The text maps out clearly the origins of ritualistic thinking and then discusses notions of change, empowerment and critical social theory as applied to nursing. The ideas of writers such as Paulo Freire and Patricia Benner are brought together to try and create a tool for the critical appraisal of current nursing issues. Major recent initiatives in nursing are discussed in the light of these findings and the ways in which ritualization can be avoided are explored. Such developments should then facilitate care and liberate nursing practice to enhance professional development. Examples are given of how clinically based nurses can develop their own approach to care. This is a book that can be read at all levels. It is provocative and a source of discussion material and ideas to improve clinical practice.