Complete Symbol Reference

Genogram Key & Legend
Complete Symbol Reference

The complete genogram key and legend for reading any genogram. Learn what every symbol means and decode family diagrams like a professional.

A genogram key (also called a genogram legend) is the reference chart that explains what each symbol in a genogram means: squares are males, circles are females, an X marks a deceased person, horizontal lines are partnerships (two slashes = divorce), vertical lines connect parents to children, and colored or patterned overlays encode emotional relationships, medical conditions, and heritage. Every professional genogram includes a key so anyone can read it without memorizing the notation.

Printable Genogram Key & Legend Chart

All 150+ genogram symbols organized by category — download as PDF or PNG for free.

Genogram Key and Legend Chart — Complete printable reference showing all genogram symbols: gender (male, female, trans, non-binary, intersex, pet), vital status (alive, deceased, pregnancy, miscarriage, abortion, stillbirth), partner relationships (marriage, engagement, life partner, cohabitation, dating, affair), relationship status (separation, divorce, annulment, widowed), parent-child connections (biological, adopted, foster, step child, surrogate, twins), emotional positive (harmony, friendship, close, love, fused, limerence), emotional conflict (conflict, hostile, violence, hate, distrust), emotional distance (indifferent, distant, estranged, cutoff repaired, never met), abuse and control (abuse, physical/emotional/sexual abuse, neglect, control, manipulative), focus (focused on, focused on negatively, fan/admirer, jealous), heritage patterns, medical categories, social class, religion, sexual orientation, and immigration markers. McGoldrick standard clinical notation.

What is a Genogram Key & Legend?

A genogram key (or genogram legend) is the decoder ring for understanding genogram diagrams. It explains what each symbol, line style, and marking means, ensuring anyone can accurately interpret the family information displayed.

While genogram symbols are largely standardized across the mental health and medical professions, slight variations exist. Including a key with your genogram eliminates confusion and ensures your diagram communicates exactly what you intend. A good genogram key covers gender symbols, life status, relationship types, emotional bonds, and any custom notations you've added.

Gender Symbols

Basic shapes representing family members

Male

Square shape represents male family members

Female

Circle shape represents female family members

□○

Trans Male

Square with inner circle for transgender male

○□

Trans Female

Circle with inner square for transgender female

Nonbinary

Diamond (rotated square) for nonbinary identity

Intersex

Hexagon for intersex individuals

◇?

Unknown

Dashed diamond when gender is not specified

Other

Diamond for other gender identities

Pet

Rounded square for family pets

Life Status Symbols

Indicating living, deceased, and pregnancy status

Living

Empty shape indicates person is alive

Deceased

X through shape indicates death

Stillbirth

Small X for stillbirth

△̸

Miscarriage

Crossed triangle for miscarriage

△⃠

Abortion

Triangle with horizontal line

Relationship Symbols

Lines connecting partners and indicating relationship status

Marriage

Solid horizontal line connecting partners

Engagement

Dotted line for engaged couples

Cohabitation

Dashed line for living together

Dating

Light dotted line for casual relationships

Life Partner

Solid line with LP marker for committed non-married

Separation (Legal)

Single slash through the line

Separation (Physical)

