70+ Genogram Symbols Explained: A Visual Guide for Professionals

Updated on: 11 September 2024 | 14 min read
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Understanding the intricate dynamics within families can be challenging, but genograms offer a powerful visual tool to map out these relationships. In this guide, we will explore the essential symbols used in genograms to represent everything from basic family structures to complex emotional and medical relationships. Whether you are a therapist, social worker, or healthcare professional, knowing these genogram symbols will enhance your ability to interpret and communicate family histories, making your work more effective and insightful.

What Are Genogram Symbols

Genogram symbols are standardized graphic representations used to visually map out family dynamics, medical histories, and emotional bonds. These standardized genogram symbols help professionals in various fields such as family therapy, medical practice, and social work to visualize, uncover, and analyze intricate family relationships, behavioral patterns, and more.

Categories of Genogram Symbols

Genogram symbols can be categorized into four primary types:

  • Basic genogram symbols represent gender, birth, age, and other fundamental attributes.
  • Family genogram symbols describe the union between two members, such as marriage, engagement, divorce, or separation.
  • Emotional relationship symbols indicate different emotional bonds and interactions between family members, such as harmony, conflict, or abuse.
  • Medical genogram symbols show medical conditions, hereditary traits, causes of death, and health risks.

Using standardized genogram symbols, professionals can ensure consistent and accurate interpretations across different contexts and disciplines. Creately’s library of pre-designed genogram symbols facilitates this standardization, enabling professionals to create detailed and precise genograms effortlessly.

Why Professionals Use Genograms

Professionals across various domains rely on genograms for several reasons:

  • Understanding Family Dynamics: Genograms visualize familial relationships and interactions, revealing patterns that might not be apparent through traditional methods.
  • Medical History: Medical professionals use genograms to trace hereditary conditions, helping to predict and manage patient health risks.
  • Therapeutic Insights: Counselors and therapists employ genograms to visually explore clients' backgrounds, identifying issues that could impact mental health and personal relationships.
  • Effective Visualization: Genogram symbols make it easier to visualize and interpret complex family information, aiding in more effective decision-making.

1. Basic Genogram Symbols

Basic genogram symbols create the foundation for building complex family dynamics by representing key personal information. For instance, males are represented by squares and females by circles. Other genogram symbols indicate age, birth, death, immigration status, and more.

Basic Genogram Symbols

Gender Symbols

Genograms use a square for males and a circle for females. Generally, the square is placed on the left and the circle on the right of the diagram. There are genogram gender symbols that denote sexual orientation as well.

The transgender symbols use both the square and circle. A female-to-male transgender person is denoted by a square with a circle inside, and a male-to-female transgender person is denoted by a circle with a square inside. A homosexual individual is represented with an inverted triangle within the main member symbol while the bi-sexual symbol uses a dotted inverted triangle.

Birth, Death, and Age Symbols

The birth year is written on the left above the member symbol and the age is mentioned inside the symbol. A deceased member is shown with a cross through the relevant genogram symbol, and the year of death is noted on the upper right. The age at death can be shown inside the symbol.

Other Basic Genogram Symbols

A few other basic genogram symbols indicate relevant data such as an institution or a pet. A pentagon with straight sides and an angular top indicates a significant institutional connection. The pets are shown by a diamond and can be labeled accordingly. Genograms use a wave symbol to indicate if a person has lived in more than 2 cultures. A double wave symbol shows if a person has immigrated.

These basic genogram symbols help professionals capture essential personal information effortlessly. We have listed some genogram questions to help you further enhance the quality of the collected data.

