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The four generation genogram offers a overview of a four generational family system. . The first generation includes a heterosexual married couple with three biological children: the eldest is a heterosexual female, and the middle and youngest are heterosexual males. A significant loss in the family is indicated by the death of the middle daughter and both the first generation parents.

In the second generation, the eldest daughter was in an abusive marriage with a heterosexual partner and is now divorced. Her former partner suffered from diabetes. They have two biological daughters. The younger daughter has no partners or children. The third generation eldest daughter has one daughter with a deceased partner. This fourth generation daughter suffers from diabetes, and is close to her second cousin on her mother’s side of the family.

The second generation youngest son is in a live-in heterosexual relationship, and has two biological children with his partner. His partner suffers from heart disease. They have an older son, that also suffers from heart disease, and younger daughter who is deceased. They further have two biological, fourth-generation sons. The older fourth generation son is close to his second cousin on his father’s side of family.

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