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Flight training and flying are hazardous activities that demand the most of human operators, whether they be pilots or other actors involved in the complex aviation system. This book aims to serve as a handbook for dealing with aviators and other operators, those seen as patients as well as those functioning normally, who nonetheless wish to improve their performance. The text intersects the human factors and clinical areas of aviation and operators in extreme environments. The book defines specific touchstone areas such as selection, training, accident investigation, measurement and testing and practical interventions. The "little-margin-for-error" realm of aviation exposes operators to stress and risk on a daily basis, and the book offers a blueprint for combining the talents of clinical psychologists with flight surgeons and human factors practitioners to enhance safety and efficiency.