Genogram Instructions.306150702 PDF
Genogram Instructions.306150702 PDF
Genogram Instructions.306150702 PDF
1. Of everybody in the family that you have named, who does or did abuse drugs
and or alcohol, including prescription medication? (Indicate on genogram)
2. Have you yourself ever had a problem with drugs and/or alcohol or medications?
(If yes, then document details)
3. Repeat questions 1&2 for Psychiatric illness, depression, anxiety, nervous
breakdowns, bad nerves, or suicide attempts.
4. Repeat questions 1&2 for Physical abuse, or corporal punishment that would be
considered excessive by todays standards?
5. Repeat questions 1&2 for Sexual abuse, or inappropriate sexual behavior,
touching, or fondling.
6. Repeat questions 1&2 for Emotional or verbal abuse, name calling or threats?
1. How would you describe your parents marriage? (Document the quote, then ask
for elaboration)
2. What did your parents do to be helpful to one another?
3. Did your parents show affection? To each other? The kids?
4. How did your parents settle their differences? (Ascertain the tactics and defenses
used)
5. Did one or the other parent seem to have more say in decisions?
6. Did your parents have traditional gender roles?
7. Did either of your parents confide in you or one of your sibs about grievances
with the other parent?
8. Did you ever feel you had to take sides with one parent over the other?
9. Which parent are you most like? With whom are/were you closer?
10. What did each parent do for you? How did they take care of you? What did they
discuss, counsel or teach you?
11. How do things go now between you and your Mom? Dad? Who initiates contact?
12. What do you do to be helpful to your Mom? Dad?
13. Is your Mom/Dad pleased with you? How do you know? What do you do to
please him/her?
14. Are you able to say no to your parents? When have you? What does it cost
you?
15. Are you worried about your Mom/Dad? If so, why? What do you do with that?
16. Who is the favorite child of each parent? Are any of the sibs black sheep?
17. How do you get along with your sibs now and during childhood? How were
conflicts managed? What role did parents play in sib relationships?
18. What role do you play in your family?
19. What would you like to see change in your family? In your conduct with family
members?