A three-generation genogram depicting the presentation of autism spectrum disorder (ASD) across a family system, including late diagnosis in adults,...
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A three-generation genogram depicting the presentation of autism spectrum disorder (ASD) across a family system, including late diagnosis in adults, varied presentations (high-functioning autism, Asperger syndrome, ASD Level 2), and the Broader Autism Phenotype (BAP) in extended family members. Illustrates diverse relationship styles and communication patterns.
How conditions and behaviors are passed across generations through family dynamics.
Patterns of enmeshment, cutoff, conflict, and closeness between family members.
How the family operates as a system with roles, boundaries, and recurring patterns.
This 3-generation genogram maps 10 family members with birth years spanning from 1938 to 2021, comprising 5 males and 5 females. The genogram tracks 3 medical/psychological condition categories and 2 emotional relationship types across 6 documented dyads. The index patient is Kai Eriksen (b. 2019).
The family system encompasses 3 generations with distinct patterns at each level. The oldest generation includes Harold, Ingrid, George and 1 other, with 2 presenting documented conditions. The middle generation includes Erik, Yuki, Lars and 1 other, with 2 presenting documented conditions. The youngest generation includes Kai, Mia, with 1 presenting documented conditions.
Emotional relationship mapping reveals 4 close relationships, 2 distant relationships. Specific patterns include a close relationship between Harold and Lars, a distant relationship between Lars and Erik, a distant relationship between Erik and Harold.
Medical and psychological conditions are documented in 5 of 10 family members (50%). Neurological conditions appear in 4 members (Harold, Erik, Lars...). Mental health conditions appear in 2 members (Erik, Kai). Anxiety-spectrum conditions appears in 1 member (Ingrid). Comorbidity is observed in 2 family members, with Erik presenting 2 concurrent condition categories. The multigenerational prevalence of neurological conditions suggests both genetic predisposition and possible environmental or behavioral transmission pathways.
From a clinical perspective, this genogram offers rich material for therapeutic exploration. The presenting concerns of Kai Eriksen can be contextualized within 3 generations of family patterns. Bowen family systems theory would note the intergenerational transmission of both symptomatic presentations and relational patterns. This case is particularly suited for exploring differentiation of self, family projection processes, and the way anxiety moves through the family emotional system.
The following standard genogram symbols appear in the Autism Spectrum Family Genogram. Each symbol follows McGoldrick and Gerson clinical notation conventions.

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Educational disclaimer: This genogram example is an educational illustration of genogram notation and family systems concepts. Examples based on public figures use publicly available information. They are not clinical documents. All examples are intended for learning genogram symbols and patterns.