The male symbol in genograms is a square. This foundational shape represents all male family members — fathers, sons, brothers, grandfathers — and serves as the basis for additional notation like deceased status, medical conditions, and emotional patterns.
Male
Square shape
42
With Age
Age inside shape
Index Person
Double border
Male: Square shape in standard genogram notation
How to Draw a Male in a Genogram
In standard genogram notation established by McGoldrick, Gerson, and Petry, a male is represented by a square. The square is drawn at a consistent size (typically 1–2 cm) and can contain the person's age or initials. The name and birth year are usually written below or beside the shape.
Standard Notation
According to McGoldrick, Gerson, and Petry in Genograms: Assessment and Treatment: "Males are indicated by a square." This convention has been used consistently since the formalization of genogram notation in the 1980s and is universally recognized in family therapy.
Information Displayed on the Male Symbol
The square shape is the foundation. Additional information is layered on top of or around it:
Name
Written below the square. First name is sufficient for most clinical work; full names are used for detailed family records.
Age or Birth Year
Age is written inside the square or birth year below it. Some practitioners write both: "42" inside and "b. 1983" below.
Occupation or Role
Written near the symbol when relevant to the clinical context. Useful for understanding family dynamics and stress factors.
Medical or Emotional Conditions
Color fills or annotations indicate conditions: orange for alcoholism, half-fill for carriers, and other conventions per the practitioner's system.
Male Symbol Variations
The basic square can be modified to convey additional information:
Index person (identified patient): A double-lined square indicates the person who is the focus of the genogram or clinical assessment
Deceased male: An X drawn through the square indicates the person has died
Adopted male: A square with brackets or dashed lines around it indicates adoption
Foster male: A square with dotted lines indicates a foster relationship
Pregnancy (male expected): A small square (half-size) is used when the sex is known before birth
Why Squares for Males?
The square-for-male, circle-for-female convention in genograms follows a long tradition in genetics and pedigree charts. Medical geneticists adopted these shapes in the early 20th century for pedigree diagrams, and when Murray Bowen and later McGoldrick formalized genogram notation for family therapy, they carried this convention forward for consistency with the broader scientific community.
The angular shape of the square is easy to distinguish from the circle at a glance, which matters when reading complex multi-generational diagrams with dozens of family members.
Clinical Tip
When drawing genograms by hand, keep all squares the same size for consistency. Uneven sizes can unintentionally suggest importance or dominance. In digital tools like GenogramAI, symbol sizes are standardized automatically.
Positioning Males in a Genogram
Standard genogram conventions place family members in specific positions:
Horizontal position: In a couple, the male is traditionally placed on the left side, connected to the female on the right by a horizontal line
Vertical position: Generations are stacked vertically, with older generations at the top
Sibling order: Siblings are arranged left to right from oldest to youngest
Multiple marriages: Earlier relationships are placed further left, with more recent relationships to the right
How to Add a Male in GenogramAI
Steps to Add a Male Family Member:
1Click the Add Person button in the toolbar
2Select "Male" as the gender — a square appears on the canvas
Why is the male symbol a square and not a triangle?
The square convention comes from medical genetics pedigree charts, where squares represented males and circles represented females. When genogram notation was formalized for family therapy in the 1980s, these shapes were adopted for consistency with the broader scientific community.
Can I use a different shape for non-binary family members?
Yes. Modern genogram practice includes a diamond or question mark shape for individuals who identify as non-binary, gender non-conforming, or whose gender is unknown. GenogramAI supports these options in the gender selection.
How do I show the index person if they are male?
The index person (identified patient or focus of the genogram) is indicated by a double-lined square — essentially a square within a square. This immediately identifies who the genogram centers on.
What size should the square be?
When drawing by hand, squares are typically 1–2 cm per side. The key is consistency: all male symbols should be the same size within a genogram. Digital tools like GenogramAI handle sizing automatically.
How do I show a male who was adopted?
An adopted male is shown as a square with brackets around it (or connected to adoptive parents with a dashed line). The biological parents, if known, are connected with a dotted line.