1. / 141 Atatürk University Medical Faculty, Class 1, 28.09.2010 Family Tree and Genograms Zekeriya Aktürk, Prof. Dr. zekeriya.akturk@gmail.com http://aile.atauni.edu.tr

2. / 142 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

3. / 143 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.

4. / 144 Importance Most important reasons for disease –Genetic factors Autosomal X dependent Co-dominant Multifactorial –Environmental –Nutrition –Exercise –Risky life styles

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

7. / 147 Jacqueline

8. / 148 The components of a genogram 1.Should contain 3 or more generations 2.All family members 3.Birth dates or ages 4.Death dates and reasons 5.Significant diseases 6.Members sharing the same housing 7.Marriages and separations 8.All children starting first one from the left 9.Key to the symbols used 10.Ergonomic components

9. / 149 Benefits 1.Allows fast evaluation of the family 2.Helps to communicate with other health professionals 3.Turns the patient into a bunch of information 4.Allows comparison of risk factors with other parameters 5.Allows early detection of high risk patients 6.Is useful in the patient education

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11. / 1411 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.

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13. / 1413 Indications for genogram 1.Recurrent medical problems 2.Uncooperative patients 3.Somatization 4.Psychosomatic disorders (anorexia, obesity, asthma, diabetes…) 5.Family problems (separation, divorce…) 6.Substance abuse

14. Homework Prepare a genogram or family circle of your own / 1414