The central argument of this paper is that the substantive empower ment of users of mental health services can be most effectitely achieved by employing service users as educators of neophyte mental health professionals. Using British mental health nursing as a case study, this issue is discussed with reference to the occupational culture of nursing and the wider social-political context. The author con cludes that despite a rhetoric of 'citizenship' and user involivement in the planning of public services, the internal contradictions of Thatcherism and Majorism mitigate against the implementation of such radical change.
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