This collection of generally well written reviews is sure to elicit a variety of reactions from readers interested in the field of clinical neuropsychology. Many, particularly those new to neuropsychology will likely appreciate this well organized and clearly written compilation of chapters edited by Gerald Goldstein and Theresa M. Incagnoli. The 12 chapters written by some of clinical neuropsychology's plenipotentiaries cover the main assessment systems currently employed in the United States. There are also chapters concerned with the evaluation of such special populations as severely demented older adults and children. In addition there are introductory chapters covering longstanding debates that still occupy some quarters of the neuropsychological community. To this group of readers Contemporary Approaches to Neuropsychological Assessment will serve as an intellectual “county fair” where experts have proudly displayed the best of their “wares”: the test systems and ideas with which they have long been associated. However, there will also be readers who will find this compilation disconcerting. From the perspective of many clinicians who are more familiar with the field, including those who must make a living in the real world of managed care and the increasing disillusionment of traditional medical allies of clinical neuropsychology (e.g., behavioral neurology, the court system, etc.), this volume will appear overly optimistic and in some cases anachronistic.