reflects on the changing nature of economic, political and social power in the global context and the ways in which this affects both individual and society.

is Senior Lecturer in Adult Nursing at Bournemouth University, UK and the author of Care in the Iron Cage: A Weberian Analysis of Failings in Care.

Part I - Overview. 1.Overview. Part II - Alienation. 2.Isolation. 3.Anomie. 4.Sensory Deprivation. 5.Escape. 6.Bureaucratisation. Part III - Fear. 7.Experimentation. 8.Institutionalisation. 9.Coercion. 10.Existential crisis of the bourgeoisie. 11.The mob. Part IV - Authoritarianism. 12.Propaganda and censorship. 13.Ideology. 14.De enlightenment. 15.Surveillance. 16.Towards totalitarianism. Part V - Resistance. 17.Truth. 18.Politics. 19.Practicalities. 20.Technology. 21.Conclusion.