Single slash, living apart

Divorce

Double slash through the line

Annulment

Double slash with annulment marker

Widowed

X on deceased partner's side

Affair

Dashed line for extramarital relationship

One-Night Stand

Dotted line for brief encounter

Emotional Relationship Symbols

Lines showing the quality of emotional bonds

Harmony

Balanced, peaceful relationship

Close

Warm, supportive bond with healthy boundaries

Friendship

Non-familial supportive bond

Love

Deep affection and caring

In Love

Mutual romantic attachment

Attachment

Secure ongoing emotional tie

Limerence

One-sided infatuation

Fused / Enmeshed

Over-involved; boundaries blurred

Fused / Conflict

Enmeshed and actively conflictual

Fused / Hostile

Enmeshed with open antagonism

Fused / Violence

Enmeshed with physical violence

Distant

Emotional disconnection

Indifferent

No emotional investment

Estranged / Cutoff

Contact deliberately broken

Cutoff Repaired

A break since reconciled

Never Met

No relationship ever formed

Distant / Hostile

Disengaged and antagonistic

Distant / Violence

Disengaged with violence

Conflict

Active tension and arguments

Hostile

Open antagonism

Violence

Physical violence or threat

Hate

Deep-seated animosity

Distrust

Suspicion, withheld confidence

Jealous

Possessiveness and envy

Close / Hostile

Close yet openly antagonistic

Close / Violence

Close with physical violence

Abuse

Generic abuse pattern

Abuse — Physical

Bodily harm, harm-doer to harmed

Abuse — Emotional

Coercion, degradation, control

Abuse — Sexual

Sexual violation

Neglect — Physical

Care, food or shelter withheld

Neglect — Emotional

Emotional care withheld

Control

Coercive control

Manipulative

Covert influence

Focused On

Attention directed at one person

Focused On — Negative

Critical or blaming focus

Caretaker

Caregiving directed at another

Fan / Admirer

Admiration directed at another

Medical Genogram Key

Tracking health conditions across generations

Medical genograms use color-coded quadrants within each person symbol to indicate health conditions. GenogramAI supports 4 customizable quadrants that you can assign to any conditions relevant to your family.

Example Quadrant Setup:

  • Top Left: Heart Disease
  • Top Right: Diabetes
  • Bottom Left: Cancer
  • Bottom Right: Mental Health

How It Works:

Each person symbol is divided into 4 quadrants. Fill in a quadrant with the assigned color when that person has the corresponding condition. This creates a visual pattern showing which conditions run in the family.

Child Connection Types

How children are connected to their parents

Biological

Solid vertical line — genetic parent-child connection

Adopted

Dashed vertical line — legally adopted child

Foster

Dotted vertical line — foster care placement

Step

Dash-dot vertical line — stepchild relationship

Surrogate

Marked line — surrogate birth connection

Sperm Donor

Marked line — sperm donor connection

Egg Donor

Marked line — egg donor connection

Twin Symbols

Twins are connected to their parents with a branching line from a single point.

Fraternal Twins

Two diagonal lines forming a V — non-identical twins

Identical Twins

Two diagonal lines forming a V with a horizontal bar — identical twins

Immigration Markers

Tilde markers on parent-child lines indicate migration/immigration.

Single Tilde (~)

Person lived in two or more cultures

Double Tilde (~~)

Person immigrated from another country

Genogram Key & Legend FAQs

What is a genogram key?

A genogram key (also called a genogram legend) is a reference guide that explains all the symbols used in a genogram. It includes symbols for gender, life status, relationship types, emotional bonds, and medical conditions. Every genogram should include a key so readers can interpret the diagram correctly.

What are the basic genogram symbols?

The basic genogram symbols are: square for male, circle for female, triangle for pregnancy/miscarriage, X through shape for deceased, horizontal line for marriage, single slash for separation, double slash for divorce, and vertical lines connecting parents to children.

How do you show relationships in a genogram key?

Relationship symbols in a genogram key include: solid line for marriage, dotted line for engagement, single slash for separation, double slash for divorce, dashed line for cohabitation. Emotional relationships use different line styles: solid blue line for close bonds, dashed red for conflict, zigzag for hostility, dashed for distant.

What symbols are used for emotional relationships?

GenogramAI supports 30+ emotional relationship types organized in 6 categories: Positive (harmony, close, fused, friendship, love, limerence), Negative (conflict, hostile, violence, hate, distrust, fused-conflict, close-hostile, distant-hostile), Distance (indifferent, distant, estranged, never met, cutoff repaired), Abuse & Control (abuse with 4 subtypes, neglect, control, manipulative), and Focus (focused on, focused negatively, fan/admirer, jealous).

Should I include a key with my genogram?

Yes, always include a genogram key with your diagram. Even though many symbols are standardized, interpretations can vary. A key ensures anyone viewing your genogram understands exactly what each symbol represents. GenogramAI automatically includes standard symbols.

Further Reading

  • McGoldrick, M., Gerson, R., & Petry, S.Genograms: Assessment and Intervention (4th ed.). W.W. Norton & Company, 2020
  • Bowen, M.Family Therapy in Clinical Practice. Jason Aronson, 1978
  • International Association for Marriage and Family CounselorsGenogram Symbols and Notation Standards. IAMFC Practitioner Guidelines, 2018
  • DeMaria, R., Weeks, G., & Twist, M.Focused Genograms: Intergenerational Assessment of Individuals, Couples, and Families (2nd ed.). Routledge, 2017

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