The Global Assessment of Functioning Scale

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Apple_in_my_Eye
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07 Feb 2011, 1:00 am

I had that assessed once about 10 years ago; the 'verdict' was 45. It was useful for what I needed it for at the time (applying for SSDI/SSI), so I guess I don't have any complaints. I guess it's about the same, now.

I wonder how the effects of informal help are figured into the rating? I.e. plenty of people here seem to have informal, but critical help from spouses/SO's/parents/etc. Maybe someone can work with that 'invisible' help, but without it their apparent 'high functionality' would collapse.

(After reading the top rating I'm feeling a slightly evil impulse to try to write criteria for numbers above 100... "110-120: wherever you walk the shines more brightly, and nearby children become happier, due to your aura. 120-130: You never have B.O. and can cure all illness by touch. 130-140: Flowers sprout from your footsteps. You turn deserts into paradise merely by being there." :twisted: )



Verdandi
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07 Feb 2011, 1:00 am

wavefreak58 wrote:
Verdandi wrote:
Yensid wrote:
I'm probably 41-50. Maybe 51-60.

It seems like a fair scale.


I'm usually at 41-50. I think I might currently be at 51-60 due to the lack of suicidal ideation, although I probably still qualify for that "unable to keep a job" which would keep me at 41-50.


I keep a job but have no friends. Depression and suicidal ideation have been present for 30+ years. There has been great variation in intensity, but not a day has passed in decades where at least the idea of self termination has crossed my mind. I'm actually doing much better having found my place on the spectrum. It has given me permission to let go of some things that I now know I cannot change.


I have friends in the internet, some of whom have become friends in real life.

Looking at 31-40 again:

31 - 40 Some impairment in reality testing or communication (e.g., speech is at times illogical, obscure, or irrelevant) OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood (e.g., depressed man avoids friends, neglects family, and is unable to work; child frequently beats up younger children, is defiant at home, and is failing at school).

Also, what Callista said is making me think as well, about reminding herself to take showers or go to bed. I mean bed, yes, definitely, I suck at that. Sometimes (not always) showers. I have some other issues with self-help skills that, yeah.

I don't know, though. I don't really know how to use the scale, and I can't download the PDF Anbuend linked, so I'm taking shots in the dark. Still not really possible to judge quality of life so much.



buryuntime
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07 Feb 2011, 1:11 am

They have a children's list. http://en.wikipedia.org/wiki/Children%2 ... ment_Scale

The more I read them the more I disagree with them.



anbuend
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07 Feb 2011, 1:13 am

Oh I don't know that it's possible to download. Are you able to click on the link and then read it within your browser? That's how it worked for me. I don't think you can just right-click and download.


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Verdandi
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07 Feb 2011, 1:18 am

anbuend wrote:
Oh I don't know that it's possible to download. Are you able to click on the link and then read it within your browser? That's how it worked for me. I don't think you can just right-click and download.


Thank you! I'm not sure why it was automatically going to download instead of view, but I was able to correct it.



Chama
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07 Feb 2011, 1:34 am

I think a person's score is supposed to be a single number, and each category gives a range of numbers so that each category has degrees.
I'd give myself a 51.



anbuend
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07 Feb 2011, 1:47 am

Yeah it is supposed to be a single number. Depending on the way you interpret the criteria, I'd give myself a 7, 13, or 21 probably. But it's really hard to come up with even the ranges, let alone the numbers. A lot of shrinks just use the round numbers -- 10, 20, 30, etc. possibly because it's hard for even them to be more precise than that.

I wonder if someone could make this into a poll. (They'd have to use ranges for that, though.)


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Verdandi
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07 Feb 2011, 2:25 am

anbuend wrote:
I wonder if someone could make this into a poll. (They'd have to use ranges for that, though.)


Okay, poll here: http://www.wrongplanet.net/postt151095.html



just-lou
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07 Feb 2011, 4:28 am

Hell. With how much of a joke my life is right now, I'd rate myself at 41-50. That's depressing.



Yensid
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07 Feb 2011, 4:59 am

Chama wrote:
I think a person's score is supposed to be a single number, and each category gives a range of numbers so that each category has degrees.


I'm sure you're right. I'm just not certain what my range is, much less a specific number in the range. It's possible that I'm actually in a lower range than I mentioned. The one thing that I'm sure of is that I'm not in a higher range.


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Verdandi
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07 Feb 2011, 5:27 am

Yensid wrote:
Chama wrote:
I think a person's score is supposed to be a single number, and each category gives a range of numbers so that each category has degrees.


I'm sure you're right. I'm just not certain what my range is, much less a specific number in the range. It's possible that I'm actually in a lower range than I mentioned. The one thing that I'm sure of is that I'm not in a higher range.


Yeah, same.

I even ended up shifting downward after further thought (and reading the instructions), and am still kind of looking at the next category down.



