450 B. Family interaction patterns. The following symbols are optional. The c1inician may prefer to note them on a separate. sheet. They are among the least precise information on the genogram, but may be key indicators of relationship patterns the clinician want to remember. Conflictual relationsh ip: Very close reltionshlp: ~ l>istnt relationship:-=:J------0 Estnmgement or cut,off r7___J L _ _r-"\ (give dates if possible): L_J _. ' ~ Cut off 62-78 Fuoed and con Aictual : ~ C. Medical history. Since the genogram is meant to be an orienting map of the family, there is room to indicate only th~ most importan t factors. Thus, list only major or chronic illnesse$ and problems. Include dates in parentheses where feasible or applicable. Use DSM-IV categories or recognized abbreviations .,.,-here a..-ailable (e. g. cancer: CA; stro!ke: CVA). D. Other family information of special importance may also be noted on the genogram: 1. Ethnic background and migration d. lte 2.. Reli1ion or religious chai. nge 3. Eduation 4. Oc. wp. ai'tion or un~pfoyment 5. Retlrement 6. Trouble with law 7. i>hys. ical abuse or inces1 8. Obuitv 9. Alcohol or Oru1 abuse (symbol ; ~ Q) 10. Smoking 11. Oates wh.. n family members left home: LH '74. 12. Curr~nt l~tlon offamily members It is useful to have a space at the bottom of the genogram for notes on other key infor-matiom critical events, changes in the family structure since the genogram was made, patterns and other notations of major family issues or changes. These notations should always be dated, and should be kept to a minimum, since every extra piece of informati on on a gcnogram complicates it and therefore diminishes its readability. 