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TOOLS IN FAMILY ASSESSMENT

De Guzman, Marenieza D. Medicine I Sept. 18, 2009

INTRODUCTION

TOOLS IN FAMILY ASSESSMENT


Designed to help the practitioner to elicit data about certain aspects of family structures function and process Also to aid the health professional in determining major family concerns, needs and strengths

TOOLS IN FAMILY ASSESSMENT


Composed of 5:
o Family Genogram or Family Tree o Family Map o Family APGAR o SCREEM o Family Lifeline

FAMILY GENOGRAM or FAMILY TREE

FAMILY GENOGRAM/ FAMILY TREE

A genogram is a graphic representation of a family tree that displays the interaction of generations within a family It goes beyond a traditional family tree by allowing the user to analyze family, emotional and social relationships within a group Used to identify repetitive patterns of behavior and to recognize hereditary tendencies

FAMILY GENOGRAM/ FAMILY TREE


Genograms capture family history by noting:

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

FAMILY GENOGRAM/ FAMILY TREE


It must consist of 3 or more generations and each generation is identified by Roman numbers.
Genogram graphically shows all the living and dead people who genetically, emotionally, and legally comprise a family.

Includes:

FAMILY GENOGRAM/ FAMILY TREE


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

FAMILY GENOGRAM/ FAMILY TREE


Uses:
Provides a quick overview of the family members and relationships A way of visually overlay biomedical and psychosocial information A study tool for gaining a comprehensive understanding of multigenerational family systems

FUNCTIONAL CHART
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 to withstand future stressful situations.

Family Illness/ History


This denotes the presence of inherited diseases or familial tendencies indicating potential problems in the family.

The ff information will be seen in the genogram:


Record of names and roles of each member of the family Extended family and households Medical problems of each member of the family Significant date in the family More subtle information about the family

GENOGRAM SYMBOLS
Male Female Gay
--- 2066
or

Death Year of Death Age at Death

--- 2066

Lesbian
23
1986 ---

80

Age Year of Birth


or

Pregnancy

GENOGRAM SYMBOLS
Biological Child

Triplets with stillbirth

Miscarriage Abortion

Identical Twin
Fraternal Twin
or

l l lF

Foster Child
?

Spontaneous Abortion Unknown Gender Stillbirth

Triplet Twin

l l lA

Adopted

GENOGRAM SYMBOLS (Relationships)


Married Separation in fact Legal Separation Divorce Nullity Widowed
__ __ __ __ __ __ __ __ __ __
_ _ _ _ _ _ _ _ _ _

__ __ __ __ __

__ _ __ _ __ _ __ _ __

Engagement and Separation Legal Cohabitation Legal Cohabitation and Separation in fact Legal Cohabitation and Legal Separation

__ _ __ _ __ _ __ _ __

__ _ __ _ __ _ __ _ __

Engagement
Engagement and Cohabitation

_ _ _ _ _ _ _ _ _ _

Non Sentimental Cohabitation Non Sentimental Cohabitation and Separation Committed relationship (long term) Committed relationship and separation

__ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __

Family Genogram (Relationships)


Separation in fact
2016

Married with Date

Legal Separation

A family

Divorce

Nullity

Family Genogram
Living Together Strong bond

LT 2005

Gay Couple with Year (LT) Lesbian Couple with year of marriage

l l lA

Married with Adopted Child

m 2005

Family Genogram

m 2020

m 2016

People within the broken lines are within same household

Additional Symbols
Normal/Plain Distant/Poor

(Interactional Patterns between people)


Defines a plain normal relationship Distant Relationship between two individual. Very Limited communication, usually due to different lifestyle Close relationship (friendship), sharing affection or esteem and engage in mutually helping behaviors Hostile relationship. Individuals argue on major issues and feel heightened stress and aggression when they are together Close-hostile relationship. These people often come into contact, but they argue and keep secrets from one another

Close/Friendship

Hostile

Close-Hostile

Additional Symbols

(Interactional Patterns between people)


Relationship in which one individual has an unhealthy focus (obsession) on another individual. May include favoritism and stalking Cut-off relationship. No contact at all. Characterized by extreme disengagement and emotional intensity where there had formerly been love, affection or friendliness Fused relationship. Individuals become dependent on one another, and also become inseparable, with little room for their own identities Fused-Hostile relationship. Individuals are always together and depend on each other, yet they are unable to live without an arguing.

Index pt

Marital discord