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David Goodhart asks whether this transformation has been an unalloyed good. Increased opportunities for women, greater freedom and autonomy, and a more equal domestic sphere have brought considerable benefits. However, argues Goodhart, there have been losses as well as gains: liberal trends have produced negative consequences in family breakdown, children's mental health, and the undervaluing of care. Falling birthrates also present major demographic and social challenges.

In his groundbreaking follow-up to the bestselling The Road to Somewhere, David Goodhart divides society into people who work with their Heads (cognitive work), with their Hands (manual work), or with their Hearts (caring work), and considers each group’s changing status and influence. Today, the “best and the brightest” trump the “decent and hardworking.” Qualities like character, compassion, craft, and physical labor command far less respect in our workforce. This imbalance has led to the disaffection and alienation of millions of people.