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Abstract Both historically and in terms of present training and employment, medical settings have provided a fertile environment for formal psychological assessment. In fact, recently trained physicians expect to have psychological assessment resources available within the hospital systems in which they practice because these resources were present within the institutions in which they trained. Within this chapter, psychological assessment is viewed as encompassing all traditional (e.g., personality, intellectual, academic) and specialized testing (e.g., health/illness coping styles, neuropsychological). Important issues pertaining to psychological assessment in medical settings are reviewed. These topics include the influence of the medical environment, current pressures regarding ‘accountability,’ opportunities for clinical, educational, and research collaborations with physicians, reimbursement issues, financial efficacy, ethical and legal issues, logistics, and integration within a biopsychosocial model. Finally, types of medical settings, specific assessment instruments, and areas of specialty assessment are reviewed.
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