@ kadath, also the doctor could've been the sons mother. Everyone thinks a guy is a doctor fro some reason.
for the family question, i got 4....no idea how right it is
1 man, 1 women, 1 girl, 1 boy
basically the man and women are bro and sister and each has a child of different sexes, it doen't matter which one goes to which. That covers all of those relaitonships.
unless there is some kind of inner breading.....
also i guess he's looking at a picture of himself...
i'll add some more later
unless i am completely wrong
EDIT: damn kadath beat me by 2 minutes