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7.2 Using Genograms in Assessment

  • Complete them jointly with applicant/s and with children present– best if use large sheet of paper and use this as a tool throughout assessment process
  • Get as much information on the genogram as possible
  • Make notes for yourself about any information, patterns or gaps that need to be followed up
  • Make sure to ask for clarification and ask “difficult questions”
  • It is a good idea to do one on your own family before doing one with someone else
    1. Make the diagram
    2. Applicants reflect on it: what strikes them, any shocks, memories
    3. Social Worker analysis: intergenerational patterns (over 4 generations if possible) for example of loss, openness re feelings, types of marriage, patterns, secrets, closeness

A Selection of possible questions on different topics

  • How do family members think about each other?
  • Who was named for whom in the family?
  • Coincidences between births, deaths, moves/migration, life cycle events
  • Family rituals
  • Family myths
  • Spoken or unspoken rules
  • In what areas does your family keep secrets, and how are they maintained?
  • Impact of secrets on family relationships
  • What are the rules of communication in your family, what topics are taboo?
  • Which members are/were always in conflict?
  • Are there rules about gender?
  • How do family members react to change or stress?
  • What were the major family triangles – were these repeated over generations?
  • How are feelings expressed about stress, illness and death?
  • Did family “cut offs” (leaving home, losing contact) occur around the time of death?
  • What beliefs do family members have that may help sustain them in the face of loss?
  • What kind of relationship did each of your parents have with each of their parents, siblings, grandparents, and friends?
  • What are the family attitudes towards work, leisure?
  • Were there ways in which your mother/women in family conform or do not conform to stereotypes of mother? (ditto: father/men in family)
  • How were siblings in your family expected to behave: pals, rivals, partners, opposites?
  • Are any siblings estranged – if so what issues were involved?
  • Did parents identify with same sex or opposite sex siblings?
  • Can you tell anything about a family values and patterns by labels that different siblings had?
  • What are the stories told in your family about how couples got together?  What are the underlying dreams and fears about marriage?  What messages are passed on through the generations?
  • What unresolved issues from the families of origin did members of your family bring into their marriages?
  • What are the typical patterns of marriage – power struggles?
  • Typical gender patterns in marriage?
  • Are partners from same class, ethnic background?
  • How do couples negotiate the use of time, space, money, holidays, relationships with in-laws?
  • Are the family norms about marriage the dominant norm for society or the family culture?

With reference to: Monica McGoldrick: You can go home again (see booklist).

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