The Family Diagram and Genogram: Comparisons and Contrasts

The family diagram and its derivative the genogram are widely used in marriage and family therapy, other mental health disciplines, and family medicine. After a brief history of the origins of the family diagram and genogram, several different areas are compared in order to help distinguish differences between family diagrams and genograms. The results of these evaluations illustrate some similarities in format and symbols due to a common history, but distinct differences in purpose, theoretical basis, rationale for data collection, and interpretation guidelines. Divergent theoretical perspectives explain the differences between family diagrams and genograms. The family diagram is intertwined with Bowen family systems theory, while the genogram emphasizes how the nuclear family interacts within multiple contextual levels. The family diagram and genogram are not synonymous; rather, they are distinctly different methods of family assessment.     

Using Genograms Creatively to Promote Healthy Lifestyles

ABSTRACT

Family therapists have used Genograms as an assessment tool for years to examine the interactions and relationships of family members across generations. This article discusses how a therapist can use a genogram creatively to help clients examine the impact of family relationships on healthy and unhealthy lifestyle patterns and how those relationships may be influencing the manner in which clients are currently managing their lives. The integration of a creative genogram can assist clients in recognizing inherited health-disease risks, learned lifestyle patterns, and parental behavior modeling. This technique can assist clients in developing a healthier lifestyle.     

Toward an African American Genogram

This article addresses the inadequacy of the standard genogram for African American families because of its underlying assumption that “family” is strictly a biological entity. The author suggests that this assumption is not culturally valid for African American families who have a long history of defining “family” as a kinship based on biological and functional ties. Using this conceptualization, an African American genogram is proposed.     

The Genogram as a Tool in Career Counseling

A genogram is a three-generational graphic representation of a client's family of origin. The author depicts a sample genogram and outlines a three-part approach for use of a genogram in career counseling. Several possible uses are suggested.     

Manipulation of Verbal Behavior of Chronic Hospitalized Schizophrenics in a Group Therapy Situation

This paper describes a semistructured, time-limited model of group treatment for latency age children. The members, all of whom came from reconstituted families, had a variety of reactive, somatoform, and characterological problems. With help from the therapists, each member constructed his or her own genogram which was then discussed by the group as a whole. Because this format incorporated a technique for mapping family structure into a traditional model of children's group therapy, it focused the group's manifest communication on changing family roles and relationships, both as they had occurred in reality and as they were symbolically reenacted within the group process. Feelings of shame, guilt, anger, and loss were markedly ameliorated as the group members studied the structure of their extended families within an environment which encouraged normative peer interaction and progressive emotional development. A brief review of the recent literature on time-limited, theme centered groups for children is included to provide a context for understanding the group.     

Museum tours in genogram construction: A technique for facilitating recall of negative affect

Anger museums, hurt museums, and loss museums are presented as a technique for facilitating recall whenever clients appear to have difficulty remembering family relationships and the affect with which these relationships were invested. The purpose of the recall is to facilitate the process of differentiation. Museum tours are presented as a technique for helping individuals re-enter and re-view their own history within the context of the functioning and relationships of the family of origin. Museum tours in genogram construction are an attempt to achieve what Bowen referred to as discrimination between the emotions and intellect, i.e. the process of differentiation.     

The Use of a Socially Constructed Genogram in Clinical Practice

This paper discusses the rationale for a socially constructed genogram, allowing for multiple definitions of family to be represented. It describes the role of the problem system and the utility of this genogram in these situations. It describes the set-up of a socially constructed genogram and provides clinical examples.     

Genograms in counselling practice: A review (Part 1)

Genograms are an important clinical tool for many counsellor, therapists and other health care professionals and can be used for assessment, gathering information on family relationships and exploring themes in counselling practice. This article reviews the recent literature on genograms and examines the efficacy and use of this tool from a number of perspectives including the use of genograms in health care, psychological counselling and in genetic counselling. The predictive value, and future development of the use of the genogram in counselling are also discussed.     

Effects of Couples' Perceptions of Genogram Construction on Therapeutic Alliance and Session Impact: A Growth Curve Analysis

The purpose of this study was to examine how the construction of a therapist-administered genogram (TAGE) versus a self-administered genogram (SAGE) would affect therapeutic alliance and session character in couples therapy across time. Eight student marriage and family therapists conducting therapy with 17 couples administered a TAGE, SAGE, or control treatment intervention in the second therapy session. Measurements were taken following the first five sessions. Results of a growth curve analysis showed no significant differences in couple members' growth curves based on their participation in one of the three treatment groups. Recommendations for clinicians and future genogram researchers are provided.of the Marriage and Family Therapy program at     

Genograms in counselling practice: Constructing a genogram (part 2)

In Genograms in counselling practice: a review (part 1), recent literature on the use of genograms was reviewed and the efficacy and utility of genograms in counselling practice was examined. This paper outlines how a family genogram is constructed in a counselling setting. An approach to introducing the relevance of a genogram to the client is described as is the method of gathering and using information. The therapeutic use of genograms is also discussed.     

Treating Multidimensional Presenting Problems with a Mutually Integrative Approach Using the Genogram

The present article introduces a case study and describes a mutually integrative approach to treating a complex presenting problem. This article examines the specific issues surrounding integration when a supervisor and supervisee hold different theoretical perspectives. On occasion, such a relationship demands that the supervisee adhere to the model being taught by the supervisor. Examining integration in this format presents many advantages for both treatment and training. The key to the mutual integration is that two schools of psychotherapy can be combined in a way that creates a synergy; in that, together they are more powerful than either may be in isolation. A genogram with symbols from each model is incorporated to focus the treatment and create a format for the mutual integration.     

