Addictions Case Study Part 1 Case Conceptualization

Biological Child

Foster Child

Adopted Child

Stillbirth

Twins Identical Twins

Pregnancy

Miscarriage Abortion

Children: List in birth order beginning with the oldest on left

‘92- ‘94- ‘95- ‘03- ‘03- ‘04- ‘04- ‘05-

‘97-97 -‘99 -‘01

13 11 10

Standard Symbols for Genograms

LW 98-99 A ‘97

m 1970

AA

Therapist Therapist

Male

written on left above of symbol

‘41-

‘72- $100,000

‘41-

an X through Symbol Age at death in box Death date on right

above symbol

written inside

symbol

Birth Date DeathAge

Pet

Significant Institutional Connection

Female

Man to woman

Woman to man

Gay/Lesbian

Transgender People

23

written above birth & death date

1943-2002‘82-

59

Location & Annual Income

Boston

Bisexual

Immigration

Family Secret

‘41-

Person who has lived in 2 + cultures

Heterosexual

Marital Separation

met ‘88,, m ‘90 s ’95 m ‘90 s ’95 d ‘97 m ‘90, s 95-96, s 96, d ‘97

remar ’00, rediv 02

Divorce Divorce and Remarriage

Marriage

m 1970

Relationship

LT ‘95

LT = Living Together

m ‘03 m ‘05

Secret Affair

Affair ‘95

Couple Relationship

Rel 95, LT 97

Committed

Close“spiritual” connection

Physical or Psychological illness

Alcohol or Drug abuse

Suspected alcohol or drug abuse

Physical or Psychological illness in remission

In Recovery from alcohol or drug abuse

In recovery from substance abuse and mental or Physical problems

Serious mental and physical problems and substance abuse

Symbols Denoting Interactional Patterns between People

Symbols Denoting Addiction, and Physical or Mental Illness

Fused

Hostile

Close-HostileDistant Focused On

Fused-Hostile Cutoff Repaired

CaretakerPhysical Abuse Sexual AbuseEmotional Abuse

Cutoff

Egg donor

Sperm donor Surrogate

Mother

Gay Couple whose daughter was conceived with sperm of John and an egg donor, and carried by surrogate mother till birth.

Lesbian couple whose daughter was conceived with egg of one partner and sperm donor.

1943-2002 $100,000

‘75- $100,000

‘73- 35,000

‘81- $45,000

John Jenny C.P.A.

Highland Park, NJ

San FranciscoLondonArizona

H.S.+2 Secretary

Peter M.B.A

Alicia P.h.D

Mark B.A.

ComputersHistory Prof

‘53- $28,000Annual income is written

just above the birth & death date.

Typically you would include the person’s occupation and education near the name and the person’s whereabouts at the top of the line connecting to the symbol.

59 52

32 30 24

m. 1970

Artificial Insemination

Symbol for Immigration =

Smoker S

Obesity O

Language Problem L

Siblings of Primary Genogram Members are written smaller and higher. Spouses are

written smaller and lower:

31

62 58

2628

s ‘01

?94-

‘01

‘01 ‘01

38 39 31 26

0

0

10

Child Raised from Birth by His

Granduncle and Aunt

Foster Children

Adopted Child

Household

Adopted at 5

Use an arrow to show family into which child moved

Use an arrow to show family into which child moved

A = 1999

Symbol for Immigration

1945- $60,000 Chicago

$40,000 Chicago

1944-

$100,000

$28,000

London

Chicago

BuddhismRoman Catholic

Ed

Sam

Jolie

Judy

Therapist

LH ’00

‘82 ‘79

Dog-Muff

63

24 27

62 m. 1970

POLISH JEWISH

Household shown by encircling members living together (Couple living with their dog after launching Children)

Siblings are written smaller and higher than IP. Spouses are written smaller and lower.

Served in Vietnam

m ‘85 d ’89 1st 2nd 3th

1st

1st 1st2nd

2nd 3th

m ‘90 d ’00 m ‘02

m ‘83 d ’88 m ‘89 d ’93 m ‘96

1

2

3

4

Husband, His Current Wife and his Ex-Wives (who are shown lower and smaller). Husband’s wives may go on left to be closest to him. Indicators “1st,” “2nd” etc. make clear the oader of his marriages.

Wife, Her Current Husband and her Ex-Husbands (who are shown lower and smaller). Wife’s previous relationships are shown on left to keep children in birth order, since they remained in her custody.

Couple with 3 year old, showing their previous spouses (smaller) and those spouses’ new partners (even smaller)

Couple living with their joint child and her child from a previous relationship. The other spouses of the partners are shown smaller and lower on either side of the present household, indicated by a dotted line.

m ‘77 d ‘80

‘55- ‘65-

m ‘81 d ‘86

m ‘87 d ‘90

m ‘92 d ‘97

‘94-‘82- ‘84-

m ‘85 d ‘89

m‘ 90 d ‘93

m ‘95 d ‘97

m ‘99 d ‘01lo. m ‘02

223 21 11

50 40

10 ‘95-‘03-

m ‘94 d ’99 m ‘02 m ‘94 d ’98 m ‘90 d ’92

3

81318

98 14

02-97- 96- 91-

3