In this talk, Neil Armstrong uses ethnographic material of NHS mental healthcare to raise some questions about autonomy, risk and personal and institutional responsibility. Neil Armstrong's research investigates mental health. He is particularly interested in how the institutional setting shapes so much of mental healthcare. His research aims to find ways that we might improve healthcare institutions rather than just focussing on developing new healthcare interventions. He is also concerned with methodological questions: how anthropological work can be of clinical value, and how best to produce anthropological knowledge in an inclusive way.