Genograms
Q: What is a genogram?
A: A
genogram is a family diagram, which can be thought of as going a step beyond
the family tree. Genograms provide a way of mapping family patterns and relationships
across at least three generations. Genograms report information on family
structures like family trees do. For example, both a family tree and a genogram
of the Adams family would report that Fred, the son of Mark and Leah, married
Jane, the daughter of Gary and Cathy, and together Fred and Jane have two
children, Sam and Lucy
Q: What makes a genogram better than a family
tree for understanding family relationships?
A: Using the
above example, the genogram could also tell you that Jane has a conflictual
relationship with Leah, that Fred is the oldest child with 2 younger sisters,
and that Mark and Leah have a distant relationship. The genogram might also
show that Fred and Jane had three miscarriages before Lucy was born and that
Fred has an enmeshed relationship with Sam. Genograms show intergenerational
patterns of relationships, communication, and other behaviors.
Q: Who uses genograms?
A: Genograms are widely used by family
therapists as a tool to map family relations, giving both the therapists and
the clients an overview of family relationships and patterns. The genogram may
help the therapist get to know the family and help them deal with their current
issues. Genograms may help a husband and wife understand each other's learned
patterns for responding to stressful situations, handling intimacy or conflict,
or managing gender issues. Genograms are used by medical professionals to
better understand their patients’ medical and psychosocial history. Genograms
are also useful for anyone who is interested in better understanding the
patterns and issues in a family.
Q: How are genograms constructed?
A: Genograms
may be developed by individuals who know their family history and the genogram
coding system (described in the next section). They may be developed by
therapists or workshop leaders who interview individuals about their history,
draw the diagrams and help interpret them. Genograms reflect an individual's
point of view. Although most members of a family agree on the basics of a
family tree, there may be major differences when describing the relationships
among family members.
Q: How do genograms relate to family communication?
A: Genograms
provide a broad framework in which we can view family relationships.
Understanding the family is done in part by understanding family communication.
Family communication both shapes and is shaped by family relationships. For
instance, couples who attend marriage education classes learn better ways to
communicate with each other. Changing their communication habits in their
marriage may ultimately have a major effect on their relationship. In another
example, siblings who lose both parents at an early age, may become very close.
The relationship they have as children may have lasting effects on their communication
throughout their lives. As they grow older, marry, and move far away from each
other, they may still communicate frequently, disclosing their disappointments
and joys with each other. Those interested in family communication can learn a
lot from genograms. As you learn more about genograms, keep the question of
"How might this affect the family's communication?" in your mind.
Q: What if two members of the same family
disagree about the meaning of a genogram?
A:
Interpretation is influenced by the creator of the genogram. There is no
absolute “right” genogram for one family. Different family members may have
differing perspectives on the relationships in the family and may therefore
construct genograms of the same family very differently. For instance, perhaps
the oldest child in family has left home while his younger teenage sister is
still at home. He may draw a genogram showing his sister as having a closer
relationships with their parents than he does. His father, however, may see his
relationship with his daughter as strained, as she is going through her teenage
years. He may view his adult son as more of a friend, and depict that
relationship as closer.
Basic Genogram
Components
Although there is
general agreement on the basic genogram structure, and codes, there are some
variations on how to depict certain family situations, such as cutoffs,
adoptions etc. (Bowen, 1980; Kramer, 1985; McGoldrick, Gerson, &
Shellenberger, 1999). The following are the codes we will use in this site:
Closeness of
relationship: You can also depict the type of
relationship of two family members with lines connecting those persons. For
example, two people with a normal relationship would have one line drawn
between them. Those with a close relationship would have two lines drawn
between them. Those with a fused (extremely close) relationship would have
three lines drawn between them.
Depictions of other
types of relationships can also be shown. A dotted line* between two people
indicates a distant relationship (This is different than the dotted line
showing a romantic liaison or the dotted line showing a foster or adopted
child.) A jagged line shows a hostile relationship. A jagged line with two
straight lines shows a close, hostile relationship, and a jagged line with
three straight lines shows a fused, hostile relationship. Click here to see examples of some of these types of
relationships. (When you're finished, close the pop-up screen.)
Dysfunctional
relationships: You can depict some additional,
dysfunctional relationships with genograms, also. Sexual abuse is shown by a
large jagged line with an arrow from the abuser to the abused. Physical abuse
is shown by a small jagged line and an arrow from the abuser to the abused.
