Genograms Template Page 3
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4GENOGRAMS
Historical Perspective of the Problem
32. When did the problem begin?
33. Who noticed it first?
34. Who thought it was serious and not serious?
35. Were family relationships different before the problem began?
36. What other problems existed?
37. Does the family see the problem as having changed? In what ways? For better or for worse?
38. What will happen in the family if the problem continues? If it goes away?
39. What does the future look like?
40. What changes do family members imagine are possible in the future?
Tracking Family Relationships and Roles
41. Are there any family members who do not speak to each other or who have ever had a period of not speaking? Are
there any who were/are in serious conflict?
42. Are there any family members who are extremely close?
43. Who helps out when help is needed?
44. Who do family members confide in?
45. All couples have some sort of marital difficulties. What sorts of problems and conflicts have you encountered?
46. What about your siblings' and parents' marriages?
47. How do you get along with each child?
48. Have any family members had particular problems dealing with their children?
49. Has any family member been focused on as the "caretaker"? The problematic one? The "sick" one? The "mad" one?
50. Who in the family is seen as the strong one? The weak one? The dominant one? The submissive one?
51. Who in the family is seen as the successful one? The failure?
52. Who is seen as warm? As cold? Is caring? As distant?
Serious Problems
53. Has anyone in the family had a serious medical or psychological problem? Been depressed? Had anxieties? Fears?
Lost control?
54. Has there been any physical or sexual abuse?
55. Are there any other problems that worry you? When did that problem begin? Did you seek help? If so, when? What
happened? What is the status of that problem now?
Work History
56. Have there been any recent job changes? Unemployment? Do you like your job? Who else works? Do they like it?
57. How much income is there?
58. How does your economic situation compare with that of your relatives?
Drugs and Alcohol
59. Do any family members routinely use medication? What kind and for what?
60. Do you think any member drink too much or have a drug problem? Has anyone ewer thought so? What drugs?
When? What has the family done about it?
Trouble with the Law
61. Have any family members ever been arrested? For what? When? What was the result? What is the person's legal
status now?
62. Has anyone ever lost his/her driver's license?
Interpretation
As a rule of thumb, the data is scanned for the following:
Repetitive symptom, relationship or functioning patterns seen across the family, and over the generations. Repeated triangles,
coalitions, cutoffs, patterns of conflict, over and under functioning are central to genogram interpretation
Coincidences of dates: e.g., the death of one family member or anniversary of this death occurring at the same time as symptom
onset in another, or the age at symptom onset coinciding with the age of problem development of another family member.
The impact of change and untimely life cycle transitions: changes in functioning and relationships that correspond with critical family life
or
events. Of particular interest are untimely life cycle transitions, e.g., losses, births, marriages,
deaths that occur "off schedule."
MCWTS
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CWFT Module 4 Chapter 4
Genograms
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