Assessment of the Use of Spiritual Genograms in Counselor Education

Spiritual genograms collect and organize family information of a religious or spiritual nature. The authors explored the use of the spiritual genogram in counselor education. Graduate counseling students were assigned to construct and present a spiritual genogram within a course titled “Counseling and Spirituality.” An assessment of the quality of the students' learning experiences was conducted. Narrative responses were gathered from 32 advanced and postgraduate students enrolled in 1 of 4 classes over a 2‐year period. The results verified the benefits of this constructivist and experiential learning process. Implications for counselor development and further research are discussed.     

The Satir Model: Yesterday and Today

This article represents an attempt to update the reader by bringing into focus some of the more important components of the Satir model. The intrapsychic aspect of therapy is explained in the form if an iceberg metaphor. The use of the Satir family map, or genogram, is illustrated for use in individual and family therapy. Also, the various steps of a Satir model therapy session are listed. The Satir model has developed into a brief, transformational change model while keeping the earlier theoretical base intact.     

The family-of-origin framework: A model for clinical training

Family-of-origin work is defined as a person's attempt to examine and/or change the patterns of interaction that occur in the family in which s/he was raised. This article outlines a model of family-of-origin work that is used in the clinical psychology training program at St. Louis University. The family therapy literature, particularly the work of Bowen, provides its theoretical underpinnings. An integral part of family-of-origin presentations is the genogram, or visual depiction of a family tree. Many ethical issues arise from the use of family-of-origin work within the context of clinical training, including confidentiality, responsibility, informed consent, values, and the boundaries of the supervisory relationship.     

Discovering “Family” Creatively

Abstract

Creativity is a powerful force within the family therapy field, central not only to the therapeutic process but also to counselor education. Time-honored tools, such as the genogram along with its many adaptations, remain useful in learning about family. However, as our rapidly changing culture continually redefines and stretches the concept of family, we must learn new methods to discover who “family” is from the “expert” living within that family, i.e., the client or counselor-trainee. This article introduces and describes a creative, self-initiated model, the self-created genogram, developed to amplify discovery of each person's own unique perspective and experience of family. Case examples will be provided to illustrate the model's use in both training and clinical settings.     

Working memory, inhibitory control, and reading disability

The relationships among working memory, inhibitory control, and reading skills were studied in 966 individuals, 6—49 years old. In addition to a standardized measure of word recognition, they received a working memory (listening span) task in the standard, blocked format (three sets containing two-, three-, or four-item trials) or in a mixed format (three sets each containing two-, three-, and four-item trials) to determine whether scores derived from the standard format are influenced by proactive interference. Intrusion errors were investigated in order to determine whether deficits in working memory were associated with the access, deletion, or restraint functions of inhibitory control. The results indicated that deficits in working memory were characteristic of individuals with reading disabilities at all ages. These deficits may be associated with the access and restraint functions of inhibition. Working memory skills increased until the age of 19. The blocked format showed a gradual decline in adulthood whereas the mixed format did not. The different patterns suggest that the decline in working memory skills associated with aging may result from growing inefficiencies in inhibitory control, and not diminished capacity.     

The Development of a Methodology for Examining the Process of Family Communication of Genetic Test Results

It is important to study communication processes in families where members are undergoing testing for genetic conditions because the information received from such testing is crucial not just to the individual concerned but also to other members of the biological family. This topic has received little research attention, in part because of the complexities of methodology required. In this paper we present the development of a method specifically designed for the examination of the content and process of communication of genetic information in families. The method aims to maximize ecological validity as far as is possible. We describe how participants and other family members are recruited and how data were collected. We outline three main data analytic strategies: a graphic to show how genetic information changes as it flows from clinic and through the family, an intensive qualitative analysis of the meaning and impact of the genetic information to different family members, and an informative genogram which plots key family dynamics. This method will be illustrated in relation to a study of ten family-groups where one individual has been found to carry a genetic mutation predisposing them to hereditary breast and ovarian cancer.     

Illegality 1988

The author presents how the Holocaust appears symbolically in an obsessive-compulsive neurosis in 1988 in Budapest, through the therapy of a 16-year-old boy and his family. The behavior therapy that was first applied made the symptoms even more serious, supposedly because the index patient interpreted it as pursuit. The hypothesis supposed the appearance of the Holocaust in the third generation—as a family myth—and intervention based on this hypothesis brought an end to the neurotic symptoms. The knowledge of historical processes is very important in psychotherapeutic treatment.I would like to acknowledge my debt and my appreciation to Valeria Kiss, occupational therapist, Central National Institute, Budapest, who has had a major role in creating therapy, as co-therapist. I would like to thank Beata Susansky and Gareth Dewar for helping in translation and Andras Posman for helping with the figures of the genogram.     

Assessing within-person personality variability via frequency estimation: More evidence for a new measurement approach

Variability in personality has been recognized in recent years as an important aspect of personality both conceptually and empirically. A relatively new and efficient method of obtaining variability information is frequency-based personality assessment (Edwards & Woehr, 2007). The purpose of the present research is to further examine the viability of frequency-based personality measurement as an alternative to traditional (Likert-type) measurement and to assess the usefulness of the variance-based parameters. Toward this end, three studies are presented. Specifically, Study 1 examined relationships between a frequency-based measure of the Big Five personality traits and several motivational variables. Study 2 examined the moderating role of temporal consistency information (provided by frequency-based measurement) on relationships between personality and peer ratings of task performance. Study 3 compared the frequency-based measure to a Likert-type measure with respect to each measure’s susceptibility to deliberate response distortion. Results indicated that consistency information increases the predictive validity of agreeableness and conscientiousness and that a frequency-based format is less susceptible to faking than a Likert-type format for conscientiousness, emotional stability, and openness to experience.