Standard Genogram Symbols Template

Close“spiritual” connection
Physical or
Psychological illness
Alcohol or Drug abuse
Suspected alcohol
or drug abuse
Physical or
Psychological illness
in remission
In Recovery from
alcohol or drug abuse
In recovery from
substance abuse and
mental or Physical problems
Serious mental and
physical problems
and substance abuse
Symbols Denoting Interactional
Patterns between People
Symbols Denoting Addiction, and Physical or Mental Illness
Fused
Hostile
Close-HostileDistant Focused On
Fused-Hostile
Cutoff Repaired
Caretaker
Physical Abuse Sexual AbuseEmotional Abuse
Cutoff
Egg donor
Sperm donor
Surrogate
Mother
Gay Couple whose
daughter was
conceived
with sperm of
John and
an egg donor, and
carried by surrogate
mother till birth.
Lesbian couple
whose daughter
was conceived
with egg
of one partner
and
sperm donor.
1943-2002
$100,000
‘75-
$100,000
‘73-
35,000
‘81-
$45,000
John
Jenny
C.P.A.
Highland Park, NJ
San FranciscoLondon
Arizona
H.S.+2
Secretary
Peter
M.B.A
Alicia
P.h.D
Mark
B.A.
ComputersHistory Prof
‘53-
$28,000
Annual income is written
just above the
birth & death date.
Typically you would include
the persons occupation
and education near the
name and the persons
whereabouts at the top
of the line connecting to
the symbol.
59
52
32 30 24
m. 1970
Artificial Insemination
Symbol for Immigration =
Smoker
S
Obesity
O
Language Problem
L
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Standard Genogram Symbols Template PDF

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