Marcus Washington (28) enters treatment for alcohol use disorder after a DUI arrest. He is court-mandated to treatment. Marcus lives alone.
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Marcus Washington (28) enters treatment for alcohol use disorder after a DUI arrest. He is court-mandated to treatment. Marcus lives alone.
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 9 family members with birth years spanning from 1939 to 1998, comprising 5 males and 4 females (3 deceased). The genogram tracks 2 medical/psychological condition categories. The index patient is James Washington (b. 1939).
The family system encompasses 3 generations with distinct patterns at each level. The oldest generation includes James, Evelyn, Pearl and 1 other, with 3 presenting documented conditions. The middle generation includes Robert, Denise, with 1 presenting documented conditions. The youngest generation includes Keisha, Andre, Marcus, with 1 presenting documented conditions.
Medical and psychological conditions are documented in 5 of 9 family members (56%). Substance appear in 3 members (James, Robert, Marcus). Cardiovascular conditions appear in 2 members (Pearl, William), affecting 1 female and 1 male. The multigenerational prevalence of substance 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 James Washington 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 Washington 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.