Revisiting the Sexual Genogram

The sexual genogram is an essential tool for assessing both transgenerational and current issues regarding sexuality. While the original article on constructing a sexual genogram is comprehensive (Hof & Berman, 1986), not much has been written about it since that time. On the 25th anniversary of the sexual genogram, we wanted to revisit it with an eye on contemporary sexual issues. Several updates are suggested, including comprehensive, inclusive questions to elicit information about the diversity of gender expression, sexual orientation, and sexual communication. Additionally, we encourage the use of the sexual genogram in all forms of treatment (individual and couple), as well as integrating a sexual timeline to understand sexual development over the course of the client's lifetime.