Book Review
The Handbook of Aviation Neuropsychology is a well-crafted resource that addresses the increasing need for cognitive assessment and mental performance support in aviation contexts. At the intersection of cognitive science, clinical assessment, and flight safety, the volume offers an authoritative synthesis of current theory, research, and applied practice. Edited by internationally recognized leaders in aviation psychology, neuropsychology, and aerospace medicine, the book is clearly organized and well written, effectively translating complex clinical material into guidance that is both practical and operationally relevant.
While directed primarily at neuropsychologists, the handbook also serves as a valuable reference for psychiatrists, human factors professionals, aviation medical examiners, regulatory agencies, and others concerned with the cognitive performance of safety-sensitive personnel. It is particularly relevant for those assessing or supporting pilots, air traffic controllers, and other operational roles where sustained attention and adaptive decision-making are essential.
The volume is structured into five thematic sections. Section I covers the historical and foundational development of aviation neuropsychology, including civilian and military regulatory frameworks, personnel selection, operational support, and neuropsychiatric assessment. Section II emphasizes prevention and resilience, exploring salutogenic approaches, protective factors, and evidence-based interventions.
Section III focuses on neuropsychological assessment, including test selection, aeromedical significance, and astronaut cognition. It also highlights emerging technologies for real-time performance monitoring. Section IV addresses investigative applications, including the role of cognition in accident analysis, and multidisciplinary data integration for flight safety. Section V explores special topics such as attention-deficit/hyperactivity disorder, autism spectrum disorder, COVID-19-related symptoms, and age-related cognitive decline. It concludes with practical guidance on aviation-specific neuropsychological report writing.
A key strength of the handbook is its dual emphasis on clinical rigor and operational relevance. The editors underscore that even subtle cognitive deficits (often undetected by routine screening) can have significant consequences in high-stakes aviation environments. Their discussion of cognitive reserve, neuroplasticity, and performance thresholds is based on empirical research and presented with clarity. The text highlights the limitations of current neuropsychological testing in fully capturing the operational demands and cognitive nuances of complex aviation environments. It also provides thoughtful commentary on how to communicate complex neurocognitive findings to aeromedical decision-makers.
The content reflects current guidance from civil and military aviation regulatory authorities and engages with topics under active policy development. These include attention-deficit/hyperactivity disorder in pilots, post-COVID neurocognitive effects, and the demographic challenge posed by aging pilot populations retiring faster than they can be replaced. While most policy frameworks referenced are U.S. or European, the international authorship lends credibility and breadth.
In summary, the Handbook of Aviation Neuropsychology succeeds both in consolidating the field and guiding its future direction. It should be considered an essential companion for anyone involved in aviation neuropsychological assessment, certification, and safety oversight. As aerospace operations grow increasingly complex, this volume provides the foundational knowledge and forward-looking insights needed to support cognitive health and performance in aviation environments.
