TOOLS IN FAMILY TOOLS IN FAMILY ASSESSMENTASSESSMENT

TOOLS IN FAMILY TOOLS IN FAMILY ASSESSMENTASSESSMENT

De Guzman, Marenieza D.De Guzman, Marenieza D.Medicine IMedicine I

Sept. 18, 2009Sept. 18, 2009

INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION

TOOLS IN FAMILY ASSESSMENT

• Designed to help the practitioner to elicit data about certain aspects of family structures function and process

• Also to aid the health professional in determining major family concerns, needs and strengths

TOOLS IN FAMILY ASSESSMENT

• Composed of 5:o Family Genogram or “Family Tree”o Family Mapo Family APGARo SCREEMo Family Lifeline

FAMILY GENOGRAMFAMILY GENOGRAMoror

““FAMILY TREEFAMILY TREE””

FAMILY GENOGRAMFAMILY GENOGRAMoror

““FAMILY TREEFAMILY TREE””

FAMILY GENOGRAM/FAMILY TREE• A genogram is a graphic representation of a

family tree that displays the interaction of generations within a family

• It goes beyond a traditional family tree by allowing the user to analyze family, emotional and social relationships within a group

• Used to identify repetitive patterns of behavior and to recognize hereditary tendencies

FAMILY GENOGRAM/FAMILY TREE• Relationships• Births• Losses• Connections• Patterns• Roles• Occupations• Alignments• Communication patterns• Health history and supports

Genograms capture family history by noting:

FAMILY GENOGRAM/FAMILY TREE• It must consist of 3 or more generations

and each generation is identified by Roman numbers.

• Genogram graphically shows all the living and dead people who genetically, emotionally, and legally comprise a family.

• Names and ages of all family members• Exact dates of birth, marriage, divorce, separation,

death and other significant life events including causes of death

• Information of three or more generations• Illnesses• First born of each family to the left with sibling

sequential to the right• Name of two families• Informant/s• Date constructed

FAMILY GENOGRAM/FAMILY TREE

Includes:

FAMILY GENOGRAM/FAMILY TREE• Uses:

Provides a quick overview of the family members and relationships

A way of visually overlay biomedical and psychosocial information

A study tool for gaining a comprehensive understanding of multigenerational family systems

FUNCTIONAL CHART• This gives a more dynamic image of the

family, especially or relationship of members.

• It allows one to judge the totality of family unit, its strengths and weaknesses and its ability to withstand future stressful situations.

Family Illness/ History• This denotes the presence of

inherited diseases or familial tendencies indicating potential problems in the family.

• The ff information will be seen in the genogram:– Record of names and roles of each

member of the family– Extended family and households– Medical problems of each member of

the family– Significant date in the family– More subtle information about the

family

GENOGRAMSYMBOLS

23

1986 ---

--- 2066

--- 2066

80

or

or

Male

FemaleGay

Lesbian

Age

Year of Birth

Death

Pregnancy

Age at Death

Year of Death

GENOGRAMSYMBOLS

?

lllF

lllA

Biological Child

Identical Twin

Triplet Twin

Fraternal Twin

Triplets with stillbirth

Foster Child

Adopted

Miscarriage

Abortion

Spontaneous Abortion

Unknown Gender

Stillbirth

or

GENOGRAM SYMBOLS (Relationships)

__ __ __ __ __

__ __ __ __ __

__ __ __ __ __

__ _ __ _ __ _ __ _ __

__ _ __ _ __ _ __ _ __

__ _ __ _ __ _ __ _ __

_ _ _ _ _ _ _ _ _ _

__ __ __ __ __ __ __ __ __

_ _ _ _ _ _ _ _ _ _

__ __ __ __ __ __ __ __ __

Married

Separation in factLegal SeparationDivorce

Nullity

WidowedEngagement

Engagement and Cohabitation

Engagement and Separation

Legal Cohabitation

Legal Cohabitation and Separation in factLegal Cohabitation and Legal SeparationNon Sentimental Cohabitation

Non Sentimental Cohabitation and Separation

Committed relationship and separation

Committed relationship(long term)

Family Genogram(Relationships)

2016

Married with Date

A family

Separation in fact

Legal Separation

Divorce

Nullity

Family Genogram

lllA

LT 2005

m 2005

Living Together

Gay Couple with Year (LT)

Lesbian Couple with year of marriage

Strong bond

Married with Adopted Child

Family Genogram

m 2016m 2020

People within the broken lines are within same household

Additional Symbols(Interactional Patterns between people)

Defines a plain normal relationship

Distant Relationship between two individual. Very Limited communication, usually due to different lifestyle

Close relationship (friendship), sharing affection or esteem and engage in mutually helping behaviors

Close-hostile relationship. These people often come into contact, but they argue and keep secrets from one another

Normal/Plain

Distant/Poor

Hostile relationship. Individuals argue on major issues and feel heightened stress and aggression when they are together

Close/Friendship

Hostile

Close-Hostile

Additional Symbols(Interactional Patterns between people)

Relationship in which one individual has an unhealthy focus (obsession) on another individual. May include favoritism and stalking

Cut-off relationship. No contact at all. Characterized by extreme disengagement and emotional intensity where there had formerly been love, affection or friendlinessFused relationship. Individuals become dependent on one another, and also become inseparable, with little room for their own identities

Fused-Hostile relationship. Individuals are always together and depend on each other, yet they are unable to live without an arguing.

Index pt

Marital discord