Click here to see how to depict abusive relationships. A
relationship where one member is focused unhealthily on another member is
depicted by a straight line with an arrow from the focused member to the member
being focused upon. A relationship that is cutoff, where the two family members
do not have contact, is shown with two short perpendicular lines that break up
the relationship line.
Triangles:
Another pattern in family relationships is the triangle. In a family system, a
triangle represents the coalition of two family members against another family
member (McGoldrick, Gerson, & Shellenberger, 1999) and can be represented
on a genogram. Triangles are often seen among two parents and one child, where
one of the parents creates an alliance with the child against the other parent.
Another classic triangle involves a son, his wife and his mother. Such a triangle
may play out in a variety of ways. For example, the wife may blame her
mother-in-law for her frustrations with her husband, while the mother-in-law
blames the wife for taking her son away (McGoldrick et al., 1999). When you are
interpreting genograms or creating your own, look for possibilities of
triangles in relationships.
Cautions and
Caveats
Because of
the sensitive nature of genograms, it is important to be careful of your
communication with family members about any genogram you are creating. Ask
permission of family members to interview them for your genogram. You may wish
to explain it is a class assignment to be seen only by the instructor. You may
also wish to promise them confidentiality. This means you have to be very
careful about where you keep the genogram.
Understand
that there is going to be variation among different family members regarding
certain issues that you are interested in. For example, your mother might tell
you that she has always had a conflictual relationship with her own mother,
while your grandmother sees the relationship as close and conflict-free. If
there is information that a family member does not feel comfortable sharing
with you, don't push that person to share it. This is a class project; it
should never disrupt a family's life.
You can
practice creating genograms for functional families such as those found in
plays and novels, or of famous people, using their biographies.
After you
create your own genogram, you will want to be careful about when and with whom
you share it. It is probably not a wise move to pull the genogram out at a
family dinner and share it! If a family member does indicate that she or he is
interested in your genogram, be sensitive in showing that person your genogram.
You may want to explain that the genogram you have drawn is only from one
perspective and everyone in the family may not necessarily agree with the
genogram. It is wiser to explain that you promised your informants
confidentiality or to summarize the information generally.
Creating
Your Own Genogram
Now that
you're ready to create your own genogram, you may be asking yourself - where do
I begin? Before you even start putting pen to paper or mouse to mouse pad, you
will need to do some background work. First, you need to decide how many
generations you wish to depict on your genogram. You will probably want to keep
to three to four generations. Next, you will need to do some research. You may
look at a family tree to make sure you have all the names, birthdates and
relations correct. You may interview some family members to fill in missing
information. You might ask family members to tell you family stories to help
you understand what types of relationships different family members have.
Remember what you learned in the Cautions and caveats section and be sure to be
sensitive in approaching family members.
Once you
have the information collected, you can let your artistic talents flow! There
are two methods of creating a genogram: drawing and using a computer.
Drawing:
We've seen family communication students create fantastic genograms with
markers and posterboard or a large piece of paper. If you choose to create your
genogram by hand, you may want to begin by penciling in the circles and squares
to make sure you have enough room, and following up with a darker pen or
marker.
Computer:
If you want to use a computer to create your genogram, the least expensive
option is to simply use a "Draw" program such as the one that is
found in Microsoft Word.
There are
also some computer programs that can be purchased to help you create genograms.
If you plan on doing a lot of genogram creation, and don't mind spending some
money, you may want to investigate this option. You may also want to do a
search on the Internet using "genogram" and see what other sites are
offering computer genogram creation programs.
You may also
be wondering how much detail (family members' names, occupations, dates, etc.)
to put in your genogram. The answer to this may vary depending on the purpose
of the genogram. You will notice that the genogram segments depicted in this
website differ on the amount of detail given, depending on the index person
(IP) and the issues of the family. For your first genogram creation, you may
want to focus on one or two primary threads which tie to a specific youngest
generation individual. For example you may be the IP, and, although you may
note seven aunts and uncles you will not try to develop each person's family
unless one is highly significant. Once you have the "family map," you
may proceed to introduce the symbols which indicate the type/quality of
relationships among key members. Be sure to write in or key in significant
issues or events (e.g. hospitalized for depression regularly). Note ethnicity
and themes where appropriate. Note stillbirths and miscarriages if possible.
The bottom
line is that as long as you follow the accepted symbols for genogram creation,
do what you need to so your genograms works for you.
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