine, os meum ad benedicendum
nomen sanctum tuum : munda quoque cor meum ab omnibus vanis,
perversis et alienis cogitationibus : intellectum illumina, affectum
inflamma, ut digne, attente ac devote hoc Officium recitare valeam,
et exaudiri merear ante conspectum divinae Majestatis tuae. Per
Christum Dominum nostrum, ty. Amen. Domine, in unione illius
divinae intentionis, qua ipse in terris laudes Deo persolvisti, has tibi
Horas persolvo. ©ratio DICENDA POST DIVINUM OFFICIUM.
Orationem sequentem devote post Officium recitantibus Leo Papa X.
defectus et culpas in eo persolvendo ex humana fragilitate
contractas indulsit. Et dicitur omnino flexis genibus. Sacrosanctae et
individuae Trinitati crucifixi Domini nostri Jesu Christi humanitati,
beatissimae et gloriosissimae semperque Virginis Mariae foecundae
integritati, et omnium Sanctorum universitati sit sempiterna laus,
honor, virtus et gloria ab omni creatura, nobisque remissio omnium
peccatorum, per infinita saecula saeculorum. jft. Amen. jL Beata
viscera Mariae Virginis, quae portaverunt aeterni Patris Filium . Et
beata ubera, quae lactaverunt Christum Dominum. Pater noster. Ave
Maria.
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