Health care psychology should be more strongly emphasized in graduate clinical psychology training programs so that clinical psychologists can better meet demands for services that come from society, the health care field, clinical psychology itself, practicing clinical psychologists, and clinical psychology graduate students. The relationship of clinical psychologists to health care psychology and the efficacy of training in health care psychology to meet those sources of demand are described. Various means of implementing graduate programs that stress or include health care psychology are discussed.Directions and goals in graduate training have long been major issues in clinical psychology. The attention given to training reflects a strong tendency of clinical psychology to define itself through its approach to graduate education as well as through the skills it teaches. Nevertheless, clinical psychology has attempted to remain flexible both in its approach to training and in its subject matter, making significant changes as the times dictate.The changes in clinical psychology training over the past 30 years have been principally in response to differential demands society has placed on the profession for particular services. As clinical psychology considers expansion or redirection of graduate training, it must still respond pragmatically and reflect the trends in demand of services. In brief, training programs must review all potential sources of demand that might originate from society as a whole; particular segments of society outside clinical psychology, such as individuals working in or seeking services from the health professions; clinical psychology itself; practicing clinical psychologists; and, last but not least, graduate students in clinical psychology. To focus on one source of demand but not another would result in a blind alley for training. Services demanded by society, but not of interest to students, will result in educated students who can service some particular societal need but are unwilling to lend their expertise. Training programs supported by students, but not marketable in society, will produce frustrated students. The one area of expansion already evident in clinical psychology which may satisfy all aforementioned sources of demand, may be the development of programs to train graduate students to become health care psychologists.The focus of health care psychology, as described by Schofield (1969), is the emphasis on clinical psychology as a health science. The health care psychologist is viewed as a health professional who can contribute to the evaluation and management of nonpsychiatric health problems. The health care psychologist is an integral part of a multidisciplinary team whose goal is the provision of comprehensive health care. Although health care psychology is integrated with medicine, this does not imply acquiescence to the medical model. Rather, health care psychology is based on the fact that psychological factors are a primary concern in many health-related issues and...