How to evaluate the family dynamics

• Carefully observe family members interacting.

• Invite the whole family to a counselling session (if possible).

• Visit the home: an impromptu home visit (with some pretext such as a concern about a blood test result) on the way home from work may be very revealing.

• Prepare a genogram (Fig. 2.2): family dynamics and behaviour can be understood by drawing a family map—genogram (a diagrammatic representation of family structure and relationships). 3 4

The genogram

The genogram is a very valuable pedigree chart that usually covers three generations of a family tree. 3 It is a simple and disciplined way of gathering data about an individual, couple or family, especially for inheritance patterns. The data has to be gathered with tact and care. Genograms are also a useful strategy for involving family members who may have been reluctant to be involved in discussions on family matters. 4 An example including the use of symbols is shown in Figure 2.2 .


good relationship

cn poor relationship

I I patient CD unaffected nale O unaffected female H affected male % affected female

#< propositus * {origiral case st jdy)

oi- rxj dead

spontaneaus abortion or stillbirth induced abo-tim carrier corsann'- neous TFirriage separated divorced

Fig. 2.2 Genogram: Illustration of family tree for an inherited disorder

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

Get My Free Ebook

Post a comment