Starting from excerpts of practioners’ accounts of alienated processes in their work life, this chapter investigates the notion of alienation in the era of neoliberalism and New Public Management. Drawing on Rahel Jaeggi’s retreatment of Marx’s theory of alienation, and elaborating upon Wendy Brown’s account of neoliberal rationality, I claim that the contemporary focus on measurability and control can be viewed as alienating the practical knowledge of the professional. I go on to explore how professionals’ reflective narratives might serve as a way of critiquing contemporary forms of alienation.