It is proposed that the expansion of the research base in clinical neuropsychology to reflect client and clinician concerns with a range of psychosocial consequences of brain impairments is a priority. As neuropsychologists have become involved in patient management, their need for data of relevance to assessing and treating the broader social and interpersonal aspects of their clients' competencies has become increasingly obvious. In addition, study of the adaptation of patients to the effects of brain damage can provide important information about the effects of social support, stress appraisal, and coping in response to mental and physical impairment.