No abstract

The parent-child dysfunctional interaction and difficult child subscales of the PSI-SF scale should be used with caution with parents of young children with ASD. More research is required to examine PSI-SF content validity, at least among parents of children with ASD and perhaps parents of children with other disabilities as well.

The lifetime psychiatric health care costs of 15 women with multiple personality disorder (MPD) who were admitted to the senior author's inpatient service over a four-year period were tabulated. A calculation of the projected costs of treatment based on costs incurred since diagnosis was made, and this was compared to prediagnosis baseline costs projected forwards for ten years. The result of the calculation was a saving of $84,899.44 per patient over ten years due to the diagnosis and psychotherapeutic treatment of MPD. If the length of time in the health care system prior to diagnosis was reduced from the average of 98.77 months experienced by these 15 women to 12 months, the savings would be over $250,000.00 per case. Because the potential savings from the diagnosis and treatment of MPD appear to be so large, replication of the study with a longer followup is required.

The term phaeohyphomycosis (PHM) means dark-pigmented fungal hyphae. Cerebral PHM (CPHM) with onychomycosis is extremely rare; very few have been reported so far. The authors report a case of CPHM with onychomycosis in a 37-year-old male from a rural background in Haryana, India, with involvement of the left frontal lobe. The mass was resected and biopsy was sent for histopathological examination. He was given antifungal drugs in the postoperative period. The patient responded very well to the treatment, and there were no signs of recurrence at the 6-month follow-up visit. The clinical features, imaging and histopathological investigations, and management of this rare entity are discussed, and the available literature is also reviewed.