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Three-Generation Genogram

2. Family Genogram Symbols

Family genogram symbols serve as the backbone for understanding complex family relationships and marital statuses. These symbols go beyond what typical family trees illustrate, providing a more detailed look into the nature of familial connections. Family genogram symbols depict the relationships between family members, providing insights into marital status, unions, and family dynamics. These include:

  • Marital status
  • Other unions
  • Reproductive symbols
  • Parent-child relationships

Marital Status and Other Union Symbols

Marital Status Symbols

Family genogram symbols offer a clear visualization of marital status, depicting whether individuals are married, divorced, separated, or engaged. A solid line represents a marriage, while a dashed line signifies engagement. Separation after marriage or engagement is shown by a short diagonal through the marriage line while a divorce is indicated by two short diagonal lines.

Other Union Symbols

These lines are crucial for indicating how family members relate to each other, such as common-law marriages or cohabitation without formal union. Cohabitation is shown by the institution symbol on the relationship line of two dots and a dash while legal cohabitation uses a dot and a dash line. A casual relationship is indicated by a line of dots and a love affair is shown by a dot and dash line in pink. A short diagonal across the relationship line shows the separation of the parties.

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Family Genogram

Reproductive Symbols

There are several pregnancy-related genogram symbols. A triangle symbol represents a pregnancy. A triangle with a diagonal cross indicates a miscarriage, and an additional horizontal line signifies an abortion. A smaller square or circle with a diagonal cross indicates a stillbirth. In this case, the square and the circle are half the size of the cross.

Reproductive Symbols and Parent-Child Relationships

Parent-Child Relationships

Parent-child relationships are represented with specific symbols, making family constructs clear and detailed. In the case of multiple births, like twins, triplets, and so on, the child links are joined together. Identical twins are denoted by a horizontal line between the children. If there was a stillbirth in the multiple births, the relevant stillbirth symbol is used with the joined child link.

Adoption and Foster Relationships

These relationships are depicted through specific lines and genogram symbols that differentiate biological children from those who are adopted or fostered. Adoption is typically marked with a dashed vertical line from the parent to the child, while foster relationships might include additional markers.

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Simple Genogram Template

3. Emotional Relationship Symbols

Emotional relationship symbols in genograms play a crucial role in visualizing the quality of relationships between family members. These symbols help therapists, counselors, and social workers delve into the dynamics of familial interactions and emotional bonds. The use of color-coded genogram symbols offers a straightforward way to depict different emotional states and interactions.

Emotional Relationship Symbols

Harmonious Relationships

In genogram symbols, a green line typically represents harmonious relationships. Such relationships include friendship, best friends, and love. Generally, these relationships are indicated in green to easily identify them among other relationship dynamics. This color indicates a positive and peaceful bond between family members, making it easy for professionals to spot supportive connections within the family structure.

  • Harmony: A solid green line indicates a harmonious relationship with a strong, stable and mutually supportive bond.
  • Friendship/ Close: Two dashed green lines indicate a friendship or close relationship between two individuals. The two individuals in consideration are close enough to share secrets with each other.
  • Best Friends/ Very Close: Two solid green lines with short diagonal lines show a very close relationship with open and uncensored communication without secrets.
  • Love: A solid green line with a small circle in the middle denotes a romantic or affectionate relationship between two people.
  • In Love: A solid green line with two interlocking circles illustrates a relationship where two individuals are deeply in love with each other.

Conflict and Tense Relationships

Red lines signify conflict or tension within relationships. They denote emotions like conflict, hate, varying levels of hostility, and violence. These genogram symbols help in identifying areas of strife and disharmony, which are essential for therapists and counselors working to address and resolve family issues.

  • Discord/ Conflict: Two red dashed lines represent a conflict or discord between individuals going through a disagreement or tension.
  • Hate: Three red dashed lines show an intense dislike or hatred between two people signifying a very negative relationship.
  • Hostile/ Conflictual: The red zigzag symbol shows a hostile relationship between two individuals where conflicts and arguments on major issues occur. The level of hostility can be indicated using close-hostile (with a dashed line) or distant-hostile (with two solid lines) symbols.
  • Fused: Three red solid lines indicate an enmeshed, overly close, and interdependent relationship where individual choices are set aside for the harmony of the relationship. Fused relationships with hostility or violence are shown with combined symbols.
  • Distrust: A solid line with short vertical lines symbolizes distrust between individuals where suspicion or lack of trust is present.
  • Violence: A closely set zigzag displays a violent relationship that has conflicts resulting in extreme actions like physical force or excessive power. This can be further detailed by using close-violence (with two solid lines) and distant-violence (with a dashed line) symbols.
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Genogram for Client Counseling

