This study examines perceptions and understandings of self-determination in the context of relationships
between people with intellectual disabilities and social care professionals. We held focus group discussions
to explore the views and experiences of 10 residents and 10 professionals at three facilities for people with
intellectual disabilities located in Western Switzerland. Participants perceived and understood self-determination
in terms of decision-making, social skills, procedures, identity, self-consciousness, autonomy, freedom,
barriers, and facilitators. The research process highlighted the shifting and situational nature of the concept,
as well as the importance of self-determination for people with intellectual disabilities. The findings also highlight
the importance of discussion and reflection on the concept of self-determination and its benefits for people
with intellectual disabilities.