1. FamilyTree andGenograms Atatürk University Medical Faculty, Class 1, 28.09.2010 Zekeriya Aktürk, Prof. Dr. zekeriya.akturk@gmail.com http://aile.atauni.edu.tr / 14

2. Objectives • At the end of this presentation, the participants should be able to; • Describe the genogram • List the components of a genogram • Discuss the indications for a genogram • Describe the family circle • Apply the family genogram in practice • Apply the family circle in practice / 14

3. Definition • GENOGRAM = GENETIC MAP • Also known as family tree but has additional features. • It visualizes hereditary patterns and psychological factors that punctuate relationships. It can be used to identify repetitive patterns of behavior and to recognize hereditary tendencies. / 14

4. Importance • Most important reasons for disease • Genetic factors • Autosomal • X dependent • Co-dominant • Multifactorial • Environmental • Nutrition • Exercise • Risky life styles / 14

5. / 14

6. / 14 http://www.genogram-analytics.com/sample-genograms/standard-symbols

7. Jacqueline / 14

8. The components of a genogram • Should contain 3 or more generations • All family members • Birth dates or ages • Death dates and reasons • Significant diseases • Members sharing the same housing • Marriages and separations • All children starting first one from the left • Key to the symbols used • Ergonomic components / 14

9. Benefits • Allows fast evaluation of the family • Helps to communicate with other health professionals • Turns the patient into a bunch of information • Allows comparison of risk factors with other parameters • Allows early detection of high risk patients • Is useful in the patient education / 14

10. / 14

11. Family Circle • It’s a way to see the behavioral relationships within a family from the perspective of a family member. • The patient is asked to show family members starting from the closest one. • All family members, friends, even pets should be shown on the circle. • Date of the drawing should be mentioned. The family circle may be repeated after some time. / 14

12. 01.11.2001 / 14

13. Indications for genogram • Recurrent medical problems • Uncooperative patients • Somatization • Psychosomatic disorders (anorexia, obesity, asthma, diabetes…) • Family problems (separation, divorce…) • Substance abuse / 14

14. Homework • Prepare a genogram or family circle of your own / 14