Abusive Relationships

Black or blue lines used in genogram symbols indicate abusive relationships. Adding this level of detail is crucial for social workers and therapists when developing intervention strategies and providing necessary support.

  • Abuse: This indicates an abusive relationship between two individuals. An arrowhead can be used to show who abuses the other.
  • Physical Abuse: This shows that an individual is abusing another individual in a relationship. This includes any non-accidental injury to an individual.
  • Emotional Abuse: This symbol denotes any behavior that interferes with the mental health and social development of an individual including yelling, shaming, name-calling, negative comparisons, or any other verbal or emotional abuse.
  • Sexual Abuse: This symbol indicates any form of sexually abusive behavior between two individuals including non-consensual sexual acts, sexual harm, or exploitation.
  • Neglect (Abuse): This generally indicates failure to provide for a child’s physical needs. This includes factors like shelter, food, clothing, and medical care.
  • Manipulative: A manipulative relationship is indicated where one person exerts influence over the other.
  • Controlling: This symbolizes a controlling relationship where one individual dominates or restricts the autonomy of another.

Other Relationships

Genogram symbols use specific color codes to depict various other emotions like indifference or detachment. They can be customized depending on the use and indicated in the specific genogram legend. Visualizing relationship dynamics aids in working through familial distance and fostering a more connected environment.

  • Indifferent/ Apathetic: A dotted line represents indifference or apathy between two individuals, indicating a lack of strong feelings or emotional connection.
  • Distant/ Poor: A dashed line indicates a distant or poor relationship, where emotional connection or interaction is minimal.
  • Cutoff/ Estranged: A dashed line with two short vertical lines in the middle shows that the relationship has been severed, indicating estrangement or a complete lack of communication.
  • Never Met: A solid line with a small square with a cross symbolizes a relationship where the individuals have never met.
  • Focused On: A solid line with an arrow pointing to one individual indicates that person is the focus of the other individual’s attention or interest.
  • **Focused on Negatively:**Similar to the focused-on symbol but with a zigzag represents a negative focus, where one person is the target of another’s negative attention or criticism.
  • Fan/ Admirer: A solid line with a small circle in the middle signifies admiration or idolization where one person looks up to or strongly admires the other.
  • Limerence: A solid line with two interlocking circles represents limerence, a state of intense romantic obsession or infatuation.

For a practical insight into creating these genogram symbols and effectively utilizing them, you can explore these counseling genogram templates on Creately. Their simplicity and standardization make it suitable for various professional fields, from family therapy to social work.

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Genogram Example with Emotional Relationships

4. Medical Genogram Symbols

Medical genogram symbols are integral tools for healthcare professionals aiming to map out a patient’s medical history comprehensively. These symbols provide a visual method to track hereditary conditions, health risks, and causes of death across generations, offering deeper insights into a family’s health patterns.

To explore the vast potential of medical genograms, check out this comprehensive guide on the power of medical genograms

Medical Genogram Symbols

Medical Conditions

Specific genogram symbols or color codes within genograms denote various medical issues. For example, an individual with a particular genetic condition might have their symbol marked with a special icon or color, helping to identify health risks and hereditary diseases promptly.

Hereditary Traits

Genes play a significant role in familial health. Genogram symbols clearly indicate which traits and conditions might be passed down through generations, aiding medical professionals in predicting and managing these risks.

Causes of Death

Marking the cause of death is crucial for understanding family health trends. Genogram symbols typically present this information next to deceased individuals, providing context on potential health risks related to lifestyle or genetics.

