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A genogram is a graphic representation of afamily tree that displays the interaction ofgenerations within a family

It goes beyond a traditional family tree byallowing the user to analyze family, emotionaland social relationships within a group

Used to identify repetitive patterns of behaviorand to recognize hereditary tendencies

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GENOGRAM = GENETIC MAP Also known as family tree but has additional

features. It visualizes hereditary patterns and

psychological factors that punctuaterelationships. It can be used to identify

repetitive patterns of behavior and torecognize hereditary tendencies.

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Most important reasons for disease Genetic factors

▪ Autosomal

▪ X dependent

▪ Co-dominant▪ Multifactorial

Environmental

Nutrition

Exercise

Risky life styles

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Relationships Births Losses Connections Patterns Roles Occupations Alignments Communication patterns Health history and supports

Genograms capture family history by noting:

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It must consist of 3 or more generations andeach generation is identified by Roman

numbers.

Genogram graphically shows all the living anddead people who genetically, emotionally, and

legally comprise a family.

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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

Includes:

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Uses: Provides a quick overview of the family members and

relationshipsA way of visually overlay biomedical and psychosocial

information

A study tool for gaining a comprehensiveunderstanding of multigenerational family systems

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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 towithstand future stressful situations.

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1. Allows fast evaluation of the family2. Helps to communicate with other health

professionals

3. Turns the patient into a bunch of information4. Allows comparison of risk factors with other

parameters

5.Allows early detection of high risk patients6. Is useful in the patient education

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This denotes the presence of inheriteddiseases or familial tendencies indicating

potential problems in the family.

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Record of names and roles of each member of thefamily

Extended family and households

Medical problems of each member of the family

Significant date in the family

More subtle information about the family

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23

1986 ---

--- 2066

--- 2066

80

or

or

Male

Female

Gay

Lesbian

Age

 Year ofBirth

Death

Pregnancy

Age atDeath

 Year ofDeath

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?

l

l

lF

l

l

lA

BiologicalChild

IdenticalTwin

TripletTwin

FraternalTwin

Tripletswithstillbirth

FosterChild

Adopted

Miscarriage

Abortion

SpontaneousAbortion

UnknownGender

Stillbirth

or

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 __ __ __ __ __ 

 __ __ __ __ __ 

 __ __ __ __ __ 

 __ _ __ _ __ _ __ _ __ 

 __ _ __ _ __ _ __ _ __ 

 __ _ __ _ __ _ __ _ __ 

 _ _ _ _ _ _ _ _ _ _ 

 __ __ __ __ __ __ __ __ __ 

 _ _ _ _ _ _ _ _ _ _ 

 __ __ __ __ __ __ __ __ __ 

Married

Separation in fact

Legal Separation

Divorce

Nullity

Widowed

EngagementEngagement andCohabitation

Engagement andSeparation

Legal Cohabitation

Legal Cohabitation andSeparation in fact

Legal Cohabitation andLegal Separation

Non SentimentalCohabitation

Non SentimentalCohabitation and Separation

Committed relationship andseparation

Committed relationship(long term)

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2016

Marriedwith Date

A family

Separationin fact

Legal Separation

Divorce

Nullity

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l

l

lA

LT 2005

m 2005

LivingTogether

Gay Couplewith Year

Lesbian Couplewith year ofmarriage

Strongbond

Married with

Adopted Child

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m 2016m 2020

People within the broken lines are withinsame household

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Defines a plain normal relationship

Distant Relationship between two individual. VeryLimited communication, usually due to differentlifestyle

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

Close-hostile relationship. These people often comeinto contact, but they argue and keep secrets fromone another

Normal/Plain

Distant/Poor

Hostile relationship. Individuals argue on major issuesand feel heightened stress and aggression when theyare together

Close/Friendship

Hostile

Close-Hostile

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

Cut-off relationship. No contact at all. Characterized byextreme disengagement and emotional intensity wherethere had formerly been love, affection or friendliness

Fused relationship. Individuals become dependent on oneanother, and also become inseparable, with little room fortheir own identities

Fused-Hostile relationship. Individuals are always togetherand depend on each other, yet they are unable to livewithout an arguing.

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Jacqueline

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Buat masing-masing 1 family genogramuntuk 1 orang dalam kelompoknya yang

sesuai memenuhi syarat dan ketentuanpembuatan family genogram Dikumpulkan ke kantor Family Medicine

tanggal 18 November 2013 pukul 12.00 WIB