Male
A square on a genogram is a male family member. His age is written inside it, and his name and dates beside it.
Easily confused with
How to read it
Genograms draw every person as a shape, and the square is the male; a circle is the female. SAMHSA’s guide to family therapy, social work training guides in the United States and the United Kingdom, and the medical pedigree all use the same pair. The University of North Dakota’s child welfare guide writes the age inside the square and the name next to it, and Washburn University’s guide adds the date of birth. A death is shown by an X through the square, and the index person, the one the genogram is drawn around, has a double outline.
Also searched as: genogram male, male symbol, square genogram.
This explains what a symbol records on a genogram. Clinicians vary the notation, and a genogram’s own key takes precedence.
Gender on newer genograms and pedigrees
The National Society of Genetic Counselors revised its pedigree symbols in 2022 so that the shape records a person’s gender, not the sex assigned at birth: a square for a man or boy, a circle for a woman or girl and a diamond for a nonbinary or gender-diverse person. A transgender man is a square with AFAB (assigned female at birth) written under it, and a square with no note is a cisgender man. The society advises against the circle inside a square that the National Comprehensive Cancer Network had recommended, saying transgender people did not favour it.
Genogram guides differ. The Multicultural Family Institute’s standard symbol sheet and the 2021 Research in Practice guide for social workers still draw a transgender person as one shape inside the other, which the Institute’s sheet labels man to woman or woman to man. The Research in Practice guide and a University of Texas at Austin social work guide add a separate symbol for a nonbinary person.
When the sex isn’t known
The University of North Dakota’s guide uses a triangle for a person whose sex is unknown, such as a great-grandparent’s sibling or a stillborn child. The 1980 genogram legend in The Journal of Family Practice and the genetic counselors’ pedigree use a diamond. In SAMHSA’s guide a triangle is a Pregnancy.
Read next
- Next in Genogram symbolsFemaleA circle on a genogram is a female family member. Her age is written inside it, and her name and dates beside it.
- The same shape in Flags of OceaniaFlag of AustraliaThe Union Jack in the top corner, a large seven-pointed Commonwealth Star below it and the five white stars of the Southern Cross on a blue flag. The Flags Act 1953 says the large star represents the six states and the territories; its seventh point was added in 1908 for Papua and future territories, the Museum of Australian Democracy says.
More genogram symbols
The same shape elsewhere
Browse symbols drawn with squares and rectangles.
Sources
- Substance Use Disorder Treatment and Family Therapy (Treatment Improvement Protocol 39), SAMHSA Publication No. PEP20-02-02-012, updated 2020, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services (govinfo.gov), Chapter 4, Counselor Note: Talking to clients about genograms
- QA Case Review: Genogram Resource, ND CFS Quality Assurance, revised November 2022, Children and Family Services Training Center, University of North Dakota, Steps 1 and 5
- Practice resource-focused revision: Standardized pedigree nomenclature update centered on sex and gender inclusivity: A practice resource of the National Society of Genetic Counselors, Robin L. Bennett, Kathryn Steinhaus French, Robert G. Resta and Jehannine Austin, Journal of Genetic Counseling 31 (2022): 1238–1248, National Society of Genetic Counselors (Wiley), Box 1; section 4.1; section 5
- Standard Symbols for Genograms, The Multicultural Family Institute (copy on a PBworks course wiki), Page 1
- GenoGrams, Jay Memmott, Department of Social Work, Washburn University, Basic Symbols, slide 2
- Using genograms in practice, Practice Tool, Hannah Scott, February 2021, Research in Practice (The Dartington Hall Trust), Figure 3, page 13
- Genogram (TXPOP practice model tools guide), Texas Permanency Outcomes Project, Steve Hicks School of Social Work, The University of Texas at Austin, Symbols for drawing the genogram
- The Genogram, Winifred Jolly, Jack Froom and Melville G. Rosen, The Journal of Family Practice 10, no. 2 (1980): 251–255, The Journal of Family Practice (MDedge archive), Figure 2, Genogram symbols
Researched, edited and approved by Rory Hansen before publishing. Last reviewed October 9, 2026. How we research
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