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Women in many cultures throughout history have had sexual relations with other women, but they rarely were designated as part of a group of people based on whom they had physical relations with.As women have generally been political minorities in Western cultures, the added medical designation of homosexuality has been cause for the development of a subcultural identity.Throughout history, women have not had the same freedom or independence to pursue homosexual relationships as men, but neither have they met the same harsh punishment as homosexual men in some societies.
Discussion from historians caused further questioning of what qualifies as a lesbian relationship.
Krafft-Ebing, who considered lesbianism (what he termed "Uranism") a neurological disease, and Ellis, who was influenced by Krafft-Ebing's writings, disagreed about whether sexual inversion was generally a lifelong condition.
Ellis believed that many women who professed love for other women changed their feelings about such relationships after they had experienced marriage and a "practical life".
In the absence of any other material to describe their emotions, homosexuals accepted the designation of different or perverted, and used their outlaw status to form social circles in Paris and Berlin.
Lesbian began to describe elements of a subculture.