Custom Symbols

Tools like Creately support the customization of unique medical genogram symbols. This functionality ensures that healthcare professionals can create detailed and accurate visual representations tailored to specific medical contexts.

The use of medical genogram symbols offers significant benefits in patient analysis and family counseling. They ensure a clear, standardized way to communicate vital medical information, making it easier for professionals to offer targeted advice and interventions. For example, if multiple family members have a history of heart disease, this can prompt preventive measures for at-risk relatives.

Professionals looking to adopt this approach can leverage Creately’s extensive symbol library and customization options. Creately’s user-friendly platform allows for collaboration, making it easier to create detailed genograms that accurately reflect family medical histories.

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Medical Genogram

In Conclusion

Throughout this guide, we have delved into the world of genogram symbols, exploring their significance and application in various professional settings. Genogram symbols offer a standardized and comprehensive way to map out family dynamics, medical histories, and emotional relationships. This visualization technique is indispensable for professionals in family therapy, medical practice, and social work, providing clear insights into complex familial patterns and health risks.

Genogram symbols are categorized into four main types: basic genogram symbols for depicting gender and age, family genogram symbols for marital statuses and unions, emotional relationship genogram symbols for portraying different emotional bonds, and medical genogram symbols highlighting health conditions and hereditary traits. Each type of symbol adheres to established standards to ensure consistent and accurate interpretations across different contexts. Utilizing tools like Creately simplifies the creation process, making it more efficient and collaborative. Creately offers a visual collaboration platform for professionals to record, analyze and process data to make decisions as a team.

FAQ about Genogram Symbols

What information do basic genogram symbols show?

Basic genogram symbols show fundamental information like gender, birth date, and age. For example, a square is used for males, a circle for females, and an ‘X’ through a symbol indicates a deceased person. These symbols provide the foundational layer of information required to understand more complex relationships and medical dynamics.

What do family genogram symbols describe?

Family relationship genogram symbols illustrate various types of familial bonds and configurations such as marriage, divorce, separation, and common-law partnerships. These symbols help to clarify the intricate nature of family structures by visually representing different types of unions and separations.

What do emotional relationship symbols represent?

Emotional relationship symbols are designed to showcase the emotional bonds and tensions within a family. These are often color-coded to indicate different types of relationships, such as harmonious, conflicted, or abusive. For instance, a green line may represent harmony, while a red zigzag line could indicate conflict. These genogram symbols help visualize the quality of interaction between family members.

What do medical genogram symbols show?

Medical genogram symbols are crucial for representing various medical conditions, hereditary traits, and risks. These symbols help in assessing health risks across generations and identifying patterns of genetic diseases. They provide invaluable insights for medical professionals and researchers working on family health histories.

What are the benefits of using Creately for genogram creation?

Using Creately for genogram creation offers several benefits, including access to an extensive library of genogram symbols, real-time collaboration features, and the ability to customize unique genogram symbols. Its intuitive platform ensures that professionals can create precise and detailed genograms efficiently.

What are some best practices for creating genograms?

Some best practices for creating genograms include using standardized genogram symbols for clarity, validating the information with family members, and utilizing professional tools like Creately for collaboration and accuracy. Avoiding common pitfalls like overlooking emotional bonds or medical conditions can make the genogram more comprehensive and useful.

Are there genogram symbols for non-binary people?

While traditional genogram symbols include representations of gender, including homosexual and transgender individuals, you can create custom genogram symbols for non-binary people to suit your needs. It’s important to include a key to explain these custom symbols in your genogram. To simplify this process, Creately has added a new category of gender icons to its shape library, making it easier to represent non-binary individuals in your genograms.

Author

Yashodhara Keerthisena
Yashodhara Keerthisena Content Writer

Yashodhara Keerthisena is a content writer at Creately, the online diagramming and collaboration tool. She enjoys reading and exploring new knowledge.

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