Genogram example · Emotional & relational
Grief and Loss Pattern
Quick answer

At a glance
| This example | |
|---|---|
| Generations | 3 |
| Family members | 11 (5 male, 6 female) |
| Birth years | 1940 to 2018 |
| Deceased | 3 |
| Index person | Laura Calloway |
| Emotional relationships | Close, Distant and Fused/Enmeshed |
| Conditions marked | Anxiety Conditions, Depressive Disorders, Mental Health Conditions, Cardiovascular Conditions, Cancer and Diabetes |
| Category | Emotional & relational |
| Tags | Clinical, Educational |
About this genogram
A three-generation genogram illustrating the impact of multiple losses on a family system. The family lost a young child to leukemia, a grandmother died six months later, and the father's brother died in an accident. The accumulation of unprocessed grief has created complicated bereavement in the mother, survivor guilt in the siblings, and pervasive anxiety throughout the family. Demonstrates anniversary reactions, memorialization patterns, and the differential impact of grief on family members.
Pattern analysis
Overview
This 3-generation genogram maps 11 family members with birth years spanning from 1940 to 2018, comprising 5 males and 6 females (3 deceased). The genogram tracks 7 medical/psychological condition categories and 3 emotional relationship types across 11 documented dyads. The index patient is Laura Calloway (b. 1973), part-time librarian (on leave).
Generation by generation
The family system encompasses 3 generations with distinct patterns at each level. The oldest generation includes Edward, Ruth, James and 1 other, with 3 presenting documented conditions. The middle generation includes Patrick, Laura, Brian, with 3 presenting documented conditions. The youngest generation includes Sophie, Natalie, Owen and 1 other, with 4 presenting documented conditions.
Emotional relationships
Emotional relationship mapping reveals 6 close relationships, 4 distant relationships, 1 fused/enmeshed relationship. Specific patterns include a close relationship between Laura and Sophie, a close relationship between Ruth and Sophie, a close relationship between Patrick and Brian. The presence of fused relationships indicates enmeshed family dynamics where individual autonomy may be compromised in favor of togetherness.
Health conditions
Medical and psychological conditions are documented in 10 of 11 family members (91%). Depressive disorders appear in 5 members (Edward, Patrick, Laura...), affecting 2 females and 3 males. Cardiovascular conditions appear in 2 members (Edward, Ruth), affecting 1 female and 1 male. Mental health conditions appear in 2 members (Laura, Owen), affecting 1 female and 1 male. Comorbidity is observed in 4 family members, with Edward presenting 2 concurrent condition categories. The multigenerational prevalence of depressive disorders suggests both genetic predisposition and possible environmental or behavioral transmission pathways.
This genogram is particularly valuable for understanding the family emotional system. With 11 documented emotional relationships across 3 categories, it provides rich material for mapping emotional process. Therapists can use these patterns to identify triangles, track emotional reactivity, and help family members develop greater awareness of how their relationship patterns mirror those of previous generations.
How do you read the Grief and Loss Pattern genogram?
- 1
Find each person and generation
Squares are males and circles are females, and each row is one generation, oldest at the top. This one has 5 males and 6 females across 3 generations. - 2
Check the status markers
Markers on a symbol add facts about that person: Deceased (X) and Index Patient (Arrow). 3 people are marked deceased. The index person, the focus of the assessment, is Laura Calloway. - 3
Follow the family lines
Horizontal lines join partners and vertical lines drop to their children, born left to right in birth order. This genogram uses Marriage and Parent-Child lines. - 4
Read the emotional lines
Lines drawn between two people show how they relate: Close, Distant and Fused/Enmeshed. Notice who has several lines converging on them, and which patterns repeat from one generation to the next. - 5
Read the shading
Shaded symbols mark health conditions: Anxiety Conditions, Depressive Disorders, Mental Health Conditions, Cardiovascular Conditions, Cancer and Diabetes. Trace each line of descent to see where a condition recurs and where it stops.
