Part 1: Genogram Format

A. Symbols to describe basic family membership and structure (include on genogram significant others who lived with or cared for family members - place them on the right side of the genogram with a notation about who they are.
Birth date Male: Female: 43-75 Death date

Death = X Index Person (IP):

Marriage (give date) (Husband on left, wife on right):

m. 60

Living together relationship or liaison:

72

Marital separation (give date):

s. 70

Divorce (give date):

d. 72

Children: List in birth order, beginning with oldest on left:

Adopted or foster children:

60 62 65

Fraternal twins:

Identical twins:

Pregnancy:

3 mos.

Spontaneous abortion:

Induced abortion:

Stillbirth:

Members of current IP household (circle them): Where changes in custody have occurred, please note:

Note. From Genograms in Family Assessment, Monica McGoldrick and Randy Gerson (1985).

Supervisor Core | Casework Supervision | Trainee's Guide | Version 1.1, May 2008

Conventions of Diagramming Family Structure

Male Married Separated Female

Divorced

Living together Significant non-cohabiting continuing relationship Death or

Divorced mother with custody of two female children

Divorced father with custody of two male children

Children out of the home

Wife having extramarital affair (current) Woman having had significant non-cohabiting relationship between two marriages
#3 #1 #2

Abortion and miscarriage A M

Note. From National Resource Center on Family Based Services

Casework Supervision, Supervisory Core, Days 6-7

General Rules:
9/12/45

Bob
37

Mary
35 7/6/47

1. Put age inside and note date of birth. Put first name of each person.
9 3

Jim 2/6/72

Barb 5/2/90

2. Put exact dates of marriage, divorce and separation if different.

5/10/70 5/22/82 Sep. 5/15/80

3. Put children in order or their birtholdest at left, except in case of multiple marriages (see below).
15 13 10

Examples:
1. 2 spouses each previousely married: wife had two chidren. husband had none: current couple has jointly one.
#3 #1 #2

2. Wife's 4 marriages with: 2 children in first 1 child in second 3 children in third 2 children in fourth
#4 #1 #2 #3

#7

#8

#1

#2

#3

#4

#5

#6

Diagramming of Emotional Relationships

intense relationship cut-off

conflictual relationship

"

distance relationship intense conflictual relationship

Note. From National Resource Center on Family Based Services.

" "

Casework Supervision, Supervisory Core, Days 6-7

General Rules:
9/12/45

Bob
37

Mary
35 7/6/47

1. Put age inside and note date of birth. Put first name of each person.
9 3

Jim 2/6/72

Barb 5/2/90

2. Put exact dates of marriage, divorce and separation if different.

5/10/70 5/22/82 Sep. 5/15/80

3. Put children in order or their birtholdest at left, except in case of multiple marriages (see below).
15 13 10

Examples:
1. 2 spouses each previousely married: wife had two chidren. husband had none: current couple has jointly one.
#3 #1 #2

2. Wife's 4 marriages with: 2 children in first 1 child in second 3 children in third 2 children in fourth
#4 #1 #2 #3

#7

#8

#1

#2

#3

#4

#5

#6

Diagramming of Emotional Relationships

intense relationship cut-off

conflictual relationship

"

distance relationship intense conflictual relationship

Note. From National Resource Center on Family Based Services.

" "

Casework Supervision, Supervisory Core, Days 6-7