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THE FAILING AVIATOR. CAPT D. Wear, MC, USN 1999. Background. Like “fear of flying,” the “failing” aviator is NOT a diagnosis, but a concept to keep in mind. Also like f-o-f, when considering the failing aviator, flying is almost never the real stressor

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capt d wear mc usn 1999

THE FAILING AVIATOR

CAPT D. Wear, MC, USN

1999

background
Background
  • Like “fear of flying,” the “failing” aviator is NOT a diagnosis, but a concept to keep in mind.
  • Also like f-o-f, when considering the failing aviator, flying is almost never the real stressor
  • Historically seen in the older or middle-aged aviator with multiple stressors
background cont
Background (cont.)
  • The aviator population today is much more heterogeneous regarding gender and ethnicity
  • Failing aviators today may present with more subtle signs and symptoms of poor stress
the failing aviator
The Failing Aviator
  • References:

- Handout

- COMNAVAIRPACINST 5420.2B/

COMNAVAIRLANTINST 5420.5C/

COMNAVAIRESFORINST 5420.2

(SOP on Human Factors Council and

Human Factors Board) - encl. (5)

personality traits of healthy aviators
Personality Traits of Healthy Aviators
  • Healthy aviators of both sexes score about the same on certain standard psychological tests
  • NEO-PI-R: emotionally stable

conscientious

extroverted

  • Healthy traits: self-reliant

achievement-oriented

adventurous

coping styles of healthy aviators
Coping Styles of Healthy Aviators
  • DEFENSE MECHANISMS:

denial rationalization

suppression intellectualization

  • COMPARTMENTALIZATION:

ability to ignore (exclude from consciousness) distractions that do not contribute to flying

healthy female aviators
Healthy Female Aviators
  • Compared to females in the general population, female aviators are:

less modest

less agreeable

more emotionally stable

more conscientious

why is it difficult to recognize the failing aviator
Why is it difficult to recognize the failing aviator?
  • The failing aviator is reluctant to acknowledge problems:

- denial is a normal defense

- stigma of psychiatric illness

- fear of extrusion from the group

- belief that psychiatric treatment

equates with the end of flying

difficulties in recognizing the failing aviator
Difficulties in Recognizing the Failing Aviator
  • The “organization” (peers, supervisors, flight surgeon) is reluctant to express concerns about its members
  • Reasons:

- fear of “contamination” (if it

happened to “Viper”, it could

happen to me)

- reluctance to admit that “one of us” failed

underlying stressors for the failing male aviator
Underlying Stressors for the Failing Male Aviator
  • Relationship/family problem
  • Work problem:
    • personality conflict with the chain-of-command
    • middle management problem
    • poor fitness report
    • feeling that work not appreciated
  • $$$-career-family/risks-rewards
  • Environment (machine)/Mission
    • deployments, moves, pulling G’s, etc.
behavior of the failing male aviator dully 1983
“Acting out”

displays of bravado

macho posturing

abandon

risk-taking behavior:

- sexual promiscuity

- dangerous sports

- alcohol abuse

- reckless driving

- flying “outside the

envelope”

Behavior of the Failing Male Aviator (Dully, 1983)
most common diagnoses
Most Common Diagnoses
  • Adjustment Disorders
  • Marital Problem
  • Phase of Life Problem
  • Maladaptive Personality Traits (O/C, Narcissistic, P/A)
literature is sparse
Literature is sparse!
  • Berg and Moore (1997): “Behavioral and Emotional Manifestations of the Failing Female Aviator”
  • Conclusion: The failing female aviator may present in less dramatic fashion and thus may not be recognized by the flight surgeon
why might female and minority aviators deny feeling stressed
Why might female and minority aviators deny feeling stressed?
  • Same reasons as the “guys”
  • Need for acceptance by the established group of male aviators
  • Desire to avoid being labeled as a “weak” female
study by berg and moore 96
Study by Berg and Moore (96)
  • Case review of 12 failing female aviators (referred for psychiatric evaluation due to performance difficulties)
  • Student and designated Naval pilots and flight officers
symptoms of failing female aviators
Symptoms of Failing Female Aviators
  • anxiety • guilt
  • insomnia • hopelessness
  • tearfulness • lowered self-esteem
  • depression • loneliness
  • irritability
  • In general, emotional distress was internalized
behaviors of failing female aviators
Behaviors of Failing Female Aviators
  • aviation performance problems
  • social withdrawal
  • NO impulsive risk-taking!
underlying concerns for these women
Underlying Concerns for these Women
  • 75% relationship problem
  • 25% death of a close friend in an

aviation mishap

  • 25% perceived sexual harassment/

hostile work environment

psychiatric diagnosis
Psychiatric Diagnosis
  • Adjustment Disorder was most common
  • Same diagnoses as the male failing aviators
role of the flight surgeon
ROLE OF THE FLIGHT SURGEON
  • Cannot be overstated!!!
  • Your effectiveness in the squadron hinges on your ability to detect problems early, intervene effectively (decisively and fairly balancing the needs of the Navy and the individual), and get the aviator flyingSAFELY
  • Ensure active participation in the HFC/B
recommendations for the flight surgeon
Recommendations for the Flight Surgeon
  • Be aware of the differences among stressed aviators regarding:

- different precipitating stresses

- different symptoms (internalized

distress)

- different behaviors (less “acting out”)

  • Some stressed aviators may present with more subtle symptoms and behaviors
slide23

Don’t have the first indication of

the failing aviator be a mishap -

Particularly if your own defenses got

in the way (i.e. the proverbial ostrich with

their head in the sand = denial).Sometimes

it takes courage to make the right decision

pearl
PEARL

Do not rely on the aviator to determine if he/she can or cannot

compartmentalize!

Any aviator using typical

defenses will say they

are doing “fine.”