Abstract: An automotive adjustable head rest is selectively securable to an existing seat-head and neck rest arrangement to enable selective positioning of a user's head. Adjustable "U" shaped clamps are in a first embodiment securable to an existing seat-head rest organization where a releasably securable pivotal positioner enables pivoting of said head and neck rest to a desired orientation relative to a user. Alternatively, the head and neck rest arrangement may be formed as a permanent operative unit with a seat by telescoping and retracting such head and neck rest within the seat for selective use and again including a pivoting positioner to enable forward pivoting of said head and neck rest.