Genogram symbols used in this example
| Symbol | Type | What it means |
|---|---|---|
| Male (Square) | Person Symbols | A square represents a male family member in standard genogram notation. |
| Female (Circle) | Person Symbols | A circle represents a female family member in standard genogram notation. |
| Deceased (X) | Status Markers | An X drawn through the symbol indicates the person is deceased. |
| Index Patient (Arrow) | Status Markers | An arrow pointing to a person identifies them as the index patient — the individual who is the focus of the clinical assessment. |
| Marriage | Structural Relationships | A solid horizontal line connecting two individuals represents a marriage or committed partnership. |
| Parent-Child | Structural Relationships | A vertical line descending from a couple line to a child symbol represents a parent-child relationship. |
| Close | Emotional Relationships | Two parallel lines between individuals represent an emotionally close relationship. |
| Distant | Emotional Relationships | A dotted line represents an emotionally distant or disengaged relationship. |
| Fused/Enmeshed | Emotional Relationships | Three parallel lines with a zigzag overlay represent a fused relationship — emotionally intense with poor boundaries. |
| Anxiety Conditions | Medical Conditions | Shading in the genogram symbol indicates anxiety-spectrum diagnoses (GAD, panic disorder, phobias, OCD). |
| Depressive Disorders | Medical Conditions | Shading indicates depressive conditions (major depression, dysthymia, bipolar disorder). |
| Mental Health Conditions | Medical Conditions | Shading indicates psychological or psychiatric conditions beyond anxiety and depression. |
| Cardiovascular Conditions | Medical Conditions | Shading indicates heart disease, hypertension, stroke, or other cardiovascular conditions. |
| Cancer | Medical Conditions | Shading indicates any cancer diagnosis, with specifics noted in the individual's record. |
| Diabetes | Medical Conditions | Shading indicates Type 1 or Type 2 diabetes. |
Build a genogram like this one
Example prompt
- 1
Start from the dashboard
Sign in to GenogramAI and choose Create with AI (paid plans), or open a blank genogram and use Ask AI (any plan). To start from this exact chart instead, use Open as template. - 2
Describe your family
Paste a description like the one above, with your own names, dates, relationships and health history. - 3
Check and adjust
Edit people and lines by hand, or ask the AI for one change at a time. - 4
Export
Download a PNG on the free plan. PDF and SVG export are on paid plans.
The free plan includes 2 genograms and 5 AI credits a month. See the AI genogram creator for what else it can do.
Related resources
- Understand the meaning of genogram relationship lines used to depict emotional dynamics.
- See how therapists use genograms for couples therapy to address relational patterns.
- Our guide to genogram interpretation explains how to analyze emotional patterns like those shown here.
- This example uses the close relationship symbol to denote emotional closeness between family members.
- The distant relationship symbol in this genogram indicates emotional disengagement.
Frequently asked questions
What clinical patterns does the Grief and Loss Pattern genogram reveal?
The Grief and Loss Pattern genogram maps multigenerational transmission of psychological patterns, emotional dynamics, and relationship structures. Clinicians use it to identify recurring cycles of behavior, attachment styles, and communication patterns that may inform diagnosis and treatment planning in family therapy.
What emotional patterns does the Grief and Loss Pattern genogram reveal?
The Grief and Loss Pattern genogram reveals patterns of emotional relationships across generations, including closeness, conflict, enmeshment, cutoffs, and triangulation. These patterns help therapists and clients understand how family emotional dynamics repeat and can be addressed in treatment.
What genogram symbols are used in the Grief and Loss Pattern example?
This genogram uses Male (Square), Female (Circle), Deceased (X), Index Patient (Arrow), Marriage, Parent-Child, Close, Distant, Fused/Enmeshed, Anxiety Conditions, Depressive Disorders, Mental Health Conditions and 3 more. All of them follow standard genogram notation, so the chart reads the same way in any genogram program or textbook.
Can I build a genogram like the Grief and Loss Pattern example?
Yes. Open GenogramAI, choose Create with AI on the dashboard (paid plans) or open a blank genogram and use Ask AI in the editor (any plan), and describe the family in plain words: who is in it, how they are related, key dates and the relationships or health conditions you want to show. The AI draws the symbols and lines, and you can then edit by hand or ask for one change at a time. A family of 11 people like this one takes a short paragraph to describe. The free plan includes 2 genograms and 5 AI credits a month, with PNG export.
About this example





