The purpose of this article is to explore what may cause tensions in the work with IP processes and discuss this in the light of power and powerlessness. The project is designed as a multi-case study. Qualitative data were collected through semi-structured individual interviews and observations from group meetings. Quantitative data were collected through a questionnaire focusing on activities of daily living, as well as from documents such as the available individual plan itself and official minutes of the meetings. The analysis of the material is based on a sociological discourse analysis. The three power discourses disclosed were 'power of knowledge', 'power of language, and power of definition. Power of knowledge' refers to the clients'...