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07 Feb 2011, 5:53 am

What does it mean by 'obscure speech'? My speech is usually a jumbled mess but my thoughts seem more clear. Sometimes they're not clear but that's an ADHD-PI thing. I wonder how someone would judge me if they heard my stutterings and stoppings and constant ability to forget what I was going to say.
I'd give myself a 35. I mean no job, still living with parents, somewhat echolalic, poor social skills, shutting down if I'm around people for too long, self-help skills still behind, becoming confused and paranoid by hallucinations, thinks suicidal thoughts but will never do it (ideation mostly), not to mention having all those difficulties that come from a fear of change.


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ADD_Teen
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07 Feb 2011, 11:48 am

Ouch. 41-50. Suicidal & poor social skills. My mom also has to force me to bath.
But I don't need no special education! I can get normal grades and take care of everything (including hygiene by MY standards) by myself :evil:


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Callista
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07 Feb 2011, 11:57 am

Well, ya know, ADD, it's really not unusual for people with autism to be able to do some things but not others very well--so don't let them tell you that because you can do one thing, you must be able to do something unrelated, or because you can't do one thing, you can't possibly be capable of something else unrelated.

For example, I learned how to read a star map before I learned how to use figures of speech. I learned how to solve calculus problems before I learned how to keep up with personal grooming. I learned how to write an essay before I learned how to ride a bike...

I'm autistic. That kind of "out of order" development is practically to be expected. So... you can do what you can do, and don't let them tell you that you must learn things in the typical order. Just gain skills as you become capable of accessing them, at your own pace, to the best of your own ability--if you hold yourself up to the shrinks' standards you'll always fall short.

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What does it mean by 'obscure speech'? My speech is usually a jumbled mess but my thoughts seem more clear. Sometimes they're not clear but that's an ADHD-PI thing. I wonder how someone would judge me if they heard my stutterings and stoppings and constant ability to forget what I was going to say.
I'd give myself a 35. I mean no job, still living with parents, somewhat echolalic, poor social skills, shutting down if I'm around people for too long, self-help skills still behind, becoming confused and paranoid by hallucinations, thinks suicidal thoughts but will never do it (ideation mostly), not to mention having all those difficulties that come from a fear of change.
I think that their "obscure speech" is primarily meant to catch people who have schizophrenia or some other psychosis, whose words get all garbled when they try to say what they're thinking (or else they have disorganized thoughts that they're communicating clearly--an observer usually can't tell which). Autistics sometimes have this problem too. So if you are unable to communicate things verbally because your words don't come out the way you want them to, that can give you a low GAF; but if you have an alternative communication method that is quite reliable for you, a psychologist might ignore that criterion because communication, not speech, is really the important thing.


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ADD_Teen
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07 Feb 2011, 1:43 pm

Callista wrote:
Well, ya know, ADD, it's really not unusual for people with autism to be able to do some things but not others very well--so don't let them tell you that because you can do one thing, you must be able to do something unrelated, or because you can't do one thing, you can't possibly be capable of something else unrelated.

For example, I learned how to read a star map before I learned how to use figures of speech. I learned how to solve calculus problems before I learned how to keep up with personal grooming. I learned how to write an essay before I learned how to ride a bike...

I'm autistic. That kind of "out of order" development is practically to be expected. So... you can do what you can do, and don't let them tell you that you must learn things in the typical order. Just gain skills as you become capable of accessing them, at your own pace, to the best of your own ability--if you hold yourself up to the shrinks' standards you'll always fall short.

Quote:
What does it mean by 'obscure speech'? My speech is usually a jumbled mess but my thoughts seem more clear. Sometimes they're not clear but that's an ADHD-PI thing. I wonder how someone would judge me if they heard my stutterings and stoppings and constant ability to forget what I was going to say.
I'd give myself a 35. I mean no job, still living with parents, somewhat echolalic, poor social skills, shutting down if I'm around people for too long, self-help skills still behind, becoming confused and paranoid by hallucinations, thinks suicidal thoughts but will never do it (ideation mostly), not to mention having all those difficulties that come from a fear of change.
I think that their "obscure speech" is primarily meant to catch people who have schizophrenia or some other psychosis, whose words get all garbled when they try to say what they're thinking (or else they have disorganized thoughts that they're communicating clearly--an observer usually can't tell which). Autistics sometimes have this problem too. So if you are unable to communicate things verbally because your words don't come out the way you want them to, that can give you a low GAF; but if you have an alternative communication method that is quite reliable for you, a psychologist might ignore that criterion because communication, not speech, is really the important thing.


The painful part is, that I'm not sure if I'm autistic or just naturally have no social skills.


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wavefreak58
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07 Feb 2011, 1:45 pm

ADD_Teen wrote:

The painful part is, that I'm not sure if I'm autistic or just naturally have no social skills.


Isn't autism by definition, a natural (in other words what you are by nature, not nurture) lack of social skill?


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