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patriarchal has no recorded synonym. Each sense below keeps its own list, because a synonym belongs to a meaning and not to a word: swapping one sense's substitute into another sense's sentence is how a thesaurus makes writing worse. Its one recorded opposite is matriarchal.
Counts are distinct word forms across every sense. A synonym that appears under three senses is counted once here and shown three times below, under each sense it belongs to.
characteristic of a form of social organization in which the male is the family head and title is traced through the male line
1 of the 2 recorded senses carries no synonym, antonym or related term, so it is not shown above. Every sense, with its definition and examples, is on the full entry for patriarchal.
Synonyms, antonyms and the broader and narrower relations for patriarchal come from Princeton University’s WordNet. Full sources and licences.