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The purpose of the study is that based on focus groups with personal assistants understand how self-determination and participation, expresses itself in work with the users. The study has a focus on the concepts of power and help and social citizenship in the context of self-determination and participation. We are interested to explore how personal assistants reason and argue about different design cases and situations related to self-determination and participation in the relationship with the users. For this study we have used a qualitative method and to collect our data we have used focus groups and different design cases (vignettes). To analyze our data we used the theory about power and help and the theory about social citizenship. The study showed that there were various factors affecting the users ability to achieve self-determination and participation. Common features in some of these factors were the personal assistants view of the users. The personal assistants view of the users could also be seen as both an obstacle but also a prerequisite for users to achieve self-determination and participation and influence the ability to achieve social citizenship.