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Why Doctors Should Draw Genograms—Including Their Own
Published in John Launer, Reflective Practice in Medicine and Multi-Professional Healthcare, 2022
Finally, I can highly recommend compiling your own genogram. It can be one of the most enlightening exercises in personal learning that you can ever carry out. Although you can easily do this on your own, it is more powerful if you do it in the presence of a friend or colleague who can afterwards repeat the exercise the other way around, with yourself as interlocutor. (Even if you have done this before, you will almost certainly recall new details or establish new understanding each time.) If you start out with just the details of your immediate family—parents, siblings, plus partner and children if you have them—you will find how easy genograms are to draw, merely by using the basic symbols and people’s names. Then, by adding in more relatives or generations and further information of your choice as you go along, you will see how much crucial information can be included on a single page. If you want to make the exercise more imaginative, try looking at patterns like what first names people in your family were given in each generation and why, where people lived as adults in relation to where they were brought up, and what jobs they did compared with their parents. You may experience exactly the same kind of insights that your patients will often do in these circumstances—and you may discover that sharing a genogram, or even a small part of it, is a profoundly humanising activity for everyone involved.
Assessment skills
Published in Janet Dunphy, Mary Kiely, Communication in Palliative Care, 2020
Enquiries about the patient’s family should include a detailed and accurate genogram. This will give an insight into any possible genetic links or hereditary diseases, and into what the patient may have already seen and been affected by. Also, any estrangements between family members can be noted. These can be problematic later on, and it is important to state that the professional can only be responsible for documenting what the patient has told her. Sometimes there may be family members that the patient chooses not to mention; that is his choice and that is the only agenda the professional can work with.
Nursing Care of the Patient Requiring Mechanical Circulatory Support
Published in Wayne E. Richenbacher, Mechanical Circulatory Support, 2020
Kelly L. Jones, Carolyn J. Laxson, Sarah C. Seemuth, Sara J. Vance
The practitioner should begin the assessment by gathering information about the patient and his family. The family genogram is a tool that provides a visual picture of the family and the patient’s place within the family structure. The genogram involves three levels including mapping the family structure, recording family information and delineating family relationships. The genogram is one part of the clinical assessment and information from it should be integrated with the total family assessment. Along with understanding the structure of the family it is important to assess the patient’s support system. Being a successful VAD patient requires an adequate support system provided by family, friends and/or organizations. These support resources must have a clear understanding of their role, tasks and their ability to perform them. A plan is developed outlining who will be doing what tasks and a verbal commitment is obtained from the responsible individual(s). The patient and family may need assistance from the healthcare team to develop a plan and follow it.
Centering the family in their system: a framework to promote family-centered AAC services
Published in Augmentative and Alternative Communication, 2021
Kelly L. Coburn, Sojung Jung, Ciara L. Ousley, Dawn J. Sowers, Meghan Wendelken, Krista M. Wilkinson
The term genogram is often used to describe drawings, including drawings created by individuals with disabilities. Genograms are a well-established and effective method of collecting data about diverse within- and outside-of-family relationships (Connolly, 2005; Leibowitz, 2013). This approach has been used to evaluate relationships of individuals with intellectual disabilities and their parents (Lev-Wiesel & Zeevi, 2007) as well as their siblings (Zaidman-Zait, Yechezkiely, & Regev, 2020). Genograms can be used to discuss resources in a family, life stages, significant timepoints, and people who share a home regardless of their relationships (Turabian, 2017). These discussions can provide a better understanding of a family’s behavior and beliefs. Detailed information about the process of constructing a genogram, including procedures and suggested topics and questions, can be found in tutorials by Connolly (2005) and Milewski-Hertlein (2001).
Unspoken legacy
Published in Alcoholism Treatment Quarterly, 2020
Tonya Newton, John R. Gallagher
The second half of the book explores the healing process from trauma and addiction, compares and contrasts evidence-based interventions and support groups for trauma and addiction, describes the different family roles in the recovery process, and conceptualizes, the often subjective word of, forgiveness. An intriguing part within these chapters is Black’s emphasis on the importance of making a genogram. She describes exactly how to accomplish this task in a manner that will assist readers in fully understanding their family systems. This section, in particular, lacks a thorough theoretical underpinning, which seems especially important when discussing genograms. As a result, this may deter theorists from reading the book. Black could have discussed in greater detail common theories associated with trauma, addiction, and families, such as social learning theory, family systems theory, and feminist theory. The most empowering part of the book is Black’s discussion on healing, or what she refers to as the six-layers of healing. This process of healing, largely guided by traditional cognitive and behavioral therapies, is an excellent guide for individuals and families impacted by trauma and addiction.