Chapter 4, "Adapting to the Managed Care Environment," is an introduction to the authors’ clinical practice methods. It could have been far more informative if these clinicians had explored the limitations of their practice. This is to some extent what chapter 5, "Limiting Negative Impact of Managed Care on a Clinical Child/Pediatric Psychology Practice," attempts to do. "Practicing Outside Managed Care," chapter 6, is an excellent how-to chapter—itself well worth the time it takes to read the book as a whole. Chapter 7, "Scientific Bases for Clinical Practice in Managed Care," can best be understood by keeping in mind that outcome studies in medicine and mental health are still in their measurement infancy. For example, how to measure "autonomy" or "authenticity" and what "consumer satisfaction" means are among the questions that need to be addressed by outcome measurement.